CAJ | 학술논문

目的：探讨心肺复苏机持续机械胸外心脏按压模式对心搏呼吸骤停（CPA）老年患者心肺复苏（CPR）效果的影响。方法依据 CPR 时采用胸外心脏按压方式的不同将150例院内发生的 CPA 老年患者分为两组，76例采用心肺复苏机持续机械胸外心脏按压的为机械组，74例采用多人次人工徒手胸外心脏按压的为人工组，两组使用气管插管、电除颤、药物复苏等抢救措施相同，比较两组患者恢复自主循环（ROSC）所需时间及比例。结果机械组患者 ROSC 所需时间优于人工组[（17．5±5．2）min 比（26．8±7．3）min，P＜0．05]，机械组 ROSC 例数高于人工组（42例比28例，P ＜0．05）。结论心肺复苏机持续机械胸外心脏按压模式在缩短 CPA 老年患者 ROSC 时间、提高 ROSC 比例及 CPR 有效率方面均优于人工徒手胸外心脏按压。
목적：탐토심폐복소궤지속궤계흉외심장안압모식대심박호흡취정（CPA）노년환자심폐복소（CPR）효과적영향。방법의거 CPR 시채용흉외심장안압방식적불동장150례원내발생적 CPA 노년환자분위량조，76례채용심폐복소궤지속궤계흉외심장안압적위궤계조，74례채용다인차인공도수흉외심장안압적위인공조，량조사용기관삽관、전제전、약물복소등창구조시상동，비교량조환자회복자주순배（ROSC）소수시간급비례。결과궤계조환자 ROSC 소수시간우우인공조[（17．5±5．2）min 비（26．8±7．3）min，P＜0．05]，궤계조 ROSC 례수고우인공조（42례비28례，P ＜0．05）。결론심폐복소궤지속궤계흉외심장안압모식재축단 CPA 노년환자 ROSC 시간、제고 ROSC 비례급 CPR 유효솔방면균우우인공도수흉외심장안압。
Objective To investigate the effects of continuous cardiopulmonary resuscitation machine me-chanical chest compressions on cardiopulmonary resuscitation in elderly patients with cardiac respiratory arrest.Meth-ods On the basis of cardiopulmonary resuscitation with chest compressions to different ways,1 50 cases of hospital elderly patients with cardiac respiratory arrest were divided into two groups,76 cases of resuscitator continuous me-chanical chest compressions for machinery group,74 patients with multiple times with manual chest compressions for artificial group.The same rescue measures of intubation,defibrillation and drug recovery restoration were used in two groups spontaneous circulation (ROSC)required time and proportion were compared between two groups.Results Machinery group patients ROSC time required was superior to the artificial group[(1 7.5 ±5.2)min vs.(26.8 ±7. 3)min,P <0.05],ROSC in artificial group was higher than that in artificial mechanical(42 vs.28,P <0.05).Con-clusion The mode of machine mechanical chest compressions is better than manual chest compressions in ROSC time,the ratio of ROSC and effective rate of cardiopulmonary resuscitation.