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腹部提压心肺复苏对心搏骤停患者血流动力学、氧代谢的影响 被引量:2

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摘要 目的探讨腹部提压心肺复苏(AACD-CPR)对心搏骤停(CA)患者血流动力学、氧代谢的影响。方法选取CA患者123例,按照心肺复苏(CPR)方式分为对照组和观察组,对照组给予标准心肺复苏(STD-CPR)救治,观察组给予AACD-CPR救治,比较两组血流动力学、氧代谢指标及神经功能缺损评分(NDS)变化情况。结果两组复苏15 min时心率(HR)、平均动脉压(MAP)、中心静脉压(CVP)均较复苏1 min时提高(均P <0.05),且观察组患者复苏15min时HR、MAP、CVP均高于对照组(均P <0.05);观察组动-静脉血氧含量差(avDO2)、动脉血氧含量(Ca O2)、氧载量(DO2)、耗氧量(VO2)水平均高于对照组(均P<0.05);观察组1、2周后NDS评分均低于对照组(均P <0.05)。结论 AACD-CPR可显著改善CA患者血流动力学及氧代谢水平,提高患者神经功能。
作者 夏成根
出处 《现代实用医学》 2018年第9期1178-1180,共3页 Modern Practical Medicine
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