不间断胸外按压在心肺复苏中的疗效探讨

Efficacy of Uninterrupted Chest Compressions in Cardiopulmonary Resuscitation

目的分析研究不间断胸外按压在心肺复苏中的疗效观察,以更好地提高心肺复苏的成功率。方法选择2009年7月—2013年7月该院收治的需要进行心肺复苏的患者。A组43例患者在心肺复苏过程中使用不间断胸外按压的方法,B组12例患者给予常规心肺复苏方法,对比观察两组心肺复苏的效果。结果 A组初期恢复自主循环率更高(30.23%),与B组比较,差异有统计学意义;A组患者24 h生存率(23.26%)高于B组患者,差异有统计学意义(P<0.05);影响胸外按压时间中A组(8.44±1.32s)明显短于B组,差异有统计学意义(P<0.01)。结论使用不间断胸外按压的方法能在一定程度上提高心肺复苏成功率。

Objective To analyze and study the efficacy of uninterrupted chest compressions in cardiopulmonary resuscitation so as to better improve the success rate of cardiopulmonary resuscitation. Methods The patients underwent cardiopulmonary resuscita-tion in our hospital from July, 2009 to July, 2013 were selected. 43 patients in group A were given uninterrupted chest compres-sions during the cardiopulmonary resuscitation, while 12 patients in group B were treated with conventional cardiopulmonary re-suscitation. The effect of cardiopulmonary resuscitation of these two groups were observed and compared. Results The early recov-ery of spontaneous circulation rate of group A （30.23%） was higher, compared with that of group B, the difference was statistically significant; the 24h survival rate of group A （23.26%）was higher than that of group B, the difference was statistically significant （P〈0.05）; affecting chest compressions time in group A was （8.44 ± 1.32s）, which was significantly shorter than that in group B, the difference was statistically significant （P〈0.01）. Conclusion The use of uninterrupted chest compressions can improve the suc-cess rate of cardiopulmonary resuscitation to some extent.