胸腹联合心肺复苏在急诊呼吸心脏骤停患者救治中的应用效果  

Application effect of thoracoabdominal combined cardiopulmonary resuscitation in the treatment of patients with emergency respiratory cardiac arrest

作　　者：倪诤 马素霞 张楠 NI Zheng;MA Suxia;ZHANG Nan(Beijing Shijingshan Hospital,Beijing 100043,China)

机构地区：[1]北京市石景山医院,北京100043

出　　处：《延边大学医学学报》2024年第3期258-260,共3页Journal of Medical Science Yanbian University

摘　　要：目的:探讨胸腹联合心肺复苏(CPR)在急诊呼吸心脏骤停患者救治中的应用效果。方法:选取2018年2月至2023年2月北京市石景山医院急诊科收治的86例呼吸心脏骤停患者作为研究对象。将患者随机分为对照组(60例)和观察组(26例),分别对其进行常规的胸外按压CPR治疗、胸腹联合CPR治疗。对比两组临床治疗效果。结果:观察组患者的自主循环恢复(ROSC)发生率高于对照组,且复苏时间短于对照组(P<0.05)。观察组的生存率、生存出院率高于对照组(P<0.05)。观察组持续进行30 min CPR后的呼气末二氧化碳分压(PetCO_(2))、平均动脉压(MAP)、动脉血氧分压(PaO_(2))高于对照组,而动脉血二氧化碳分压(PaCO_(2))和血乳酸水平(Lac)低于对照组(P<0.05)。结论:胸腹联合CPR应用于急诊呼吸心脏骤停患者的救治中,能有效促进患者ROSC,缩短复苏时间,并显著改善患者的生命体征,值得推广。OBJECTIVE:To explore the application effect of thoracoabdominal combined cardiopulmonary resuscitation(CPR)in the treatment of patients with emergency respiratory cardiac arrest.METHODS:A total of 86 patients with respiratory cardiac arrest admitted to the emergency department of Beijing Shijingshan Hospital from February 2018 to February 2023 were selected as the study subjects.The patients were randomly divided into the control group(60 cases)and the observation group(26 cases),and were treated with conventional chest compression CRP and thoracoabdominal combined CRP,respectively.The clinical therapeutic effects of the two groups was compared.Results:The incidence of restoration of spontaneous circulation(ROSC)in observation group was higher than that in control group,and the resuscitation time was shorter than that in control group(P<0.05).The survival rate and discharge rate of the observation group were higher than those of the control group(P<0.05).The partial pressure of end-tidal carbon dioxide(PetCO_(2)),mean arterial pressure(MAP)and partial pressure of arterial oxygen(PaO_(2))after 30 min of continue CPR in the observation group were higher than those in the control group,while the partial pressure of arterial carbon dioxide(PaCO_(2))and blood lactic acid level(Lac)were lower than those in the control group(P<0.05).Conclusion:The application of thoracoabdominal combined CPR in the treatment of patients with emergency respiratory cardiac arrest can effectively promote the ROSC of patients,shorten the resuscitation time,and significantly improve the patients'vital signs,which is worthy of promotion.

关 键 词：胸腹联合心肺复苏 急诊 呼吸心脏骤停 

分 类 号：R459.7[医药卫生—急诊医学]