摘要
目的对Lucas心肺复苏机在抢救心脏骤停患者中应用的临床效果和并发症情况进行评估。方法利用数据库PubMed、EMBASE、Cochrane Library、维普、万方、中国知网,分别检索从1981年1月至2017年12月相关的外文和中文文献,以心脏骤停患者为研究对象,比较Lucas复苏机和徒手心肺复苏(CPR)抢救的复苏效果和并发症情况,以自主循环恢复率(ROSC)、入院生存率、出院生存率、30d生存率、并发症发生情况作为结局指标进行Meta分析。结果本文共纳入随机对照试验6篇,包含8386例患者。在ROSC、入院生存率、出院生存率、30d生存率方面,Lucas心肺复苏机相比于徒手按压并不具有优势(P>0.05)。同时,使用Lucas心肺复苏机的胸骨骨折发生率要高于徒手按压(RR1.74,95%CI1.24~2.45,P=0.001)。结论目前已有研究尚不能支持Lucas心肺复苏机的临床优势,Lucas心肺复苏机的复苏效果仍需要更多随机对照试验支持。
Objective This meta-analysis is to evaluate the clinical effects and complications of the Lucas cardiopulmonary resuscitator.Methods Databases of PubMed,EMBASE,Cochrane library,wipp,Wan Fang,CNKI were used to search for foreign and Chinese documents from January 1981 to December 2017.Comparing the recovery effect and complication of Lucas cardiopulmonary resuscitator and unarmed CPR in patients with cardiac arrest,the outcome index was meta-analysis with the recovery rate of autonomic circulation,survival rate of admission,survival rate of discharge,survival rate of 30 days and complication.Results This paper included 6 articles in randomized controlled trials,which involves 8386 patients.The effect of Lucas cardiopulmonary resuscitator is not better than unarmed CPR on the recovery rate of autonomic circulation,survival rate of admission,survival rate of discharge,survival rate of 30 days(P>0.05).On the other hand,Lucas cardiopulmonary resuscitator,the rate of sternum fracture is higher than that of unarmed CPR.Conclusion At present,there is no evidence of research to support the clinical advantages of Lucas cardiopulmonary resuscitator.More randomized controlled trials are needed to support the effect of Lucas cardiopulmonary resuscitator.
作者
王琳
秦非
丁宇
Wang Lin;Qin Fei;Ding Yu(Department of Military Nursing,Non-Commissioned Officers School,Army Medical University,Shijiazhuang 050081,China)
出处
《中国急救医学》
CAS
CSCD
北大核心
2019年第3期242-247,共6页
Chinese Journal of Critical Care Medicine
关键词
Lucas心肺复苏机
心脏骤停
随机对照试验
Lucas cardiopulmonary resuscitator
Cardiac arrest
Randomized controlled trial
