岭南急诊医学杂志
嶺南急診醫學雜誌
령남급진의학잡지
LINGNAN JOURNAL OF EMERGENCY MEDICINE
2015年
4期
264-265,285
,共3页
心肺复苏器%冠心病%心脏骤停%急救
心肺複囌器%冠心病%心髒驟停%急救
심폐복소기%관심병%심장취정%급구
cardiopulmonary resuscitation%coronary heart disease%cardiac arrest%first aid
目的：探讨机器和徒手抢救急诊冠心病心跳骤停患者的疗效比较。方法：选取2013年1月至2014年6月期间我院收治的急诊冠心病心脏骤停患者46例作为观察组，患者均采用萨勃1007心肺复苏机进行心肺复苏。另选取30例同期行徒手心肺复苏的冠心病心脏骤停患者作为对照。比较两组心肺复苏成功率、自主循环恢复时间、自主呼吸恢复时间和血压恢复时间及脑损伤情况。结果：观察组患者复苏成功率显著高于对照组（39．13％ vs 23．33％，P＜0．01）；观察组患者自主循环恢复时间、自主呼吸恢复时间和血压恢复时间均短于对照（P＜0．05）。复苏后两组NHISS评分均逐渐降低，功能独立性评分（FIM）则逐渐升高。结论：心肺复苏器应用于急诊冠心病患者心脏骤停急救中复苏成功率高，可有效缩短自主循环、自主呼吸和血压恢复时间并预防脑损伤的发生，值得临床推广使用。
目的：探討機器和徒手搶救急診冠心病心跳驟停患者的療效比較。方法：選取2013年1月至2014年6月期間我院收治的急診冠心病心髒驟停患者46例作為觀察組，患者均採用薩勃1007心肺複囌機進行心肺複囌。另選取30例同期行徒手心肺複囌的冠心病心髒驟停患者作為對照。比較兩組心肺複囌成功率、自主循環恢複時間、自主呼吸恢複時間和血壓恢複時間及腦損傷情況。結果：觀察組患者複囌成功率顯著高于對照組（39．13％ vs 23．33％，P＜0．01）；觀察組患者自主循環恢複時間、自主呼吸恢複時間和血壓恢複時間均短于對照（P＜0．05）。複囌後兩組NHISS評分均逐漸降低，功能獨立性評分（FIM）則逐漸升高。結論：心肺複囌器應用于急診冠心病患者心髒驟停急救中複囌成功率高，可有效縮短自主循環、自主呼吸和血壓恢複時間併預防腦損傷的髮生，值得臨床推廣使用。
목적：탐토궤기화도수창구급진관심병심도취정환자적료효비교。방법：선취2013년1월지2014년6월기간아원수치적급진관심병심장취정환자46례작위관찰조，환자균채용살발1007심폐복소궤진행심폐복소。령선취30례동기행도수심폐복소적관심병심장취정환자작위대조。비교량조심폐복소성공솔、자주순배회복시간、자주호흡회복시간화혈압회복시간급뇌손상정황。결과：관찰조환자복소성공솔현저고우대조조（39．13％ vs 23．33％，P＜0．01）；관찰조환자자주순배회복시간、자주호흡회복시간화혈압회복시간균단우대조（P＜0．05）。복소후량조NHISS평분균축점강저，공능독립성평분（FIM）칙축점승고。결론：심폐복소기응용우급진관심병환자심장취정급구중복소성공솔고，가유효축단자주순배、자주호흡화혈압회복시간병예방뇌손상적발생，치득림상추엄사용。
Objective:To investigate the different effect of cardiopulmonary resuscitation machine or unarmed cardiopulmonary resuscitation in emergency treatment of coronary heart disease patients with cardiac arrest. Methods:46 patients with emergency coronary artery disease and cardiac arrest in our hospital from January, 2013 to June, 2014 were selected as observation group and the 1007 THUMPER CPR System was used in cardiopulmonary resuscitation. The other 30 patients with coronary heart disease and cardiac arrest treated with unarmed cardiopulmonary resuscitation in the same period were selected as control group. Success rate of cardiopulmonary resuscitation, spontaneous circulation recovery time, spontaneous breathing recovery time and recovery time and blood pressure and brain damage of two groups were statistically analyzed. Results: Survival patients of observation group were more than control group (39.13% vs 23.33%,P<0.01). Spontaneous circulation recovery time, spontaneous breathing recovery time and blood pressure recovery time of observation group were shorter than that of the control group (P<0.05). NHISS score of two groups were gradually reduced after recovery, while functional independence score (FIM) were gradually increased. Conclusion: Cardiopulmonary resuscitator applied in emergency coronary heart disease (CHD) in patients with cardiac arrest emergency is worthy of clinical promotion for it can gain high recovery success rate, effectively shorten the independent loops, respiration and blood pressure recovery time,and prevent the happening of the brain damage.
