标准心肺复苏技术对院外心脏性猝死患者的影响

[摘要] 目的 分析标准心肺复苏技术并综合干预措施对院外心脏性猝死患者的影响。 方法 选取2010年3月～2012年3月东莞市厚街地区抢救的63例OHCSD患者为观察组，参与抢救人员经专业化培训；同时，选取2007年12月～2011年12月抢救的60例OHCSD患者为对照组，参与抢救人员未经专业化培训；均采用CPR联合AED技术以及高级生命支持措施抢救。对比两组发病至救治时间及抢救后患者的存活率、死亡率以及整体抢救效果。 结果 观察组发病距离救治时间平均（9.3±1.7）min比对照组平均（14.2±2.3）min相对更短（P

[关键词]标准心肺复苏；综合干预；院外；心脏性猝死

[中图分类号] R541 [文献标识码] B [文章编号] 2095-0616（2013）14-168-02

Influence of standard cardiopulmonary resuscitation technique in patients with sudden cardiac death outside the hospital

CHEN Yanling HU Huailing HUANG Chunyan LI Xincheng CAI Chuanying

Department of Emergency，Houjie Hospital of Dongguan，Dongguan 523945，China

[Abstract] Objective To analyse the influence of CPR technique joint the comprehensive intervention measures used in patients with sudden cardiac death outside the hospital. Methods 63 cases of OHCSD patients were selected from March 2010 to March 2012 in Houjie districtof Dongguan city，defined as observation group，participate in the rescue personnel were all traininged by the specialized training.At the same time，60 cases of OHCSD patients were selected from December 2007 to December 2011，defined as control group；all the patients were rescued by CPR joint AED technology and advanced life support.Then compared the time from onset to treatment、the patients' survival rates，mortality and overall effect of the two groups after the rescue. Results The time from onset to treatment of the observation group was （9.3±1.7）min，and it was Relatively short comepared with the （14.2±2.3） min of the control group.The survival rate of observation group after rescue was 28.6%，the mortality was 71.4%；and the survival rate of observation group after rescue was 13.3%， the mortality was 86.7%；the whole rescue effect of the observation group was more obvious（P

[Key words] Standard cardiopulmonary resuscitation；Comprehensive intervention；Outside the hospital；Sudden cardiac death

院外心脏性猝死（OHCSD）是临床常见的高危病症，临床死亡率很高。当前国内整体抢救成功率仍不高，加强对OHCSD抢救措施的探讨，并选取相对更有效的抢救方式，对提升患者的生命安全性，改善临床抢救效果意义显著[1]。本研究即以东莞市厚街地区（珠三角地区）抢救OHCSD患者的抢救资料为例进行相应探讨，以为OHCSD患者的有效抢救提供相关参照，现报道如下。

1 资料与方法

1.1 一般资料

2010年3月～2012年3月东莞市厚街地区共抢救OHCSD患者63例，为观察组；男37例，女26例；年龄在7～84岁，平均（58.2±4.1）岁。另外，随机选取东莞市厚街地区2007年12月～2011年12月抢救的OHCSD患者60例，为对照组；其中，男36例，女24例；年龄8～82岁，平均（57.8±3.7）岁。两组患者的性别、年龄、发病至抢救时间等资料比较，差异无统计学意义（P>0.05），具有可比性。