徒手心肺复苏与心肺复苏仪在不同环境中的应用对比
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摘要
目的:探讨徒手心肺复苏与心肺复苏仪在院前急救不同环境下的心肺复苏时疗效。方法:440例心肺复苏患者,根据复苏方法分为徒手复苏组334例和机械复苏组106例,所有患者均给予高质量心肺复苏,对比不同环境下(室内、室外及车祸、外伤)徒手和复苏仪对心肺复苏成功率差异性。结果:徒手组心肺复苏成功率为5.99%,复苏仪组成功率为12.26%,差异具有统计学意义(P<0.05);室外环境下,复苏仪组心肺复苏成功率明显高于徒手组,差异具有统计学意义(P<0.05)。结论:心肺复苏仪在室外现场,可以显著提高心肺复苏成功率,值得院前推广合理使用。
Objective:To observe the effect of bare-handed cardiopulmonary resuscitation and cardiopulmonary resuscitation instrument on cardiopulmonary resuscitation under different pre-hospital emergency conditions.Methods:440 cases of cardiopulmonary resuscitation were selected and divided into unarmed resuscitation group(334 cases) and mechanical resuscitation group(106 cases). All patients were given high-quality cardiopulmonary resuscitation. The differences between unarmed and resuscitation instruments in different environments(indoor,outdoor, traffic accidents, trauma) were compared. Results: The success rate of CPR was 5.99% in the unarmed group and 12.26% in the resuscitator group, with statistical significance(P< 0.05);in the outdoor environment, the resuscitator group was significantly higher than the unarmed group(P<0.05), with statistical significance. Conclusion: Cardiopulmonary resuscitation instrument can significantly improve the success rate of cardiopulmonary resuscitation in outdoor field, and it is worthy of promotion and rational use before hospital.
Objective:To observe the effect of bare-handed cardiopulmonary resuscitation and cardiopulmonary resuscitation instrument on cardiopulmonary resuscitation under different pre-hospital emergency conditions.Methods:440 cases of cardiopulmonary resuscitation were selected and divided into unarmed resuscitation group(334 cases) and mechanical resuscitation group(106 cases). All patients were given high-quality cardiopulmonary resuscitation. The differences between unarmed and resuscitation instruments in different environments(indoor,outdoor, traffic accidents, trauma) were compared. Results: The success rate of CPR was 5.99% in the unarmed group and 12.26% in the resuscitator group, with statistical significance(P< 0.05);in the outdoor environment, the resuscitator group was significantly higher than the unarmed group(P<0.05), with statistical significance. Conclusion: Cardiopulmonary resuscitation instrument can significantly improve the success rate of cardiopulmonary resuscitation in outdoor field, and it is worthy of promotion and rational use before hospital.
引文
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[2]周海林.80例心肺复苏患者的抢救体会及其影响因素分析[J].中国急救医学,2015(z1):37~38.
[3]刘玉英.萨博心肺复苏机临床效果观察[J].中国误诊学杂志,2009,9(34):8402~8403.
[4]Anatolij,Truhlar,Petr,et al.Concerns abou safety of the AutoPulse use in treatment of pulmonary embolism.[J].Resuscitation,2012,83(6):133~135.
[5]王涛,秦俭,王长远,等.徒手心肺复苏与心肺复苏机在急诊科应用的疗效比较[J].中国循环杂志,2016,31(7)673~675.
[6]肖广显.分析Thumper心肺复苏机与徒手心肺复苏抢救心脏呼吸骤停患者的临床效果[J].中国医药导刊,2015(10):992~993.
[7]张洁,席茜,邹利群.心肺复苏机临床应用进展研究[J].中国急救复苏与灾害医学杂志,2015(6):595~597.
[8]王增武,董颖.2015年《AHA心肺复苏与心血管急救指南》解读[J].中国循环杂志,2015,30(2):8~22.