摘要
目的探讨院前急救患者心跳呼吸骤停的急救与护理价值。方法方便选取2014年6月—2015年12月(56例)、2016年1月—2017年6月(56例)该院接收的在院前急救工作中出现心跳呼吸骤停的患者分别纳入对照组、观察组中。前一组单纯采取院前急救措施,后一组增加院前急救护理。比较复苏情况、血气指标、GCS评分、抢救结果以及医疗纠纷事件。结果观察组建立通气时间(11.53±2.10)s、自主心跳恢复时间(7.20±1.36)min短于对照组(t=58.429、13.716,P<0.05);急救后1 h,观察组SO_2(85.65±10.10)%、PaO_2(72.15±10.13)mmHg、pH(7.26±0.08)高于对照组,PaCO_2(63.32±10.14)mmHg更低(t=4.727、2.034、5.708、2.581,P<0.05);急救后1 h,观察组GCS评分(13.15±1.01)分高于对照组(10.56±1.05)分(t=13.303,P<0.05);观察组抢救成功率(73.21%)高于对照组(51.79%)(χ~2=5.486,P<0.05);两组医疗纠纷事件发生率差异无统计学意义(对照组:3.57%,观察组:0.00%)(χ~2=2.036,P>0.05)。结论对于院前急救中心跳呼吸骤停患者,采取有效的院前急救和护理措施可以提高抢救成功率,改善预后。
Objective To discussion the emergency and nursing value of cardiopulmonary arrest of patients with pre-hospital care.Methods56cases of patients with cardiopulmonary arrest in the pre-hospital care in our hospital from June2014to December2015were convenient selected as the control group,while56cases of patients with cardiopulmonary arrest admitted and treated from January2016to June2017were selected as the observation group,and the former group used the simple pre-hospital care,while the latter group increased the pre-hospital emergency nursing,and the recovery situation,blood gas indexes,GCS score,emergency results and medical disputes were compared between the two groups.Results The ventilation time(11.53±2.10)s and autonomic heartbeat recovery time(7.20±1.36min) were shorter than those in the control group(t=58.429,13.716,P<0.05);and the SO2(85.65±10.10)%,PaO2(72.15±10.13)mmHg,pH(7.26±0.08) in the observation group in1h after emergency were higher than those in the control group,PaCO2(63.32±10.14)mmHg was lower(t=4.727,2.034,5.708,2.581,P<0.05),the GCS score in the observation group in1h after emergency was higher than that in the control group[(13.15±1.01)points vs(10.56±1.05)points](t=13.303,P<0.05);and the rescue success rate in the observation group was higher than that in the control group(73.21%vs51.79%)(χ^2=5.486,P<0.05);and the difference in the incidence rate of medical disputes between the two groups was not statistically significant(in the control group3.57%,in the observation group0.00%)(χ^2=2.036,P>0.05).Conclusion The effective pre-hospital care and nursing measures of patients with cardiopulmonary arrest can improve the rescue success rate and improve the prognosis.
作者
从丽
CONG Li(Department of Emergency,First Affiliated Hospital of Baotou Medical College Inner Mongolia University of Science and Technology,Baotou,Inner Mongolia,014000 China)
出处
《中外医疗》
2018年第33期157-159,162,共4页
China & Foreign Medical Treatment
关键词
院前急救
心跳呼吸骤停
护理价值
Pre-hospital care
Cardiopulmonary arrest
Nursing value
