CPR反馈技术在急救中心院前急救工作持续改进的评价研究  

CPR Feedback Technology in the Evaluation of Continuous Improvement in Pre-hospital Emergency Care in Emergency Centers

作　　者：吴素香 蔡东[1] 吴志生[2] WU Suxiang;CAI Dong;WU Zhisheng(Department of Office,Quanzhou Emergency Command Center,Quanzhou 362000,China;Department of Neurology,Quanzhou First Hospital,Quanzhou 362000,China)

机构地区：[1]泉州市急救指挥中心办公室,泉州362000 [2]泉州市第一医院神经内科,泉州362000

出　　处：《中国医药指南》2024年第32期102-105,共4页Guide of China Medicine

摘　　要：目的探讨心肺复苏(CPR)反馈技术在急救中心院前急救临床工作中的应用评价。方法选择2021年8月至2023年1月泉州市急救指挥中心接治的院前心搏骤停患者作为研究对象。本中心于2022年10月开始使用CPR反馈装置,将2021年8月至2022年9月接治的237例心搏骤停患者纳入对照组,将2022年10月至2023年1月接治的159例心搏骤停患者纳入观察组。统计观察组患者心肺复苏指标,比较观察组及对照组预后情况,采用本中心自拟的满意度问卷对医护人员满意度进行调查。结果实时反馈CPR的患者和模型的按压深度、按压频率和回弹速率均高于无反馈CPR模型(P<0.05)。无反馈CPR模型的按压深度(5~6 cm)的质量、按压频率(100~120次/min)的质量和按压成功率均低于实时反馈CPR的患者和模型(P<0.05)。观察组与对照组相比,心搏骤停患者自主循环恢复、24 h存活率及出院存活率差异无统计学意义(P>0.05)。医护人员总体满意度为94.29%。结论心肺复苏实时监控装置可优化心肺复苏质量,将实时反馈装置与临床心肺复苏相结合对于优化院前急救工作质量有较大的价值。Objective To explore the application evaluation of cardiopulmonary resuscitation(CPR)feedback technology in the clinical work of pre-hospital emergency care in emergency centers.Methods The pre hospital patients with cardiac arrest treated by the Quanzhou Emergency Command Center from August 2021 to January 2023 were selected as the research subjects.The center began using CPR feedback devices in October 2022.A total of 237 cardiac arrest patients treated from August 2021 to September 2022 were included in the control group,and 159 cardiac arrest patients treated from October 2022 to January 2023 were included in the observation group.The CPR indicators of the observation group patients were statistically analyzed,and the prognosis of the observation group and the control group was compared.A satisfaction questionnaire designed by the center was used to survey the satisfaction of medical staff.Results The depth of compression,compression frequency,and rebound rate of patients and models with real-time feedback CPR were all higher than those without feedback CPR models(P<0.05).The quality of compression depth,the quality of compression frequency,and the success rate of compressions in the CPR model without feedback were all lower than those with real-time feedback CPR patients and models(P<0.05).Compared with the control group,there was no statistically significant difference in the restoration of spontaneous circulation,24-hour survival rate,and discharge survival rate of cardiac arrest patients in the observation group(P>0.05).The overall satisfaction of medical staff was 94.29%.Conclusions Real-time monitoring devices for cardiopulmonary resuscitation can optimize the quality of CPR.Combining real-time feedback devices with clinical CPR has significant value in optimizing the quality of pre-hospital emergency care.

关 键 词：心肺复苏 反馈技术 院前急救 质量评价 

分 类 号：R459.7[医药卫生—急诊医学]