自动体外除颤仪急诊急救的应用与效益评估

Emergency applications and the assessment of automated external defibrillator (AED)

目的探讨自动体外除颤仪(AED)在急诊急救中对心搏骤停(CA)患者抢救成功率的影响。方法收集2005～2007年我科在急诊急救中出现CA10min内获得AED除颤的患者69例作为研究组;收集2002～2007年我院临床科室因各种原因出现心搏骤停10min内未获得AED除颤的患者59例作为对照组。分析并研究AED在心搏骤停患者中早期使用的临床意义。结果研究组心搏骤停患者因AED的使用抢救成功率仅62.3%;对照组心搏骤停患者因未使用AED抢救的成功率仅20.3%。两组比较差异有统计学意义(P<0.05)。结论AED在心搏骤停患者早期使用能明显提高抢救的成功率,并具有显著的临床价值。

Objective To explore the effect of the automated external defibrillator（AED） on survival rate of patient with cardiac arrest （CA） in emergency treatment. Methods From 2005 to 2007, 69 cases （ experiment group） with CA during emergency treatment accepted AED within 10 minutes. From 2002 to 2007, in clinical departments of our hospital 59 cases （ control group ） with CA induced by various reasons did not received AED within 10 minutes. To analyse and research clinical significance of early use of AED in CA patients. Results Successful rate was 62.3 % in the experiment group, and was 20.3% in control group. Between the two groups, there were statistical significance （ P 〈 0.05 ）. Conclusion Early use of AED in CA patients can markedly improve the successful rate of rescue.