Guo Jinping, Feng Shunyi, Wang Bo, Nie Shen, Li Yong
Department of Emergency, Cangzhou Central Hospital, Cangzhou 061000, Hebei, China. Corresponding author: Li Yong, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2017 Oct;29(10):940-942. doi: 10.3760/cma.j.issn.2095-4352.2017.10.016.
To investigate the effect of a stabilization device for maintaining the balance of a cardiopulmonary resuscitation (CPR) performer during ambulance transportation on quality of CPR in out-of-hospital cardiac arrest (OHCA).
A prospective randomized controlled trial was performed. 167 OHCA patients with cardiac arrest (CA) time < 10 minutes admitted to Cangzhou Central Hospital from October 2014 to January 2017 were enrolled, and divided into armed stabilization device group (n = 86) and unarmed stabilization device group (n = 81) by random number table. Restoration of spontaneous circulation (ROSC) rate, 24-hour survival rate and survival rate of discharge were evaluated.
Compared with unarmed stabilization device group, ROSC rate (29.1% vs. 9.9%, χ = 9.691, P = 0.002), 24-hour survival rate (20.9% vs. 6.2%, χ = 7.649, P = 0.006) and survival rate of discharge (12.8% vs. 3.7%, χ = 4.485, P = 0.035) were significant increased in armed stabilization device group.
CPR with stabilization device during ambulance transport could effectively ensure quality of CPR and improve prognosis in OHCA.
Chinese Clinical Trial Registry, ChiCTR-IPR-14005337.
探讨一种用于在救护车转运期间维持心肺复苏（CPR）实施者平衡的稳定装置对院外心脏骤停（OHCA）患者心肺复苏质量的影响。
进行一项前瞻性随机对照试验。选取2014年10月至2017年1月在沧州市中心医院收治的心脏骤停（CA）时间<10分钟的167例OHCA患者，通过随机数字表分为有支撑稳定装置组（n = 86）和无支撑稳定装置组（n = 81）。评估自主循环恢复（ROSC）率、24小时生存率和出院生存率。
与无支撑稳定装置组相比，有支撑稳定装置组的ROSC率（29.1%对9.9%，χ = 9.691，P = 0.002）、24小时生存率（20.9%对6.2%，χ = 7.649，P = 0.006）和出院生存率（12.8%对3.7%，χ = 4.485，P = 0.035）均显著提高。
在救护车转运期间使用稳定装置进行心肺复苏可有效确保OHCA患者的心肺复苏质量并改善预后。
中国临床试验注册中心，ChiCTR-IPR-14005337。
