心肺复苏术在急诊心脏骤停患者中的临床应用

Clinical Application of Cardiopulmonary Resuscitation in Patients with Emergency Cardiac Arrest

目的探究急诊心脏骤停患者采用心肺复苏术的治疗效果。方法于2014年8月-2018年8月这一期间,随机选择该院急诊科收治的68例心脏骤停患者,并按照入院的先后顺序分为两组,每组34例,对比组进行常规急诊抢救,实验组按照国际心脏复苏指南标准(2005年)予以抢救。并对两组患者的治疗效果、自主循环恢复率、肌酸激酶同工酶水平进行比较。结果实验组患者的生存率与成功分别为23.53%、29.41%,明显高于对比组患者的2.94%、5.88%,差异有统计学意义(χ^2=6.275,P=0.012;χ^2=6.476,P=0.011);实验组患者无效率5.88%,明显低于对比组患者的61.77%,差异有统计学意义(χ^2=23.718,P=0.000);实验组患者自主循环恢复率67.65%,高于对比组患者的29.41%,差异有统计学意义(χ^2=9.950,P=0.002);实验组与对比组患者治疗后酸激酶同工酶水平分别为(105.36±6.75)U/L、(143.57±6.68)U/L,明显低于治疗前的(181.57±9.57)U/L,差异有统计学意义(180.46±10.35)U/L(t=37.945,P=0.000;t=17.462,P=0.000),且实验组患者治疗后酸激酶同工酶水平的降低程度高于对比组,差异有统计学意义(t=23.461,P=0.000)。结论急诊心脏骤停患者采用心肺复苏术的治疗效果较好,可使患者自主循环恢复率显著提高,改善酸激酶同工酶水平。

Objective To investigate the therapeutic effect of cardiopulmonary resuscitation in patients with emergency cardiac arrest. Methods From August 2014 to August 2018, 68 patients with cardiac arrest admitted to the emergency department of the hospital were randomly selected and divided into two groups according to the order of admission. 34 patients in each group. In the emergency department, the experimental group was rescued according to the International Standard of Cardiovascular Resuscitation(2005). The therapeutic effects, spontaneous circulation recovery rate, and creatine kinase isoenzyme levels were compared between the two groups. Results The survival rate and success rate of the experimental group were 23.53% and 29.41%, respectively, which were significantly higher than 2.94% and 5.88%of the patients in the control group,the difference was statistically significant(χ^2=6.275, P=0.012;χ^2=6.476, P=0.011).The inefficiency was 5.88%, which was significantly lower than that of the control group 61.77%,the difference was statistically significant(χ^2=23.718, P=0.000). The spontaneous circulation recovery rate of the experimental group was67.65%, which was higher than that of the control group(29.41%),the difference was statistically significant(χ^2=9.950,P=0.002). The levels of acid kinase isoenzymes in the experimental group and the control group were(105.36±6.75) U/L,(143.57±6.68) U/L, respectively, which was significantly lower than(181.57±9.57) U/L before treatment.(180.46±10.35) U/L,the difference was statistically significant(t=37.945, P=0.000;t=17.462, P=0.000), and the decrease of acid kinase isoenzyme level in the experimental group was higher than that in the control group,the difference was statistically significant(t=23.461, P=0.000). Conclusion Patients with emergency cardiac arrest have better treatment with cardiopulmonary resuscitation, which can significantly improve the recovery rate of spontaneous circulation and improve the level of acid kinase isoenzyme.