自动体外除颤仪联合心肺复苏在心搏骤停患者中的应用效果评价

Evaluation of the Application Effect of Automatic External Defibrillator Combined with Cardiopulmonary Resuscitation in Patients with Cardiac Arrest

目的:探讨心搏骤停患者急救过程中自动体外除颤仪联合心肺复苏的应用效果。方法:选择2021年1月~2022年1月收治的80例心搏骤停患者为研究对象,将其随机分为两组,对照组采取心肺复苏,观察组采取自动体外除颤仪联合心肺复苏治疗,观察对比两组患者复苏成功率,以及复苏成功患者的自主循环恢复时间、心肺复苏时间、急救用时。结果:观察组复苏成功率87.50%高于对照组的45.00%(P<0.05);两组复苏成功患者心肺复苏时间[对照组(13.68±3.54)min,观察组(13.42±3.08)min]对比差异无统计学意义(P>0.05);观察组自主循环恢复时间(4.56±0.44)min、急救用时(3.12±1.28)min均短于对照组[自主循环恢复时间(5.34±1.58)min、急救用时(4.13±1.37)min],对比差异有统计学意义(P<0.05)。结论:自动体外除颤仪联合心肺复苏能缩短心搏骤停患者心肺复苏时间,促进患者自主循环恢复,缩短急救用时,提高复苏成功率。

Objective:To investigate the application effect of automatic external defibrillator combined with cardiopulmonary resuscitation in the emergency treatment of patients with sudden cardiac arrest.Methods:80 patients with sudden cardiac arrest admitted from January 2021 to January 2022 were selected as the research subjects,and randomly divided into two groups.The control group received cardiopulmonary resuscitation,and the observation group received automatic external defibrillator combined with cardiopulmonary resuscitation.The resuscitation success rate,time to return of spontaneous circulation(ROSC),time of cardiopulmonary resuscitation,and emergency treatment time were observed and compared between the two groups.Results:The resuscitation success rate of the observation group was 87.50%,which was higher than 45.00% in the control group(P<0.05).There was no significant difference in the time of cardiopulmonary resuscitation between the two groups[control group(13.68±3.54)min,observation group(13.42±3.08)min](P>0.05).The time to ROSC[control group(5.34±1.58)min,observation group(4.56±0.44)min]and emergency treatment time[control group(4.13±1.37)min,observation group(3.12±1.28)min]in the observation group were shorter than those in the control group(P<0.05).Conclusion:Automatic external defibrillator combined with cardiopulmonary resuscitation can shorten the time of cardiopulmonary resuscitation in patients with sudden cardiac arrest,promote the recovery of spontaneous circulation,shorten the emergency treatment time,and improve the resuscitation success rate of patients.