两种不同复苏方法对院前心搏骤停患者初期复苏效果的随机对照研究  

Random control trial of the efficacy of cardiopump on pre-hospital cardiac arrest

作　　者：何庆[1] 万智[1] 汪林[1] 

机构地区：[1]四川大学华西医院,四川成都610041

出　　处：《中国危重病急救医学》2003年第5期292-294,共3页Chinese Critical Care Medicine

摘　　要：目的 :比较主动加压减压心肺复苏 ( ACD CPR)和标准心肺复苏 ( CPR)对于院前发生心搏骤停患者的初期复苏效果 ,探讨 ACD CPR对院前心搏骤停患者的疗效。方法 :将在急诊重症监护室 ( EICU )发生心搏骤停的 92例患者按照区组随机的方法分为 ACD CPR组和标准 CPR组 ,比较两组在复苏开始后 1、3、5、10、15和 30 m in时的收缩压 ( SBP)、自主循环恢复率 ( ROSC)和入院率。结果 :ACD CPR组 3、5、10和 15 m in时SBP均高于标准 CPR组 ( P均 <0 .0 5 )。ACD CPR组患者的 ROSC( 5 2 .5 %)高于标准 CPR组 ( 2 7.8%) ,也具有显著的统计学差异 ( P<0 .0 5 )。ACD CPR组的收住院率 ( 2 1.3%)也高于标准 CPR组 ( 15 .3%) ,但无统计学意义。结论 :ACD CPR在改善院前发生的非创伤性心搏骤停患者初期复苏效果方面 ,优于标准 CPR。Objective:To compare the efficacy of early resuscitation of active compressiondecompression cardiopulmonary resuscitation (ACDCPR) with stantard CPR in prehospital cadiac arrest.Methods: Ninetytwo patients with cardiac arrest occurring out of hospital were allocated to ACDCPR (cardio pump) or standard CPR randomly,then determine systolic blood pressure (SBP) of both groups at the 1st,3rd,5th,10th,15th,30th minute after the beginning of resuscitation,and the proportion of resumption of spontaneous circulation(ROSC),as well as admission rate.Results:The SBP and ROSC at 3rd, 5th, 10th, 15th minute were significantly higher in the group receiving ACDCPR than in the group receiving standard CPR.On arriving the hospital,the survival rate was higher in the ACDCPR group than in the control group,but of no statistical significance.Conclusion:ACDCPR may improve the efficacy of early resuscitation in patients with prehospital cardiac arrest.

关 键 词：心搏骤停 初期 疗效 主动加压减压心肺复苏 标准心肺复苏 院前抢救 

分 类 号：R541.78[医药卫生—心血管疾病] R605.974[医药卫生—内科学]