徒手心肺复苏与心肺复苏机在急诊科应用的疗效比较

发布时间：2018-01-27 04:42

本文关键词： 心肺复苏术疗效　出处：《中国循环杂志》2016年07期 　论文类型：期刊论文

【摘要】：目的:观察对比徒手心肺复苏与心肺复苏机在急诊科心肺复苏时的疗效。方法:选择2013-01至2015-10于我院急诊科行心肺复苏的患者185例,将患者分为徒手复苏组101例和机械复苏组84例,同时将每组患者的复苏时间以30 min为界分为短时间复苏和长时间复苏,所有患者均给予高质量心肺复苏,分别比较短时间复苏患者和长时间复苏患者在徒手复苏组和机械复苏组的复苏成功率、复苏时间和复苏后血乳酸值。结果:对于短时间复苏患者,徒手复苏组与机械复苏组在复苏成功率、复苏时间及复苏后乳酸值上差异无统计学意义;对于长时间复苏患者,两组在复苏成功率及复苏时间上差异无统计学意义,在复苏后血乳酸方面,机械复苏组(6.88±1.82)mmol/L低于徒手复苏组(9.39±2.39)mmol/L,差异有统计学意义(P0.05)。结论:徒手心肺复苏与心肺复苏机在临床抢救过程中复苏成功率差异无统计学意义,两者同样有效,但心肺复苏机有利于节省人力,特别是对于急诊科人员不足的情况下进行长时间复苏患者,有益于获得更好的代谢疗效,值得临床推广使用。
[Abstract]:Objective: to observe the effect of freehand cardiopulmonary resuscitation and cardiopulmonary resuscitation in emergency department. 185 patients with cardiopulmonary resuscitation (CPR) from 2013-01 to 2015-10 were selected. The patients were divided into manual resuscitation group (101 cases) and mechanical resuscitation group (84 cases). The resuscitation time of each group was divided into short time resuscitation and long time resuscitation according to 30 min. All patients were given high quality cardiopulmonary resuscitation (CPR). The success rate of CPR was compared between the patients with short resuscitation and those with long time resuscitation in the freehand resuscitation group and mechanical resuscitation group. Results: there was no significant difference in the success rate of resuscitation, the time of resuscitation and the lactate value after resuscitation between the freehand resuscitation group and the mechanical resuscitation group. For long-term resuscitation patients, there was no significant difference in the success rate and time of resuscitation between the two groups, but in blood lactic acid after resuscitation. 6.88 卤1.82 mmol / L in mechanical resuscitation group was lower than that in bare hand resuscitation group (9.39 卤2.39 mmol / L). The difference was statistically significant (P 0.05). Conclusion: there is no significant difference between the success rate of the freehand cardiopulmonary resuscitation and the cardiopulmonary resuscitation machine in the clinical rescue process, and the two are equally effective. But cardiopulmonary resuscitation machine is beneficial to save manpower, especially for patients with long-term resuscitation under the condition of shortage of emergency department personnel, which is beneficial to obtain better metabolic effect and is worth popularizing in clinic.
【作者单位】：首都医科大学附属宣武医院急诊科;
【分类号】：R459.7
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