急救前移对心搏骤停患者在院前急救中的作用分析

Effect of pre-first aid on cardiac arrest patients in pre-hospital emergency

目的分析急救前移对心搏骤停患者在院前急救中的作用。方法选取本中心2018年1月—2018年12月接诊的147例心搏骤停患,依据有无进行急救前移分为观察组(73例)与对照组(74例)。对比2组救治时间和复跳率。结果观察组患者在心搏骤停后首次进行胸外按压时间、心搏骤停后至医院的时间、院前死亡率,均低于对照组,差异有统计学意义(P<0.05)。观察组患者院前心脏复跳率(5.5%)、院内心脏复跳率(12.3%)均高于对照组(4.1%、6.8%),差异有统计学意义(P<0.05)。2组患者心搏骤停后首次进行电除颤时间、院内死亡率比较,差异无统计学意义(P>0.05)。结论急救前移可以降低心搏骤停患者的死亡率,应当在院前急救中应用。

Objective To investigate the effect of pre-first aid on cardiac arrest patients in pre-hospital emergency.Methods A total of 147 cases of cardiac arrest received by a hospital were selected for research from January 2018 to December 2018.The patients were divided into a trial group(73 cases) and a control group(74 cases) according to whether they had received advanced first aid.The treatment time and recurrence rate were compared between two groups.Results In the trial group,the time of chest compression for the first time after cardiac arrest,the time of arriving at hospital after cardiac arrest,and the death rate before arriving at hospital were all lower than those in the control group(all P <0.05).The cardiac re-beat rate of pre-hospital(5.5%) and the cardiac re-beat rate of arriving at hospital(12.3%) in the trial group was higher than those(4.1% and 6.85) in the control group(both P <0.05).There were no significant differences between the two groups in the time of first electrical defibrillation after cardiac arrest and the in-hospital death rate(both P> 0.05).Conclusion The pre-first aid can reduce the death rate of patients with cardiac arrest and should be used in the first aid before hospital.