CAJ | 학술논문

目的探讨萨勃心肺复苏机在心脏呼吸骤停患者进行心肺复苏中的应用价值.方法将2004年1月至2007年12月使用萨勃心肺复苏机抢救心脏呼吸骤停患者50例作为治疗组,2000年5月至2003年12月徒手心肺复苏抢救心脏呼吸骤停患者80例作为对照组.比较两组复苏中患者收缩压和血氧饱和度(以复苏开始5～10min时的数据作为统计资料)、自主循环恢复(ROSC)率、住院率、并发症发生情况.结果治疗组在改善心脏呼吸骤停患者的收缩压、血氧饱和度方面明显优于对照组,P＜0.05;治疗组ROSC率及住院率均高于对照组(分别为44%、40%与25%、21%).P＜0.05.两组复苏期间主要并发症比较差异无统计学意义.结论萨勃心肺复苏机克服了徒手心肺复苏中因为医护人员或患者影响复苏效果的因素,使心肺复苏更趋标准有效.萨勃心肺复苏机能提高血液灌注压,增加每搏输出量,提高心脑的血氧供应,显著提高心肺复苏成功率,值得临床推广应用.
목적 탐토살발심폐복소궤재심장호흡취정환자진행심폐복소중적응용개치.방법 장2004년1월지2007년12월사용살발심폐복소궤창구심장호흡취정환자50례작위치료조,2000년5월지2003년12월도수심폐복소창구심장호흡취정환자80례작위대조조.비교량조복소중환자수축압화혈양포화도(이복소개시5～10min시적수거작위통계자료)、자주순배회복(ROSC)솔、주원솔、병발증발생정황.결과 치료조재개선심장호흡취정환자적수축압、혈양포화도방면명현우우대조조,P＜0.05;치료조ROSC솔급주원솔균고우대조조(분별위44%、40%여25%、21%).P＜0.05.량조복소기간주요병발증비교차이무통계학의의.결론 살발심폐복소궤극복료도수심폐복소중인위의호인원혹환자영향복소효과적인소,사심폐복소경추표준유효.살발심폐복소궤능제고혈액관주압,증가매박수출량,제고심뇌적혈양공응,현저제고심폐복소성공솔,치득림상추엄응용.
Objective To evaluate the value of the thumper cardiopulmonary resuscitator in the emergency cardiopulmonary resuscitation(CPR).Methods Fifty cardiac mspiratory sudden stop patients with thumper cardiopulmonary resuscitator from January 2004 to December 2007 were recruited into treatment group,and 80 cardiac respiratory sudden stop patients with barehanded CPR from May 2000 to December 2003 were recruited into control group.The SBP and blood oxygen saturation 5 to 10 minutes after the resuscitation was compared.The rate of restoration of spontaneous circulation(ROSC),hospitalization and the complication in the two groups was compared.Results The treatment group was better than the control group in improving the SBP and blood oxygen saturation(P＜0.05).The rates of ROSC and hospitalization in the treatment group were higher than those in the control group(44%,40%and 25%,21%).P＜0.05.The rate of complications had no significant difference between the two groups.Conclusions Thumper cardiopulmonary resuscitator Can surmount the factors of medical staff or patients.It can make the CPR more standard andmore effective.MeanwhileitCan raisethe SBP,strokevolume and blood supplv to the heart and brain,and then mcrease the successful rate of CPR.