摘要
目的探讨心脏骤停患者器械及徒手胸外按压两种心肺复苏方式的效果。方法收集2011年2月至2012年10月北京市房山区良乡医院急诊科收治心脏骤停患者32例,根据2010心肺复苏与心血管急救指南进行心肺复苏,随机分为器械复苏组(器械组)及徒手复苏组(徒手组),每组各16例,分别监测患者复苏后3 min、5 min、10 min、20min呼气末二氧化碳分压(PETco2)水平。结果器械组患者自主循环恢复5例,徒手组患者自主循环恢复3例,所有患者在心肺复苏前3个时间点PETco2水平无显著差异(P>0.05),20 min时器械组PETco2水平明显高于较徒手组(P=0.03)。所有恢复自主循环患者PETco2水平均高于15 mmHg。结论器械心肺复苏较徒手心肺复苏更能维持较长时间较高的PETco2水平,更有助于心脏骤停患者自主循环恢复。
Objective To explore the effect of mechanical resuscitation and manual chest compressions for emergency treatment of cardiac arrest. Methods Thirty two patients with sudden cardiac arrest in emergency department during February 2011 to October 2012 were divided into two groups （ mechanical group and manual group）, they all received advanced cardiac life support according to 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care soon after the onset and underwent continuous measurement of PETco2 after treacheal intubation. The figures of PETco2 at different time point of CPR were compared between these two groups. Results Five of 16 patients in mechanical group obtained recovery of spontaneous circulation （ROSC） and 3 patents in manual group obtained ROSC. The differ- ence in figures of PETco： between these two groups was not significant （ P 〉 0.05 ） at the time point of 3,5 and 10 minutes, and there was signif- icant difference in figures of PETco2 at 20 minutes after CPR （ P = 0.03 ）, the figures of PETco2 in mechanical group were significantly higher than those of manual group. The figures of PETco2 in all ROSC patients were above 15 mmHg. Conclusion Mechanical cardiopulmonary resusci- tation for patients with cardiac arrest can sustain higher figures of PETco2 at 20th minute, thus it may provide more possibility for recovery of span- taneous circulation in patients with cardiac arrest.
出处
《临床和实验医学杂志》
2013年第2期103-104,共2页
Journal of Clinical and Experimental Medicine
关键词
心脏骤停
器械
徒手
心肺复苏
呼气末二氧化碳分压
Cardiac arrest
Mechanical compression
Manual compression
Cardiopulmonary resuscitation
End - tidal carbon dioxide partial pressure
