[1]贾绍俊,何振芬.徒手心肺复苏与心肺复苏机在急诊科应用效果比较[J].医学信息,2022,35(08):127-129.[doi:10.3969/j.issn.1006-1959.2022.08.032]
　JIA Shao-jun,HE Zhen-fen.Comparison of the Effect on Bare-handed Cardiopulmonary Resuscitation and Cardiopulmonary Resuscitator in Emergency Department[J].Medical Information,2022,35(08):127-129.[doi:10.3969/j.issn.1006-1959.2022.08.032]
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徒手心肺复苏与心肺复苏机在急诊科应用效果比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年08期
页码:
127-129
栏目:
临床研究
出版日期:
2022-04-15

文章信息/Info

Title:
Comparison of the Effect on Bare-handed Cardiopulmonary Resuscitation and Cardiopulmonary Resuscitator in Emergency Department
文章编号:
1006-1959（2022）08-0127-03
作者:
贾绍俊; 何振芬
（宝坻区人民医院急诊科，天津 301800）
Author(s):
JIA Shao-jun; HE Zhen-fen
(Department of Emergency,Baodi District People’s Hospital,Tianjing 301800,China)
关键词:
徒手心肺复苏; 心肺复苏机; 颈动脉血流速度; 血氧饱和度; 心肌损伤
Keywords:
Bare-handed cardiopulmonary resuscitation; Cardiopulmonary Resuscitation; Carotid blood flow velocity; Blood oxygen saturation; Myocardial damage
分类号:
R54
DOI:
10.3969/j.issn.1006-1959.2022.08.032
文献标志码:
A
摘要:
目的 比较徒手心肺复苏与心肺复苏机在急诊科的应用效果。方法 选取2019年4月-2021年6月我院急诊科接诊的82例进行心脏复苏的患者为研究对象，采用随机数字表法分为对照组和观察组，各41例。对照组采用徒手心肺复苏，观察组采用心肺复苏机，比较两组复苏成功率、不同时间段颈动脉血流速度、复苏时间、复苏后即刻乳酸值、复苏后即刻血氧饱和度、心肌损伤标志物[肌钙蛋白（cTNT）、肌酸激酶同工酶（CK-MB）］水平以及并发症发生率。结果 观察组复苏成功率为85.37%，高于对照组的73.17%，差异有统计学意义（P＜0.05）；观察组复苏后10 min颈动脉血流速度大于对照组，差异有统计学意义（P＜0.05）；观察组复苏时间短于对照组，复苏后即刻乳酸值低于对照组，复苏后即刻血氧饱和度高于对照组，差异有统计学意义（P＜0.05）；观察组复苏后cTNT、CK-MB低于对照组，差异有统计学意义（P＜0.05）；观察组并发症总发生率低于对照组，差异有统计学意义（P＜0.05）。结论 心肺复苏机复苏成功率高，可缩短复苏时间，提高复苏后血氧饱和度，减少乳酸值，降低心肌损伤和并发症发生率。
Abstract:
Objective To compare the application effect of bare-handed cardiopulmonary resuscitation and cardiopulmonary resuscitator in emergency department.Methods A total of 82 patients with cardiac resuscitation admitted to the emergency department of our hospital from April 2019 to June 2021 were selected as the research objects and randomly divided into the control group and the observation group, with 41 cases in each group. The control group was given bare-handed cardiopulmonary resuscitation, and the observation group was given cardiopulmonary resuscitator. The success rate of resuscitation, carotid blood flow velocity at different time points, resuscitation time, lactic acid value immediately after resuscitation, blood oxygen saturation immediately after resuscitation, myocardial injury markers [troponin (cTNT), creatine kinase isoenzyme (CK-MB)] levels and incidence of complications were compared between the two groups.Results The success rate of resuscitation in the observation group was 85.37%, which was higher than 73.17% in the control group, and the difference was statistically significant (P<0.05). The carotid blood flow velocity in the observation group was higher than that in the control group at 10 min after resuscitation, and the difference was statistically significant (P<0.05). The recovery time of the observation group was shorter than that of the control group, the lactic acid value immediately after recovery was lower than that of the control group, and the oxygen saturation immediately after recovery was higher than that of the control group, the difference was statistically significant (P<0.05). After resuscitation, cTNT and CK-MB in the observation group were lower than those in the control group, and the difference was statistically significant (P<0.05). The total incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05).Conclusion The success rate of cardiopulmonary resuscitation is high, which can shorten the recovery time, improve the oxygen saturation after resuscitation, reduce the lactic acid value, and reduce the incidence of myocardial injury and complications.

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更新日期/Last Update: 1900-01-01