腹部提压心肺复苏多中心临床实验报告

Multi-center clinical report of cardiopulmonary resuscitation with abdominal lifting and compression

目的探讨腹部提压法抢救心搏骤停患者的复苏效果。方法根据腹部提压法病例纳入标准及排除标准，筛选2014年1月至2015年6月海南市人民医院及郑州市人民医院72例心搏骤停患者为实验组，采集患者基本信息，并记录进行腹部提压心肺复苏前后呼吸循环相关指标，计算自主循环恢复率及复苏成功率，进行单组设计一元定量与定性资料差异性分析。结果最终临床入选共计72例，使用腹部提压仪进行腹部心肺复苏病例的自主循环恢复成功率为15．3％（11／72），与预试验的自主循环恢复率13．0％之间的差异无统计学意义（P=0．566）；将腹部提压心肺复苏有效率15．3％与0．1％（即不采用此方法或采用胸部按压法的复苏率）比较（P〈0．01），采用腹部提压心肺复苏的自主循环恢复率较不采用此法有了明显提高。结论腹部提压心肺复苏仪具有较高的稳定性、便捷性和安全性。腹部提压心肺复苏方法在呼吸心搏骤停患者的抢救中作用也比较突出，弥补了传统心肺复苏方法的不足。

Objective To study the effectiveness and safety of abdominal lifting and compression method in patients sufferred from cardiac arrest （CA） . Methods According to the inclusion and exclusion criteria, 72 patients from Hainan People＇s Hospital and Zhengzhou People＇ s Hospital were enrolled for study of abdominal lifting and compression （ALC） method from January 2014 to June 2015. The markers of respiratory and circulatory performance of all patients were recorded, and re-collected after CPR with ALC. In addition, the data of demographics and clinical signs of patients were collected. The rates of restoration of spontaneous circulation （ROSC） and successful resuscitation were calculated. Differential analysis of single- group design univariate quantitative and qualitative data was carried out. Results A total of 72 patients were included finally. The ROSC rate was 15.3% （11/72） after using ALC equipment, and there was no statistically significant difference in rate of ROSC （ P = 0. 566 ） between ALC and pre-test （ 13.0% ）. However, compared with NT group resuscitated without using ALC method or with using chest compression method, the rate of ROSC was significantly improved in the ALC group （15.3% vs. 0. 1%, P 〈0. 01）. Conclusions Abdominal lifting and compression CPR equipment is stable, portable and safe in practice.Abdominal lifting and compression CPR method has its prominent role in saving patients from respiratory and cardiac arrest, and it is sufficient to overcome the disadvantages of conventional CPR method.