摘要
目的:探讨Lucas2心肺复苏仪器与徒手方式实施心肺复苏在急诊科抢救中的应用效果。方法:选择合肥市第一人民医院急诊科行心肺复苏抢救的患者106例随机分为A、B两组,A组(仪器按压组,n=51例)患者使用Lucas2心肺复苏仪器进行心脏按压,B组(徒手按压组,n=55例)患者为医护人员徒手心脏按压,均按照心肺复苏标准流程操作。评价患者心肺复苏效果;比较复苏前、复苏10 min、20 min、30 min时的动脉血氧分压(PaO2)、二氧化碳分压(PaCO2)、血氧饱和度(SaO2)、血乳酸水平;比较复苏前、复苏后1 h心肺复苏成功患者的肌酸激酶同工酶(CK-MB)、超敏肌钙蛋白T(hs-TnT)、N末端B型利钠肽(NT-proBNP)水平。结果:A组患者心肺复苏的成功率高于B组患者(31.37%vs. 14.55%),差异有统计学意义。A组患者心肺复苏10 min、20 min、30 min时的PaO2和SaO2分别高于B组,PaCO2和血乳酸水平分别低于B组,差异有统计学意义。A组患者心肺复苏后1 h的血清CK-MB、hs-TnT、NT-proBNP水平低于B组,差异有统计学意义。结论:与徒手心脏按压相比,使用Lucas2心肺复苏仪器具有更高的抢救成功率,改善患者低氧血症,还能减轻心肌损伤。
Objective: The aim of this study was to explore the application effect of Lucas2 cardiopulmonary resuscitation instrument and manual cardiopulmonary resuscitation in rescue at emergency department. Methods: In this study, 106 patients who received cardiopulmonary resuscitation at the emergency department of the First People’s Hospital of Hefei were enrolled and randomly assigned to receive cardiac compression with Lucas2 cardiopulmonary resuscitation instrument(groups A, n=51) or manual cardiopulmonary resuscitation(group B, n=55), both of which were operated in accordance with the standard procedures of cardiopulmonary resuscitation. The effect of cardiopulmonary resuscitation was evaluated. Arterial partial pressure of oxygen(PaO2), partial pressure of carbon dioxide(PaCO2), blood oxygen saturation(SaO2) and blood lactic acid levels before resuscitation, at 10 min, 20 min and 30 min were comparatively analyzed. Also, levels of creatine kinase isoenzyme(CK-MB), high-sensitivity troponin T(hs-TnT) and N-terminal B-type natriuretic peptide(NT-proBNP) in patients receiving successful cardiopulmonary resuscitation before and 1 h after resuscitation were comparatively analyzed. Results: The success rate of CPR in group A was higher than that in group B(31.37% vs. 14.55%), showing a statistically significant difference. At 10 min, 20 min and 30 min after cardiopulmonary resuscitation, group A had higher PaO2 and SaO2 but lower PaCO2 and blood lactic acid levels than group B, showing statistically significant differences. Serum CK-MB, hs-TnT and NT-proBNP levels were lower in group A than in group B at 1 h after cardiopulmonary resuscitation, with statistically significant differences. Conclusion: Compared with manual cardiac compression, Lucas2 cardiopulmonary resuscitation instrument has a higher rescue success rate, which improves patient hypoxemia, and can reduce myocardial damage.
作者
刘荆
陈太云
彭张霞
LIU Jing;CHEN Taiyun;PENG Zhangxia(Department of Emergency,The First Peoples Hospital of Hefei,Hefei,230061,China)
出处
《临床急诊杂志》
CAS
2020年第12期960-963,968,共5页
Journal of Clinical Emergency
关键词
心搏骤停
心肺复苏
Lucas2心肺复苏仪器
血气分析
心肌损伤标志物
cardiac arrest
cardiopulmonary resuscitation
Lucas2 cardiopulmonary resuscitation instrument
blood gas analysis
myocardial injury marker
