不同能量的双相波在心肺复苏患者中除颤的对比研究

摘要

Objective To compare ihe defibrillalion success rale and immediate sinus rhylhm recovery rale belween different energy biphasic wave during cardio - pulmonary resuscilalion ( CPR) palienls, expecl Lo find a suitable defibrillalion energy. Methods All palienls received defibrillalion were randomly divided inlo 100 J groups and 150 J group, bolh 33 cases, and ihen compared ihe defibrillalion success rale and immediate sinus rhylhm recovery rale belween ihe Iwo groups. Results The success rale of ihe defibrillalion and immediale sinus rhylhm recovery rale belween ihe Iwo groups, ihe difference was nol slalislically significant ( P > 0. 05 ). Conclusion Because of ihe success of defibrillalion and immediale sinus rhylhm recovery rale belween ihe Iwo groups, ihe difference was nol slalislically significant, depending on ihe condition and in order lo reduce the myocardial injury, we can choice 100 J biphasic wave as ihe preferred defibrillalion energy.%目的 通过比较不同能量之间的双相波在心肺复苏(CRP)患者中除颤的成功率和即刻窦性心律恢复率,期望找到合适的除颤能量.方法 将所有接受除颤的患者随机分入150 J组和100 J组(每组n=33),然后对比不同能量之间的双相波除颤的成功率和即刻窦性心律恢复率的差异性.结果 两组之间除颤的成功率和即刻窦性心律恢复率差异无统计学意义(P>0.05).结论 由于两组患者之间除颤的成功率和即刻窦性心律恢复率差异无统计学意义,必要时可以根据具体病情首选100 J为双相波除颤的能量,以减轻电能对心肌的损伤.