CAJ | 학술논문

　　目的探讨经皮氧饱和度（SpO2）监测在院外心脏骤停患者心肺脑复苏中的意义。方法394例院外心脏骤停患者分成两组，监测组221例患者入院后立即进行心肺脑复苏，同时予以SpO2监测并观察波形为指导持续胸外按压；未监测组173例患者入院后立即进行心肺脑复苏，但未予以SpO2监测；两组比较心、脑肺复苏成功率及心跳骤停持续时间、自主心跳恢复时间和脑缺血缺氧时间。结果监测组心肺复苏成功117例（52.94％）与未监测组心肺复苏成功72例（41.62％）比较，差异有统计学意义（χ2=4.98，P＜0.05），监测组脑复苏成功14例（6.33％）与未监测组脑复苏成功6例（3.47％）比较，差异无统计学意义（χ2=1.66，P＞0.05）。监测组的心跳骤停持续时间（43.93±23.33） min短于未监测组（52.92±26.28）min，自主心跳恢复时间（22.13±18.72） min亦短于未监测组（29.09±21.40）min，差异均有统计学意义（t分别=2.45、2.35，P均＜0.05）；而两组脑缺血缺氧时间比较，差异无统计学意义（t=1.16，P＞0.05）。结论在经皮SpO2监测指导下进行胸外按压有助于提高胸外按压的有效性，从而提高心肺复苏的成功率。
　　목적탐토경피양포화도（SpO2）감측재원외심장취정환자심폐뇌복소중적의의。방법394례원외심장취정환자분성량조，감측조221례환자입원후립즉진행심폐뇌복소，동시여이SpO2감측병관찰파형위지도지속흉외안압；미감측조173례환자입원후립즉진행심폐뇌복소，단미여이SpO2감측；량조비교심、뇌폐복소성공솔급심도취정지속시간、자주심도회복시간화뇌결혈결양시간。결과감측조심폐복소성공117례（52.94％）여미감측조심폐복소성공72례（41.62％）비교，차이유통계학의의（χ2=4.98，P＜0.05），감측조뇌복소성공14례（6.33％）여미감측조뇌복소성공6례（3.47％）비교，차이무통계학의의（χ2=1.66，P＞0.05）。감측조적심도취정지속시간（43.93±23.33） min단우미감측조（52.92±26.28）min，자주심도회복시간（22.13±18.72） min역단우미감측조（29.09±21.40）min，차이균유통계학의의（t분별=2.45、2.35，P균＜0.05）；이량조뇌결혈결양시간비교，차이무통계학의의（t=1.16，P＞0.05）。결론재경피SpO2감측지도하진행흉외안압유조우제고흉외안압적유효성，종이제고심폐복소적성공솔。
Objective To explore the significance of SpO2 monitoring in cardio-pulmonary-cerebral resuscitation of patients with out-of-hospital cardiac arrest. Methods A total of 394 patients with out-of-hospital cardiac arrest were randomly assigned into two groups, 221 cases as the monitoring group who received continuous chest compression with SpO2 monitoring by both figure and shape as a guide and 173 cases as the non-monitoring group who received cardio-pulmonary-cerebral resuscitation. The success rate of cardio-pulmonary-cerebral resuscitation, cardiac arrest duration, spontaneous cardiac recovery time, cerebral ischemia and hypoxia time of two groups were compared. Results The success rate of cardio-pulmonary resuscitation of monitoring group(52.94%) was significantly higher than that of the non-monitoring group (41.62%)(χ2=4.98,P<0.05). The success rate of cerebral resuscitation survival between the two groups had no significant difference(χ2=1.66,P>0.05).The cardiac arrest duration of the monitoring group was(43.93±23.33)minutes while the non-monitoring group was (52.92±26.28)minutes, the spontaneous cardiac recovery time of the monitoring group was (22.13± 18.72) minutes while the non-monitoring group was(29.09±21.40)minutes, the differences between them were statistically significant (t=2.45,2.35,P<0.05). There was no significant difference in cerebral ischemia and hypoxia time between two groups (t=1.16,P>0.05). Conclusions SpO2 monitoring is helpful to improve the efficacy of chest compression, so as to improve the success rate of cardiopulmonary resuscitation.