中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2008年
6期
987-989
,共3页
心肺复苏术%心脏按摩%心脏停搏%呼吸,人工%新生儿
心肺複囌術%心髒按摩%心髒停搏%呼吸,人工%新生兒
심폐복소술%심장안마%심장정박%호흡,인공%신생인
Cardiopulmonary resuscitation%Heart massage%Heart arrest%Respiration,artificial%Neonates
目的 探讨新生儿连续胸外心脏按压心肺复苏时较为简单而有效的人工呼吸方法.方法 总结该院儿科收治的66例(84次)新生儿连续胸外心脏按压心肺复苏的经验体会.根据心肺复苏(cPR)时使用面罩气囊加压呼吸与气管插管气囊加压呼吸方式的不同,按成组设计分组,66例分为A、B两组,两组基本治法相同,A组38例(53次)为面罩气囊加压呼吸组,B组28例(31次)为气管插管气囊加压呼吸组.比较两组的心脏停搏时间(Tca)、心脏复律时间(Tr)、CPR操作时间(Tc)、CPR成功率、24 h生存率.结果 A组与B组相比:Pca、Tr、Te、CPR成功率、24 h生存率差异无统计学意义.A组比B组,分别为Tea[(0.99±0.75)min与(0.92±0.69)rain,P=0.69];Tr[(3.58±2.15)min与(3.66±2.01)min,P=0.87];Tc[(23.28±9.26)min与(23.73±9.51)min,P=0.84];CPR成功率[88.68%与83.87%,P>0.05];24 h生存率[84.21%与82.14%,P>0.05].结论 新生儿连续胸外心脏按压心肺复苏时,面罩气囊加压呼吸为-简单、安全、有效的人工呼吸方法.只在少数气道阻力增高的病例,可使用气管插管气囊加压呼吸方法.
目的 探討新生兒連續胸外心髒按壓心肺複囌時較為簡單而有效的人工呼吸方法.方法 總結該院兒科收治的66例(84次)新生兒連續胸外心髒按壓心肺複囌的經驗體會.根據心肺複囌(cPR)時使用麵罩氣囊加壓呼吸與氣管插管氣囊加壓呼吸方式的不同,按成組設計分組,66例分為A、B兩組,兩組基本治法相同,A組38例(53次)為麵罩氣囊加壓呼吸組,B組28例(31次)為氣管插管氣囊加壓呼吸組.比較兩組的心髒停搏時間(Tca)、心髒複律時間(Tr)、CPR操作時間(Tc)、CPR成功率、24 h生存率.結果 A組與B組相比:Pca、Tr、Te、CPR成功率、24 h生存率差異無統計學意義.A組比B組,分彆為Tea[(0.99±0.75)min與(0.92±0.69)rain,P=0.69];Tr[(3.58±2.15)min與(3.66±2.01)min,P=0.87];Tc[(23.28±9.26)min與(23.73±9.51)min,P=0.84];CPR成功率[88.68%與83.87%,P>0.05];24 h生存率[84.21%與82.14%,P>0.05].結論 新生兒連續胸外心髒按壓心肺複囌時,麵罩氣囊加壓呼吸為-簡單、安全、有效的人工呼吸方法.隻在少數氣道阻力增高的病例,可使用氣管插管氣囊加壓呼吸方法.
목적 탐토신생인련속흉외심장안압심폐복소시교위간단이유효적인공호흡방법.방법 총결해원인과수치적66례(84차)신생인련속흉외심장안압심폐복소적경험체회.근거심폐복소(cPR)시사용면조기낭가압호흡여기관삽관기낭가압호흡방식적불동,안성조설계분조,66례분위A、B량조,량조기본치법상동,A조38례(53차)위면조기낭가압호흡조,B조28례(31차)위기관삽관기낭가압호흡조.비교량조적심장정박시간(Tca)、심장복률시간(Tr)、CPR조작시간(Tc)、CPR성공솔、24 h생존솔.결과 A조여B조상비:Pca、Tr、Te、CPR성공솔、24 h생존솔차이무통계학의의.A조비B조,분별위Tea[(0.99±0.75)min여(0.92±0.69)rain,P=0.69];Tr[(3.58±2.15)min여(3.66±2.01)min,P=0.87];Tc[(23.28±9.26)min여(23.73±9.51)min,P=0.84];CPR성공솔[88.68%여83.87%,P>0.05];24 h생존솔[84.21%여82.14%,P>0.05].결론 신생인련속흉외심장안압심폐복소시,면조기낭가압호흡위-간단、안전、유효적인공호흡방법.지재소수기도조력증고적병례,가사용기관삽관기낭가압호흡방법.
Objective To investigate the easier and more effective moduses of artificial respiration to the neonatal continuous chest compression eardiopulmonary resuscitation. Methods The experience of the treatment on 66 inpatient neonates(with 84 vices cardiac arrest) by continuous chest compression cardiopulmonary resuscitation was summarized. Based on different moduses of artificial respiration matched with mask-gasbag pressure breathing or tracheal intubation pressure breathing to cardiopulmonary resuscitation(CPR), and according to the principles of therandomized block design,sixty-six neonates in cardiac arrest were randomly divided into two groups of A and B. Fun-damental therapeutics in these two groups were alike. A group(38 cases with 53 vices cardiac arrest) was with mask-gasbag pressure breathing. B group(28 cases with 31 vices cardiac arrest) was with tracheal intubation gasbag pres-sure breathing. Time of cardiac arrest (Tca), time of cardiac restore independent rhythm(Tr), Time of cardiopul-monary resuscitation completed(Tc), achievement ratio of cardiopulmonary resuscitation, and 24 hours survival rateof these two groups were compared. Results Compared with B group, there was no significant deviation of Pca, Tr,Tc, the successful rate of CPR and 24 hours survival rate in A group. Comparing A group to B group, the Tea[ (0.99±0.75)rain vs (0.92±0.69)min, P = 0.69];Tr[(3.58±2.15)rain vs (3.66±2.01)min, P = 0.87];Tc [(23.28±9.26)min vs (23.73±9.51)min,P=0.84];suecessful rate of CPR [88.68% vs 83.87% ,P>0.05];24h survival rate [84.21% vs 82.14 %, P > 0.05 ]. Conclusion The mask-gasbag pressure breathing was an easy,safe and effective artificial respiration method for the neonatal continuous chest compression cardiopulmonary resusci-tation. Only in a few eases with airway resistance heightening was the modus of tracheal intubation gasbag pressure breathing applied.
