徒手心肺复苏与机械心肺复苏对于心肺复苏效果的比较研究

Comparative study for effects of manual chest compressions and mechanical chest compressions in cardiopulmonary resuscitation

目的:观察比较徒手心肺复苏与机械心肺复苏对于心肺复苏时的效果。方法:将120例呼吸心跳骤停患者随机分为人工组和机械组,都在得到确认后5秒内开始实施心肺复苏术,其中人工组实施徒手心肺复苏术,机械组使用心肺复苏机行持续心肺复苏术。依据《2015版心肺复苏指南》实施持续心肺复苏,同时观察患者的自主呼吸、自主心率、大动脉搏动、面色、瞳孔及心电图等指标。结果:人工组有效2例,无效58例,有效率为3.33%;机械组有效10例,无效50例,有效率为16.67%,两组对比总体阳性率差异明显,有统计学意义(P<0.05)。结论:心肺复苏机在治疗心跳骤停患者时比徒手心肺复苏有更好的复苏效果,值得推广应用。

Objective:To compare the effects of chest compressions and mechanical chest compressions in cardiopulmonary resuscitation.Methods:A total of 120 patients received CPR in the First Affiliated Hospital of South China University were divided into 2 groups:manual chest compressions group and mechanical chest compressions group and begin to CPR in five seconds after confirmation of respiratory.High quality CPR was conducted in all patients and then observed their self-breathing,self-heart-b-eating,carotid pulse,expression,pupil and ECG.Result:In manual chest compressions group,the effective case were 2,the non-effcctive cases were 58,the effective rate was 3.33%.Mechanical chest compressions group,the effective cases were 10,the non-effective cases were 50,the effective rate was 16.67%,there was a statistically significant difference between two groups(P<0.05).Conclusion:Cardiopulmonary resuscitator has good effect in cardiopulmomary resuscitation for respiratory and cardiac arrest patients,and the effective rate of mechanical chest compressions is significantly higher than manual chest compressions,so it deserves clinical promotion.