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目的探讨Utstein模式下心肺复苏仪对心搏骤停患者复苏的临床效果。方法将90例心搏骤停患者分为观察组和对照组,每组45例。观察组给予Utstien模式下的机械胸外按压+辅助/控制(A/C)模式机械通气,对照组给予人工胸外按压+A/C模式机械通气。比较两组自主循环恢复率、存活率、除颤次数,治疗前及治疗后24 h的血乳酸、血清B型钠尿肽(BNP)和心肌肌钙蛋白I(cTnI)水平。结果观察组自主循环恢复率和存活率均高于对照组,除颤次数低于对照组,治疗后24 h两组血乳酸、血清BNP、cTnI水平均较治疗前下降,且观察组低于对照组(P均<0.05)。结论 Utstein模式下采用心肺复苏仪进行复苏可有效改善心搏骤停患者的通气,减轻心肌损伤,提高自主循环恢复率和存活率。
Objective To investigate the clinical effect of cardiopulmonary resuscitation (CPR) in Utstein mode on resuscitation of patients with cardiac arrest. Methods 90 cases of cardiac arrest patients were divided into observation group and control group, 45 cases in each group. The observation group was given Mechanical Thoracotomy + Auxiliary / Control (A / C) mode in Utstien mode, and the control group was given Arterothorax + A / C mode. The recovery rate, survival rate, number of defibrillation, blood lactate, serum BNP and cTnI before and 24 h after treatment were compared between the two groups. Results The recovery rate and survival rate of spontaneous circulation in the observation group were higher than those in the control group, and the number of defibrillation was lower than that in the control group. The levels of serum lactic acid, serum BNP and cTnI decreased 24 h after treatment in both groups and were lower than those in the control group Group (all P <0.05). Conclusion Urstein model resuscitation with CPR can effectively improve the ventilation of patients with cardiac arrest, reduce myocardial injury and improve spontaneous circulation recovery rate and survival rate.