2005年国际心肺复苏指南改良方案的初步探讨 - 第三军医大学学报.DOCVIP

心肺复苏中基础及进一步生命支持阶段优化实施的探讨 李亚敏，张宏亮，贺志飚，张东山，邱双发，荣 耀 （410011 长沙，中南大学湘雅二医院急诊科） [摘要] 目的 初步探讨2005年国际心肺复苏指南方案中基础及进一步生命支持阶段优化实施的疗效。方法 选取2007年9月至2009年9月我院急诊科收治的心跳停搏患者386例，按随机数字表法分为2组。A组：196例，按2005年国际心肺复苏指南方案治疗；B组：190例，在2005年国际心肺复苏指南方案基础上优化实施治疗，具体方案为：（1）基础生命支持阶段的优化。判断神志→呼救→摆放体位→开放气道→人工循环→人工呼吸（人工循环：人工呼吸为30：2），由传统的ABC步骤调整为ACB。（2）”1007型心肺复苏仪适当延长心肺复苏时间至1 h，保证有效按压。分别观察两组自主循环恢复率、自主呼吸恢复率、自主循环恢复时间、自主呼吸恢复时间、24 h存活率和出院存活率。结果 B组自主循环恢复率及自主呼吸恢复率明显高于A组（P0.05）；B组自主循环恢复时间及自主呼吸恢复时间明显短于A组（P0.05）；B组24 h存活率及出院存活率显著高于A组（P0.05）。结论 2005年国际心肺复苏指南优化实施方案较2005年国际心肺复苏指南方案可以明显提高自主循环恢复率、自主呼吸恢复率和24 h存活率、出院存活率，缩短自主循环恢复时间及自主呼吸恢复时间。 [关键词] 心肺复苏；血管加压素；肾上腺素；阿托品；胺碘酮 [中图法分类号] [文献标志码] A The improvement study of basic life support and advanced life support in cardio pulmonary resuscitation Li Yamin, Zhang Hongliang, He Zhibiao, Zhang Dongshan,Qiu Shuangfa, Rong Yao(The Second Xiangya Hospital of Central South University, Emergency Department, Changsha, 410011) [Abstract] Objective To investigate the therapy efficacy of the improvement study in 2005 international cardiopulmonary resuscitation guide. Methods 386 patients with cardiac arrest were divided into control group(A group) and observation group(B group) randomly. The rate and time of spontaneous circulation restoration, The rate and time of spontaneous respiration restoration，the 24h survival rate and the survival rate after discharge were observed in each group. Results The rate of spontaneous circulation restoration and spontaneous respiration restoration in the B group were significantly higher than those in the A group. The 24h survival rate and the survival rate in the B group were significantly higher than those in the A group. The average time of spontaneous circulation restoration and spontaneous respiration restoration in the B group were shorter than that in the A group. Conclusion the Improvement study in 2005 international cardiopulmonary resuscitation guide Compared with 2005 international cardiopul