国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
15期
2365-2368
,共4页
梁兴民%陈永华%何淑榴%郭敏玲
樑興民%陳永華%何淑榴%郭敏玲
량흥민%진영화%하숙류%곽민령
心搏骤停%心肺复苏%转运%心肌酶
心搏驟停%心肺複囌%轉運%心肌酶
심박취정%심폐복소%전운%심기매
cardiac arrest%cardiopulmonary resuscitation%transporter%myocardial enzymes
目的 探讨新式成人转运心肺复苏对心脏骤停患者心肌酶、心肌损伤标志物的影响,进而完善院外转运过程中的心肺复苏操作规范.方法 设计新式成人转运心肺复苏操作规范(TCPR),筛选2012年1月至2013年1月中我院120接诊的60例心脏呼吸骤停患者,随机分为T-CPR组和常规组,恢复自主循环后监测两组患者cTnI、CK、CK-MB在入院各时间段的变化.结果 常规治疗组cTnI、CK、CK-MB均有不同程度的升高,而T-CPR组在30min内与常规治疗组比较无明显差异,但2h到24h血清cTnI、CK、CK-MB明显低于常规组.随着观察时间的延长,T-CPR组的自主循环维持时间明显延长,组间差异有统计学意义(P＜0.05).结论 转运中心肺复苏术(TCPR)可以有效降低心脏骤停患者复苏后患者心脏骤停及心肺复苏对心肌的损伤,更利于自主循环的维持.有进一步完善和推广的前景.
目的 探討新式成人轉運心肺複囌對心髒驟停患者心肌酶、心肌損傷標誌物的影響,進而完善院外轉運過程中的心肺複囌操作規範.方法 設計新式成人轉運心肺複囌操作規範(TCPR),篩選2012年1月至2013年1月中我院120接診的60例心髒呼吸驟停患者,隨機分為T-CPR組和常規組,恢複自主循環後鑑測兩組患者cTnI、CK、CK-MB在入院各時間段的變化.結果 常規治療組cTnI、CK、CK-MB均有不同程度的升高,而T-CPR組在30min內與常規治療組比較無明顯差異,但2h到24h血清cTnI、CK、CK-MB明顯低于常規組.隨著觀察時間的延長,T-CPR組的自主循環維持時間明顯延長,組間差異有統計學意義(P＜0.05).結論 轉運中心肺複囌術(TCPR)可以有效降低心髒驟停患者複囌後患者心髒驟停及心肺複囌對心肌的損傷,更利于自主循環的維持.有進一步完善和推廣的前景.
목적 탐토신식성인전운심폐복소대심장취정환자심기매、심기손상표지물적영향,진이완선원외전운과정중적심폐복소조작규범.방법 설계신식성인전운심폐복소조작규범(TCPR),사선2012년1월지2013년1월중아원120접진적60례심장호흡취정환자,수궤분위T-CPR조화상규조,회복자주순배후감측량조환자cTnI、CK、CK-MB재입원각시간단적변화.결과 상규치료조cTnI、CK、CK-MB균유불동정도적승고,이T-CPR조재30min내여상규치료조비교무명현차이,단2h도24h혈청cTnI、CK、CK-MB명현저우상규조.수착관찰시간적연장,T-CPR조적자주순배유지시간명현연장,조간차이유통계학의의(P＜0.05).결론 전운중심폐복소술(TCPR)가이유효강저심장취정환자복소후환자심장취정급심폐복소대심기적손상,경리우자주순배적유지.유진일보완선화추엄적전경.
Objective To explor the impact of the new adult transporter cardiopulmonary resuscitation on cardiac arrest,in patients with myocardial enzymes,markers of myocardial injury and thus improve the practices of cardiopulmonary resuscitation outside the hospital during transport.Methods The design of the new Adult transporter cardiopulmonary resuscitation operation specification (TCPR).120 admissions of 35 patients with cardiopulmonary arrest patients were randomly divided into T-CPR group and the routine group.After the ROSC,the changes of cTnI,CK,CK-MB in each time were determined.Results cTnI,CK,CK-MB in the therapeutic TCPR gradually increased,also appeared low blood pressure and hemodynamic abnormalities.There are no significant difference at 30 min between TCPR therapy group and the routine therapy group,from 2 hour to 24 hour TCPR group,TCPR therapy group were significantly lower than the routine therapy group,(P＜0.05).With the observation of prolonged TCPR group,T-CPR group spontaneous circulation remained significantly longer,the difference between the groups was statistically significant (P ＜0.05).Conclusion transporter cardiopulmonary resuscitation (TCPR) can effectively reduce reduce cTnI,CK,CK-MB,reduce myocardial damage,More conducive to the maintenance of spontaneous circulation.It is worthy of further improvement and extension.
