急诊危重病人抢救过程中携带便携式呼吸机可提高心肺复苏成功率

Carrying a Portable Ventilator during Emergency Rescue of Critically Ill Patients could Improve the Success Rate of Cardiopulmonary Resuscitation

为探讨分析便携式呼吸机对急诊危重病人SpO2、HR的影响及应用价值，本研究对我院2014年1月至2017年6月期间收治的急救危重需采用心肺复苏治疗的患者资料进行回顾性分析。按照辅助呼吸方式不同，随机选择60例分别作为人工气囊辅助呼吸组（对照组）和便携式呼吸机组（观察组）作为研究分析对象，每组30例，比较两组患者抢救状况和SpO2、HR指数，并以血氧饱和度差值作为指标评价治疗效果。比较两组患者抢救后心肺复苏成功率，观察组成功率为35％，对照组为18．3％，观察组显著高于对照组0〈0．05）。比较两组患者抢救过程中SpO2、HR指数，观察组显著优于对照组，且差异存在统计学意义（p〈0．05）；观察组总有效率显著高于对照组（88．33％vs66．7％）。本研究表明，便携式呼吸机在急诊危重患者抢救过程中的应用，可改善患者各项生命体征指数，提高心肺复苏成功率。

To investigate the impact of portable ventilator on SpO2 HR in critically ill patients in emergency department and its application value, this study retrospectively analyzed the data of patients undergoing cardiopulmonary resuscitation for critically ill patients admitted to our hospital from January 2014 to June 2017. According to different assisted breathing methods, 60 patients were randomly selected as the artificial airbag assisted breathing group （control group） and the portable breathing unit （observation group） as the research object, 30 cases in each group. This study compared the rescue status and SpO~ HR index between the two groups, and used the difference in blood oxygen saturation as an indicator to evaluate the therapeutic effect. The success rate ofcardio pulmonary resuscitation in two groups were compared while in the observation group, it was 35% which was significantly higher than the 18.3% in the control group （p〈0.05）. In addition, the SpO2, HR index in observation group was significantly better than those in the control group, and the data had statistically significant （p〈0.05）. Total effective rate in observation group was significantly greater than in the control group （88.33% vs 66.7%） （p〈0.05）. The study showed that the portable ventilator could be used in critically ill patients in prehospital as it could improve the success rate of cardiopulmonary resuscitation and improve the vital signs index of patients.