体外自动除颤仪在急性心肌梗死心脏骤停急救中的效果观察

Observation on the effect of external defibrillator in emergency treatment of acute myocardial infarction cardiac arrest

目的 观察体外自动除颤仪在急性心肌梗死心脏骤停急救中的临床效果。方法 回顾性分析2017年1月-2019年12月期间因急性心肌梗死心脏骤停至潜江市中心医院急诊科急救的112例病历资料,根据除颤方式的不同分为人工除颤组(55例)和体外自动除颤仪组(57例),比较2组急救有效率,呼吸、脉搏、自主循环恢复时间及整个急救过程中的肾上腺素用量,以及首次除颤成功率、除颤总成功率、院内存活率。结果 体外自动除颤仪组的急救有效率高于人工除颤组,差异有统计学意义(P<0.05);体外自动除颤仪组的呼吸、脉搏、自主循环恢复时间均短于人工除颤组,且肾上腺用量少于人工除颤组,差异有统计学意义(P<0.05);体外自动除颤仪组的首次除颤成功率、除颤总成功率、院内存活率均高于人工除颤组,差异有统计学意义(P<0.05)。结论 体外自动除颤仪救治急性心肌梗死心脏骤停效果显著,可缩短呼吸、脉搏、自主循环恢复时间,减少肾上腺素用量,提高首次除颤成功率、除颤总成功率、院内存活率。

Objective To observe the clinical effect of external defibrllator in the emergency treatment of acute myocardial infarction cardiac arrest.Methods The datum of 112 cases of acute myocardial infarction cardiac arrest in the emergency Department of Qianjiang Central Hospital from January 2017 to December 2019 was retrospective analyzed.According to the different defibrillation methods,they were divided into artificial defibrillation group(55 cases)and external defibrllator group(57 cases),and the emergency efficiency of the two groups was compared.Recovery time of respiration,pulse,spontaneous circulation and adrenal dosage during the whole emergency treatment of the two groups were compared.The success rate of first defibrllation,total success rate of defibrillation and hospital survival rate of the two groups were also compared.Results The emergency response rate of external defibrillator group was higher than that of artificial defibrillator group,and the difference was statistically significant(P<0.05).The recovery time of respiration,pulse and spontaneous circulation in the external defibrillator group was shorter than that in the arificial defibrllation group,and the adrenal dosage was less than that in the artificial defibrillation group,the difference was statistically significant(P<0.05).The success rate of first defibrillation,total success rate of defibrillation and in-hospital survival rate in the external defibrillator group were higher than those in the artificial defibrillation group,and the diference was statistically significant(P<0.05).ConclusionExtermal defibrillator can shorten the recovery time of respiration,pulse and spontaneous circulation,reduce the dosage of adrenal gland,and improve the success rate of first defibrillation,total success rate of defibrillation and hospital survival rate of acute myocardial infarction.