中国急救医学
中國急救醫學
중국급구의학
CHINESE JOURNAL OF CRITICAL CARE MEDICINE
2010年
4期
371-374
,共4页
周文%张希洲%王青丽%田萍%周敬梅%赵建华%张冬访
週文%張希洲%王青麗%田萍%週敬梅%趙建華%張鼕訪
주문%장희주%왕청려%전평%주경매%조건화%장동방
心脏骤停%目击者%电话指导%心肺复苏
心髒驟停%目擊者%電話指導%心肺複囌
심장취정%목격자%전화지도%심폐복소
Cardiac arrest%Bystander%Telephone cardiopulmonary resuscitation(T-CPR)
目的 评估出诊医生参与电话指导目击者实施心肺复苏(CPR)的可行性和有效性,并探讨电话指导的方法及影响电话指导的相关因素.方法 回顾分析2008-01～2009-04 32例院前心脏骤停(CA)患者的救治方法,没有电话指导或指导不成功18例,目击者未实施CPR;出诊医生采用预先制定的电话指导方案成功给予了电话指导14例,目击者实施了CPR.比较两组的复苏结果,并计算通过电话指导方案正确识别CA的比率,目击者对出诊医师电话指导CPR的接受率及CPR正确率等.结果 电话指导目击者25例,接受指导19例(19/25,76%),不接受6例.经指导成功完成CPR 14例(14/19,73.7%),未完成5例.指导人员采用电话指导方案正确识别CA 17例(17/19,89.5%),目击者正确实施CPR 5例(5/14,35.7%).目击者行CPR 14例中院前成活5例(35.7%),目击者未行CPR 18例中院前成活1例(5.6%).院前成活率两组比较有统计学意义(P＜0.01).结论 出诊医生依据简化的电话指导CPR方案参与电话指导目击者实施CPR能提高CA院前复苏结果.但值得注意的是电话指导受诸多因素影响.
目的 評估齣診醫生參與電話指導目擊者實施心肺複囌(CPR)的可行性和有效性,併探討電話指導的方法及影響電話指導的相關因素.方法 迴顧分析2008-01～2009-04 32例院前心髒驟停(CA)患者的救治方法,沒有電話指導或指導不成功18例,目擊者未實施CPR;齣診醫生採用預先製定的電話指導方案成功給予瞭電話指導14例,目擊者實施瞭CPR.比較兩組的複囌結果,併計算通過電話指導方案正確識彆CA的比率,目擊者對齣診醫師電話指導CPR的接受率及CPR正確率等.結果 電話指導目擊者25例,接受指導19例(19/25,76%),不接受6例.經指導成功完成CPR 14例(14/19,73.7%),未完成5例.指導人員採用電話指導方案正確識彆CA 17例(17/19,89.5%),目擊者正確實施CPR 5例(5/14,35.7%).目擊者行CPR 14例中院前成活5例(35.7%),目擊者未行CPR 18例中院前成活1例(5.6%).院前成活率兩組比較有統計學意義(P＜0.01).結論 齣診醫生依據簡化的電話指導CPR方案參與電話指導目擊者實施CPR能提高CA院前複囌結果.但值得註意的是電話指導受諸多因素影響.
목적 평고출진의생삼여전화지도목격자실시심폐복소(CPR)적가행성화유효성,병탐토전화지도적방법급영향전화지도적상관인소.방법 회고분석2008-01～2009-04 32례원전심장취정(CA)환자적구치방법,몰유전화지도혹지도불성공18례,목격자미실시CPR;출진의생채용예선제정적전화지도방안성공급여료전화지도14례,목격자실시료CPR.비교량조적복소결과,병계산통과전화지도방안정학식별CA적비솔,목격자대출진의사전화지도CPR적접수솔급CPR정학솔등.결과 전화지도목격자25례,접수지도19례(19/25,76%),불접수6례.경지도성공완성CPR 14례(14/19,73.7%),미완성5례.지도인원채용전화지도방안정학식별CA 17례(17/19,89.5%),목격자정학실시CPR 5례(5/14,35.7%).목격자행CPR 14례중원전성활5례(35.7%),목격자미행CPR 18례중원전성활1례(5.6%).원전성활솔량조비교유통계학의의(P＜0.01).결론 출진의생의거간화적전화지도CPR방안삼여전화지도목격자실시CPR능제고CA원전복소결과.단치득주의적시전화지도수제다인소영향.
Objective To evaluate the feasibility and effectiveness of emergency doctor telephone -directed cardiopulmonary resuscitation and explore the method of CPR instruction via telephone and factors that may impact implementation of telephone CPR. Methods 32 cases of out-of-hospital witnessed adult cardiac arrest were reviewed that occurred from January 2008 to April 2009, 18 cases of cardiac arrest victims did not received bystander CPR, 14 cases received bystander CPR through the instructions of emergency doctors with a simplified CPR instruction program. The outcomes between two groups were compared and the correct identification rate of CA through the T-CPR program and accepting T-CPR rate and correct CPR rate of bystanders were measured. Results 19 witnesses accepted the offer of T-CPR while 25 have been offered and 14 completed T-CPR. The correct identification rate of CA through the T-CPR program was 89.5%. The correct CPR rate of bystanders was 35.7%. The out-of-hospital survival rate was significantly better in the bystander CPR group (35.7%) than in the no-bystander CPR group (5.6%)(P<0.01). Conclusion Emergency doctor-assisted bystander CPR may increase survival rate in cardiac arrest and more factors may impact implementation of telephone CPR.
