摘要
目的比较两种心肺复苏方式在心脏呼吸骤停抢救中的应用效果。方法选取心脏呼吸骤停患者150例纳入临床研究，采用随机数字表法将其分为两组，各75例。对照组患者采取人工心肺复苏，观察组患者运用心肺复苏机，对比两组患者心肺复苏10min、30min后体温、血红蛋白浓度、红细胞比容、动脉血气分析及复苏效果。结果对照组和观察组在心肺复苏10min和30min时的体温、血红蛋白、红细胞比容等差异均无统计学意义（t10min=1．44、2．01、1．23，t30min=1．69、1．81、1．02，均P〉0．05）。两组动脉血PaC02值在复苏10min和30min时比较，差异均无统计学意义（t=1．54、1．02，均P〉0．05）。对照组复苏30min时动脉血pH（7．02±0．14）、Pa02（16．29±4．38）kPa、HCO3（5．66±1．73）kPa、SaO2（0．84±0．05）％与复苏10rain时比较均明显减少，差异均有统计学意义（t对照目=7．14、6．55、6．20、7．03，均P〈0．05）；观察组在复苏30min时动脉血pH（7．11±0．1）、PaO2（18．36±4．55）kPa、HCO3（6．34±2．15）kPa、Sa02（0．86±0．04）％与复苏10min时比较均明显减少，差异均有统计学意义（t观察目=6．75、6．21、6．01、6．60，均P〈0．05）；观察组心肺复苏10min时和30min时动脉血气分析pH值、Pa02、HCO3、SaO2均明显高于对照组，差异均有统计学意义（t10min=6．03、7．34、7．88、6．10，t30min=6．21、8．20、7．10、6．11，均P〈0．05）。观察组心肺复苏有效率（69．33％），明显高于对照组心肺复苏有效率（46．67％），差异有统计学意义（x2=9．34，P〈0．05）。结论与人工心肺复苏比较，采用心肺复苏机救治对心跳呼吸骤停患者心肺复苏效果更佳，在循环支持方面更具有优势，能够提高心肺复苏有效率，值得临床推广和应用。
Objective To compare the effect of two different types of cardiopulmonary resuscitation（CPR） in cardiac arrest. Methods 150 patients with cardiac arrest were selected. The patients were divided into two groups according to the random number table method, each group in 75cases. The patients in the control group were treated with CPR. The patients in the observation group were treated with CPR machine. The body temperature, hemoglobin concentration ,hematocrit, arterial blood gas analysis and resuscitation were compared between the two groups after 10min and 30rain. Results There were no statistically significant differences in body temperature, hemoglobin and hematocrit between the control group and the observation group at 10min and 30min after CPR （ t10min = 1. 44,2. 01, 1. 23, t30min = 1. 69,1. 81,1. 02, all P 〉 0.05 ）. There were no statistically significant differences in PaCO2 between the two groups at 10 min and 30 min after resuscitation （t = 1.54,1.02, all P 〉 0.05 ）. The arterial blood pH[ （7.02±0.14） ], PaO2 [ （ 16.29 ± 4.38 ） kPa ], HCO3 [ （5.66 ±1.73 ） kPa ] and SaO2 [ （ 0.84 ± 0.05 ） % ] of the control group recovered 30 min were significantly lower than recovered 10 min （ t = 7.14,6.55,6.20,7.03, all P 〈 0.05 ）. The arterial bloodpH[（7.11±0.1）],PaO2[（18.36 ±4.55）kPa],HCO3[（6.34±2. 15）kPa],SaO2[（0.86 ± 0. 04） % ] of the observation group recovered 30 min were significantly lower than recovered 10 min （ t = 6.75,6.21, 6.01,6.60,all P 〈0.05）. The arterial blood pH,PaO2 ,HCO3 and SaO2 of the observation group were significantly higher than those in the control group at 10 min and 30 min, the differences were statistically significant （t10min = 6. 03,7.34,7.88,6.10, t30min = 6. 21,8. 20,7. 10,6. 11, all P 〈 0.05 ）. The effective rate of CPR in the observationgroup was 69.33% ,which was significantly higher than 46.67% in the control group, the difference was statistically significant （ x2 = 9.34,P 〈 0.05）. Conclusion ＂Compa
作者
田刚
李玉雷
Tian G Li YL(Department of Emergency, the First People＇s Hospital of Qingzhen, Qingzhen, Guizhou 551400, China Department of Emergency, the Affiliated Hospital of Guizhou Medical University, Gutyang , Guizhou 550004, China)
出处
《中国基层医药》
CAS
2017年第21期3262-3266,共5页
Chinese Journal of Primary Medicine and Pharmacy
关键词
心跳呼吸骤停
心肺复苏
心肺复苏机
疗效
Heartbeat respiratory arrest
Cardiopulmonary resuscitation
Cardiopulmonary resuscitation machine
