CCP与ICP院前急救模式在院外心搏骤停患者中的应用效果

Application Effect of CCP and ICP Pre-hospital Emergency Mode in Out-of-hospital Cardiac Arrest Patients

目的 探究对院外心搏骤停患者行CCP与ICP院前急救模式的应用效果。方法 选取2020年1月-2021年1月收治的180例院外心搏骤停患者作为研究对象,根据不同的院前急救模式将其分为连续胸外按压(CCP)组(n=90)与间断胸外按压(ICP)组(n=90)。CCP组患者行院前CCP急救模式,ICP组患者行院前ICP急救模式。对比两组临床指标、抢救效果及存活率、出院时神经功能预后情况对比。结果 两组胸外按压数、气管插管时间、心肺复苏持续时间、电除颤次数对比,差异无统计学意义(P>0.05),ICP组每分钟按压停顿次数优于CCP组,差异具有统计学意义(P<0.05);ICP组自主循环恢复率、复苏成功率、出院存活率、出院后6个月存活率均高于CCP组,差异具有统计学意义(P<0.05)。ICP组出院时神经功能预后情况显著优于CCP组,差异具有统计学意义(P<0.05)。结论 对院外心搏骤停患者行ICP院前急救模式能提高患者自主循环恢复率、复苏成功率、存活率,对患者远期预后具有较好的效果。

Objective To analyze and explore the application effect of CCP and ICP in pre-hospital emergency treatment of out-of-hospital cardiac arrest patients. Methods A total of 180 patients with out-of-hospital cardiac arrest admitted to our hospital from January 2020 to January 2021 were selected as the subjects of this study. According to different pre-hospital emergency modes, they were divided into continuous chest compressions(CCP) group(n=90) and interrupted chest compressions(ICP) group(n=90). Patients in CCP group received pre-hospital CCP mode, and patients in ICP group received pre-hospital ICP mode. Clinical indicators, rescue effect, survival rate and neurological function prognosis at discharge were compared between the two groups. Results There were no statistically significant differences in the number of chest compressions, endotracheal intubation time, cardiopulmonary resuscitation duration and times of electric defibrillation between the two groups(P>0.05). The number of compressions pause per minute in ICP group was better than that in CCP group, and the difference was statistically significant(P<0.05). The recovery rate of independent circulation, success rate of resuscitation, discharge survival rate and survival rate at 6 months after discharge in ICP group were higher than those in CCP group, the differences were statistically significant(P<0.05). The neurological function prognosis of the ICP group was significantly better than that of the CCP group at discharge, and the difference was statistically significant(P<0.05). Conclusions ICP pre-hospital emergency treatment for patients with out-of-hospital cardiac arrest can improve the recovery rate of spontaneous circulation, the success rate of resuscitation and the survival rate, and has a good effect on the long-term prognosis of patients, with high clinical application value.