同济大学学报（医学版）2012，Vol.33Issue(3)：47-50,4.DOI:10.3969/j.issn1008-0392.2012.03.011
胸外按压器械AutoPulse及PetCO2、脉搏、SPO2监测在急诊CPR中的应用评价
Evaluation of external chest compression device AutoPulse,monitoring of end-tidalcarbon dioxide partial pressure and pulse oxygen saturation in patients with cardiac arrest undergoing CPR
摘要
Abstract
Objective To evaluate the application of AutoPulse and monitoring of end-tidal carbon dioxide partial pressure ( PetCO2) and pulse oxygen saturation (SPO2) in patients with cardiac arrest (CA) undergoing PCR. Methods Ninety three patients with CA admitted to Emergency Department from December 2010 to December 2011 were randomly assigned to manual external chest compression (manual group, n =30), mechanical after manual chest compression(compound group, n =29)and AutoPulse mechanical chest compression ( AutoPulse group, n = 34 ). Other rescue measures were performed following the cardiopulmonary guideline of 2010. The values of PetCO2 and SPO2 at different time points of CPR, the case numbers of return of spontaneous circulation (ROSC) were recorded. According the outcomes, patients were divided into ROSC success group and failure group and the case number of each group was record. Results The rates of ROSC in compound group and AutoPulse group were both higher than that in manual group (P < 0.05). The values of PetCO2 and SPO2 at 0 min were not significantly different between ROSC success group and failure group (P > 0.05), and the values at 10 and 20 min were significantly higher in ROSC success group than those in ROSC failure group( all P <0.01). The values of PetCO2 and SPO2 at 10 min in compound group and AutoPulse group were both higher than those in manual group( P <0.01). Conclusion The device of AutoPulse can improve the tissue perfusion in patients with CA and raise the success rate of CPR, and the monitoring PetCO2 and SPO2 has a guiding and predictive value during CPR.关键词
AutoPulse/心肺复苏/呼气末二氧化碳分压/血氧饱和度Key words
AutoPulse/ end-tidalcarbon dioxide partial pressure/ pulse oxygen saturation分类
医药卫生引用本文复制引用
彭沪,陈远卓,高成金,庄育刚,郭长峰,周书琴..胸外按压器械AutoPulse及PetCO2、脉搏、SPO2监测在急诊CPR中的应用评价[J].同济大学学报（医学版）,2012,33(3):47-50,4.基金项目
上海市卫生局科研课题(2009143) （2009143）
