首页|院外自动心肺复苏机序贯骨髓腔输液在抢救呼吸心跳骤停患者中的应用价值

院外自动心肺复苏机序贯骨髓腔输液在抢救呼吸心跳骤停患者中的应用价值

Application value of sequential pre-hospital automatic cardiopulmonary resuscitation machine and marrow infusion in rescuing patients with cardiac arrest

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目的:探讨院外自动心肺复苏机序贯骨髓腔输液给药在抢救呼吸心跳骤停患者中的应用及其效果。方法:选取2018年9月至2020年9月期间在苏州高新区人民医院急诊科接受抢救的45例呼吸心跳骤停患者分为治疗组和对照组,治疗组22例,其中男性15例,女性7例;年龄23~87岁,平均(60.5±16.9)岁;到院时间10~28 min,平均(18.0±5.9)min。对照组23例,其中男性17例,女性6例;年龄19~94岁,平均(65.5±18.7)岁;到院时间11~29 min,平均(19.8±5.7)min。治疗组予以院外自动心肺复苏机序贯院内骨髓腔穿刺输液给药进行复苏,对照组予以人工徒手胸外按压序贯院内骨髓腔穿刺输液给药进行复苏。比较两组按压指数、自主循环恢复成功率及不良反应。结果:治疗组按压指数及不良反应与对照组差异无统计学意义(P>0.05),但治疗组自主循环恢复成功率明显高于对照组,差异有统计学意义(P<0.05)。结论:院外自动心肺复苏机复苏序贯骨髓腔输液给药在抢救呼吸心跳骤停患者中的应用具有较好的效果。
Objective:To investigate the application and effect of sequential pre-hospital automatic cardiopulmonary resuscitation machine and marrow infusion in rescuing patients with cardiac arrest.Methods:Forty-five cases of cardiac arrest in our hospital were divided into treatment group and control group from September 2018 to September 2020. There were 22 cases in the treatment group, including 15 males and 7 females, aged 23-87 years, with mean (60.5 sesn) years. The average time of arrival at hospital was (18.0±5.9) min, ranging from 10 to 28 min. There were 23 cases in the control group, including 17 males and 6 females, aged 19~94 years, with mean (65.5±18.7) years. The average time to the hospital was (18.0±5.9) min, ranging from 11 to 29 min. The treatment group was given automatic cardiopulmonary resuscitation machine outside the hospital and marrow infusion was established in hospital for resuscitation; the control group was given manual freehand chest compressions outside the hospital and peripheral venous access infusion was established in hospital for resuscitation. The indicators of compression, the success rate of rescue, and adverse reactions were compared between the two groups.Results:There was no significant difference in compression index and adverse reactions between the treatment group and the control group (P>0.05), but the success rate of spontaneous circulation recovery in the treatment group was significantly higher than that in the control group (P<0.05).Conclusion:The application of sequential automatic cardiopulmonary resuscitation machine and marrow infusion in rescuing patients with cardiac arrest is more effective.

梅冬兰、凌受毅、梅冰、邵光亮、孙志辉

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215129 苏州高新区人民医院急诊科

215129 苏州高新区人民医院国际医学部

院前急救 自动心肺复苏机 骨髓腔输液 呼吸心跳骤停

2023

中华卫生应急电子杂志

中华卫生应急电子杂志

ISSN:
年,卷(期):2023.9(3)
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