摘要
目的:探究心脏骤停者院前心肺复苏的应用及临床治疗方法。方法:选取2019年2月-2020年2月首都机场集团紧急医学救援中心急诊接受救治的心脏骤停者100例,采用随机抽样分组法将其分为对照组和观察组,各50例。对照组采取传统的心肺复苏方法及肾上腺素治疗,观察组则在对照组基础上应用血管加压素(40 U)治疗。观察两组患者影响心肺复苏的因素,并统计自主循环恢复率、存活率以及家属满意度。结果:观察组患者心脏停搏开始时间较早,心肺复苏操作持续时间及电击除颤时间较短;对照组心脏停搏开始时间较晚,心肺复苏操作持续时间及电击除颤时间较长,两组患者各指标比较,差异有统计学意义(P<0.05)。观察组患者相较于对照组自主循环恢复率及存活率较高,两组比较差异有统计学意义(P<0.05)。另外观察组患者的家属满意度明显高于对照组,差异有统计学意义(P<0.05)。结论:影响心脏骤停者院前心肺复苏成功的因素较多,而心脏骤停严重影响患者的生存率,因此应加强肾上腺素联合血管加压素的应用,以提升患者的心肺复苏成功率。
Objective: To explore the application and clinical treatment method of pre-hospital cardiopulmonary resuscitation in patients with cardiac arrest. Methods: A total of 100 patients with cardiac arrest who were treated in Capital Airport Group Emergency Medical Rescue Center from February 2019 to February 2020 were selected and divided into control group and observation group by random sampling group method, with 50 patients in each group. The patients in the control group were treated with conventional cardiopulmonary resuscitation andepinephrine, while the patients in the observation group were treated with vasopressin(40 U) on the basis of control group. The influencing factor of cardiopulmonary resuscitation in two groups was observed, and the recovery rate of spontaneous circulation, survival rate and the satisfaction degree of family members were calculated. Results: In the observation group, the onset time of cardiac arrest was earlier, and the duration of cardiopulmonary resuscitation and defibrillation was shorter;in the control group, the onset time of cardiac arrest was later, and the duration of cardiopulmonary resuscitation and defibrillation was longer. There was statistically significant difference in each index between two groups(P<0.05). The recovery rate of spontaneous circulation and the survival rate of the patients in the observation group were significantly higher than those in the control group, with statistically significant difference between two groups(P<0.05). The satisfaction degree of family members in the observation group was significantly higher than that in the control group, with statistically significant difference between two groups(P<0.05). Conclusion: The factors influencing the success of pre-hospital cardiopulmonary resuscitation in patients with cardiac arrest are diverse, and the cardiac arrest greatly affects the survival rate of patients, therefore, the application of epinephrine combined with vasopressin should be strengthened in order to improve the success rate of card
作者
曲利军
Qu Li-jun(Capital Airport Group Emergency Medical Rescue Center,Beijing 100000,China)
出处
《中国社区医师》
2022年第10期43-45,共3页
Chinese Community Doctors
关键词
心脏骤停
院前心肺复苏
肾上腺素
血管加压素
Cardiac arrest
Pre-hospital cardiopulmonary resuscitation
Epinephrine
Vasopressin