两种心肺复苏方法在经口气管插管心源性猝死患者抢救中的应用效果观察  

The clinical effects of two methods of cardiopulmonary resuscitation with orotracheal intubation in patients with sudden cardiac death

作　　者：董颖[1] 刘颖琪[1] 杜娟[1] 姜素文[1] 福嘉欣[1] 

机构地区：[1]天津市第三中心医院,天津300170

出　　处：《天津护理》2017年第6期503-505,共3页Tianjin Journal of Nursing

摘　　要：目的:探讨传统心肺复苏方法和腹部提压心肺复苏在心源性猝死患者抢救中的临床效果。方法:将48例心源性猝死的患者随机分为传统心肺复苏组(采用胸骨下1/3处按压)和腹部提压心肺复苏组(采用腹部提压心肺复苏装置进行心肺复苏),每组患者24例,比较不同心肺复苏方法的应用效果及复苏过程中并发症的发生情况。结果:腹部提压心肺复苏组在心肺复苏后冠脉灌注压的提升,自主呼吸恢复的病例数,复苏后24小时生存率高于传统心肺复苏组,相关心肺复苏并发症的发生率低于传统心肺复苏组(P<0.05)。结论:采用经口气管插管配合腹部提压装置心肺复苏可提高冠脉灌注,提高心肺复苏的成功率并减少心肺复苏过程中的并发症。Objective:To compare the clinical effects of rescuing patients with sudden cardiac death between traditional cardiopulmonary resuscitation(CPR) and CPR through pulling and pressing the abdomen.Methods:48 cases of sudden cardiac death were randomly divided into traditional CPR group(pressing the 1/3 under the sternum) and CPR through pulling and pressing the abdomen group(CPR using abdominal pulling and pressing CPR device),24 cases each group.The clinical effects and complications of two CPR methods are compared in the recovery process.Re sults:The CPR group through pulling and pressing the abdomen is significantly better than the traditional CPR group in enhancement of coronary perfusion pressure after CPR,the number of cases of spontaneous breathing recovery,and 24 hours survival rate after recovery,and the incidence of related CPR complications was lower than that of the traditional CPR group(P<0.05).Conclusion:CPR by using orotracheal intubation combined with abdominal CPR compression-decompression instrument can significantly improve the coronary perfusion and the success rate of CPR,and significantly reduce the complications in the process of CPR.

关 键 词：心肺复苏术 腹部提压 心脏骤停 

分 类 号：R472.2[医药卫生—急诊医学]