本文選題：心肺復(fù)蘇　切入點：超聲多普勒技術(shù)　出處：《中國當(dāng)代醫(yī)藥》2017年08期

【摘要】：目的探討徒手心肺復(fù)蘇及機械心肺復(fù)蘇過程中頸動脈血流超聲的特點和監(jiān)測作用。方法選取2015年11月~2016年11月我院急診科心跳驟停的患者28例作為研究對象,隨機分為徒手復(fù)蘇組和機械復(fù)蘇組,各14例。徒手復(fù)蘇組給予患者徒手胸外按壓30 min,機械復(fù)蘇組應(yīng)用心肺復(fù)蘇機按壓30 min。通過超聲多普勒技術(shù)測量胸外按壓過程中初始5 min和終末5 min頸動脈收縮期血流速度峰值均值(PSV)及每分鐘按壓頻率。結(jié)果徒手復(fù)蘇組初始5 min頸動脈PSV平均值高于終末5 min,差異有統(tǒng)計學(xué)意義(P0.01),按壓頻率達(dá)標(biāo)率高于終末5 min(P0.05)。機械復(fù)蘇組初始5 min、終末5 min PSV平均值及按壓頻率達(dá)標(biāo)率分別高于徒手復(fù)蘇組初始5 min、終末5 min,差異有統(tǒng)計學(xué)意義(P0.01),機械復(fù)蘇組按壓達(dá)標(biāo)率為100%。結(jié)論機械復(fù)蘇較徒手心肺復(fù)蘇可獲得較好的頸動脈血流灌注,超聲技術(shù)對按壓頻率及頸動脈的血流量可實時反饋,可作為一種無創(chuàng)CPR質(zhì)量控制的方法。
[Abstract]:Objective to investigate the characteristics and monitoring effect of carotid flow ultrasound in the process of unarmed cardiopulmonary resuscitation and mechanical cardiopulmonary resuscitation.Methods from November 2015 to November 2016, 28 patients with cardiac arrest in the emergency department of our hospital were randomly divided into unarmed resuscitation group and mechanical resuscitation group with 14 cases each.The patients in the bare hand resuscitation group were treated with free hand chest compression for 30 minutes, and the mechanical resuscitation group were treated with cardiopulmonary resuscitation machine for 30 min.The peak systolic velocity of carotid artery (PSV) and the compression frequency per minute were measured by ultrasound Doppler technique during the initial 5 min and the end 5 min of carotid artery systolic velocity.Results the mean value of carotid PSV at 5 min was higher than that at the end of 5 min in the freehand resuscitation group, the difference was statistically significant (P 0.01), and the rate of press frequency reaching the standard was higher than that of the terminal 5 min (P 0.05).In the mechanical resuscitation group, the average value of 5 min PSV at the beginning of the resuscitation group, the average value of 5 min PSV at the end and the rate of reaching the compression frequency were higher than those in the freehand resuscitation group at the beginning 5 min and the end 5 min, respectively. The difference was statistically significant (P 0.01).Conclusion Mechanical resuscitation can obtain better carotid artery perfusion than freehand cardiopulmonary resuscitation. Ultrasound can provide real-time feedback on compression frequency and carotid blood flow. It can be used as a non-invasive CPR quality control method.
【作者單位】： 濱州醫(yī)學(xué)院附屬醫(yī)院急診科;濱州醫(yī)學(xué)院附屬醫(yī)院超聲醫(yī)學(xué)科;
【分類號】：R459.7

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本文編號：1708055