Objective: to observe the clinical effect of pressure-regulated volume-controlled ventilation (PRVC) combined with Saber c1007 (cardiopulmonary resuscitator) on cardiopulmonary resuscitation in patients with respirato...Objective: to observe the clinical effect of pressure-regulated volume-controlled ventilation (PRVC) combined with Saber c1007 (cardiopulmonary resuscitator) on cardiopulmonary resuscitation in patients with respiratory and cardiac arrest. Methods: a total of 90 patients who received cardiopulmonary resuscitation due to cardiac arrest in the emergency department of our hospital from 2016 to 2020 and were eligible for the study were selected. All patients received standard chest compressions using Sabo c1007 , and the mechanical ventilation mode was selected: The experimental group used PRVC (pressure regulation volume control), control group 1 using VSV (volume support ventilation), control group 2 using PSV (pressure support ventilation), observe the basic conditions of the three groups of patients, the success rate of resuscitation (ROSC success rate), after successful cardiopulmonary resuscitation Respiratory mechanics indexes and blood gas analysis results were analyzed and compared using statistical methods. Results: (1) There was no statistical significance in the comparison of the basic conditions of the patients in each group. (2) The number of successful resuscitations in the experimental group was higher than that in the control group 1 and the control group 2, and the difference was statistically significant (P0.05, χ27.569). (3) The PaO2 and OI of the experimental group were higher than those of the control group 1 and the control group 2, and the differences were statistically significant (F19.604, 103.576, P0.001), and the CVP and PIP of the experimental group were lower than those of the control group 1, There were statistically significant differences between the two control groups (F7.82, 10.731, both P0.05). There was no significant difference in PaCO2 and MAP between the groups (all P>0.05). Conclusion: PRVC can improve the resuscitation success rate of patients with respiratory and cardiac arrest, and the PRVC mode has a good ability to maintain the patients tidal volume and blood oxygen saturation during cardiopulmonary resuscitation. After successful resuscitation, the patients human-machine coordination is good. It has a higher improvement on PaO2 and OI.展开更多
文摘Objective: to observe the clinical effect of pressure-regulated volume-controlled ventilation (PRVC) combined with Saber c1007 (cardiopulmonary resuscitator) on cardiopulmonary resuscitation in patients with respiratory and cardiac arrest. Methods: a total of 90 patients who received cardiopulmonary resuscitation due to cardiac arrest in the emergency department of our hospital from 2016 to 2020 and were eligible for the study were selected. All patients received standard chest compressions using Sabo c1007 , and the mechanical ventilation mode was selected: The experimental group used PRVC (pressure regulation volume control), control group 1 using VSV (volume support ventilation), control group 2 using PSV (pressure support ventilation), observe the basic conditions of the three groups of patients, the success rate of resuscitation (ROSC success rate), after successful cardiopulmonary resuscitation Respiratory mechanics indexes and blood gas analysis results were analyzed and compared using statistical methods. Results: (1) There was no statistical significance in the comparison of the basic conditions of the patients in each group. (2) The number of successful resuscitations in the experimental group was higher than that in the control group 1 and the control group 2, and the difference was statistically significant (P0.05, χ27.569). (3) The PaO2 and OI of the experimental group were higher than those of the control group 1 and the control group 2, and the differences were statistically significant (F19.604, 103.576, P0.001), and the CVP and PIP of the experimental group were lower than those of the control group 1, There were statistically significant differences between the two control groups (F7.82, 10.731, both P0.05). There was no significant difference in PaCO2 and MAP between the groups (all P>0.05). Conclusion: PRVC can improve the resuscitation success rate of patients with respiratory and cardiac arrest, and the PRVC mode has a good ability to maintain the patients tidal volume and blood oxygen saturation during cardiopulmonary resuscitation. After successful resuscitation, the patients human-machine coordination is good. It has a higher improvement on PaO2 and OI.
