Abstract:
Objective To evaluate the efficacy and safety of cardiopulmonary resuscitation (CPR) in rescuing patients with cardiac arrest, and to provide evidence-based medicine for clinical application of abdominal cardiopulmonary resuscitation.
Methods The Wanfang database, the Chinese knowledge network database, Sinomed, PubMed, Embase and Medline and Cochrane library were retrieved and the clinical randomized controlled trial for patients with cardiac arrest by CPR was collected; the data were extracted and then the Stata software was used to carry out the meta analysis.
Results The patients with cardiac arrest by abdominal cardiopulmonary resuscitation could significantly reduce the mortality of patients (RR=0.77, 95%CI=0.70-0.84, I2=75.9%, P<0.001), of which the RR value of abdominal pressure cardiopulmonary resuscitation was 0.69 (95%CI=0.61-0.79), and the RR value inserted into the abdominal compression cardiopulmonary resuscitation was 0.84 (95% CI = 0.75 - 0.95), and the abdomen was raised. CPR could also increase the volume of pulmonary moisture (SMD=14.29, 95%CI=10.61-17.97), PETCO2 (SMD=5.53, 95%CI=3.99-7.06), the end expiratory carbon dioxide (SMD=5.53, 95%CI=3.99-7.06), and reduce the mean arterial pressure (SMD=-0.56, 95%CI=-0.89-0.24) and the damage of nerve function (SMD=-0.57, 95%CI=-1.05-0.09).
Conclusion Rescue of cardiac arrest patients by central pulmonary resuscitation method can improve the clinical effect, and increase the success rate of rescuing patients. Moreover, the abdominal CPR method can significantly improve the ventilation of patients, promote aerobic metabolism, and reduce neurological impairment with no serious adverse reactions.
Key words:
Abdominal pressure,
Cardiopulmonary resuscitation,
Cardiac arrest,
Meta analysis
Tingting Dong, Xiumei Ma, Yong Lin, Jiangyi Tu, Guogang Sun. Efficacy and safety of trans-abdominal cardiopulmonary resucitation: a Meta analysis[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2020, 06(02): 102-108.