心源性猝死患者家属行基础心肺复苏对抢救成功率的影响

Influence of basic cardiopulmonary resuscitation performed by patients' relatives on successful rescue rate of patients with sudden cardiac death

目的:多中心、前瞻性研究观察并分析家属行基础心肺复苏对心脏骤停患者救治成功率的影响。方法:连续入选2006年5月～2007年12月,在北京市3个医院就诊的患者共127例。分为家属行基础心肺复苏组(A组)和未行基础心肺复苏组(B组)。比较两组抢救成功率,并对患者家属(414人)进行心肺复苏技术现况与需求的问卷调查。结果:127例患者中,A组27例(21.3%);B组100例(78.7%)。A组的心肺复苏成功率显著高于B组(22%vs.7%,P<0.01),影响心肺复苏成功的因素包括:家属是否参与心肺复苏、开始心肺复苏的时间、操作是否规范有效等。结论:家属行心肺复苏的抢救成功率优于未行心肺复苏者;目前家属对心肺复苏技术的需求量大,掌握率低,急需普及,普及的关键是规范化培训。

AIM： To analyze the influence of basic cardiopulmonary resuscitation performed by patients＇ relatives on the successful rescue rate of patients with sudden cardiac death. METHODS： One hundred and twenty seven patients treated fiom May 2006 to December 2007 in three medical facilities in Beijing were included and divided into the following groups： group A-basic cardiopulmonary resuscitation performed by patients＇ relatives, and group B-no basic cardiopulmonary resuscitation performed by patients＇ relatives. The suecessful rescue rate was compared between groups and a questionnaire was completed by 414 patients＇ relatives on their knowledge and performance of basic cardiopulmonary resuscitation. RESULTS： Of the 127 patients, 27（21.3% ） were found to have had basic cardiopufinonary resuscitation performed by their relatives and 100（78.7% ） were found to have had no basic eardiopulmonary resuscitation performed by their relatives. The successful rescue rate of patients with sudden cardiac death was significantly higher in group A compared with that in group B（22% vs. 7% , P 〈0.01 ）. The influential factors for such a difference included basic eardiopulmonary resuscitation performed by patients＇ relatives, the start time of basic cardiopulmonary resuscitation and the performance skills. CONCLUSION： Timely and proper basic cardiopulmonary resuscitation performed by patients＇ relatives increases the successful rescue rate of patients with sudden cardiac death. Awareness and training of basic cardiopulmonary resuscitation skills for patients＇ relatives may make a difference on outcome.