萨博心肺复苏与徒手心肺复苏临床效果的对比观察  

A comparative study on the effect of Saab cardiopulmonary resuscitation and unarmed cardiopulmonary resuscitation

作　　者：刘宏利[1] 牛建荣[2] 

机构地区：[1]空军总医院急诊部,北京100142 [2]空军总医院医务部,北京100142

出　　处：《临床和实验医学杂志》2015年第14期1187-1189,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的比较萨博心肺复苏与徒手心肺复苏的临床效果。方法按照随机分组方法收集符合观察条件的病例222例,分别施行萨博辅助胸外心脏按压复苏(萨博复苏组,n=113)和徒手胸外心脏按压复苏(徒手复苏组,n=109),对比观察两组首次复苏时间、复苏首阶段(≤30 min)平均自主心律存续时间、由复苏首阶段复苏成功进入高级生命支持病例率、超长复苏(复苏>30 min)率和复苏出院率。结果 1萨博复苏组平均首次复苏时间10.8±4.1 min,少于徒手复苏组15.6±5.6 min(P<0.05);2在复苏初始≤30 min,萨博复苏组复苏后自主心律存续时间7.1±1.8 min明显长于徒手复苏组3.1±1.6 min(P<0.01);3在复苏初始≤30 min成功复苏进入高级生命支持的比率,萨博复苏组28.31%明显高于徒手复苏组17.43%(P<0.05);4在实施超长复苏方面,萨博复苏组超长复苏率(43.36%)明显高于徒手复苏组(17.31%)(P<0.01)。5在出院率方面,萨博复苏组和徒手复苏组分别为7.96%和6.42%,两组间无显著差异(P>0.05)。结论除出院率外,萨博器械辅助心肺复苏在首次复苏时间、复苏首阶段≤30 min平均自主心律存续时间、≤30 min内成功复苏进入高级生命支持病例率、超长复苏率方均明显优于徒手心肺复苏,值得临床推广应用。Objective The aim of this study was to compare the clinical effect of Saab cardiopulmonary resuscitation （CPR） with unarmed CPR. Methods A total of 222 patients fulfilled the requirement of observation were randomly divided into Saab CRP group and unarmed CRP group. The first recovery time, average duration of spontaneous cardiac rhythm in the first stage of recovery （ less than 30 minutes）, the ratio of advanced life support cases from the first phase of recovery, ultralong recovery （ more than 30 minutes） rate and discharge rate after recovery were observed in these two groups respectively. Results ①The average first recovery time in Saab CPR group was 10.8：1：4.1 minutes which was less than 15.6 ± 5.6 minutes of unarmed CPR group （ P 〈 0.05 ）. ②In the first stage of recovery （less than 30 rain）, the average duration of spontaneous cardiac rhythm of Saab CRP group （7.1 ± 1.8 min） was longer than that of unarmed CPR group （3.1 ± 1.6 min） （ P 〈0.01 ）. ③ The ratio of advanced life support cases from the first phase of recovery （ less than 30 min） in Saab CPR group （28.31%） was significantly higher than that of unarmed CPR group （ 17.43% ） （ P 〈 0.05 ）. ④The ultralong recovery rate of Saab CPR group （43.36%） was significantly more longer than that of unarmed CPR group （ 17.31% ） （ P 〈 0.01 ）. ⑤The difference in discharge rates （7.96% and 6.42% , respectively） was not significant between these two groups （ P 〉 0.05 ）. Conclusion Except the discharge rate, the results of Saab CPR were better than those of unarmed CPR in the first recovery time, the average duration of spontaneous cardiac rhythm in the first stage of recovery （ less than 30 minutes）, the ratio of advanced life support cases from the first phase of recovery （ less than 30 minutes） and ultralong recovery rate （ more than 30 minutes）. So it is worthy to be promoted in clinical practice.

关 键 词：萨博心肺复苏 徒手心肺复苏 临床效果 

分 类 号：R459.7[医药卫生—急诊医学]