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| 机械心肺复苏对心脏骤停患者复苏效果影响的Meta分析 | |
| 引用本文： | 龚青云,赵鹏程,王迪,秦正,李春雨,张成,娄爽,陈旭锋,张劲松,陈彦. 机械心肺复苏对心脏骤停患者复苏效果影响的Meta分析[J]. 中华急诊医学杂志, 2021, 30(3): 342-350. DOI: 10.3760/cma.j.issn.1671-0282.2021.03.015 |
| 作者姓名： | 龚青云 赵鹏程 王迪 秦正 李春雨 张成 娄爽 陈旭锋 张劲松 陈彦 |
| 作者单位： | 南京医科大学第一附属医院急诊中心 210029;南京医科大学第一附属医院妇幼分院重症医学科 210036;南京医科大学第一附属医院妇幼分院科技处 210036;南京医科大学第一附属医院门诊部 210029;南京医科大学医政学院应急管理学系 211166;南京医科大学健康江苏研究院 211166 |
| 基金项目： | 江苏省医院协会医院管理创新研究课题(JSYGY-2-2019-150);江苏省医学重点人才项目(ZDRCA2016016);江苏省妇幼保健协会科研项目(FYX201915)。 |
| 摘 要： | 目的:评价使用机械心肺复苏对心脏骤停患者复苏结局的影响。方法:系统检索中国知网、维普、万方、PUBMED、Web of Science等数据库中关于机械心肺复苏和徒手心肺复苏的相关文献，提取有效数据后用RevMan5.3软件进行Meta分析。结果:共计纳入20项临床研究，包含29 727例患者，其中11 104例患者在... |
| 关 键 词： | 心脏骤停 心肺复苏 机械心肺复苏 Meta分析 |
The effect of mechanical chest compression device on resuscitation in patients with cardiac arrest: A meta-analysis |
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| Gong Qingyun,Zhao Pengcheng,Wang Di,Qin Zheng,Li Chunyu,Zhang Cheng,Lou Shuang,Chen Xufeng,Zhang Jingsong,Chen Yan. The effect of mechanical chest compression device on resuscitation in patients with cardiac arrest: A meta-analysis[J]. Chinese Journal of Emergency Medicine, 2021, 30(3): 342-350. DOI: 10.3760/cma.j.issn.1671-0282.2021.03.015 | |
| Authors: | Gong Qingyun Zhao Pengcheng Wang Di Qin Zheng Li Chunyu Zhang Cheng Lou Shuang Chen Xufeng Zhang Jingsong Chen Yan |
| Affiliation: | (Emergency Medical Center,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Critical Medicine Department,Jiangsu Maternal and Child Health Hospital,Nanjing 210029,China;Science and Technology Department,Jiangsu Maternal and Child Health Hospital,Nanjing 210029,China;Outpatient Department,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Emergency Management Department,School of Health Policy&Management,Nanjing Medical University,Nanjing 211166,China;Research Institute of Health Jiangsu,Nanjing Medical University,Nanjing 211166,China) |
| Abstract: | Objective:To evaluate the effect of mechanical chest compression device in patients with cardiac arrest.Methods:The relevant literatures about mechanical cardiopulmonary resuscitation and manual cardiopulmonary resuscitation were systematically searched from China Knowledge Network (CNKI), VIP, Wanfang, PubMed, Web of Science and other databases. The effective data were extracted and analyzed by RevMan5.3 software.Results:A total of 20 clinical studies involving 29 727 patients were included, of which 11 104 patients received mechanical cardiopulmonary resuscitation and 18 623 patients received traditional manual cardiopulmonary resuscitation. The results of meta-analysis showed that mechanical cardiopulmonary resuscitation could not effectively improve the restoration of spontaneous circulation (ROSC) rate, admission survival rate, discharge survival rate and neurological prognosis in patients with cardiac arrest compared with manual cardiopulmonary resuscitation. ROSC occurrence rate ( RR=1.10, 95% CI: 0.99-1.23, P<0.01), admission survival rate ( RR=1.01, 95% CI: 0.95-1.08, P=0.67), discharge survival rate ( RR=1.00, 95% CI: 0.86-1.15, P=0.14), and good neurological function rate ( RR=0.81, 95% CI: 0.61-1.06, P=0.69) showed no significant differences between the mechanical cardiopulmonary resuscitation and manual cardiopulmonary resuscitation. Conclusions:Mechanical chest compression device has no advantage compared with manual cardiopulmonary resuscitation. Mechanical cardiopulmonary resuscitation is not recommended to completely replace manual chest compression in cardiopulmonary resuscitation. |
| Keywords: | Cardiac arrest Cardiopulmonary resuscitation Mechanical chest compression device Meta-analysis |
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