不同心肺復蘇程序對院前急救心臟驟停的影響觀察
發(fā)布時間:2018-06-23 來源: 美文摘抄 點擊:
摘 要:目的 探討不同心肺復蘇程序對院前急救心臟驟停的影響。方法 選取我院2015年2月~2016年12月收治的院前心臟驟停患者94例作為研究對象,按照單雙號法分為對照組和觀察組,各47例,對照組應用氣管插管法復蘇,觀察組應用氣囊面罩通氣法復蘇,對比兩組復蘇效果與復蘇時間。結果 觀察組復蘇成功率高于對照組,其通氣建立時間、自主心跳時間均明顯短于對照組,差異具有統(tǒng)計學意義(P<0.05);觀察組死亡率低于對照組,差異有統(tǒng)計學意義(P<0.05)。結論 氣囊面罩通氣法復蘇效果優(yōu)于氣管插管法復蘇,可促使患者心跳快速恢復,值得在臨床中優(yōu)先推廣和使用。
關鍵詞:院前急救;不同心肺復蘇;心臟驟停
中圖分類號:R459.7 文獻標識碼:A DOI:10.3969/j.issn.1006-1959.2018.05.036
文章編號:1006-1959(2018)05-0108-02
Effect of Different Cardiopulmonary Resuscitation Procedures on Cardiac Arrest in Pre-hospital Emergency
SHAO Yong-de
。―epartment of Emergency,Third People"s Hospital,Dalian116103,Liaoning,China)
Abstract:Objective To investigate the effect of different cardiopulmonary resuscitation(CPR)procedures on cardiac arrest in pre-hospital emergency.Methods 94 patients with pre-hospital cardiac arrest were selected from February 2015 to December 2016 in our hospital.According to single and even number method,they were divided into control group and observation group,47 cases in each group,respectively.The control group was resuscitated by tracheal intubation,and the observation group was resuscitated by balloon mask ventilation.The effect and time of resuscitation were compared between the two groups.Results The success rate of resuscitation in the observation group was higher than that in the control group,the time of establishing ventilation and the time of spontaneous heartbeat in the observation group were significantly shorter than those in the control group,the difference is statistically significant(P <0.05).The mortality in the observation group was lower than that in the control group,the difference is statistically significant(P< 0.05).Conclusion The effect of balloon mask ventilation is better than that of tracheal intubation,which can promote the rapid recovery of heart rate in patients,and it is worth popularizing and using in clinic.
Key words:Pre-hospital first aid;Different cardiopulmonary resuscitation;Cardiac arrest
心臟驟停患者在入院之前病情已處于非常危險的階段,甚至瀕臨生物死亡期,特別是老年心臟驟;颊撸捎谄渖眢w機能明顯減弱,所以其死亡率明顯高于其他年齡段患者。心肺復蘇是臨床治療心臟驟停的重要措施,如何保證在患者心臟驟停的有效時間內按照心肺復蘇的準確流程展開救治,切實提高心肺復蘇的治療成功率,是臨床重點需要探索的問題[1,2]。為探討不同心肺復蘇程序對院前急救心臟驟停的影響,本文選取我院收治的院前心臟驟;颊94例作為研究對象,現(xiàn)報道如。
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