经皮氧饱和度监测在院外心脏骤停患者心肺脑复苏中的应用  

Application of SpO_2 monitoring in cardio-pulmonary-cerebral resuscitation of patients with out-of-hospital cardiac arrest

作　　者：吕剑杰[1,2] 方剑俊[1,2] 潘杰锋[1,2] 戎燕燕[1,2] 罗侠女[1,2] 

机构地区：[1]温州医学院附属慈溪医院急诊科 [2]慈溪市人民医院,浙江慈溪315300

出　　处：《全科医学临床与教育》2013年第4期388-390,共3页Clinical Education of General Practice

基　　金：浙江省医药卫生科技计划项目(2011ZHB013)

摘　　要：目的探讨经皮氧饱和度(SpO2)监测在院外心脏骤停患者心肺脑复苏中的意义。方法 394例院外心脏骤停患者分成两组,监测组221例患者入院后立即进行心肺脑复苏,同时予以SpO2监测并观察波形为指导持续胸外按压;未监测组173例患者入院后立即进行心肺脑复苏,但未予以SpO2监测;两组比较心、脑肺复苏成功率及心跳骤停持续时间、自主心跳恢复时间和脑缺血缺氧时间。结果监测组心肺复苏成功117例(52.94%)与未监测组心肺复苏成功72例(41.62%)比较,差异有统计学意义(χ2=4.98,P<0.05),监测组脑复苏成功14例(6.33%)与未监测组脑复苏成功6例(3.47%)比较,差异无统计学意义(χ2=1.66,P>0.05)。监测组的心跳骤停持续时间(43.93±23.33)min短于未监测组(52.92±26.28)min,自主心跳恢复时间(22.13±18.72)min亦短于未监测组(29.09±21.40)min,差异均有统计学意义(t分别=2.45、2.35,P均<0.05);而两组脑缺血缺氧时间比较,差异无统计学意义(t=1.16,P>0.05)。结论在经皮SpO2监测指导下进行胸外按压有助于提高胸外按压的有效性,从而提高心肺复苏的成功率。Objective To explore the significance of SpO2 monitoring in cardio-pulmonary-cerebral resuscitation of patients with out-of-hospital cardiac arrest. Methods A total of 394 patients with out-of-hospital cardiac arrest were randomly assigned into two groups, 221 cases as the monitoring group who received continuous chest compression with SpO2 monitoring by both figure and shape as a guide and 173 cases as the non-monitoring group who received cardio-pulmonary-cerebral resuscitation. The success rate of cardio-pulmonary-cerebral resuscitation, cardiac arrest duration, spontaneous cardiac recovery time, cerebral ischemia and hypoxia time of two groups were compared. Results The success rate of cardio-pulmonary resuscitation of monitoring group（52.94%） was significantly higher than that of the non-monitoring group （41.62%）（χ^24.98,P〈0.05）. The success rate of cerebral resuscitation survival between the two groups had no significant difference（χ^21.66,P〉0.05）.The cardiac arrest duration of the monitoring group was（43.93±23.33）minutes while the non-monitoring group was （52.92±26.28）minutes, the spontaneous cardiac recovery time of the monitoring group was （22.13± 18.72） minutes while the non-monitoring group was（29.09±21.40）minutes, the differences between them were statistically significant （t=2.45,2.35,P〈0.05）. There was no significant difference in cerebral ischemia and hypoxia time between two groups （t=1.16,P〉0.05）. Conclusions SpO2 monitoring is helpful to improve the efficacy of chest compression, so as to improve the success rate of cardiopulmonary resuscitation.

关 键 词：院外心脏骤停 胸外按压 氧饱和度 

分 类 号：R459.7[医药卫生—急诊医学]