高能量电除颤的临床价值研究  

Study on the Clinical Value of High Energy Defibrillation

作　　者：袁全 王澄 杨平 岑建 王磊[1] YUAN Quan;WANG Cheng;YANG Ping;CEN Jian;WANG Lei(Shenzhen Institutes of Advanced Technology,Chinese Academy of Sciences,Shenzhen 518055,China;Shenzhen Mindray Bio-medical Electronics,Shenzhen 518055,China)

机构地区：[1]中国科学院深圳先进技术研究院,广东深圳518055 [2]深圳迈瑞生物医疗电子股份有限公司,广东深圳518055

出　　处：《中国医药指南》2021年第36期35-37,共3页Guide of China Medicine

摘　　要：目的研究体外电除颤的能量选择对于除颤成功率的影响。方法回顾性分析了107例体外非同步电除颤临床病例。将除颤尝试以次序(首次、第二次、第三次)进行分组,分别研究各组除颤结果。分析不同能量下的除颤成功率以及除颤成功组与失败组的除颤能量分布,并研究病例基础疾病对除颤能量的影响。结果随着除颤次序的增加,常规能量组(≤200 J)的除颤成功率逐渐下降;相反,高除颤能量组(>200 J)的除颤成功率逐渐升高,且两组间的除颤成功率差异不断扩大。另外,随着除颤次序的增加,成功组的平均除颤能量不断升高,与失败组平均能量的差异也不断扩大。同时,相比于有其他基础疾病的病例,有心脏基础疾病的病例有更高比例需使用高能量才可除颤成功(32.50%vs.19.44%,P<0.05)。结论对于心脏基础疾病患者,在常规能量除颤失败时,应考虑使用高能量进行除颤尝试,以提高除颤成功率。Objective To investigate the effects of external defibrillation energy on the success rate.Methods A retrospective analysis of 107 clinical cases of external defibrillation was conducted.The defibrillation attempts were divided into groups by their sequence(first,second,third),and the results of defibrillation attempts in each group were studied separately.The success rate under different defibrillation energies and energy distribution of the success and failure groups were analyzed,as well as the impact of underlying diseases on defibrillation energy.Results The increase in the defibrillation sequence,success rate of conventional energy group(≤200 J)decreased;in contrast,that of high energy(>200 J)increased;the difference in the success rate between two groups expanded.The average defibrillation energy of the success group increased,and the difference of average energy between success and failure group had expanded.Moreover,for cases with underlying heart diseases,a larger proportion of cases required high energy to achieve a successfully defibrillation(32.50%vs.19.44%,P<0.05).Conclusions For cases with underlying heart diseases,when conventional energy defibrillations fail,a higher energy should be considered to increase the success rate of defibrillation.

关 键 词：体外电除颤 病例统计 除颤能量 高能量 

分 类 号：R541.78[医药卫生—心血管疾病]