腹部提压装置联合徒手胸部按压进行院前心肺复苏的效果  

Analysis of Cardiopulmonary Resuscitation between Abdominal Pressure Lifting Device and Barehanded Chest Compressions

作　　者：孙牧[1] 赵家骏 SUN Mu;ZHAO Jia-jun(Department of Cardiology Baoji Hospital of traditional Chinese Medicine,Baoji Shaanxi 721000)

机构地区：[1]宝鸡市中医医院心血管二科,陕西宝鸡721000

出　　处：《医学临床研究》2021年第10期1530-1532,1536,共4页Journal of Clinical Research

摘　　要：【目的】比较腹部提压装置联合徒手胸部按压与徒手胸外按压进行院前心肺复苏(CPR)的效果。【方法】选择2017年1月至2020年1月本院收治的心脏停搏行院前心肺复苏患者80例,根据院前行心肺复苏的方式不同分为徒手胸外按压CPR组(A组)和腹部提压装置联合徒手胸部按压CPR组(B组),两组各40例,分析和比较两组行院前CPR的效果。【结果】经腹部提压装置联合徒手胸部按压CPR抢救30 min后,B组患者平均动脉压、心率、动脉血二氧化碳分压和呼气末二氧化碳分压明显高于A组(P<0.05);B组动脉血氧分压和血乳酸水平明显低于A组(P<0.05)。经治疗后,B组患者心搏骤停至自主呼吸时间较A组患者明显缩短,CPR成功率、自主循环恢复率、24 h存活率和存活出院率较A组患者明显升高(P<0.05)。【结论】相比较徒手胸外按压CPR,腹部提压装置联合徒手胸部按压CPR更有利于肺通气增加.血流动力学效果更佳,自主循环恢复率和CPR成功率更能提高,有利于改善预后。【Objective】To explore the effect of cardiopulmonary resuscitation(CPR)between abdominal pressure lifting device and hands-only chest compressions on prehospital cardiopulmonary resuscitation.【Methods】A total of 80 patients with cardiopulmonary resuscitation who were treated with cardiac arre.st from January 2017 to 2020 were selected.According to the different methods of cardiopulmonary resuscitation before sending to hospital,they were divided into the hands-only CPR group(A group)and the CPR group with abdominal pressure lifting device(B group),with 40 cases in each group.The effects of cardiopulmonary resuscitation in the two groups were analyzed and compared.【Results】The mean arterial pressure,heart rate,arterial PcO_(2) and end-expiratory PcO_(2) in the B group were significantly higher than those in the A group(P<0.05).The pulmonary oxygen partial pressure and blood lactic acid in the B group were significantly lower than those in the A group(P<0.05).After treatment,the time from cardiac arrest to spontaneous respiration in the B group was significantly shorter than that in the A group,and the CPR success rate,spontaneous circulation recovery rate,24-hour survival rate and survival discharge rate of the B group were significantly higher than those of the A group(P<10.05),【Conclusion】Cornpared to hands-only CPR with chest compressions,CPR with abdominal pressure lifting device is more beneficial to increase pulmonary ventilation,better hemodynamic effect,better recovery rate of spontaneous circulation and success rate of CPR.and better prognosis.

关 键 词：心肺复苏术 治疗结果 

分 类 号：R541.78[医药卫生—心血管疾病]