专职化院前急救对心肺复苏成功率的影响

Effects of professional prehospital emergency care on the sucess rate of cardiopulmonary resuscitation

目的探讨专职化院前急救对心肺复苏成功率的影响。方法135例院前心肺复苏患者的资料,按非专职化院前急救与专职化院前急救两种情况进行分组,从医务人员状况、出车时间、到达现场时间、院前应用高级生命支持技术(ACLS)技术及抢救成功率等方面进行对比研究。结果专职化院前急救心肺复苏成功率达26.8%,较非专职化成功率3.7%有显著的提高(P<0.05),且出车时间、到达现场时间、车载设备的配备、现场应用高级生命支持技术等均有明显的改善。结论专职化院前急救可提高院前心肺复苏的成功率。

Objective To investigate the effects of prehospital emergency care The data of on the sucess tate of cardiopalmonary resuscitation. Methods The data of 135 trauma patients who received cardiopulmonary resuscitation were analyzed. Emergency care personnel were divided into two groups, professional and non-professional, and comparisons of the general situation, dispatch time and arrival time of the two groups, ACLS measures executed and the efficiency of emergency care were compared between such two groups. Results The efficiency of emergency care reached 26.8% in professional group, which had been significandy improved compared with 3.7% in non-professional （P 〈 0.05 ）. Moreover, dispatch or arrival time of medical personnel, emergency care facilities and on-site first-aid measures were also improved significantly. Conclusion Professional prehospital emergency care could improve the efficiency of cardiopulmonary resuscitation.