[1]李 锋 严欣健 谭 琳 莫宇宁 霍华锋.便携式心肺复苏机对比徒手心肺复苏在院前急救中的应用价值研究[J].大众科技,2022,24(10):109-112.
　Study on the Application Value of Portable Cardiopulmonary Resuscitation Machine Compared with Manual Cardiopulmonary Resuscitation in Pre-Hospital Emergency[J].Popular Science & Technology,2022,24(10):109-112.
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便携式心肺复苏机对比徒手心肺复苏在院前 急救中的应用价值研究()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
24
期数:
2022年10
页码:
109-112
栏目:
医药与卫生
出版日期:
2022-10-20

文章信息/Info

Title:
Study on the Application Value of Portable Cardiopulmonary Resuscitation Machine Compared with Manual Cardiopulmonary Resuscitation in Pre-Hospital Emergency
作者:
李 锋 严欣健 谭 琳 莫宇宁 霍华锋　
（梧州市中医医院，广西 梧州 543002）
关键词:
院前急救; 徒手心肺复苏; 便携式心肺复苏机; 预后; 心肌损伤; 神经损伤; 动脉血气; 氧代谢
Keywords:
pre-hospital emergency manual cardiopulmonary resuscitation portable cardiopulmonary resuscitation machine prognosis myocardial injury nerve injury arterial blood gas oxygen metabolism
文献标志码:
A
摘要:
目的：探究院前急救中徒手心肺复苏与便携式心肺复苏机的应用价值。方法：将梧州市中医医院急诊科于2016年5月至2021年5月收治的109例心搏骤停患者视为研究对象，其中54例患者在院前急救中行徒手心肺复苏，将其归为A组，55例患者在院前急救中采用便携式心肺复苏机行心肺复苏，将其归为B组，对比两组患者自主心跳恢复时间、心肺复苏时间、预后[复苏成功率、自主循环恢复（Spontaneous circulation recovery，ROSC）率]、ROSC恢复即刻、恢复24 h时的心肌损伤指标肌酸激酶同工酶（Creatine Kinase Isoenzyme，CK-MB）、神经损伤因子血清S100蛋白质（Serum S100 protein，S100）、心功能指标N末端B型脑钠肽原（N-terminal B-type pro-brain natriuretic peptide，NT-pro-BNP）水平、心肺复苏成功者复苏30 min时的动脉血气指标[中心静脉血氧饱和度（Central venous oxygen saturation，ScvO2）、氧合指数（Oxygenation index，PaO2/FiO2）、血乳酸（Blood lactic acid，Lac）水平]、氧代谢指标[氧消耗（Oxygen consumption，VO2）、氧输送（Oxygen delivery，DO2）、动脉血氧含量（Arterial blood oxygen content，CaO2）]、并发症。结果：与A组比较，B组自主心跳恢复时间、心肺复苏时间更短（P＜0.05）；B组患者复苏成功率为34.55%，高于A组的14.81%，ROSC率为69.09%，高于A组的48.15%（P＜0.05）；与A组比较，B组患者ROSC恢复即刻、恢复24 h时CK-MB、S100蛋白、NT-pro-BNP水平更低（P＜0.05）；与A组比较，B组心肺复苏成功者复苏30 min时ScvO2、PaO2/FiO2水平更高，Lac水平更低（P＜0.05）；与A组比较，B组心肺复苏成功者复苏30 min时VO2、DO2、CaO2水平更高（P＜0.05）；B组并发症发生率为3.64%，低于A组的29.63%（P＜0.05）。结论：相较于徒手心肺复苏，便携式心肺复苏机应用于心搏骤停患者院前急救中的复苏成功率更高，动脉血气分析、氧代谢指标更佳，同时能减轻心、脑损伤，并发症发生率低，安全性高。
Abstract:
Objective: To explore the application value of manual cardiopulmonary resuscitation and portable cardiopulmonary resuscitation machine in pre-hospital emergency. Methods: 109 patients with cardiac arrest admitted to the emergency department of Wuzhou Hospital of Traditional Chinese Medicine from May 2016 to May 2021 were regarded as the research objects. Among them, 54 patients underwent manual cardiopulmonary resuscitation in pre-hospital emergency, and were classified as group A. 55 Patients underwent cardiopulmonary resuscitation with portable cardiopulmonary resuscitation machine in pre-hospital emergency, and were classified as group B, and the two groups of patients were compared with spontaneous heartbeat recovery time, cardiopulmonary resuscitation time, prognosis [resuscitation success rate, spontaneous circulation recovery (ROSC) rate], immediately after ROSC recovery, 24 hours after recovery, the myocardial damage index creatine kinase isoenzyme (CK-MB), nerve damage factor serum S100 protein (S100), heart function index N The level of N-terminal B-type pro-brain natriuretic peptide (NT-pro-BNP), the arterial blood gas index of successful cardiopulmonary resuscitation after 30 minutes of resuscitation [Central venous oxygen saturation (ScvO2), oxygenation index (PaO2/FiO2), blood lactic acid (Lac) level], oxygen metabolism index [oxygen consumption ( VO2), oxygen delivery (DO2), arterial blood oxygen content (CaO2)], complications. Results: Compared with group A, the recovery time of autonomous heartbeat and cardiopulmonary resuscitation in group B were shorter (P<0.05) the success rate of patients in group B was 34.55%, which was higher than 14.81% in group A, and the ROSC rate was 69.09%, which was higher 48.15% of group A (P＜0.05) compared with group A, patients in group B had ROSC recovery immediately, and had lower levels of CK-MB, S100 protein, and NT-pro-BNP at 24 h (P＜0.05) compared with group A, the successful CPR in group B had higher levels of ScvO2 and PaO2/FiO2 after 30 minutes of resuscitation, and lower Lac levels (P<0.05) compared with group A, successful CPR in group B had VO2, DO2, and CaO2 levels after 30 minutes of resuscitation higher (P<0.05) the complication rate in group B was 3.64%, which was lower than 29.63% in group A (P<0.05). Conclusion: Compared with manual cardiopulmonary resuscitation, the application of portable cardiopulmonary resuscitation machine in prehospital resuscitation of patients with cardiac arrest has a higher success rate, better arterial blood gas analysis and oxygen metabolism indicators, and can reduce heart and brain injury, with low complication rate and high safety

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备注/Memo

备注/Memo:
【收稿日期】2022-08-01 【作者简介】李锋（1983－），男，广西藤县人，梧州市中医医院急诊科副主任医师，研究方向为急救医学。
更新日期/Last Update: 2022-12-28