上海市闵行区院外心脏骤停旁观者心肺复苏的现状分析

The current status analysis of bystander-initiated cardiopulmonary resuscitation for out-of-hospital cardiac arrest

目的：探讨院外心脏骤停病例中旁观者心肺复苏（ by－stander CPR， BCPR）的现状及其对心肺复苏（ CPR）成功率的影响。方法对2012－04－01～2013－03－31上海市闵行区急救中心接诊的1040例院外心脏骤停患者资料进行BCPR回顾性分析研究。对BCPR实施率、复苏成功率和旁观者特征等数据进行统计分析。结果 BCPR实施率为5．87％。获得BCPR的院前心脏骤停病例复苏成功率和1个月存活率显著高于未获得BCPR的病例（ P＜0．05），旁观者单纯胸外按压的复苏成功率与传统CPR间差异无统计学意义（ P＞0．05）；实施BCPR群体的年龄、职业、教育背景、经济能力、获取CPR知识的渠道等社会特征之间具有相似性。结论提高BCPR实施率可以提高院前CPR成功率和1个月生存率；简化CPR操作流程，有针对性地选择具备一定能力和意愿的社会特征的人群作为培训目标，可能获得更显著的社会经济效益。

Objective To study and explore the current status of by-stander cardiopulmonary resuscitation （ BCPR） for out-of-hospital cardiac arrest （ OHCA） and the relation between BCPR and CPR success rate.Methods We analyzed the data of 1040 patients with OHCA, the rate of BCPR, the CPR success rate, and the characteristics of CPR bystanders, etc.Results The rate of BCPR in this study was 5.87%.The patients with OHCA who received BCPR had a higher success rate of CPR and a higher rate of 1-month survival than those who did not receive BCPR（ P〈0.01）;and the success rates of CPR was similar between the patients who received Chest Compression-Only CPR and Standard CPR （P〉0.05）.Conclusion BCPR resulted a higher success rate of CPR and a higher rate of 1-month survival in OHCA patients.Simplified CPR training should be focused to a population of by-standers with better ability and willingness.