不同心肺复苏程序对院前急救心脏骤停的影响

Effects of different CPR procedure on cardiac arrest patients in pre - hospital emergencytreatment

目的探讨发生在院前急救中心脏骤停患者心肺复苏（CPR）的程序，以便提高CPR的成功率。方法选择2005-01-2010-12期间我中心院前急救中以CAB（以维持循环为主的复苏程序）救治的心脏骤停者60例、以D或DC（以早期电除颤为主的复苏程序）救治的心脏骤停者60例、以ABC（传统cpn）救治的心脏骤停者60例，比较复苏成功率。结果院前急救反应时间CAB组较其他组短，复苏成功率CAB组8．3％，ABC组5％，D或DC组1．7％，两两比较，差异无统计学意义（P〉0．05）。结论院前CPR与院内不同，受到客观多重因素的影响，在现场进行CPR时可根据院前急救反应时间、发病时间、目击者施救与否、临床表现及原发病等，抓住主要矛盾，科学、灵活地选择CAB复苏程序，但鉴于影响复苏成功率原因复杂，还有待进一步研究。

Objective To evaluate CPR procedure of cardiac arrest patients in pre - hospital emergency treatment in order to improve success rate of CPR. Methods Resuscitation success rates of CAB treatment （resuscitation process mainly on maintaining circulation）, D or DC treatment （resuscitation process mainly on early electric defibrillation ） and ABC treatment traditional CPR ） which applied to respectively 60 cardiac arrest patients in pre - hospital emergency treatment in our center from January 2005 to Decemher 2010 are compared. Results Time for reaction of pre - hospital emergency medical care of CAB group is shorter than that of other groups. Resuscitation success rate of＇ CAB group is 8.3% , ABC group 5% and D or DC group 1.7%. No significant statistics （ P 〉 0.05 ） was found in muhiple comparison. Conclusion Pre - hospital CPR, different from in - hospital CPR, was affected by objective multiple factors. With principal contradiction, CAB resuscitation procedure is chosen in a scientific and flexible way according to reaction time, onset time, primary disease, clinic manifestation, whether patients are rescued by witness in pre - hospital emergency treatment etc. However, in view of complexity of reasons for resuscitation success rate, it needs to be fiarther studied.