基于心肺复苏指南的人机联合胸外心脏按压标准化流程构建与应用

Construction and Application of a Standardized Human-Machine Combined Chest Compression Process Based on Guidelines for Cardiopulmonary Resuscitation

摘要: 目的：基于心肺复苏指南，实施便携式心肺复苏机快速有效替代徒手按压的人机联合胸外心脏按压标准化流程的构建与应用，以提供高质量心肺复苏，达到复苏效果。方法：选取2022年10月~2023年12月我科接受人机联合胸外按压行心肺复苏救治的88例患者作为研究对象。按照随机分组原则，将其分为两组。对照组(n = 44例)采用传统操作流程进行人机联合胸外心脏按压，观察组(n = 44例)采用标准化流程管理进行人机联合胸外心脏按压。比较两组复苏有效率、并发症发生情况。结果：观察组复苏有效率为97.73%，对照组为88.64%，差异不明显(P > 0.05)；并发症发生情况比较：观察组并发症发生率为9.09%，低于对照组的27.27%，差异明显(P < 0.05)；复苏成功后，观察组患者自主心率、呼吸恢复时间均早于对照组，观察组收缩压高于对照组，差异明显(P < 0.05)。本文介绍的产品名称为：SunLife，型号为：MCC-E。结论：基于心肺复苏指南，实施便携式心肺复苏机快速有效替代徒手按压的人机联合胸外心脏按压标准化流程，可以提高复苏效果及降低并发症的发生率，值得推广运用。

Abstract: Objective: Based on the guidelines for cardiopulmonary resuscitation, to implement the construction and application of a standardized process for human-machine combined chest compressions using portable cardiopulmonary resuscitation machines to quickly and effectively replace manual compressions, in order to provide high-quality cardiopulmonary resuscitation and achieve resuscitation results. Method: 88 patients who received human-machine combined chest compressions for cardiopulmonary resuscitation treatment in our department from October 2022 to December 2023 were selected as the research subjects. They were divided into two groups according to the principle of randomisation. The control group (n = 44 cases) used traditional operating procedures for human-machine combined chest compressions, while the observation group (n = 44 cases) used standardized process management for human-machine combined chest compressions. The resuscitation effectiveness and the incidence of complications are compared between the two groups. Result: The resuscitation effectiveness rate was 97.73% in the observation group and 88.64% in the control group, with no significant difference (P > 0.05). In terms of complications, the incidence rate was 9.09% in the observation group, which was significantly lower than that of the control group (27.27%), with a significant difference (P < 0.05). After successful resuscitation, the time to spontaneous heart rate and breathing recovery was earlier in the observation group than in the control group. The systolic blood pressure was also higher in the observation group, with significant differences observed (P < 0.05). The product name introduced in this article is SunLife, and the model is MCC-E. Conclusion: Based on the guidelines for cardiopulmonary resuscitation, implementing a portable cardiopulmonary resuscitation machine to quickly and effectively replace manual compressions in the standardized process of human-machine combined chest compressions can improve resuscitation effectiveness and reduce the incidence of complications. It is worth promoting and applying.