Effect evaluation of mechanical chest compression in patients of post cardiac arrest syndrome
Li Suyan
Zhang Litao
Qi Huijun
Liu Hongying
Si Chongyang
Abstract：Objective To evaluate the effects of mechanical and manual chest compressions on post cardiac arrest syndrome. Methods Patients with cardiac arrest with restoration of spontaneous circulation in 5-15 minutes were divided into manual cardiopulmonary resuscitation(CPR) group(n=21)and mechanical CPR group (n=23). The data of creatine kinase-MB(CK-MB),cardiac troponin I (cTnI),creatinine(Cr), blood urea nitrogen(BUN) and aspartate transaminase(AST)/alanine aminotransferase(ALT) were recorded after CPR 0, 24,48 h and 72 h. The Glasgow coma scale(GCS) score and european stroke score (CSS) were recorded at CPR 0 h, 24 h,48 h, 7 d and 14 d. Results Compared with manual CPR group,mechanical CPR group yielded lower values of CK-MB,cTnI after CPR 24,48,72 h [CK-MB:(80.3±4.5)U/L vs (98.7±8.6)U/L,(40.5±2.8)U/L vs (59.4±3.0)U/L,(30.5±2.9)U/L vs (38.9±3.4)U/L;cTnI:(5.0±0.5)μg/L vs (6.9±0.3)μg/L,(3.8±0.7)μg/L vs (4.9±0.5)μg/L,(1.9±0.5)μg/L vs (2.6±0.4)μg/L] (all P<0.05).Compared with manual CPR group,mechanical CPR group resulted a higher GCS score[GCS score:(8±2)scores vs (6±1)scores,(9±4)scores vs (7±3)scores,(11±3)scores vs (9±2)scores,(11±2)scores vs (9±3)scores],a lower CSS score[(25±4)scores vs (32±3)scores,(25±2)scores vs (31±5)scores,(23±4)scores vs (29±3)scores,(22±3)scores scores vs (27±3)scores] after CPR 24,48 h and 7 d,14 d (all P<0.05). Conclusion Mechanical chest compressions alleviates post cardiac arrest syndrome.
Keywords：Cardiopulmonary resuscitationPost cardiac arrest syndromeMechanical chest compressions
Publication Date：2014-03-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 322-324 )