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目的评价Thumper 1007心肺复苏仪的临床应用复苏效果及其对于关键指标的影响,为临床推广奠定基础。方法急诊心脏骤停患者400例根据数字化随机原则分为试验组与对照组各200例,在传统复苏基础上,对照组采用人工胸外心脏按压,试验组采用Thumper 1007心肺复苏仪实施胸外心脏按压。结果试验组的复苏成功率为83.0%,对照组的复苏成功率是65.5%,试验组复苏效果优于对照组(P<0.05)。对照组和试验组患者在复苏前的SBP和Sa O2值差异无统计学意义(P>0.05),复苏后5、10 min,2组患者的SBP与Sa O2值都有明显上升,试验组患者的SBP和Sa O2值都高于对照组(P<0.05)。试验组复苏前后血清K+和Na+值对比差异无统计学意义(P>0.05),而对照组复苏前后血清K+和Na+值对比差异有统计学意义(P<0.05)。对比研究血清中IL-6和IL-8等炎症因子水平发现,复苏前2组患者的炎症因子水平对比差异无统计学意义(P>0.05),复苏后组内和组间对比差异都有统计学意义(P<0.05)。结论Thumper 1007心肺复苏仪应用于治疗猝死的效果能有效提高复苏效果,促进维持生命体征与血清电解质的稳定,能有效缓解炎症因子的影响,值得推广应用。
Objective To evaluate the clinical application of Thumper 1007 cardiopulmonary resuscitation (CPR) and its impact on key indicators, so as to lay a foundation for clinical promotion. Methods According to the principle of digital randomization, 400 cases of emergency cardiac arrest patients were divided into experimental group and control group with 200 cases each. On the basis of traditional resuscitation, the control group was underwent artificial chest compression. Thumper 1007 cardiopulmonary resuscitation apparatus was used in the experimental group. Press. Results The success rate of recovery was 83.0% in the experimental group and 65.5% in the control group. The recovery of the experimental group was better than that of the control group (P <0.05). There were no significant differences in SBP and Sa O2 values between the two groups before and after resuscitation (P> 0.05). The SBP and SaO2 values of two groups were significantly increased at 5 and 10 min after resuscitation. The patients in the test group SBP and Sa O2 values were higher than the control group (P <0.05). There was no significant difference in serum K + and Na + before and after the resuscitation in the experimental group (P> 0.05), but there was a significant difference between the control group before and after resuscitation (P <0.05). Comparing serum levels of IL-6, IL-8 and other inflammatory cytokines found that there was no significant difference in inflammatory cytokine levels between the two groups before resuscitation (P> 0.05), and there were statistical differences between the two groups after resuscitation Significance (P <0.05). Conclusion The application of Thumper 1007 cardiopulmonary resuscitation apparatus in the treatment of sudden death can effectively improve the recovery effect, promote the maintenance of vital signs and the stability of serum electrolytes, and can effectively relieve the influence of inflammatory factors, which is worth popularizing and applying.