摘要
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(≤5min)组,113例;B组为晚期复苏(>5min)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。
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.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第12期1322-1323,1326,共3页
Chinese General Practice
关键词
急救医疗服务
心肺复苏术
除颤器
Emergency medical Services
Cardiopulmonary resuscitation
Defibrllators
