胸腹按压与胸外按压对猝死患者复苏效果的对照

The Objective about the Survival Rate of Patients with Sudden Death,which the Effects of Phased Chest and Abdominal Compression Cardiopulmonary Resuscitation

目的通过对胸腹按压心肺复苏术与标准心肺复苏的对照研究,了解其对猝死患者生存率的影响。方法入选患者38例,其中男性24例,女性14例;年龄(55±10.3)岁。将患者随机分为胸腹按压心肺复苏术组(胸腹CPR)和标准胸外按压心肺复苏术组(标准CPR)。胸腹CPR是在标准CPR进行胸外按压和腹部按压间断进行。结果①血压:胸腹CPR组和标准CPR组分别为(76.2±3.1)/(44.1±2.4)mmHg(P<0.05)和(74.7±2.8)/(43.6±1.9)mmHg;②血氧饱和度和复苏时间:两组间无明显差别;③复苏成功率:胸腹CPR组为20例(75%),标准CPR组为28例(61.1%);两组间有显著差(P<0.05)。结论胸腹CPR方法可以提高猝死患者的生存率。

Objective The research about the effects of phased chest and abdominal compressi, and which way could get high rate of patients with sudden death. Model Select 38 patients including 24 males and 14 females whose age is（55.2±10.3）in this study. The patients who sudden death was divided the into two groups. The group is that chest and abdominal compression cardiopulmonay resuscitation（CACPR） and the group of cardiopulmonary resuscitation（CPR）. CACPR refers to the technique of making the abdomina compression in the wake of the TCPR. Results ①Blood pressure, which we can find： this technique can more effectively increase blood pressure than the TCPR, and the former can heighten blood pressure to（76.2±3.1）/（44.1±2.4）mmHg, while the latter to（74.7±2.8）/（43.6±1.9）mmHg（P〈0.05）; ②Hemoglobin oxygen saturation and resuscitation time： there are 20 patients（52.6%） to be revived in the CACPR group, but 18 patients（47.4%） to in the TCPR group（P〈0.05）. As far as the survival rate of two groups is concerned, one is 39.5%（15 patients）, the other is 28.9%（11 patients）（P〈0.05）. The CACPR technique can improve the survival rate during the first-aids of the patients suffering sudden death.