冠心病心跳骤停电击除颤效果分析  

作　　者：张志平[1] 

机构地区：[1]岳阳市中医院,湖南岳阳414000

出　　处：《中外医疗》2012年第17期30-31,共2页China & Foreign Medical Treatment

摘　　要：目的探讨电击除颤治疗冠心病心跳骤停患者的临床效果,分析其可行性和安全性。方法依据《临床疾病诊断依据治愈好转标准》,选取2007年1月1日～2010年12月31日我院收治的冠心病心跳骤停患者98例,随机分为实验组49例和对照组49例。对照组行常规的冠心病心跳骤停抢救术,即人工呼吸、气管插管同时行有效心脏按压;实验组行高能量电击除颤,辅之于常规抢救。观察心电图变化,以除颤后复跳并转为窦性心律为抢救成功,记录除颤次数及两组患者复苏使用时间。结果实验组49例除颤样本中,1次除颤成功13例,2～3次除颤成功28例,8例无效;对照组1次除颤成功8例,2～3次除颤成功21例,20例无效。实验组抢救时间≤5min成功率87.2%,6～10min除颤成功率65.3%,11～60min除颤成功率38.5%;对照组抢救时间≤5min成功率70.1%,6～10min抢救成功率53.9%,11～60min抢救成功率11.3%。结论电击除颤,配合常规的气管插管及胸外按压辅助呼吸,对恢复心脏骤停冠心病患者的自主心律有着极为重要的作用。早期电击除颤效果相对更佳。Objective Explore the clinical effects of defibrillation treatment of coronary heart disease cardiac arrest patients,and analyzed the feasibility and safety. Methods Selected January 1,2007 to December 31,2010 in our hospital cardiac arrest patients with coronary heart disease of 98 cases,randomly divided into experimental group 49 cases and control group 49 cases.The control group underwent conventional coronary heart disease cardiac arrest rescue operation,artificial respiration,tracheal intubation simul- taneously effective cardiac massage;experimental group in high-energy defibrillation,complemented by conventional rescue.ob- served ECG changes to defibrillation,resuscitation, and sinus rhythm for successful treatment,the number of record defibrillation and recovery of the two groups of patients the use of time. Results 49 cases＇ defibrillation samples in experimental group,one time sub-defibrillation was successful in 13 cases,2 to 3 times defibrillation was successful in 28 cases,8 cases were invalid;the control group,one time successful defibrillation of 8 cases,2 or 3 times defibrillation was successful of 21 cases,20 cases invalid.Experimental group rescued time ≤5min,success rate was 87.2%,6-10min defibrillation success rate of 65.3%,11 -60min defibrillation success rate of 38.5%;control group rescued time ≤5min success rate was 70.1%,6-10min success rate of 53.9%,11-60min success rate of 11.3%. Conclusion Defibrillation with conventional endotracheal intubation and chest compressions and assisted breathing,had a very important role in restoration of cardiac arrest,spontaneous cardiac rhythm patients with coronary heart disease. The effect of early defibrillation is relatively better.

关 键 词：冠心病 心跳骤停 高能量电击除颤 自主心律 效果 

分 类 号：R541.4[医药卫生—心血管疾病]