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目的:探讨气囊压腹法在心脏骤停患者脑复苏中的应用。方法:选取我院收治的110例ICU内发生的心脏骤停患者,将其随机分为实验组和对照组,每组55例,其中实验组给予气囊压腹法-CPR处理,对照组给予标准CPR组处理。对照组按照心肺复苏指南紧急行标准心肺复苏术;实验组在行标准CPR之前通过气囊压住腹主动脉,按压力度为150~00mm Hg,阻断腹主动脉血流。两组均监测有创动脉压及右房压。结果:实验组的治疗有效率为81.82%明显高于对照组的54.55%。实验组自主循环恢复率为78.3%高于对照组52.0%;实验组的24小时自主循环恢复率以及最高灌注压均明显高于对照组,实验组的脑复苏成功率以及48h存活率均明显高于对照组,实验组的意识恢复平均时间、恢复窦性心律平均时间均明显较对照组缩短。结论:气囊压腹法-CPR可明显地提高冠脉灌注压,增加自主循环恢复率和24h自主循环恢复率,应用于心脏骤停患者脑复苏中可以取得良好的效果,值得临床推广应用。
Objective: To investigate the application of balloon compression in cerebral resuscitation in patients with cardiac arrest. Methods: A total of 110 ICU patients with cardiac arrest who were admitted to our hospital were selected and randomly divided into experimental group and control group, with 55 cases in each group. The experimental group was inflated by balloon pressure-CPR and the control group was given standard CPR group treatment. In the control group, standard CPR was performed according to CPR guidelines. In the experimental group, the abdominal aorta was compressed by the balloon before the standard CPR. The pressure was 150 ~ 00 mm Hg, blocking the abdominal aorta blood flow. Both groups monitored invasive arterial pressure and right atrial pressure. Results: The effective rate of the experimental group was 81.82%, which was significantly higher than that of the control group (54.55%). The recovery rate of spontaneous circulation in the experimental group was 78.3%, which was higher than that in the control group (52.0%). The spontaneous recovery rate of the spontaneous circulation and the highest perfusion pressure in the experimental group were significantly higher than those in the control group In the control group, the average recovery time of conscious consciousness and the average time of recovery of sinus rhythm in the experimental group were significantly shorter than those in the control group. CONCLUSION: CPR can significantly improve the perfusion pressure of coronary artery, increase the rate of spontaneous circulation recovery and spontaneous recovery of spontaneous circulation in 24 hours. It can be used in cerebral resuscitation in patients with cardiac arrest and achieve good results. It is worthy of clinical application.