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目的:探讨机器和徒手抢救急诊冠心病心跳骤停患者的疗效比较。方法:选取2013年1月至2014年6月期间我院收治的急诊冠心病心脏骤停患者46例作为观察组,患者均采用萨勃1007心肺复苏机进行心肺复苏。另选取30例同期行徒手心肺复苏的冠心病心脏骤停患者作为对照。比较两组心肺复苏成功率、自主循环恢复时间、自主呼吸恢复时间和血压恢复时间及脑损伤情况。结果:观察组患者复苏成功率显著高于对照组(39.13% vs 23.33%,P<0.01);观察组患者自主循环恢复时间、自主呼吸恢复时间和血压恢复时间均短于对照(P<0.05)。复苏后两组NHISS评分均逐渐降低,功能独立性评分(FIM)则逐渐升高。结论:心肺复苏器应用于急诊冠心病患者心脏骤停急救中复苏成功率高,可有效缩短自主循环、自主呼吸和血压恢复时间并预防脑损伤的发生,值得临床推广使用。“,”Objective:To investigate the different effect of cardiopulmonary resuscitation machine or unarmed cardiopulmonary resuscitation in emergency treatment of coronary heart disease patients with cardiac arrest. Methods:46 patients with emergency coronary artery disease and cardiac arrest in our hospital from January, 2013 to June, 2014 were selected as observation group and the 1007 THUMPER CPR System was used in cardiopulmonary resuscitation. The other 30 patients with coronary heart disease and cardiac arrest treated with unarmed cardiopulmonary resuscitation in the same period were selected as control group. Success rate of cardiopulmonary resuscitation, spontaneous circulation recovery time, spontaneous breathing recovery time and recovery time and blood pressure and brain damage of two groups were statistically analyzed. Results: Survival patients of observation group were more than control group (39.13% vs 23.33%,P<0.01). Spontaneous circulation recovery time, spontaneous breathing recovery time and blood pressure recovery time of observation group were shorter than that of the control group (P<0.05). NHISS score of two groups were gradually reduced after recovery, while functional independence score (FIM) were gradually increased. Conclusion: Cardiopulmonary resuscitator applied in emergency coronary heart disease (CHD) in patients with cardiac arrest emergency is worthy of clinical promotion for it can gain high recovery success rate, effectively shorten the independent loops, respiration and blood pressure recovery time,and prevent the happening of the brain damage.