医院不同工作时间对老年心脏骤停复苏成功率的影响

Study on the effect of hospital working time on success rate of cardiac resuscitation for senile sudden cardiac arrest

目的探讨医院不同工作时间及不同医护人数对老年患者心脏骤停复苏成功率的影响。方法对 16 5 9例老年心血管住院病人发生心脏骤停的 5 6例患者分别收集心脏骤停时心电类型、心脏骤停时间、参加抢救的医护人员人数、抢救措施及转归。根据骤停的时间与医院工作时间的关系 ,分为上班组和值班组 ;按参加抢救的医护人员数分为两人组和两人以上组。分别比较两组复苏成功率的差异。结果上班组复苏成功率高于值班组 (P <0 .0 5 ) ;医护两人以上组复苏成功率高于两人组 (P <0 .0 5 )。结论医院不同工作时间影响老年心脏骤停复苏成功率 ;应加强一线值班人员特别是夜班人员数目 ,并制定出更好的应对心脏骤停病人的措施。

Objective To study the effect of hospital working time and number of medical workers on success rate of cardiac resuscitation. Method Collect the data of 56 cardiac arrest patients on the cardiac electricity type, time of CA, number of medical workers participating the resuscitation, emergency Method and the results. According to the number of medical workers participating resuscitation patients were divided into 2member group and more than 2member group. Compared the success rate of resuscitation between the two groups. Results Success rate in normal duty group was higher than that of shiftduty group (P<0.05). Success rate in more than 2member group was higher than in 2member group (P<0.05).Conclusion Different working time affect the success rate of resuscitation in senile population. We should arrange more medical worker on nightduty and take some measure to deal with CA.