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目的探讨院内心脏骤停患者行连续胸外心脏按压心肺复苏能否提高复苏成功率。方法 67例院内发生心脏骤停的患者随机分为CCC-CPR组(即实验组n=35)和ICC-CPR组(即对照组n=32)。两组均按照2005国际心肺复苏指南要求进行抢救,实验组采用人工呼吸时不停止胸外心脏按压,做连续胸外心脏按压;对照组按照2:30的比率进行人工呼吸和心脏按压,每次做人工呼吸时,胸外心脏按压必须暂停,做间歇胸外心脏按压心肺复苏(ICC-CPR)。结果实验组自主循环恢复率明显高于对照组(85.5%vs 61.4%,P<0.05);24 h生存率实验组明显高于对照组(28.6%vs 15.6%,P<0.01)。结论 CCC-CPR可明显地提高院内心脏骤停患者自主循环恢复率和24 h生存率。
Objective To investigate whether continuous chest compressive cardiopulmonary resuscitation (CPR) can improve the success rate of resuscitation in patients with cardiac arrest in hospital. Methods Sixty-seven patients with cardiac arrest in hospital were randomly divided into CCC-CPR group (n = 35 in experimental group) and ICC-CPR group (n = 32 in control group). Both groups were rescued according to the requirements of the 2005 International Cardiopulmonary Resuscitation Guidelines. The experimental group did not stop the chest compressions during artificial respiration and did continuous chest compressions. In the control group, artificial respiration and heart compression were performed at the ratio of 2:30 each time When doing artificial respiration, chest compressions must be paused and intermittent cardiopulmonary resuscitation (ICC-CPR) should be performed. Results The recovery rate of spontaneous circulation in the experimental group was significantly higher than that in the control group (85.5% vs 61.4%, P <0.05). The survival rate of 24 h group was significantly higher than that of the control group (28.6% vs 15.6%, P <0.01). Conclusion CCC-CPR can significantly improve spontaneous circulation recovery rate and 24-h survival rate in patients with cardiac arrest.