改良心肺复苏仪在急诊体外心肺复苏中的应用探讨  

Application of Modified Cardiopulmonary Resuscitation in Emergency Cardiopulmonary Resuscitation

作　　者：伍远辉[1] 谢伟山[1] 姜椿法[1] 袁群弟[1] WU Yuan-hui;XIE Wei-shan;JIANG Chun-fa;YUAN Qun-di(Emergency Department,Houjie Hospital,Dongguan,Guangdong Province,523945 China)

机构地区：[1]东莞市厚街医院急诊科,广东东莞523945

出　　处：《中外医疗》2020年第18期74-76,共3页China & Foreign Medical Treatment

摘　　要：目的探究改良心肺复苏仪在急诊体外心肺复苏中的应用效果。方法随机选取2017年1月—2019年8月该院接诊的60例心搏骤停患者,随机分为两组,每组30例。研究组给予改良心跳复苏仪救治,参照组给予人工心肺复苏救治。比较两组的呼吸恢复时间、血压恢复时间、心跳恢复时间、心肺复苏成功率、心肌损伤标志物。结果研究组心肺复苏成功率为40.00%,参照组为33.33%,差异无统计学意义(χ^2=2.143,P>0.05),研究组呼吸恢复时间、心跳恢复时间、血压恢复时间短于参照组(P<0.05)。研究组hs-cTnT数值、NT-proBNP数值、血乳酸数值低于参照组(P<0.05)。结论在急诊体外心肺复苏中采用改良心肺复苏仪能够提高复苏效率,从而缩短患者的血压恢复时间、呼吸恢复时间以及心跳恢复时间,减少缺氧缺血而引起的脏器组织损伤情况,效果理想。Objective To explore the application effect of modified cardiopulmonary resuscitation in emergency cardiopulmonary resuscitation.Methods Sixty patients with cardiac arrest from January 2017 to August 2019 in the hospital were randomly divided into two groups with 30 cases in each group.The study group was treated with a modified cardiopulmonary resuscitation instrument,and the reference group was treated with artificial cardiopulmonary resuscitation.Respiratory recovery time,blood pressure recovery time,heartbeat recovery time,CPR success rate,and markers of myocardial injury were compared between the two groups.Results The success rate of cardiopulmonary resuscitation in the study group was 40.00%,and that in the reference group was 33.33%.The difference was not statistically significant(χ^2=2.143,P>0.05).The breath recovery time,heartbeat recovery time,and blood pressure recovery time in the study group were shorter than those in the reference group(P<0.05).The values of hs-cTnT,NT-proBNP and blood lactate in the study group were lower than those in the reference group(P<0.05).Conclusion The use of a modified cardiopulmonary resuscitation instrument in emergency extracorporeal cardiopulmonary resuscitation can improve the resuscitation efficiency,thereby shortening the patient's blood pressure recovery time,respiratory recovery time and heartbeat recovery time,and reducing organ damage caused by hypoxia and ischemia,with ideal effect.

关 键 词：改良心肺复苏仪 急诊体外 心肺复苏 

分 类 号：R472.2[医药卫生—急诊医学]