Comparison of the clinical effect of cardiopulmonary resuscitation machine and unarmed cardiopulmonary resuscitation in rescuing patients with cardiac arrest
10.3760/cma.j.issn.1008-6706.2014.20.020
- VernacularTitle:心肺复苏机与徒手心肺复苏抢救心脏骤停的临床效果比较
- Author:
Hongjun XU
- Publication Type:Journal Article
- Keywords:
Cardiopulmonary resuscitation skills;
Cardiopulmonary resuscitation machine;
Cardiac arrest
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(20):3095-3097
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacy of cardiopulmonary resuscitation ( CPR) machine and unarmed CPR in rescuing patients with cardiac arrest , in order to seek effective rescue methods for cardiac arrest . Methods From January 2011 to January 2013,the clinical data of 100 patients with cardiac arrest were retrospec-tively analyzed.50 cases with cardiac arrest who admitted in our hospital from January 2011 to January 2012,were selected as control group,they received unarmed CPR rescue.50 cases with cardiac arrest who admitted in our hospital from January 2012 to January 2013 were selected as the observation group ,they used CPR machine for emergency treat-ment.The postoperative efficacy was observed and compared .Results After CPR,the systolic blood pressure,SpO2 and heart rate in the observation group were (95.2 ±10.4)mmHg,(93.1 ±8.2)%,(89.6 ±5.7)beats/min,which were significantly higher than (71.8 ±6.7)mmHg,(78.7 ±5.5)%,(70.8 ±5.2)beats/min in the control group, the differences between two groups were statistically significant (t=8.456,8.246,9.625,all P<0.05).The respira-tory frequency between the two groups had no statistically significant difference (t=0.955,P>0.05).The successful resuscitation rate and survival rate of the observation group were 72%,46%, which were significantly higher than 44%,22%of the control group ,the incidence rate of adverse reactions in the observation group was 2%,which was significantly lower than 18%in the control group (χ2 =8.05,6.42,10.15,all P<0.05).5min after CPR,the arteri-al blood gas analysis indicators PaO 2 ,PaCO2 ,SaO2 between the two groups had no statistically significant differences (t=0.868,0.922,0.747,P>0.05);15min,30min after CPR,PaO2,PaCO2,SaO2 and other arteries blood gas anal-ysis indicators between the two groups had significant differences (t=5.984,4.673,4.685,9.647,8.356,5.534,all P<0.05).Conclusion Compared with unarmed CPR,CPR machine has obvious advantages in the rescue of cardiac arrest patients,it can significantly shorten the time of spontaneous circulation ,improve the success rate of CPR ,and has less side effects,it is a simple,safe and effective rescue method,which is worthy of widespread in clinical application.
