摘要
目的:比较徒手胸外按压与机械胸外按压这两种不同方式在心跳呼吸骤停后进行心肺复苏的应用效果。方法:回顾性分析我院急诊科进行心肺复苏的患者120例,根据不同的胸外按压方式,分成人工组(徒手胸外按压)和机械组(机械胸外按压)。胸外按压20min时记录动脉血PH值、氧分压(Pao2)、二氧化碳分压(Paco2)、乳酸、收缩压。比较两组的复苏时间、不良反应发生率、复苏成功率。结果:两组的动脉血PH值、Pao2、Paco2、乳酸均无显著性差异(P>0.05)。与人工组相比,机械组的收缩压、复苏成功率均明显高于人工组(P<0.05),而且复苏时间、不良事件发生率均显著低于人工组(P<0.05)。结论:机械胸外按压与徒手胸外按压相比能显著提高复苏成功率。
Objective:To compare the clinical effectiveness of mechanical chest compressions and manual chest compressions for Cardiopulmonary resuscitation after cardiopulmonary arrest.Methods:Clinical data of 120 patients who accept Cardiopulmonary resuscitation in our emergency department were retrospectively analyzed.The patients were divided into Artificial group(manual chest compressions) and Machinery group(mechanical chest compressions) According to the different ways of chest compressions.Arterial blood PH value,Pao2、Paco2、 lactic acid、systolic blood pressure were recorded after 20 min.To compare resuscitation time,the incidence of adverse reactions,the success rate of resuscitation.Results:There were no statistical differences in Arterial blood PH value、 Pao2、Paco2、 lactic acid,between two groups(P>0.05).Systolic blood pressure,the success rate of resuscitation in Machinery group were significantly higher than Artificial group(P<0.05),and resuscitation time,the incidence of adverse reactions were significantly lower than Artificial group(P<0.05).Conclusions:The way of mechanical chest compressions can significantly improve the success rate of resuscitation compared with manual chest compressions.
引文
