影响东莞市120院前心肺复苏成功相关因素研究.docVIP

影响东莞市120院前心肺复苏成功相关因素研究 　　【摘要】 目的：了解东莞市120院前心肺复苏现状和影响因素。方法：做过心肺复苏152例患者填写调查表，用Epidata建立数据库，用SPSS 13.0统计学软件进行统计学分析。结果：心肺复苏术前呼吸心搏停止时间，院前和急诊科患者分别为（20.32±18.21）min和（16.92±5.13）min（P0.05）。院前采用不同人工通气复苏效果比较差异有统计学意义（P0.05），面罩辅助呼吸给氧优于气管插管，而在急诊科则反之。复苏术前不同心电图比较差异有统计学意义（P0.01），以心室颤动最佳，心电静止最差。院前和急诊科生存率分别为9.76%和17.14%（P0.01）。结论：东莞市院前120和急诊科心肺复苏比较，复苏开始的时间，通气的方法，复苏前心电图的类形和结果差异有统计学意义。 　　【关键词】 心肺复苏； 气管插管； 心电图 　　中图分类号 R605.974 文献标识码 B 文章编号 1674-6805（2014）17-0075-03 　　【Abstract】 Objective：To study the statusquo and influencing factors of 120 prehospital cardiopulmonary resuscitation（CPR） in Dongguan.Method：152 cases who did CPR completed the questionnaire，establish a database with Epidata，were statistically analyzed using SPSS 13.0 statistical software.Result：Breathing and cardiac arrest time before CPR of prehospital first-aid patients and emergency department first-aid patients were （20.32±18.21）min and （16.92±20.13）min（P0.05）.The recovery effects of patients with different artificial ventilation prehospital were statistically significant（P0.05），mask assisted respiration to oxygen was better than endotracheal intubation assisted respiration to oxygen，and that in the emergency department was opposite.The difference of different ECG before resuscitation was statistically significant（P0.01），the best was ventricular fibrillation，the worst was ventricular still.The survival rates of prehospital and emergency department were 9.76% and 17.14%（P0.01）.Conclusion：The differences of recovery begins time，ventilation methods，ECG classes before recovery and outcome between 120 prehospital CPR and emergency department CPR in Dongguan are statistically significant. 　　【Key words】 Cardiopulmonary resuscitation； Tracheal intabation； Electrocardiogram 　　First-author’s address：Donghua Hospital Affiliated to Zhongshan University，Dongguan 523013，China 　　东莞市120自2013年运作以来取得了很大成绩，但院前心肺复苏和急诊科内心肺复苏结果有何差别及影响因素如何，需要有个阶段性总结，因此，笔者对本院院前120和院中急诊科内做过心肺复苏的患者进行调查分析，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选取2011年3月-20