院前急救心肺复苏条件差异对心脏骤停病人的疗效影响

Prehospital cardiopulmonary resuscitation condition difference on the cardiac arrest patient curative effect

目的:研究提高心脏骤停病人院前救治的综合水平以及影响心脏骤停院前救治效果的因素。方法:采用对目标人群中心脏骤停病人进行院前心肺复苏术,用院前心肺复苏术临床效果研究调查346份病例资料。结果:按照院前心肺复苏的条件进行分组对比分析,发现在呼救反应时间长短、有无旁观者参与、有无电击除颤方面的差异具有统计学意义(P<0.05),而气道开放后使用球囊面罩和气管插管差异无统计学意义。结论:心脏骤停病人在呼救反应时间小于10分钟、现场有旁观者参与复苏、早期启用电除颤者心肺复苏成功率最高。

Objective：Study of improving cardiac arrest patients of prehospital treatment integrated level and the effects of cardiac arrest of prehospital treatment effect factors.Method：The target population of cardiac arrest patients with prehospital cardiopulmonary resuscitation, with prehospital cardiopulmonary resuscitation clinical effect study on survey of 346 cases.Result：According to the pre hospital cardiopulmonary resuscitation conditions were contrastively analysis, found in the SOS response duration, there is no spectator participation, with or without defibrillation shocks in terms of the difference was statistically significant （P〈O.05） and airway opening after the use of balloon mask and tracheal intubation showed no statistical significance.Conclusion：Cardiac arrest patients in emergency response time of less than 10 minutes, the scene a bystander participation resuscitation, early enable defibrillation aspects of car- diopulmonary resuscitation the highest success rate.