除颤前先胸外按压对延期室颤的复苏效果  

Effect of chest compression before the defibrillation on the resuscitation of delayed ventricular fibrillation

作　　者：祁必富[1] 魏婕[1] 李文强[1] 杨卫泽[1] 万曦[1] 

机构地区：[1]武汉大学人民医院急诊科,430060

出　　处：《中国急救医学》2008年第9期835-836,共2页Chinese Journal of Critical Care Medicine

摘　　要：目的研究除颤前先胸外按压对延期室颤患者的复苏疗效。方法将69例室颤患者分为两组,分别行胸外按压再除颤组和直接除颤组,比较两组患者的除颤次数、能量、首次除颤成功率、入院率、自主循环恢复率和时间。结果胸外按压再除颤组与直接除颤组比较,先胸外按压者除颤次数及总能量减少(4.8±2.3vs6.5±3.6,P<0.05;1250±320vs1890±570,P<0.01);胸外按压再除颤组首次除颤成功率高(28.6%vs17.6%,P<0.05),较高的入院率(28.6%vs11.8%,P<0.05);自主循环恢复更理想。结论胸外按压再除颤可提高延期室颤的复苏效果。Objective To evaluate the effect of chest compression before the defibrillation on the resuscitation of delayed ventrieular fibrillation. Methods 69 patients were divided into two groups ： chest compression before the defibrillation and direet defibrillation. The times and the total energy of defibrillation, the sueeess rates of the first defibrillation, the rates of admission to the hospital and spontaneous circulation return （ ROSC ） were compared. Results Compared with direct defibrillation group, the patients of chest compression before the defibrillation had less times and total energy of defibrillation [ 4.8 ± 2.3 vs 6.5 ± 3.6,P 〈 0.05 ; （ 1250 ± 320 ） J vs （ 1890 ± 570 ） J,P 〈 0.01 ] , the higher sueeess rate of first defibrillation （28.6% vs 17.6% ,P 〈 0.05 ） ,the higher rates of admission to the hospital （ 28.6% vs 11.8% , P 〈 0.05 ） and ideal ROSC. Conclusion Chest compression before the defibrillation will benefit the patients of ventrieular fibrillation.

关 键 词：胸外按压 室颤 除颤 猝死 

分 类 号：R541.7[医药卫生—心血管疾病]