心肺復(fù)蘇初期徒手胸外按壓與機(jī)械胸外按壓對患者血?dú)庵笜?biāo)、預(yù)后影響

丁佳圣 張濤

[摘要] 目的 比較心肺復(fù)蘇初期徒手胸外按壓與機(jī)械胸外按壓對患者血?dú)庵笜?biāo)以及預(yù)后的影響。 方法 選擇我院2016年9月～2017年11月接收的64例心跳呼吸驟停患者，將其根據(jù)心肺復(fù)蘇方法不同平均分組，每組32例，對照組患者接受徒手胸外按壓，研究組患者則接受機(jī)械胸外按壓，對兩組患者血?dú)庵笜?biāo)、預(yù)后等進(jìn)行分析。 結(jié)果 兩組間pH值、乳酸、PaCO2以及PaO2等血?dú)庵笜?biāo)方面差異較小（P>0.05）；在心肺復(fù)蘇成功率方面，對照組與研究組分別是59.37%和84.37%，研究組明顯高于對照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）；對照組與研究組患者不良反應(yīng)發(fā)生率分別是31.25%和9.38%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。 結(jié)論 機(jī)械胸外按壓與徒手胸外按壓均不會影響患者pH值、乳酸、PaCO2以及PaO2等血?dú)庵笜?biāo)，但是機(jī)械胸外按壓心肺復(fù)蘇成功率要比徒手胸外按壓更優(yōu)，除此之外，其能夠降低患者氣胸、胸壁胸內(nèi)臟器損傷以及肋骨骨折等不良反應(yīng)發(fā)生率，值得普遍采納和推廣。

[關(guān)鍵詞] 血?dú)庵笜?biāo)；預(yù)后；機(jī)械胸外按壓；徒手胸外按壓

[中圖分類號] R459.7 [文獻(xiàn)標(biāo)識碼] B [文章編號] 1673-9701（2018）28-0091-04

[Abstract] Objective To compare the effects of chest compression and mechanical chest compression on blood gas parameters and prognosis of patients during the initial stage of cardiopulmonary resuscitation. Methods 64 research subjects were all the patients with heartbeat and respiratory arrest who were admitted to our hospital from September 2016 to November 2017. According to the different methods of cardiopulmonary resuscitation， the patients were evenly divided into groups， with 32 patients in each group. Patients in the control group were given bare-handed chest compression， and patients in the study group were given mechanical chest compression. The blood gas indexes and prognosis of the two groups were analyzed. Results The differences in blood gas indexes such as PH value， lactic acid， PaCO2 and PaO2 between the groups were small， and the statistical significance was not established（P>0.05）； in the success rate of cardiopulmonary resuscitation， the control group and study group were 59.37% and 84.37% respectively. The study group was significantly higher than the control group， and the difference was statistically significant（P<0.05）； the incidence rate of adverse reactions in the control group and the study group was 31.25% and 9.38% respectively， and the difference was statistically significant（P<0.05）. Conclusion Mechanical chest compression and bare-handed chest compression will not affect the blood gas parameters such as pH value， lactic acid， PaCO2 and PaO2. However， the success rate of mechanical chest compression on cardiopulmonary resuscitation is better than that of bare-handed chest compression. In addition， it can reduce the incidence rates of adverse reactions such as pneumothorax， chest internal wall organ damage， and rib fractures in the patients， and therefore it is worthy of widespread adoption and promotion.

[Key words] Blood gas indexes； Prognosis； Mechanical chest compression； Bare-handed chest compression