腹部提压法在心脏骤停合并胸外伤患者中的应用

Application of abdominal pressure extraction in patients with cardiac arrest and thoracic trauma

目的探究腹部提压法在心脏骤停合并胸外伤患者中的应用效果。方法选取本院自2016年5月至2017年5月期间收治的90例心脏骤停合并胸外伤患者作为观察对象,根据抢救方法不同分为对照组与观察组,各45例。对照组采取标准心肺复苏法,观察组采取腹部提压法。比较两组不同时间点的血压、心率等指标变化。结果观察组复苏成功率为93.33%,明显高于对照组的77.78%(P<0.05)。观察组CPP水平随着时间的延长呈现上升趋势,而对照组CPP水平则随着时间的延长,在2 min时比1 min提升,但随后则呈降低趋势,两组在CPR期间不同时间点的脑灌注压(CPP)水平比较差异有统计学意义(P<0.05)。复苏2 h后,两组HR、MAP和SpO2指标水平均较复苏前明显提升,且观察组提升程度明显大于对照组(P<0.05)。结论腹部提压法有助于促进心脏骤停合并胸外伤患者心率复苏,并有利于稳定血流动力学,提升抢救率,保护患者生命安全不受威胁,值得在临床抢救中应用。

Objective To investigate the effect of abdominal pressure extraction in patients with cardiac arrest and thoracic trauma.Methods 90 patients with cardiac arrest and thoracic trauma who were admitted to our hospital from May 2016 to May 2017 were enrolled.According to different rescue methods,they were divided into control group and observation group,with 45 cases in each group.The control group was treated with standard cardiopulmonary resuscitation,and the observation group was treated with abdominal pressure.The changes in blood pressure,heart rate and other indicators at different time points were compared between the two groups.Results The success rate of resuscitation in the observation group was 93.33%,which was significantly higher than that in the control group 77.78%(P<0.05).The CPP level of the observation group showed an upward trend with the extension of time.In the control group,the CPP level increased with time,and it increased at 2 min compared with 1 min,but then decreased.There were significant differences in CPP levels between the two groups at different time points during CPR(P<0.05).After 2 hours of recovery,the levels of HR,MAP and SpO2 in the two groups were significantly higher than those before the recovery,and the degree of elevation in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Abdominal lifting method can promote heart rate recovery in patients with cardiac arrest and thoracic trauma,and it is beneficial to stabilize hemodynamics,improve rescue rate,protect patients'life safety from threats,and is worthy of application in clinical rescue.