影响东莞市120院前心肺复苏成功相关因素研究  

Related Factors Research of 120 Prehospital Cardiopulmonary Resuscitation(CPR) Success in Dongguan

作　　者：曹建国[1] 刘同刚[1] 黄清丽[1] 李海燕[1] 张慧锋[1] 刘伟权[1] 

机构地区：[1]中山大学附属东华医院,广东东莞523013

出　　处：《中外医学研究》2014年第17期75-77,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：东莞市科技局立项课题(项目编号:201110515046231)

摘　　要：目的:了解东莞市120院前心肺复苏现状和影响因素。方法:做过心肺复苏152例患者填写调查表,用Epidata建立数据库,用SPSS13.0统计学软件进行统计学分析。结果:心肺复苏术前呼吸心搏停止时间,院前和急诊科患者分别为(20.32±18.21)min和(16.92±5.13)min(P<0.05)。院前采用不同人工通气复苏效果比较差异有统计学意义(P<0.05),面罩辅助呼吸给氧优于气管插管,而在急诊科则反之。复苏术前不同心电图比较差异有统计学意义(P<0.01),以心室颤动最佳,心电静止最差。院前和急诊科生存率分别为9.76%和17.14%(P<0.01)。结论:东莞市院前120和急诊科心肺复苏比较,复苏开始的时间,通气的方法,复苏前心电图的类形和结果差异有统计学意义。Objective：To study the statusquo and influencing factors of 120 prehospital cardiopulmonary resuscitation（CPR） in Dongguan. Method：152 cases who did CPR completed the questionnaire,establish a database with Epidata,were statistically analyzed using SPSS 13.0 statistical software. Result：Breathing and cardiac arrest time before CPR of prehospital first-aid patients and emergency department first-aid patients were （20.32±18.21）min and （16.92±20.13）min（P〈0.05）.The recovery effects of patients with different artificial ventilation prehospital were statistically significant（P＆lt;0.05）,mask assisted respiration to oxygen was better than endotracheal intubation assisted respiration to oxygen,and that in the emergency department was opposite.The difference of different ECG before resuscitation was statistically significant（P＆lt;0.01）,the best was ventricular fibrillation,the worst was ventricular still.The survival rates of prehospital and emergency department were 9.76% and 17.14%（P＆lt;0.01）.Conclusion：The differences of recovery begins time,ventilation methods,ECG classes before recovery and outcome between 120 prehospital CPR and emergency department CPR in Dongguan are statistically significant.

关 键 词：心肺复苏 气管插管 心电图 

分 类 号：R459.7[医药卫生—急诊医学]