心肺复苏领域三个热点问题的临床研究

Clinical Research in Cardiopulmonary Resuscitation Area

目的针对心肺复苏领域三个热点问题进行相关的临床研究,旨在提高心肺复苏质量。方法总结分析2001年1月-2010年1月通辽市医院收治的心肺复苏462例患者,针对CPR与除颤优先次序选择,院前、院内急救小组建设,生存链落实情况三个方面进行探讨。结果 462例中154例恢复心搏时间是3～40 min;154例患者中97例恢复呼吸,恢复自主呼吸时间是10 min～48 h,97例心肺复苏(CPR)成功的患者中62例患者恢复意识,恢复时间是1～72 h。结论①心室颤动(VF)波形是CPR与除颤优先次序决定因素。②加强院前院内急救小组建设,可提高心肺复苏效率。急救小组分工协作是CPR保证。③彻底落实生存链,是提高CPR成功率的关键措施,可明显改善患者预后。

Objective To improve the successful ratio of cardiopulmonary resuscitation（CPR） by analyzing the clinical research hot areas. Methods In 462 cases with CPR in our hospital from Jan. 2001 to Jan. 2010,the materials of the priority of CPR and defibrillation ,pre-hospital and hospital emergency team construction, and survival chain implementation was discussed. Results The time to restore the sinus rhythm was 3 -40 rain in 154 of 462 cases,and there were 97 cases that recovered the spontaneous breath in them, the recovery time was 0.17 -48 h. The 62 of the 97 cases with CPR restored the consciousness successfully, and the recovery time was 1 -72 h. Conclusion ①Waveform of ventricular fibrillation（VF） was priorities determinant of CPR and defibrillation. ②To strengthen the pre-hospital emergency team-building can improve the efficiency of CPR. Cooperation based on division of the team is guarantee of CPR. ③The implementation of survival chain can improve the success rate of CPR and the prognosis of patients.