便携式心肺复苏仪在急诊心脏骤停患者中的应用效果分析  

Application of Portable Cardiopulmonary Resuscitation Instrument in Emergency Cardiac Arrest Patients

作　　者：杜翠芬 张娜灵 DU Cui-fen;ZHANG Na-ling(Quanzhou Children’s Hospital,Fujian Quanzhou 362000)

机构地区：[1]泉州市儿童医院,福建泉州362000

出　　处：《中国医疗器械信息》2023年第22期155-157,共3页China Medical Device Information

摘　　要：目的:探讨便携式心肺复苏仪在急诊心脏骤停患者中的应用效果。方法:选取2020年4月~2022年4月在本院接受急诊抢救的心脏骤停患者62例为研究对象。按照患者的抢救方式将患者分成两组,各31例。其中对照组采用人工徒手心肺复苏,观察组联合采用便携式心肺复苏仪实施心肺复苏。对比两组心肺复苏成功率、复苏时间、血清指标、心脏损伤因子、血清神经损伤因子。结果:观察组心肺复苏成功率高于对照组,差异显著(P<0.05)。观察组复苏时间长于对照组,差异显著(P<0.05)。复苏前两组动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、血氧饱和度(SaO_(2))对比差异不显著(P>0.05);复苏10min观察组PaO_(2)、SaO_(2)高于对照组,PaCO_(2)低于对照组(P<0.05)。复苏前两组血清肌钙蛋白I(cTnI)、血清氨基末端脑利钠肽(NT-proBNP)对比差异不显著(P>0.05);复苏10min观察组cTnI、NT-proBNP均低于对照组(P<0.05)。复苏前两组血清神经元特异性烯醇化酶(NSE)、血清S100蛋白质(S100)对比差异不显著(P>0.05);复苏10min观察组NSE、S100均低于对照组(P<0.05)。结论:便携式心肺复苏仪在急诊心肺复苏患者的抢救中表现良好,能提升抢救成功率,使患者的血气指标快速改善,并降低心肌功能损伤和神经损伤的发生。Objective:To investigate the effect of portable cardiopulmonary resuscitation(CPR)in patients with emergency cardiac arrest.Methods:A total of 62 patients with cardiac arrest who received emergency rescue in our hospital from April 2020 to April 2022 were selected as research objects.The patients were divided into two groups according to their rescue methods,both of which were 31 cases.The control group was treated with manual cardiopulmonary resuscitation,and the observation group was treated with portable cardiopulmonary resuscitation instrument.The successful rate of cardiopulmonary resuscitation,resuscitation time,serum indexes,cardiac injury factors and serum nerve injury factors were compared between the two groups.Results:The successful rate of cpr in the observation group was significantly higher than that in the control group(P<0.05).The recovery time of the observation group was longer than that of the control group(P<0.05).Before resuscitation,there was no significant difference between the two groups in arterial partial pressure of oxygen(PaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2)),and blood oxygen saturation(SaO_(2))(P>0.05);PaO_(2)and SaO_(2)in the observation group were higher than those in the control group,and PaCO_(2)was lower than those in the control group after 10 minutes of resuscitation(P<0.05).Before resuscitation,there was no significant difference between the two groups in serum troponin I(cTnI)and serum N-terminal brain natriuretic peptide(NT proBNP)(P>0.05);The cTnI and NT proBNP in the observation group were lower than those in the control group after 10 minutes of resuscitation(P<0.05).Before resuscitation,there was no significant difference between the two groups in serum neuron specific enolase(NSE)and serum S100 protein(S100)(P>0.05);NSE and S100 in the observation group were lower than those in the control group after 10 minutes of resuscitation(P<0.05).Conclusion:The portable CPR instrument performs well in the rescue of emergency CPR patients,which can improv

关 键 词：便携式心肺复苏仪 急诊抢救 心脏骤停 心脏损伤 神经损伤 

分 类 号：R605.97[医药卫生—急诊医学]