ECMO结合心肺复苏机在心搏骤停患者中的应用效果

Effect of ECMO Combined with Cardiopulmonary Resuscitation Machine in Patients with Cardiac Arrest

目的分析基于心肺复苏机给予心搏骤停患者体外膜肺氧合(ECMO)的作用。方法选取2021年1月至2022年12月河南省人民医院收治的100例心搏骤停患者,进行回顾性研究,根据治疗方式分组,对照组使用心肺复苏机(50例),观察组加用ECMO(50例)。对比抢救成功率、生命体征恢复时间、血气指标和脑功能分级。结果观察组抢救成功率高于对照组,生命体征(自主心跳、呼吸、循环和血压)恢复时间较对照组短(P<0.05);治疗后,患者中心静脉血氧饱和度和乳酸清除率上升,血乳酸水平较对照组低(P<0.05);两组脑功能分级差异有统计学意义(P<0.05)。结论ECMO结合心肺复苏机可提高心搏骤停患者抢救成功率,利于生命体征恢复,对血气指标和预后均有改善作用。

Objective To analyze the effect of extracorporeal membrane oxygenation(ECMO)in patients with cardiac arrest.Methods A retrospective study was performed on 100 patients with cardiac arrest admitted to Henan Provincial People’s Hospital from January 2021 to December 2022.The patients were divided into groups according to treatment methods.The control group received cardiopulmonary resuscitation machine(50 cases),and the observation group added ECMO(50 cases).The rescue success rate,recovery time of vital signs,blood gas index,and brain function grade were compared.Results The success rate of the observation group was higher than the control group,and the recovery time of vital signs(spontaneous heartbeat,respiration,circulation and blood pressure)was shorter than that of the control group(P<0.05).After treatment,the central venous oxygen saturation and lactate clearance increased,and the blood lactate level were lower than that of the control group(P<0.05).There was difference in the grade ratio of brain function between the two groups(P<0.05).Conclusion ECMO combined with cardiopulmonary resuscitation machine can improve the success rate of cardiac arrest patients,facilitate the recovery of vital signs,and improve the blood gas index and prognosis.