Hou Lei, Chen Guixiu, Kan Haowen, Liu Jiaxin, Ma Junyao, Quan Keyi, Feng Xuefei
National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
School of Public Health, Inner Mongolia Medical University, Hohhot City, Inner Mongolia Autonomous Region, China.
China CDC Wkly. 2025 May 23;7(21):737-742. doi: 10.46234/ccdcw2025.122.
Public-access cardiopulmonary resuscitation (CPR) ranks first in the "Prevention and Control of Major Diseases" section of the . However, Chinese patients who have experienced out-of-hospital cardiac arrest (OHCA) are reported to have a survival rate at discharge of only 0.35%. This study explored the necessity of CPR legislation in China by comparing CPR-related legislation among four major global economies: the USA, China, Germany, and Japan. We searched for national, provincial, and major urban regulations in China and analyzed indicators related to public-access CPR. All four countries have laws supporting life-saving out-of-hospital interventions. However, unlike the other three countries, no national laws in China mention CPR, defibrillators, or cardiac arrest. China has only 23 local regulations across 67 provincial regions or major cities and no national regulations on pre-hospital emergency care. Among these 23 existing regulations, only 4.3% mention cardiac arrest, 39.1% mention CPR, 73.9% mention defibrillators, and none mention telecommunicator CPR. Moreover, 17.4% of these regulations do not include any of the legislative points appearing in the national laws of the three comparator countries. The current legislative status concerning public-access CPR is inconsistent with the position on CPR outlined in the . We recommend initiating and accelerating a specialized for China.
公众可及的心肺复苏术（CPR）在[具体文件名称未给出]的“重大疾病防控”部分位列首位。然而，据报道，中国院外心脏骤停（OHCA）患者出院时的生存率仅为0.35%。本研究通过比较美国、中国、德国和日本这四个全球主要经济体的心肺复苏相关立法，探讨了中国心肺复苏立法的必要性。我们检索了中国的国家、省级和主要城市法规，并分析了与公众可及心肺复苏相关的指标。所有四个国家都有支持院外救生干预的法律。然而，与其他三个国家不同的是，中国没有国家法律提及心肺复苏术、除颤器或心脏骤停。中国在67个省级地区或主要城市仅有23项地方法规，且没有关于院前急救的国家法规。在这23项现有法规中，仅4.3%提及心脏骤停，39.1%提及心肺复苏术，73.9%提及除颤器，没有一项提及调度员实施的心肺复苏术。此外，这些法规中有17.4%未包含三个对比国家国家法律中出现的任何立法要点。目前关于公众可及心肺复苏的立法现状与[具体文件名称未给出]中概述的心肺复苏立场不一致。我们建议为中国启动并加快一项专门的[具体内容未给出]。
