分片区院内急救快速反应小组在心肺复苏抢救中的应用

Application of in-hospital emergency quick response team in cardiopulmonary resuscitation

目的 探讨分片区院内急救快速反应小组在心肺复苏抢救中的应用效果。方法 回顾性纳入2020年10月1日—2021年9月30日佛山市南海区人民医院386例接受心肺复苏抢救患者为对照组,纳入2021年10月1日—2022年9月30日医院392例接受心肺复苏抢救患者为观察组,对照组采用常规急救,观察组建立分片区院内急救快速反应小组实施急救。两组护理操作均由同一组护理人员完成,对比两组有效抢救项目开始时间、心肺复苏效果,比较两组心肺复苏后存活患者非计划重症加强护理病房(ICU)/急诊重症加强护理病房(EICU)转入率、总ICU/EICU转入率、血氧饱和度(SpO_(2))、二氧化碳分压(PaCO_(2))、收缩压、舒张压水平。结果 观察组心肺复苏开始时间有效开放气道时间、首次除颤时间、复苏用药时间短于对照组(P<0.05);观察组自主循环恢复情况、自主呼吸恢复情况、心肺复苏成功率、存活情况优于对照组(P<0.05);观察组非计划ICU/EICU转入率低于对照组(P<0.05);观察组SpO_(2)、收缩压、舒张压高于对照组,PaCO_(2)低于对照组(P<0.05)。结论 分片区院内急救快速反应小组能够缩短心肺复苏抢救过程中有效抢救项目开始时间,提高心肺复苏效果,降低ICU/EICU转入率,改善患者生命体征情况。

Objective To explore the application effect of in-hospital emergency rapid response team in cardiopulmonary resuscitation.Methods A total of 386 patients receiving cardiopulmonary resuscitation from October 12020 to September 30,2021 were retrospectively included as the control group,and 392 patients receiving cardiopulmonary resuscitation from October 1,2021 to September 30,2022 were included as the observation group.The observation group set up a quick response team for first aid in the hospital.Both groups of nursing operations were completed by the same group of nurses,the start time of effective rescue project and the effect of cardiopulmonary resuscitation were compared between the two groups.The rates of unplanned intensive care unit(ICU)/emergency intensive care unit(EICU)transfer,total ICU/EICU transfer,blood oxygen saturation(SpO_(2)),partial carbon dioxide pressure(PaCO_(2)),systolic blood pressure and diastolic blood pressure were compared between the two groups.Results The cardiopulmonary resuscitation start time effective airway opening time,first defibrillation time and resuscitation time in observation group were shorter than those in control group(P<0.05).The recovery of spontaneous circulation,recovery of spontaneous respiration,success rate of cardiopulmonary resuscitation and survival of the observation group were better than those of the control group(P<0.05).The transfer rate of unplanned ICU/EICU in observation group was lower than that in control group(P<0.05).SpO_(2),systolic blood pressure and diastolic blood pressure in observation group were higher than those in control group,and PaCO_(2) was lower than those in control group(P<0.05).Conclusion Intrahospital emergency rapid response team can shorten the start time of effective rescue items in the process of cardiopulmonary resuscitation,improve the effect of cardiopulmonary resuscitation,reduce the ICU/EICU transfer rate,and improve patients'vital signs.