Thumper心肺复苏机在院内心脏骤停心肺复苏中的应用

目的探讨Thumper-1007型心肺复苏机在抢救院内心脏骤停患者的应用价值。方法回顾性分析73例应用Thumper-1007型心肺复苏机（Thumper组）和58例应用标准CPR（SCPR组）抢救的院内心脏骤停患者的临床资料，比较2组患者的恢复自主循环（ROSC）、ROSC所需时间以及生存出院率。结果Thumper组ROSC显著高于SCPR组（P〈0．05），复苏时间〈30min时，Thumper组ROSC比例显著高于SCPR组（P〈0．05），ROSC所需时间Thumper组优于SCPR组（P〈0．05）。2组生存出院率无显著性差异。结论对于院内心脏骤停患者，Thumper心肺复苏机复苏效率优于标准CPR。

Application of Thumper-1007 CPR system in treatment of in-hospital sudden cardiac arrest: comparison between Thumper system and standard cardiopulmonary resuscitation

Objective To compare the therapeutic effects between the Thumper CPR system, an automatic machine providing chest compression synchronized with intermittent positive pressure ventilation with a compression/ventilation ratio of 5：1, and standard CPR （SCPR） in treatment of in-hospital sudden cardiac arrest（SCA）. Methods Fifty-eight patients with cardiopulmonary arrest （CPA）, 37 males and 21 females, aged （60±18.5）, were treated with SCPR in the Intensive Care Unit （ICU） during the period February-December 2007. Another 73 CPA patients, 43 males and 30 females, aged （62.4 ±17.4）, were treated with Thumper-1007 System in ICU during the period March-December 2008. The return of spontaneous circulation （ROSC） time, collapse-to-ROSC interval, and survival/hospital discharge rates were compared between the two groups. Results There were not significant differences in the age and etiology of CPA between these 2 groups. The ROSC rate of the Thumper Group was 53.4%, significantly higher than that of the SCPR group （40.7%, P〈0.05）. There were not significant differences in the time needed for ROSC and survival/discharge rate between these 2 groups. When the collapse-to-ROSC interval was 〈30 min, 31 patients of the Thumper Group reached ROSC, a number significantly higher than that of the SCVPR group （23 cases, P〈0.05）, and the collapse-to-ROSC interval of the Thumper group was （6.9±9.5） min, significantly shorter than that of the SCPR group [（9 . 1 ±7.8） min, P〈0.05]. Ten patients of the Thumper group and 3 patients of the SCPR group suffered from cardiogenic sudden death, and there were not significant differences in the case number who got ROSC, ROSC time, and survival rate between these 2 groups （all P 〉0.05）. Conclusion An ideal new type instrument, Thumper CPR system is prior to SCPR in the treatment of in-hospital sudden cardiac arrest.