不同心肺复苏程序对院前急救心脏骤停的影响观察

　　摘   要：目的  探讨不同心肺复苏程序对院前急救心脏骤停的影响。方法  选取我院2015年2月～2016年12月收治的院前心脏骤停患者94例作为研究对象，按照单双号法分为对照组和观察组，各47例，对照组应用气管插管法复苏，观察组应用气囊面罩通气法复苏，对比两组复苏效果与复苏时间。结果  观察组复苏成功率高于对照组，其通气建立时间、自主心跳时间均明显短于对照组，差异具有统计学意义（P<0.05）;观察组死亡率低于对照组，差异有统计学意义（P<0.05）。结论  气囊面罩通气法复苏效果优于气管插管法复苏，可促使患者心跳快速恢复，值得在临床中优先推广和使用。
　　关键词：院前急救;不同心肺复苏;心脏骤停
　　中图分类号：R459.7                                  文献标识码：A                                DOI：10.3969/j.issn.1006-1959.2018.05.036
　　文章编号：1006-1959（2018）05-0108-02
　　Effect of Different Cardiopulmonary Resuscitation Procedures on Cardiac Arrest in Pre-hospital Emergency
　　SHAO Yong-de
　　（Department of Emergency，Third People"s Hospital，Dalian116103，Liaoning，China）
　　Abstract：Objective  To investigate the effect of different cardiopulmonary resuscitation（CPR）procedures on cardiac arrest in pre-hospital emergency.Methods  94 patients with pre-hospital cardiac arrest were selected from February 2015 to December 2016 in our hospital.According to single and even number method，they were divided into control group and observation group，47 cases in each group，respectively.The control group was resuscitated by tracheal intubation，and the observation group was resuscitated by balloon mask ventilation.The effect and time of resuscitation were compared between the two groups.Results  The success rate of resuscitation in the observation group was higher than that in the control group，the time of establishing ventilation and the time of spontaneous heartbeat in the observation group were significantly shorter than those in the control group，the difference is statistically significant（P <0.05）.The mortality in the observation group was lower than that in the control group，the difference is statistically significant（P< 0.05）.Conclusion The effect of balloon mask ventilation is better than that of tracheal intubation，which can promote the rapid recovery of heart rate in patients，and it is worth popularizing and using in clinic.
　　Key words：Pre-hospital first aid;Different cardiopulmonary resuscitation;Cardiac arrest
　　心臟骤停患者在入院之前病情已处于非常危险的阶段，甚至濒临生物死亡期，特别是老年心脏骤停患者，由于其身体机能明显减弱，所以其死亡率明显高于其他年龄段患者。心肺复苏是临床治疗心脏骤停的重要措施，如何保证在患者心脏骤停的有效时间内按照心肺复苏的准确流程展开救治，切实提高心肺复苏的治疗成功率，是临床重点需要探索的问题[1，2]。为探讨不同心肺复苏程序对院前急救心脏骤停的影响，本文选取我院收治的院前心脏骤停患者94例作为研究对象，现报道如。

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