江门市区120院前急救电除颤现状调查  

Analysis of defibrillation in pre-hospital first aid in the 120 network hospitals in Jiangmen

作　　者：李国明[1] 王福权[1] Li Guoming;Wang Fuquan(Department of Emergency,Central Hospital of Jiangmen,Jiangmen 529030,China)

机构地区：[1]江门市中心医院急诊科,529030

出　　处：《国际医药卫生导报》2020年第3期317-320,共4页International Medicine and Health Guidance News

基　　金：江门市医疗卫生科技计划项目(2019A090)。

摘　　要：目的了解江门市区120院前急救医护人员掌握电除颤术现状,为全市急救技能规范化培训提供科学依据。方法通过随机访谈和问卷调查相结合的方式,对社区自动体外除颤仪(AED)配备现状、120急救车除颤仪配备现状、人员培训现状、急救人员对电除颤术掌握现状进行调查。结果江门市区公共场所均没有配备自动体外除颤仪(AED);江门市区120急救车均没有配备自动体外除颤仪(AED),仅配备手动监护除颤仪;被调查医院有70%的医院有对本单位的急救人员进行急救技能培训计划;基层医院的急救人员对电除颤术技能掌握合格率(73.2%)显著低于二级以上医院的急救人员(87.9%),差异有统计学意义(P<0.05)。结论江门市公共社区和120急救车均缺乏自动体外除颤仪(AED);院前急救医护人员电除颤技能水平欠理想,尤其是基层单位急救医护人员,应加强规范培训。Objective To know the status of the emergency care personnel skills about defibrillation so as to provide some reference for implementing the standardized skill training.Methods Interview and a self-designed questionnaire were taken to conduct investigation on automated external defibrillator(AED)status of community provision,defibrillator in the ambulance,routine training,and the emergency skills about defibrillation.Results There were no AEDs in public places in Jiangmen.There were no AEDs in the ambulances,there were only defibrillators in the ambulances.There were programmes about the emergency skills for the emergency care personnel in 70%hospitals in Jiangmen.The qualified rate about defibrillation skills in primary hospitals(73.2%)was significantly lower than that in the second-level and above hospitals(87.9%)(P<0.05).Conclusion There was a shortage of AED in public places and the ambulances in Jiangmen.The level of emergency skills about defibrillation was generally low.We should strengthen the training of emergency care personnel in medical units of all levels,especially for the emergency care personnel in primary hospitals.

关 键 词：院前急救 自动体外除颤仪 电除颤 培训 

分 类 号：R45[医药卫生—治疗学]