摘要
目的分析院前急救心肺复苏的效果及其相关影响因素。方法选择2016年1月—2018年10月期间该中心接诊的心跳、呼吸骤停患者52例作为此次研究对象,根据是否接受心肺复苏情况将患者分为治疗组与对照组,对照组均为现场没有目击者进行心肺复苏患者,治疗组均为现场有目击者进行心肺复苏患者,对比各组复苏总有效率差异性,比较两组患者心肺复苏开始时间、入院时血压、乳酸浓度,并分析影响心肺复苏效果的因素。结果治疗组复苏总有效率73.08%明显高于对照组38.46%,差异有统计学意义(χ^2=6.3148,P<0.05),心肺复苏开始时间(3.12±0.73)min较对照组(15.38±2.66)min短,患者入院时收缩压(93.74±10.23)mmHg、舒张压(64.02±9.46)mmHg、乳酸浓度指标(5.34±0.48)mmol/L优于对照组(74.13±7.22)mmHg、(49.78±6.85)mmHg、(12.01±1.32)mmol/L,差异有统计学意义(t=7.9858、6.2168、24.2142,P<0.05)。结论心跳、呼吸骤停严重危及患者生命安全,救治分秒必争,应向民众普及心肺复苏技术,为后续抢救治疗争取更多时间。
Objective To analyze the effect of pre-hospital emergency cardiopulmonary resuscitation and its related influencing factors.Methods Fifty-two patients with cardiopulmonaryresuscitation and cardiopulmonary resuscitation received in our My center from January 2016 to October 2018 were selected as the subjects of this study.According to whether or not cardiopulmonary resuscitation was accepted,the patients were divided into treatment group and control group.The control group was all patients without witnesses on the spot for CPR,while the treatment group was all patients with witnesses on the spot for CPR.Comparing the difference of total effective rate of resuscitation in each group,comparing the start time of cardiopulmonary resuscitation,blood pressure and lactic acid concentration at admission,and analyzing the factors influencing the effect of cardiopulmonary resuscitation.Results The total effective rate of resuscitation in the treatment group(73.08%) was significantly higher than that in the control group (38.46%)min,the different was statistically significant(χ^2=6.314 8,P< 0.05).The onset time of cardiopulmonary resuscitation (3.12±0.73) min was shorter than that in the control group(15.38±2.66) min.At admission,the patients' systolic blood pressure(93.74±10.23) mmHg,diastolic blood pressure(64.02±9.46) mmHg,and lactic acid concentration index(5.34±0.48) mmol/L were superior to the control group (74.13±7.22) mmHg,(49.78±6.85)mmHg,(12.01±1.32)mmol/L,the different was statistically significant(t=7.985 8,6.216 8,24.214 2,P<0.05).Conclusion Cardiopulmonary resuscitation technology should be popularized to the public so as to gain more time for follow-up rescue treatment.
作者
陈功
CHEN Gong(First Aid Department,Xuzhou Medical Center,Xuzhou,Jiangsu Province,221009 China)
出处
《系统医学》
2019年第8期27-29,共3页
Systems Medicine
关键词
院前急救
心肺复苏
效果
影响因素
Pre-hospital first aid
Cardiopulmonary resuscitation
Effect
Influencing factors
