院前骨髓腔内联合院内静脉通路对心脏骤停患者自主循环恢复的影响  

Effect of prehospital intraosseous combined with hospital intravenous access on return of spontaneous circulation in patients with cardiac arrest

作　　者：程艳伟 张建阁 操雪 张小燕 张培荣[1] 秦历杰[1] CHENG Yan-wei;ZHANG Jian-ge;CAO Xue;ZHANG Xiao-yan;ZHANG Pei-rong;QIN Li-jie(Department of Emergency Henan Provincial People's Hospital,People's Hospital of Zhengzhou Uniersily,Peple's Hospital of Henan University,Zhengzhou 450000,China;不详)

机构地区：[1]河南省人民医院急诊科,郑州450003 [2]河南省人民医院风湿免疫科,郑州450003 [3]河南省人民医院影像科,郑州450003

出　　处：《医药论坛杂志》2021年第5期56-59,共4页Journal of Medical Forum

摘　　要：目的分析院前骨髓腔内(IO)联合院内静脉(IV)通路对成年院外心脏骤停(OHCA)患者ROSC率的影响。方法回顾性分析2019年9月至2020年8月河南省人民医院急诊抢救室抢救的OCHA患者的一般资料,并比较院前IO联合院内IV通路组与IV通路组中OCHA患者ROSC的成功率。结果纳入85例OCHA患者进行分析。院前IO联合院内IV通路组共22例,12例(54.55%)达到ROSC标准;IV组共63例,其中33例(52.38%)ROSC成功。两组间差异无统计学意义(χ^(2)=0.031,P=0.861)。结论对于2次行IV通路失败的OCHA患者,院前IO通路联合院内IV通路进行复苏药物管理的方式在ROSC成功率方面不劣于传统的IV通路。Objective To determine the effect of prehospital intraosseous combined with hospital intravenous access on the return of spontaneous circulation in patients with cardiac arrest.Methods Clinical data of OCHA patients in emergency department of Henan Provincial People’s Hospital from September 2019 to August 2020 were collected.And compare the ROSC of OCHA patients received prehospital IO combined with IV access and IV access.Results Totally 85 subjects met inclusion criteria and were included in the analysis.A total of 22 patients received prehospital IO combined with IV access,and 63 received intravenous access.No significant difference in ROSC outcome was observed(χ^(2)=0.031,P=0.861).Conclusion For OCHA patients who failed the IV route twice,prehospital IO combined with IV access was non-inferior to the traditional IV access based on the end point ROSC.

关 键 词：院前骨髓腔内联合院内静脉通路 院外心跳骤停 自主循环恢复 

分 类 号：R541.7[医药卫生—心血管疾病]