在救护车上采用保持施救者身体平衡固定架对心搏骤停患者CPR的影响：一项前瞻性随机对照研究  

Effect of a stabilization device for maintaining the balance of a CPR performer during ambulance transportation on quality of CPR in out-of-hospital cardiac arrest： a prospective randomized controlled trial

作　　者：郭晋平[1] 冯顺易[1] 王博[1] 聂屾[1] 李勇[1] Guo Jinping Feng Shunyi Wang Bo Nie Shen Li Yong(Department of Emergency, Cangzhou Central Hospital, Cangzhou 061000, Hebei, China)

机构地区：[1]沧州市中心医院急诊医学部,河北沧州061000

出　　处：《中华危重病急救医学》2017年第10期940-942,共3页Chinese Critical Care Medicine

基　　金：河北省沧州市科技支撑计划项目（141302120）

摘　　要：目的 探讨在救护车上采用保持施救者身体平衡固定架对心搏骤停（CA）患者实施心肺复苏（CPR）质量的影响.方法 采用前瞻性随机对照研究方法,选择2014年10月至2017年1月沧州市中心医院接诊的167例CA时间〈10 min的院外心搏骤停（OHCA）患者,并按照随机数字表法分为施救者应用平衡架组（n=86）和未应用平衡架组（n=81）.比较两组患者自主循环恢复（ROSC）率、24 h存活率及出院存活率的差异.结果 与施救者未应用平衡架组比较,施救者应用平衡架组OHCA患者的ROSC率（29.1％比9.9％,χ2=9.691,P=0.002）、24 h存活率（20.9％比6.2％,χ2=7.649,P=0.006）及出院存活率（12.8％比3.7％,χ2=4.485,P=0.035）均明显提高,差异均有统计学意义.结论 通过在救护车上采用保持施救者身体平衡固定架的方法能够保证患者的CPR质量,从而提高OHCA转运患者的复苏效果.临床试验注册中国临床试验注册中心,ChiCTR-IPR-14005337.Objective To investigate the effect of a stabilization device for maintaining the balance of a cardiopulmonary resuscitation （CPR） performer during ambulance transportation on quality of CPR in out-of-hospital cardiac arrest （OHCA）.Methods A prospective randomized controlled trial was performed. 167 OHCA patients with cardiac arrest （CA） time 〈 10 minutes admitted to Cangzhou Central Hospital from October 2014 to January 2017 were enrolled, and divided into armed stabilization device group （n = 86） and unarmed stabilization device group （n = 81） by random number table. Restoration of spontaneous circulation （ROSC） rate, 24-hour survival rate and survival rate of discharge were evaluated.Results Compared with unarmed stabilization device group, ROSC rate （29.1% vs. 9.9%,χ2 = 9.691,P = 0.002）, 24-hour survival rate （20.9% vs. 6.2%,χ2 = 7.649,P = 0.006） and survival rate of discharge （12.8% vs. 3.7%,χ2 = 4.485,P = 0.035） were significant increased in armed stabilization device group. Conclusion CPR with stabilization device during ambulance transport could effectively ensure quality of CPR and improve prognosis in OHCA.Clinical Trial Registration Chinese Clinical Trial Registry, ChiCTR-IPR-14005337.

关 键 词：心搏骤停 心肺复苏 转运 稳定性 

分 类 号：R459.7[医药卫生—急诊医学]