Utstein模式对普通病房和重症监护病房心肺复苏效果的评价  

Evaluation of cardiopulmonary resuscitation in different places of the hospital settings by using the Utstein Model

作　　者：韦树旺[1] 韦廷求[1] 黄宏坤[1] 韦文葵[1] 韦张旭 

机构地区：[1]河池市第三人民医院重症医学科,广西547000

出　　处：《中国临床新医学》2017年第3期261-264,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的应用Utstein模式评价院内不同病房心脏骤停患者实施心肺复苏(cardiopulmonary resuscitation,CPR)的效果。方法收集2013-01~2014-07在该院普通病房、重症监护病房(intensive care unit,ICU)发生心脏骤停并实施CPR的患者130例,根据Utstein模式指南给予注册登记分为普通病房组(92例)和ICU组(38例)进行对比分析。结果 ICU组自主循环恢复百分比(26.31%)与普通病房组(14.13%)比较,差异无统计学意义(χ~2=2.742,P=0.098)。ICU组存活出院、存活半年、一年百分比(依序为18.42%、13.15%、10.52%)高于普通病房组(依序为6.52%、1.86%、1.86%),差异均有统计学意义(χ~2=4.231,P=0.040;χ~2=8.901,P=0.030;χ~2=6.479,P=0.010)。结论 ICU发生心脏骤停并CPR存活出院率、出院后半年及1年生存率比普通病房高,提示在ICU对心脏骤停患者实施CPR效果较好。Objective To evaluate the outcomes of cardiopulmonary resuscitation（ CPR） in the patients with sudden cardiac arrest in different places of the hospital settings. Methods One hundred and thirty patients with sudden cardiac arrest were collected from January 2013 to July 2014 in the general ward and intensive care unit（ ICU） of our hospital and were divided into the general ward group（ n = 92） and the ICU group（ n = 38） according to the Utstein guidelines. The clinical date were compared between the two groups. Results There was no significant difference in the rate of restoration of spontaneous circulation（ ROSC） between the general ward group and the ICU group（ 14. 13% vs 26. 31%,χ~2= 2. 742,P = 0. 098）. The hospital discharge rate,the half year survival rate and oneyear survival rate in the ICU group were significantly elevated than those in the general ward group（ 18. 42% vs6. 52%,χ~2= 4. 231,P = 0. 040; 13. 15% vs 1. 86%,χ~2= 8. 901,P = 0. 030; 10. 52% vs 1. 86%,χ~2= 6. 479,P =0. 010）. Conclusion The clinical effects of CPR in the ICU are better than those in the general ward in the patients with sudden cardiac arrest.

关 键 词：心脏骤停 心肺复苏术 UTSTEIN模式 自主循环恢复率 成活出院率 

分 类 号：R459.7[医药卫生—急诊医学]