有效人工通气时机对心肺脑复苏的影响  

The study of opportunity of effective artificial ventilation in cardiac-pulmonary-cerebral resuscitation

作　　者：邓春发[1] 丁祥武[1] 孟宪明[1] 

机构地区：[1]华中科技大学同济医学院附属襄樊医院急诊科,武汉441021

出　　处：《中华急诊医学杂志》2004年第11期772-773,共2页Chinese Journal of Emergency Medicine

摘　　要：目的　评价有效人工通气的时机与心肺脑复苏预后的关系。方法　收集 6 0例心搏骤停行心肺脑复苏患者的临床资料 ,按心搏骤停至成功气管插管实施有效人工通气的间隔时间 ,分三组 ,即 <5min组、 5～ 10min组、 >10min组。比较每组中各期的复苏成功率。结果　 <5min组分别与 5～ 10min组和 >10min组比较 ,三期复苏成功率均有显著差异 (P <0 0 5或 0 0 1) ,而 5～ 10min和 >10min组三期间的复苏成功率无显著差异 (P >0 0 5 )。结论　及时有效的人工通气是心搏骤停CPCR成功的关键 。Objective To evaluate the opportunity of effective artificial ventilation in cardiac-pulmonary-cerebral resuscitation(CPCR).Methods Sixty patients after cardiac arrest were divided into 3 groups of <5 minutes,5～10minutes,> minutes according to the interval of cardiac arrest to artificial ventilation after tracheal intubation.The successful resuscition rates of three stages in each group were analyzed respectively by χ 2 test in order to evaluate the significance of difference among them.Results The successful resuscition rates of three stages in <5 minutes group were different from 5～10 minutes group and > minutes group(P<0.05 or P<0.01),but were not different between 5～10 minutes group and > minutes group .Conclusions Prompt ventilation is critical in CPCR.And the successful rates of CPCR can improve significantly when effective ventilation is established within 5 minutes.

关 键 词：人工通气 复苏成功率 心肺脑复苏 心搏骤停 时机 CPCR 气管插管 间隔时间 收集 组分 

分 类 号：R541.7[医药卫生—心血管疾病]