AACD-CPR在窒息性心脏停搏患者中的应用效果

Application effects of AACD-CPR in patients with asphyxial cardiac arrest

目的:观察腹部提压心肺复苏术(AACD-CPR)在窒息性心脏停搏(ACA)患者中的应用效果。方法:回顾性分析2020年3月至2022年5月该院收治的122例ACA患者的临床资料,根据心肺复苏方式不同将其分为对照组和观察组各61例。对照组给予标准胸外按压心肺复苏术(STD-CPR),观察组给予AACD-CPR,比较两组抢救成功率和24 h存活率,持续心肺复苏30 min后血流动力学指标和呼吸功能指标[心率、平均动脉压(MAP)、动脉血氧分压(PaO_(2))、潮气量、动脉血二氧化碳分压(PaCO_(2))]水平,以及自主呼吸循环恢复(ROSC)后12、48 h神经功能指标[中枢神经特异蛋白(S100β)、神经元特异性烯醇化酶(NSE)]水平。结果:观察组抢救成功率为73.77%,高于对照组的55.74%,差异有统计学意义(P<0.05);观察组24 h存活率为68.85%,高于对照组的50.82%,差异有统计学意义(P<0.05);持续心肺复苏30 min后,观察组心率、MAP、PaO_(2)及潮气量水平高于对照组,PaCO_(2)水平低于对照组,差异均有统计学意义(P<0.05);ROSC后12、48 h,观察组S100β、NSE水平均低于对照组,差异有统计学意义(P<0.05)。结论:AACDCPR应用于ACA患者可提高抢救成功率和24 h存活率,改善血流动力学指标和呼吸功能指标水平,降低神经功能指标水平,效果优于STD-CPR。

Objective:To observe application effects of abdominal lifting and compression cardiopulmonary resuscitation(AACD-CPR)in patients with asphyxial cardiac arrest(ACA).Methods:The clinical data of 122 patients with ACA admitted to this hospital from March 2020 to May 2022 were retrospectively analyzed.According to different cardiopulmonary resuscitation methods,they were divided into control group and observation group,61 cases in each.The control group was given standard chest compression cardiopulmonary resuscitation(STD-CPR),while the observation group was given AACD-CPR.The rescue success rate and the 24 h survival rate,the hemodynamic indexes and respiratory function indexes levels[heart rate,mean arterial pressure(MAP),arterial partial pressure of oxygen(PaO2),tidal volume,arterial partial pressure of carbon dioxide(PaCO_(2))]30 min after continuous cardiopulmonary resuscitation,the neurological function index levels[central nervous system specific protein(S100β),neuron specific enolase(NSE)]12 and 48 h after ROSC were compared between the two groups.Results:The rescue success rate of the observation group was 73.77%,which was higher than 55.74% of the control group,and the difference was statistically significant(P<0.05).The 24 h survival rate of the observation group was 68.85%,which was higher than 50.82% of the control group,and the difference was statistically significant(P<0.05).After 30 min of continuous cardiopulmonary resuscitation,the levels of HR,MAP,PaO_(2) and tidal volume in the observation group were higher than those in the control group,the level of PaCO_(2) was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,12 and 48 h after ROSC,the levels of S100βand NSE in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:AACD-CPR for the ACA patients can improve the rescue success rate and the 24 h survival rate,improve the levels of hemodynamic indexes and respiratory function indexes,and reduce the levels of neurological function indexes.Moreover,it is superior to STD-CPR.