徒手心肺复苏与心肺复苏机在急诊科应用的疗效比较  

Comparison of the Effects of Cardiopulmonary Resuscitation and Cardiopulmonary Resuscitation in Emergency Department

作　　者：李闯 LI Chuang(Emergency Department, Zhangjiagang Aoyang Hospital, Suzhou Jiangsu 215600, China)

机构地区：[1]张家港澳洋医院急诊科,江苏苏州215600

出　　处：《中国继续医学教育》2017年第21期128-130,共3页China Continuing Medical Education

摘　　要：目的对比心肺复苏机和徒手心肺复苏应用在急诊科的疗效及价值。方法选取我院2014年6月1日—2017年5月31日在本院急诊科接受心肺复苏的60例心脏骤停患者作为研究对象。采取计算机随机分组法,将60例患者分成两组,每组各30例患者。对照组实施徒手心肺复苏,观察组采用心肺复苏机进行心肺复苏。对比两组患者的复苏时间、乳酸值、颈总动脉血流速度及复苏效果。结果两组复苏时间、各时间点的颈总动脉血流速度及复苏成功率对比,差异无统计学意义(P>0.05);观察组患者复苏后即刻乳酸值低于对照组,差异具有统计学意义(P<0.05)。结论心肺复苏机的复苏效果和徒手心肺复苏效果相比无明显的差别,但心肺复苏机的临床应用优势更大,主要体现在可以节省人力资源方面。Objective To compare the efficacy of cardiopulmonary resuscitation and cardiopulmonary resuscitation. Methods 60 cases of cardiac arrest patients in our hospital from June 1, 2014 to May 31, 2017 were selected as the research object.According to computer random grouping, 60 patients were divided into two groups, 30 patients in each group. The control group received palm lung resuscitation, and the observation group received cardiopulmonary resuscitation with cardiopulmonary resuscitation machine. The recovery time, lactic acid value, blood flow velocity of the common carotid artery and the effect of resuscitation were compared between the two groups. Results There was no significant difference between the two groups in the recovery time, the carotid artery blood flow velocity and the recovery success rate （P 〉 0.05）. The lactic acid value of the observation group was lower than that of the control group immediately after resuscitation, and the difference was statistically significant （P 〈 0.05）. Conclusion There is no significant difference between the resuscitation effect of cardiopulmonary resuscitation and the effect of cardiopulmonary resuscitation. However, the clinical application of cardiopulmonary resuscitation is more effective and can save human resources.

关 键 词：心肺复苏机 徒手心肺复苏 急诊科 

分 类 号：R473[医药卫生—护理学]