胸外按压中断时间长短对心肺复苏效果的影响

摘要

Objective To investigate the effects of chest compression interruption length on cardiopulmo-nary resuscitation (CPR)outcomes during CPR defibrillation and tracheal intubation. Methods According to the 2010 Guidelines on CPR,defibrillation and tracheal intubation process was refined during CPR.Chest com-pressions interruption time was shortened during CPR.All the 82 patients with cardiac arrest from January 201 1 to December 2012 were selected as the control group,and patients in the control group received traditional CPR process.We selected 80 cardiac arrest cases from January 2013 to December 2014 as experimental group, and patients in the experimental group received the refined defibrillation and tracheal intubation process.The CPR chest compression interruption time,spontaneous circulation recovery time and spontaneous circulation recovery rate were compared between the two groups. Results Comparisons of chest compression interrup-tion length during CPR defibrillation and of chest compression interruption length,spontaneous circulation re-covery time during CPR tracheal intubation process between the control group and the experimental group were performed,there were statistically significant differences (P < 0.05 ). Conclusion Standard CPR process can shorten the chest compression interruption time in CPR defibrillation and tracheal intubation,and can im-prove the CPR results.%目的：探讨心肺复苏(CPR)过程中，除颤期及气管插管期胸外按压中断时间长短对 CPR 复苏效果的影响。方法根据2010年 CPR 指南，规范 CPR 除颤期及气管插管期流程，缩短 CPR 过程中胸外按压中断时间。选取2011年1月~2012年12月间82例心脏骤停患者为对照组，实施常规 CPR 流程。选取2013年1月~2014年12月间80例心脏骤停患者为实验组，实施规范除颤期及气管插管期流程。对两组患者在 CPR 胸外按压中断时间、自主循环恢复时间、自主循环恢复率进行对比分析。结果两组患者 CPR 过程中除颤期胸外按压中断时间和气管插管期胸外按压中断时间、自主循环恢复时间比较差异有统计学意义(P <0.05)。结论规范 CPR 流程，可缩短 CPR 过程中除颤期及气管插管期胸外按压时间，提高复苏的效果。