首页|Lucas心肺复苏装置辅助胸外按压在临床急诊工作中对心肺复苏质量以及救治效果的影响

Lucas心肺复苏装置辅助胸外按压在临床急诊工作中对心肺复苏质量以及救治效果的影响

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目的 探讨临床急诊工作中应用Lucas心肺复苏装置辅助胸外按压对心脏骤停(CA)患者心肺复苏质量以及救治效果的影响。方法 选取2021年1月至2022年12月成都市第三人民医院收治的106例CA患者为研究对象,按照收治时间不同分为两组,将2021年1-11月收治的52例CA患者作为对照组,将2021年12月至2022年12月收治的54例CA患者作为观察组。对照组患者给予常规心肺复苏,观察组患者给予Lucas心肺复苏装置辅助胸外按压进行心肺复苏。比较分析两组患者的心肺复苏质量参数(有效按压百分比、按压频率、按压深度、正确按压释放率、中断次数)以及救治效果(自主循环恢复率、复苏成功率、24 h存活率以及复苏成功患者的自主心跳恢复时间、呼吸恢复时间)。结果 两组患者的有效按压百分比、按压频率比较差异均无统计学意义(P>0。05);观察组患者的按压深度、正确按压释放率均大于或高于对照组,中断次数少于对照组,差异均有统计学意义(P<0。05)。两组患者的自主循环恢复率、复苏成功率、24 h存活率比较差异均无统计学意义(P>0。05);观察组复苏成功患者的自主心跳恢复时间、呼吸恢复时间均短于对照组,差异均有统计学意义(P<0。05)。结论 临床急诊工作中应用Lucas心肺复苏装置辅助胸外按压的按压深度更佳,正确按压释放率更高,中断次数更少,且可明显缩短CA患者的自主心跳恢复时间和呼吸恢复时间。
The effect of Lucas cardiopulmonary resuscitation device assisted external chest compression on the quality of cardiopulmonary resuscitation and the curative effect in clinical emergency work
Objective To investigate the effect of Lucas cardiopulmonary resuscitation device assisted external chest compression on the quality of cardiopulmonary resuscitation and the curative effect in patients with cardiac arrest(CA).Method 106 patients with CA who were admitted to Chengdu Third People's Hospital from January 2021 to December 2022 were selected as the study objects.They were divided into two groups according to different admission times.52 patients with CA who were admitted from January to November 2021 were taken as the control group.54 patients with CA who were admitted from December 2021 to December 2022 were taken as the observation group.The control group was given routine cardiopulmonary resuscitation,and the observation group was given Lucas cardiopulmonary resuscitation device assisted external chest compression.Quality parameters of cardiopulmonary resuscitation(percentage of effective compressions,frequency of compressions,depth of compressions,correct release rate of compressions,number of interrupts)and curative effects(ROSC rate,success rate of resuscitation,24 h survival rate,spontaneous heartbeat recovery time,respiratory recovery time)between the two groups were compared and analyzed.Result There were no significant differences in the percentage of effective compressions and frequency of compressions between the two groups(P>0.05).The depth of compressions and correct release rate of compressions in observation group were higher than those in control group,and the number of interruptions was less than that in control group,with statistical significance(P<0.05).There were no significant differences in ROSC rate,success rate of resuscitation and 24 h survival rate between two groups(P>0.05).The spontaneous heartbeat recovery time and respiratory recovery time in observation group were shorter than those in control group,and the differences were statistically significant(P<0.05).Conclusion The application of Lucas cardiopulmonary resuscitation device assisted external chest compression in clinical emergency work has better depth of compressions,higher correct compression release rate,less number of interruptions,and can significantly shorten the spontaneous heartbeat recovery time and respiratory recovery time of CA patients.

EmergencyCardiopulmonary resuscitationCardiac arrestCurative effect

邓小军

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成都市第三人民医院急诊科,四川成都 610000

急诊 心肺复苏 心脏骤停 救治效果

四川省医学青年创新科研课题

Q20065

2024

中国医刊
人民卫生出版社

中国医刊

CSTPCD
影响因子:1.14
ISSN:1008-1070
年,卷(期):2024.59(4)
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