不同心肺复苏方式在急诊科应用的临床疗效比较

Comparison of Clinical Curative Effect of Different Cardio-pulmonary Resuscitation Ways in the Department of Emergency

目的比较徒手心肺复苏和心肺复苏机两种心肺复苏方式在急诊科应用的临床疗效。方法方便选择2016年1月—2017年11月福建中医药大学附属第三人民医院急诊科收治的54例心脏呼吸骤停患者,将其随机分为两组:应用心肺复苏机的试验组(27例)和接受徒手心肺复苏的对照组(27例),比较两组患者的自主呼吸、自主循环和血压等生理指标的恢复时间;同时记录各组出现的并发症,计算对照组和试验组的复苏有效率并做比较。结果试验组患者的自主呼吸恢复时间、自主循环恢复时间、血压恢复时间和并发症发生率均显著低于对照组[(13.59±2.02)min vs(27.35±4.09)min,(t=15.613,P=0.000);(31.49±4.48)min vs(44.43±5.38)min,(t=11.231,P=0.000);(43.45±5.86)min vs(67.22±6.18)min,(t=10.672,P=0.000);7.41%vs 40.74%;(χ2=10.291,P=0.000)],心肺复苏有效率显著高于对照组59.26%vs 37.04%,(χ2=6.489,P=0.012)。结论心肺复苏机的应用增加了对心脏呼吸骤停患者抢救的有效性和安全性,值得在临床进一步推广。

Objective To compare the clinical curative effect of unarmed cardiopulmonary resuscitation and cardiopulmonary resuscitation indicator in the department of emergency. Methods 54 cases of patients with cardiac respiratory sudden stop admitted and treated in our hospital from January 2016 to November 2017 were convenient selected and randomly divided into two groups with 27 cases in each, the test group and the control group respectively used the cardiopulmonary resuscitation indicator and unarmed cardiopulmonary resuscitation, and the recovery time of autonomous respiration, autonomous circulation and blood pressure was compared between the two groups, and the complications of each group was recorded, a nd the recovery effective rate of the two groups was calculated. Results The autonomous respiration recovery time, autonomous respiration recovery time and blood pressure recovery time and incidence rate of complications in the test group were obviously lower than those in the control group[（13.59±2.02）min vs（27.35±4.09）min,（t=15.613,P=0.000）;（31.49±4.48）min vs（44.43±5.38）min,（t=11.231,P=0.000）;（43.45±5.86）min vs（67.22±6.18）min,（t=10.672,P=0.000）;7.41%vs40.74%;（χ^2=10.291,P=0.000）], and the effective rate of cardio-pulmonary resuscitation was obviously higher than that in the control group 59.26%vs 37.04%,（χ^2=6.489,P=0.012）. Conclusion The application of cardiopulmonary resuscitation indicator increases the effectiveness and safety of patients with cardiac respiratory sudden stop, which is worth further promotion in clinic.