心脏除颤仪自动体外除颤和起搏功能质控检测实践方法探讨

Exploration for the Practice Method of Automatic External Defibrillation and Pacing Function Quality Control Testing for Cardiac Defibrillators

目的 研究心脏除颤仪自动体外除颤和起搏功能的质量控制检测方法,完善心脏除颤仪日常运维管理,保障临床急救能力。方法 根据心脏除颤仪自动体外除颤和起搏的原理,结合各模拟器、质控检测工具的功能情况,研定从自动体外除颤功能的“电击心律识别、自动体外放电时间、释放能量”和起搏功能的“起搏脉冲电流、起搏脉冲宽度、起搏脉率”6个维度进行质控检测。结果 制定自动体外除颤和起搏功能质控表格,研究明确一次性电极片的替代办法,同时通过实测番禺区23台心脏除颤仪,得到电击心律识别检测的合格率为100%,自动体外除颤放电时间、自动除颤释放能量(最大偏差)、起搏脉冲电流(最大偏差)、起搏脉冲宽度(最大偏差)内容均符合规程要求(P<0.05)的质控检测结果。结论 本院制定的心脏除颤仪自动体外除颤和起搏功能质控检测方法能切实检测自动体外除颤和起搏功能的精准性,确保心脏除颤仪功能正常,保障医疗安全。

Objective To Research the quality control testing methods for automatic external defibrillation and pacing functions of cardiac defibrillators,improve the daily operation and maintenance management of cardiac defibrillators,and ensure clinical emergency response capabilities.Methods Based on the principle of automatic external defibrillation and pacing of cardiac defibrillators,combined with the functional conditions of various simulators and quality control detection tools,quality control testing was developed from six dimensions,including“electric shock rhythm recognition,automatic external discharge time,energy release”of automatic external defibrillation function,and“pacing pulse current,pacing pulse width,and pacing pulse rate”of pacing function.Results A quality control table for automatic external defibrillation and pacing functions was developed,alternative methods for disposable electrode pads were studied and clarified.At the same time,through the actual measurement of 23 cardiac defibrillators in Panyu District,the accuracy rate of electric shock rhythm recognition dection was 100%.The automatic external defibrillation discharge time,automatic defibrillation release energy(maximum deviation),pacing pulse current(maximum deviation),and the pacing pulse width(maximum deviation)all met the requirements of the regulations(P<0.05)based on the quality control testing results.Conclusion The quality control testing method for automatic external defibrillation and pacing function of cardiac defibrillators developed by our hospital can effectively detect the accuracy of automatic external defibrillation and pacing function,ensure the normal function of cardiac defibrillators and medical safety.