间置腹部压缩-心肺复苏和复苏结果在 asystole 和电机学解离期间
J B Sack1, M B Kesselbrenner, A Jarrad
1Department of Medicine, Seton Hall University School of Graduate Medical Education, Paterson, N.J.
Circulation
|December 1, 1992
概括
将插入腹部压缩添加到心肺复苏 (CPR) 中,可显著改善心脏骤停患者的自发循环恢复和24小时存活率.
科学领域:
- 紧急医疗 紧急医疗
- 心脏病学 心脏病学
- 关键的护理关键的护理
背景情况:
- 冠状动脉输液压对于恢复心脏骤停期间自发循环至关重要.
- 标准心肺复苏 (CPR) 可以通过增加冠状动脉 perfusion 压力的技术来增强.
研究的目的:
- 评估与标准心肺复苏相比,插入腹部压缩-心肺复苏在患有 asystole 或电机解离的患者中的有效性.
- 评估该技术对恢复自发循环和24小时生存时间的影响.
主要方法:
- 一项随机前性研究,涉及143名心脏骤停患者.
- 患者接受了插入腹部压缩-CPR或标准CPR.
- 测量结果包括自发循环的恢复和24小时生存率,并发症分析.
主要成果:
- 自发循环的总体回归率为38%.
- 插入腹部压缩-CPR导致自发循环回归率显著提高 (49%与28%,p=0.01).
- 在插入腹部压缩-CPR组中,24小时生存率显著改善 (33%对13%,p=0.009).
结论:
- 插入腹部压缩是标准心肺复苏的潜在有价值的补充,用于心脏骤停患者的 asystole 或电机解离.
- 这种技术可以改善复苏结果,包括生存率.
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