急救医疗小组的构建及效果评价

Establishment and Evaluation of Emergency Medical Team

目的提高ICU之外的心肺骤停患者抢救成功率。方法采用前瞻性研究,心肺骤停患者的抢救通过建立与运行急救医疗小组作为干预组,包括建立急救医疗小组、设置急救流程和对急救医疗小组人员进行相应资质培训等措施,与实施常规抢救流程的对照组比较患者的现场抢救成功率、抢救成功数中7 d内患者转归情况、家属对抢救工作和能力的满意度。结果干预组建立急救医疗小组运行后1年内,心肺骤停患者抢救成功率及和抢救后的家属满意度较实施常规抢救流程的对照组明显提高,差异有统计学意义(P<0.05)。结论建立急救医疗小组有助于提高ICU之外的心肺骤停患者抢救成功率及家属满意度,改善患者预后。

Objective To improve the success rate of cardiopulmonary arrest patients outside ICU. Methods We conducted a prospective study. Patients with cardiopulmonary arrest were divided into intervention group and control group. In intervention group,we established an emergency medical team and then took a series of measures such as setting up emergency process, and providing qualification training for the team. In control group, conventional first-aid measures were performed. The successful rate of first-aid on the spot, patients＇ outcome after 7d and families＇ satisfaction with the first-aid were compared in both groups. Results The success rescue rate and patients＇ satisfaction were significantly improved in 1-year intervention and the difference was statistically significant（P〈0.05）. Conclusion The emergency medical team can improve the successful rescue rate of cardiopulmonary arrest patients outside ICU.