F2自动体外除颤器的安全性与有效性研究  

Study on the Safety and Efficacy of F2 Fully Automatic External Defibrillator

作　　者：王卫珍[1] WANG Wei-zhen(Emergency Clinic of the First Affiliated Hospital of Xinxiang Medical College,Henan Xinxiang 453199)

机构地区：[1]新乡医学院第一附属医院,河南新乡453199

出　　处：《中国医疗器械信息》2024年第7期132-134,共3页China Medical Device Information

摘　　要：目的:探讨F2自动体外除颤器在急诊心脏骤停患者中的应用价值。方法:使用回顾性分析方法,对2019年1月~2023年1月新乡医学院急诊科收治的150例无反应、无呼吸或无脉搏的室颤及室速患者的临床资料进行分析。所有患者均采用自动体外除颤器进行急救,根据所使用的体外除颤器的品牌不同,分为对照组(某国际品牌自动体外除颤器,n=120)、观察组(科曼F2自动体外除颤器,n=30)。结果:通过比较患者总除颤成功率与不良事件发生率,在有效性方面观察组除颤成功率(93.3%)高于对照组(91.7%);观察组心率识别敏感度为96.1%,特异性为98.2%,与对照组无明显差异;安全性方面观察组与对照组均未出现皮肤严重红肿;对心脏复律后一段时间内的心肌肌钙蛋白Ⅰ变化趋势进行分析,对照组与观察组均未发生心肌损伤。结论:科曼F2自动体外除颤器对抢救心脏骤停患者领域表现出的安全性和有效性与某国际品牌自动体外除颤器无明显差别,临床收益均为临床接受。Objective:To investigate the application value of F2 automated external defibrillator in patients with emergency cardiac arrest.Methods:Using a retrospective analysis,the clinical data of 150 patients with ventricular fibrillation and VT without reaction were admitted to the emergency department of Xinxiang Medical College from January 2019 to January 2023.All patients were treated with automatic external defibrillator for first aid.According to the different brands of external defibrillator used,they were divided into the control group(an international brand of automatic external defibrillator,n=120)and the observation group(Comen F2 automatic external defibrillator,n=30).Results:By comparing the total success rate of defibrillation and the incidence of adverse events,it was found that the success rate of defibrillation in the observation group(93.3%)was higher than that in the control group(91.7%).The sensitivity and specificity of heart rate recognition in the observation group were 96.1%and 98.2%,which were not significantly different from those in the control group.In terms of safety,there was no serious skin redness and swelling in the observation group and the control group.There was no myocardial injury in the control group and the observation group by analyzing the change trend of cTnⅠin a period of time after cardioversion.Conclusion:There was no significant difference in safety and efficacy between Comen F2 automatic external defibrillator and some international brand automated external defibrillator in rescuing SCA patients,and the clinical benefits were accepted by the clinic.

关 键 词：自动体外除颤器 心肺复苏 皮肤灼伤 心肌损伤 

分 类 号：R540.5[医药卫生—心血管疾病]