摘要
目的比较主动加压减压心肺复苏术(ACD-CPR)和标准心肺复苏术(STD-CPR)对于发生心脏骤停患者的初期复苏效果,探讨ACD-CPR对心脏骤停患者的疗效。方法根据复苏的方法不同,186例心脏骤停患者被分为ACD-CPR和STD-CPR组;比较两组在复苏开始后10、20和30min时的收缩压(SBP)、自主循环恢复率(ROSC)、24 h存活率及心电图(ECG)按压波形变化。结果ACD-CPR组10、20 min时SBP显著高于STD-CPR组(85.32±39.85 mmHgvs62.15±30.14 mmHg at 10 min,t=5.648,P<0.001;73.56±36.58 mmHgvs2.39±25.73 mmHg at 20 min,t′=5.350,P<0.001,respectively);自主循环恢复率(19[23.75%]of 80 vs 10[11.63%]of86,χ2=4.224,P<0.05)、24 h存活率(17[21.25%]of80vs8[9.30%]of86,χ2=4.625,P<0.05)亦显著高于STD-CPR组;另外,ECG按压波形变化方面,ACD-CPR自动按压ECG按压波形变化较规律,STD-CPR人工徒手按压按压波形变化不规则。结论ACD-CPR在改善心脏骤停患者初期复苏效果方面,优于STD-CPR。
Aim To compare the efficacy of early resuscitation of active compression decompression cardiopulmonary resuscitation（ACD-CPR） with stantard cardiopulmonary resuscitation（STD-CPR） in patients with cardiac arrest,and explore the effects of ACD-CPR in patients with cardiac arest.Methods One hundred and eighty-six patients with cardiac arrest were allocated to ACD-CPR group and STD-CPR group,and systolic blood pressure（SBP） of both groups was determined at 10,20 and 30 min respectively after the beginning of resuscitation,the rate of resumption of spontaneous circulation（ROSC）,survival rate at 24 h and ECG compress waves were also examined.Results ACD-CPR group achieved a higher SBP at 10 and 20 min respectively（85.32±39.85mmHg vs 62.15±30.14 mmHg and 73.56±36.58mmHg vs 52.39±25.73 mmHg all P〈0.001）;and better improvement of ROSC（19[23.75%] of 80 vs 10 [11.63%] of 86,χ^2=4.224,P〈0.05）,survival rate of 24 h（17 [21.25%] of 80 vs 8 of 86,χ^2=4.329,P〈0.05）;ECG compress waves in ACD-CPR group were more regular than those in STD-CPR group.Conclusion ACD-CPR may improve the efficacy of early resuscitation in patients with cardiac arrest.
出处
《安徽医药》
CAS
2008年第9期817-818,共2页
Anhui Medical and Pharmaceutical Journal
关键词
主动加压减压心肺复苏术
标准心肺复苏术
心脏骤停
active compression decompression cardiopulmonary resuscitation
standard cardiopulmonary resuscitation
cardiac arrest
