体外自动除颤仪在急性心肌梗塞心脏骤停急救中应用价值分析

Application value of auto-defibrillator in cardiopulmonary bypass in acute myocardial infarction

目的分析体外自动除颤仪在急性心肌梗塞心脏骤停急救中的应用价值。方法选择在商丘市第一人民医院急诊科进行治疗的急性心肌梗塞心脏骤停患者60例,按随机数表法分为两组,各30例。对照组行人工除颤,观察组予体外自动除颤,比较两组除颤成功率、存活率及并发症情况。结果观察组首次除颤成功、除颤总成功及院内存活率(86.67%、93.33%、63.33%)均明显高于对照组(26.67%、70.00%、36.67%),差异有统计学意义(P<0.05);观察组并发症发生率(3.33%)明显低于对照组(26.67%),差异有统计学意义(P<0.05)。结论在急性心肌梗塞心脏骤停患者急救过程中实施体外自动除颤仪治疗效果确切,可有效提高除颤成功率及院内存活率,降低并发症发生率。

Objective To analyze the value of automatic defibrillator in cardiopulmonary bypass in acute myocardial infarction.Methods Sixty patients with acute myocardial infarction cardiac arrest were treated with emergency department of Shangqiu First People 's Hospital. The patients were divided into two groups according to random number table. The defibrillation success rate,survival rate and complication were compared between the two groups. Results The success of the first defibrillation group,the total success rate of defibrillation and the hospital survival rate( 86. 67%,93. 33%,63. 33%) were significantly higher than those in the control group( 26. 67%,70. 00%,36. 67%),the difference was statistically significant( P<0. 05). The incidence of complication was significantly lower in the observation group( 3. 33%) than that in the control group( 26. 67%),the difference was statistically significant( P<0. 05). Conclusion It is effective to implement the automatic defibrillator in the process of emergency treatment of acute myocardial infarction in patients with cardiac arrest. It can effectively improve the success rate of defibrillation and hospital survival rate and reduce the incidence of complications.