倒悬腹式按压心肺复苏术在急救中的应用效果观察

目的 探讨倒悬腹式按压心肺复苏术在急救中的临床应用观察.方法 将68例大咯血窒息、心脏停搏患者随机分为观察组和对照组.对照组(38例)采用传统心肺复苏术救治;观察组(30例)采用倒悬腹式按压心肺复苏术救治.观察比较两组自主循环恢复率( ROSC)及24h生存率.结果 观察组ROSC为80.0％ (24/30),对照组ROSC为55.3％ (21/38),两组ROSC差异有统计学意义(x2=4.58,P＜0.05);观察组24h生存率为70.0％(21/30),明显高于对照组的44.7％ (17/38)(x2=4.34,P＜0.05).结论 倒悬腹式按压心肺复苏术可同时进行心肺复苏和气道异物的清理,提高急救效率和成功率.

Application of hanging by the feet OAC-CPR in emergency treatment

Objective To evaluate the effects of hanging by the feet OAC-CPR in patients with big hemopty- sis suffocation and cardiac arrest. Methods 68 cases of big haemoptysis suffocation and cardiac arrest were randomly divided into two groups. The control group （38 cases） was treated by standard CPR treatment method. The study group （30 cases） was treated by hanging by the feet OAC-CPR method. Results Return of spontaneous circulation （ ROSC ） of study group was obviously higher than that of control group （ 80.0% vs 55.3 % , x2 = 4.58, P 〈 0. 05 ）. 24 hours survival of study group was obviously higher than that of control group （70.0% vs 44.7% , x2 = 4.34, P 〈 0. 05）. Conclusion Hanging by the feet OAC-CPR can do cardiopulmonary resuscitation and air passage clearing simultaneously in emergency treatment more sufficiently and successfully.