中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
12期
1322-1323,1326
,共3页
急救医疗服务%心肺复苏术%除颤器
急救醫療服務%心肺複囌術%除顫器
급구의료복무%심폐복소술%제전기
Emergency medical Services%Cardiopulmonary resuscitation%Defibrllators
目的 通过对院前454例心搏骤停患者进行心肺复苏(CPR)成败因素的分析,旨在进一步提高院前心肺复苏的成功率. 方法 对我中心2002年5月-2008年5月心搏骤停454例院前死亡患者的完整资料进行总结分析,以心搏骤停后得到复苏时间早晚分为A、B两组:A组为早期复苏(≤5 min)组,113例;B组为晚期复苏(>5 min)组,341例. 结果 A组113例心肺复苏有效54例,有效率为47.0%,复苏成功23例,成功率为20.3%;B组341例心肺复苏有效29例,有效率为8.5%.A、B组由急救中心接到呼救到达现场平均间期分别为(2.5±0.7)min和(12.6±1.5)min;A组患者由急救专业人员行除颤、气管插管复苏有效率分别为25.7%及35.4%,B组患者除颤、气管插管复苏有效率分别为1.8%及1.2%,以上指标两组比较差异均有统计学意义(P<0.05). 结论 在社会重点人群中普及急救知识、心肺复苏知识教育有非常重要的意义,由目击者及早进行心肺复苏,缩短呼叫-到达现场间期,熟练的气管插管、早期电除颤、合理使用心肺复苏药物是进一步提高心肺复苏成功率的关键.
目的 通過對院前454例心搏驟停患者進行心肺複囌(CPR)成敗因素的分析,旨在進一步提高院前心肺複囌的成功率. 方法 對我中心2002年5月-2008年5月心搏驟停454例院前死亡患者的完整資料進行總結分析,以心搏驟停後得到複囌時間早晚分為A、B兩組:A組為早期複囌(≤5 min)組,113例;B組為晚期複囌(>5 min)組,341例. 結果 A組113例心肺複囌有效54例,有效率為47.0%,複囌成功23例,成功率為20.3%;B組341例心肺複囌有效29例,有效率為8.5%.A、B組由急救中心接到呼救到達現場平均間期分彆為(2.5±0.7)min和(12.6±1.5)min;A組患者由急救專業人員行除顫、氣管插管複囌有效率分彆為25.7%及35.4%,B組患者除顫、氣管插管複囌有效率分彆為1.8%及1.2%,以上指標兩組比較差異均有統計學意義(P<0.05). 結論 在社會重點人群中普及急救知識、心肺複囌知識教育有非常重要的意義,由目擊者及早進行心肺複囌,縮短呼叫-到達現場間期,熟練的氣管插管、早期電除顫、閤理使用心肺複囌藥物是進一步提高心肺複囌成功率的關鍵.
목적 통과대원전454례심박취정환자진행심폐복소(CPR)성패인소적분석,지재진일보제고원전심폐복소적성공솔. 방법 대아중심2002년5월-2008년5월심박취정454례원전사망환자적완정자료진행총결분석,이심박취정후득도복소시간조만분위A、B량조:A조위조기복소(≤5 min)조,113례;B조위만기복소(>5 min)조,341례. 결과 A조113례심폐복소유효54례,유효솔위47.0%,복소성공23례,성공솔위20.3%;B조341례심폐복소유효29례,유효솔위8.5%.A、B조유급구중심접도호구도체현장평균간기분별위(2.5±0.7)min화(12.6±1.5)min;A조환자유급구전업인원행제전、기관삽관복소유효솔분별위25.7%급35.4%,B조환자제전、기관삽관복소유효솔분별위1.8%급1.2%,이상지표량조비교차이균유통계학의의(P<0.05). 결론 재사회중점인군중보급급구지식、심폐복소지식교육유비상중요적의의,유목격자급조진행심폐복소,축단호규-도체현장간기,숙련적기관삽관、조기전제전、합리사용심폐복소약물시진일보제고심폐복소성공솔적관건.
Objective To analyze the factors of success and failure pre-hospital cardiopulmonary resuscitation (CPR) for 454 cardiac arrest patients so as to explore how to further raise pre-hospital success rate of CPR.Methods The data were summarized and analyzed of 454 patients who died at pre-hospital and whose records were complete in our emergency center from February 2002 to May 2008.The patients were divided as group A (113 cases underwent early resuscitation,≤5min after cardiac arrest) and group B (341 cases underwent late recovery ＞5min).Results In group A the CPR efficiency rate was 47% (54/113),the success rate was 20.3% (23/113).While in group B efficiency rate was 8.5% (29/341),The average period from the time receiving a call for help to the time arriving at the scene of the professionals of the first-aid center was(2.5 ± 0.7)min for group A,and(12.6 ± 1.5)min for group B group.The CPR efficiency rates in defibrillation and endotracheal intubation were 25.7 % and 35.4% respectively in group A,and 1.8% and 1.2% respectively in group B.There were statistically significant differences between the two groups in all the above indexes (P<0.05).Conclusion Popularization of knowledge on first aid and CPR among social key population is of very important significance.It is the key to further raise the success rate that the CPR is done by witnesses as soon as possible to shorten the time from call to arriving at the scene,skilled endotracheal intubation and an early defibrillation are performed,and resuscitation drugs is rationally applied.
