除颤在院前急救心肺复苏中的应用和护理措施

Defibrillation Applied to the Cardiopulmonary Resuscitation in Pre-hospital Care and the Corresponding Nursing Measures

目的探讨总结除颤在院前急救心肺复苏中的应用和护理措施,促进急救心肺复苏的成功率。方法回顾分析该中心2011年11月—2014年11月期间抢救的心搏骤停患者300例,根据急救方式分为两组,观察组采用AED除颤器配合心肺复苏抢救措施进行急救,对照组采用常规心肺复苏措施进行急救,对比两组患者心肺复苏成功率以及急救存活率。结果观察组现场心肺复苏33例(22.0%),对照组现场心肺复苏15例(10.0%),两组对比差异有统计学意义(χ2=5.3571,P=0.0206);观察组患者出院存活率明显优于对照组差异有统计学意义(χ2=8.7575,P=0.0031)。结论在院前急救中进行早期除颤处理可有效提升心肺复苏的成功率,及时配合急救医生做好除颤措施的配合工作,以提高急救成功率,促进患者生存。

Objective To investigate and summarize defibrillation applied to the cardiopulmonary resuscitation in pre-hospital care and the corresponding nursing measures so as to increase the success rate of emergency cardiopulmonary resuscitation. Methods A retrospective analysis was conducted on the 300 cases with sudden arrest of heart beat rescued in Xinjiang Urumqi Red Cross Emergency Center from November 2011 to November 2014. The patients were divided into two groups in accordance with the rescue method. The observation group was rescued by AED defibrillator combined with cardiopulmonary resuscitation, and the control group was rescued by the conventional cardiopulmonary resuscitation. And the success rate of resuscitation and survival rate of rescue were compared between the two groups. Results 33 cases（22.0%） were rescued successfully in the observation group, 15cases（10.0%） were rescued successfully in the control group, the difference between the two groups was statistically significant（χ^2=5.3571,P=0.0206）. The survival rate after discharge of the observation group was much higher than that of the control group with statistically significant difference（χ^2=8.7575, P=0.0031）. Conclusion Early defibrillation treatment can effectively improve the success rate of cardiopulmonary resuscitation. In order to improve the rescue success rate and the survival rate of the patients, cooperation of defibrillation treatment should be timely done well.