便携式心肺复苏仪在急诊心脏骤停患者应用中的临床对照研究  

Clinical controlled study of portable cardiopulmonary resuscitation apparatus in emergency cardiac arrest patients

作　　者：高健敏[1] 朱勇德[1] 符国平[1] 卢大松 GAO Jianmin;ZHU Yongde;FU-Guoping;LU Dasong(Department of Emergency,Sanya Central Hospital(The Third People's Hospital of Hainan Prov-ince),Sanya Hainan 572000,China)

机构地区：[1]三亚中心医院(海南省第三人民医院)急诊科,海南三亚572000 [2]海南医学院第二附属医院耳鼻咽喉科头颈外科,海南海口570311

出　　处：《中国急救复苏与灾害医学杂志》2021年第8期929-932,共4页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的探讨便携式心肺复苏仪在急诊心脏骤停患者应用中的效果。方法以三亚中心医院(海南省第三人民医院)2017年2月—2019年3月126例心脏骤停患者为研究对象,按照随机数字表法分为观察组(63例)和对照组(63例),观察组使用便携式心肺复苏仪复苏,对照组使用人工徒手复苏;对比观察组与对照组复苏成功率、自主心跳恢复时间、自主循环恢复(ROSC)>24 h百分率、血气分析结果,血清心脏损伤因子水平、血清神经损伤因子水平。结果观察组复苏成功率(88.89%)与ROSC>24 h百分率(74.60%)明显高于对照组(65.07%,49.21%),观察组自主心跳恢复时间(10.29±1.47)min明显早于对照组(17.52±2.13)min(均P<0.05)。CPR 5 min时,两组不同血气指标差异不明显(P>0.05);CPR 15 min与30 min时两组不同血气分析指标差异明显(P<0.05)。复苏后1 h,观察组cTnI(4.52±0.97)ng/L、NT-proBNP(3.21±0.27)μg/L与对照组(7.63±1.61)ng/L,(5.75±0.71μg/L)相比明显较低(P<0.05)。复苏后1 h,观察组NES(64.31±7.26)ng/L、S100(1.21±0.53)ng/L与对照组[(88.13±9.25)ng/L,(2.04±0.61)ng/L]相比明显较低(P<0.05)。结论便携式心肺复苏仪能够提高急诊危重症患者复苏成功率及ROSC>24 h百分率,使患者自主心跳恢复时间提前,改善患者血气分析结果,并降低患者血清心脏与神经损伤因子水平。Objective To investigate the effect of using portable cardiopulmonary resuscitation instrument in emergency cardiac arrest patients.Methods Taking 126 patients with cardiac arrest in our hospital from February 2017 to March 2019 as research subjects,according to the random number table method,they were divided into the observation group(63 cases)and the control group(63 cases).The observation group was resuscitated by using portable cardiopulmonary resuscitation device,while the control group was given artificial free-hand cardiopulmonary resuscitation.The resuscitation success rate,spontaneous heartbeat recovery time,voluntary circulation recovery(ROSC)>24 h percentage,blood gas analysis results,and the levels of serum heart injury factor and serum nerve injury factor were compared between the two groups.Results The resuscitation success rate(88.89%)and ROSC>24 h(74.60%)in the observation group were significantly higher than those in the control group(65.07%,49.21%),and the recovery time of autonomous heartbeat(10.29±1.47)min in the observation group was significantly earlier than the control group(17.52±2.13)min(all P<0.05).At the 5th minutes of CPR,there was no significant difference in blood gas indicators between the two groups(P>0.05).At 15th minutes and 30th minutes of CPR,there were significant differences in different blood gas analysis indicators between the two groups(P<0.05).1 h after resuscitation,cTnI(4.52±0.97)ng/L and NT-proBNP(3.21±0.27)μg/L in the observation group were significantly lower than those in the control group[(7.63±1.61)ng/L,(5.75±0.71)μg/L](P<0.05).1 h after resuscitation,the NES(64.31±7.26)ng/L and S100(1.21±0.53)ng/L in the observation group were significantly lower than those in the control group[(88.13±9.25)ng/L,(2.04±0.61)ng/L](P<0.05).Conclusion The portable cardiopulmonary resuscitation instrument can improve the success rate of resuscitation of critically ill patients and the percentage of ROSC>24 h,advance the patient's blood gas analysis results,and cut down th

关 键 词：便携式心肺复苏仪 急诊 危重症患者 应用效果 

分 类 号：R605.97[医药卫生—急诊医学]