摘要
目的探讨新式成人转运心肺复苏对心脏骤停患者心肌酶、心肌损伤标志物的影响，进而完善院外转运过程中的心肺复苏操作规范。方法设计新式成人转运心肺复苏操作规范（TCPR），筛选2012年1月至2013年1月中我院120接诊的60例心脏呼吸骤停患者，随机分为T-CPR组和常规组，恢复自主循环后监测两组患者eTnI、CK、CK-MB在入院各时间段的变化。结果常规治疗组cTnI、CK、CK-MB均有不同程度的升高，而T-CPR组在30min内与常规治疗组比较无明显差异，但2h到24h血清cTnI、CK、CK-MB明显低于常规组。随着观察时间的延长，T-CPR组的自主循环维持时间明显延长，组间差异有统计学意义（P〈0．05）。结论转运中心肺复苏术（TCPR）可以有效降低心脏骤停患者复苏后患者心脏骤停及心肺复苏对心肌的损伤，更利于自主循环的维持。有进一步完善和推广的前景。
Objective To explor the impact of the new aduh transporter cardiopulmonary resuscitation on cardiac arrest, in patients with myocardial enzymes ,markers of myocardial injury and thus improve the practices of cardiopulmonary resuscitation outside the hospital during transport. Methods The design of the new Adult transporter cardiopulmonary resuscitation operation specification （TCPR）.120 admissions of 35 patients with cardiopulmonary arrest patients were randomly divided into T-CPR group and the routine group.After the ROSC, the changes of cTnI, CK, CK-MB in each time were determined.Results cTnI, CK, CK-MB in the therapeutic TCPR gradually increased, also appeared low blood pressure and hemodynamic abnormalities. There are no significant difference at 30 min between TCPR therapy group and the routine therapy group, from 2 hour to 24 hour TCPR group, TCPR therapy group were significantly lower than the routine therapy group, （P〈0.05）. With the observation of prolonged TCPR group, T-CPR group spontaneous circulation remained significantly longer, the difference between the groups was statistically significant （P 〈0.05）.Conclusion transporter cardiopulmonary resuscitation （TCPR） can effectively reducereducecTnI, CK, CK-MB, reduce myocardial damage, More conducive to the maintenance of spontaneous circulation. It is worthy of further improvement and extension.
出处
《国际医药卫生导报》
2013年第15期2365-2368,共4页
International Medicine and Health Guidance News
关键词
心搏骤停
心肺复苏
转运
心肌酶
cardiac arrest
cardiopulmonary resuscitation
transporter
myocardial enzymes
