徒手心肺复苏与心肺复苏机在急诊科应用的疗效比较

Comparative Study for Effects of Bare-handed Cardiopulmonary Resuscitation and Cardiopulmonary Resuscitator in Emergency Treatment

目的:观察对比徒手心肺复苏与心肺复苏机在急诊科心肺复苏时的疗效。方法:选择2013-01至2015-10于我院急诊科行心肺复苏的患者185例,将患者分为徒手复苏组101例和机械复苏组84例,同时将每组患者的复苏时间以30 min为界分为短时间复苏和长时间复苏,所有患者均给予高质量心肺复苏,分别比较短时间复苏患者和长时间复苏患者在徒手复苏组和机械复苏组的复苏成功率、复苏时间和复苏后血乳酸值。结果:对于短时间复苏患者,徒手复苏组与机械复苏组在复苏成功率、复苏时间及复苏后乳酸值上差异无统计学意义;对于长时间复苏患者,两组在复苏成功率及复苏时间上差异无统计学意义,在复苏后血乳酸方面,机械复苏组(6.88±1.82)mmol/L低于徒手复苏组(9.39±2.39)mmol/L,差异有统计学意义(P<0.05)。结论:徒手心肺复苏与心肺复苏机在临床抢救过程中复苏成功率差异无统计学意义,两者同样有效,但心肺复苏机有利于节省人力,特别是对于急诊科人员不足的情况下进行长时间复苏患者,有益于获得更好的代谢疗效,值得临床推广使用。

Objective： To compare the effects of bare-handed cardiopulmonary resuscitation（CPR） and cardiopulmonary resuscitator in emergency treatment.Methods： A total of 185 patients received CPR in our hospital from 2013-01 to 2015-10 were enrolled. The patients were divided into 2 groups： Bare-handed CPR（Bare-handed） group, n=101 and Cardiopulmonary resuscitator（Mechanical） group, n=84; meanwhile, taking 30 min as border time, each group was further divided as short time CPR subgroup and long time CPR subgroup. High quality CPR was conducted in all patients. The success rates, time and blood levels of lactic acid after CPR were compared among short time subgroup, long time subgroup between Bare-handed group and Mechanical group respectively.Results： For short time CPR patients, the success rates, time and blood levels of lactic acid after CPR were similar between Bare-handed group and Mechanical group; for long term CPR patients, the success rates and time were similar between Bare-handed group and Mechanical group, while blood levels of lactic acid after CPR in Mechanical group（6.88 ± 1.82） mmol/L was lower than Bare-handed group（9.39 ± 2.39） mmol/L, P〈0.05.Conclusion： The success rates of bare-handed CPR and mechanical CPR were similar for emergency treatment, both methods were effective; while mechanical CPR may save the manual labor, achieve better metabolic result which should be recommended in clinical practice.