静脉输注高氧液提高心肺复苏成功率的临床研究

Clinical Study of Oxygen - enriched Liquid by Infusion as First Aid on Patients with Cardio - pulmonary Resuscitation

目的 探讨静脉输注高氧液对心跳呼吸骤停患者心肺复苏过程中的作用，评价其对心肺复苏成功率的影响。方法 选择心跳呼吸骤停患者30例，随机分为治疗组和对照组，每组其它抢救措施均相同，对照组输入复方乳酸钠溶液10-20ml／kg，治疗组输入等量的高氧液。观察记录复苏过程中患者血气指标的动态变化、心跳和呼吸恢复正常率及心肺复苏成功率。结果 治疗组心跳恢复和呼吸恢复正常率较对照组增高（P〈0．05），血气恢复正常时间较对照组提早（P〈0．05），心肺复苏成功率较对照组提高（P〈0．05）。结论 静脉输注高氧液是心跳呼吸骤停患者心肺复苏时有效的治疗方法之一。

Objective To investigate and evaluate the effect as first aid of diopulmonary resuscitation of the patients with cardiopulmonary arrest, Methods oxygen- enriched liquid by infusion on carThirty patients with cardiopulmonary arrest were randomly divided into two groups： the control group （n = 15 ）. The same measures were used in two groups except balanced salt solution （BSS） 10 -20ml/kg was applied in the control group and oxygen -enriched liquid 10 -20ml/kg injected in the experiment group. The artery blood -gas changes, ratio of heart beat or respiration recovered to the normal vales, and success ratio of cardiopulmonary resuscitation were recorded in process of cardiopulmonary resuscitation. Results Ratio of heart beat and respiration recovered to the normal vales were improved significantly in experiment group than those in control group （ P 〈 0.05 ）, time of blood - gas data recovered to the normal vales were improved significantly quicker in experiment group than those control group （P 〈 0. 05 ）, and success ratio of cardiopulmonary resuscitation had been prolonged evidently in experiment group than those in control group （ P 〈 0.05 ）. Conclusion The results suggested that oxygen - enriched liquid by infusion as first aid may be an effective measure in process of cardiopulmonary resuscitation of the patients with cardiopulmonary arrest.