急诊体外心肺复苏标准化急救流程在呼吸心搏骤停患者救治中的应用效果  

Effect of standardized first-aid procedure of emergency extracorporeal cardiopulmonary resuscitation in treatment of patients with cardiopulmonary arrest

作　　者：陈绍赟 张丽 黄夕华 马娜 张燕 金伦 季学丽 Chen Shaoyun;Zhang Li;Huang Xihua;Ma Na;Zhang Yan;Jin Lun;Ji Xueli(Emergency Room,First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;不详)

机构地区：[1]南京医科大学第一附属医院急诊室,南京210029 [2]南京医科大学第一附属医院急诊创伤病区,南京210029 [3]南京医科大学第一附属医院急诊与危重症医学科,南京210029

出　　处：《中国循证心血管医学杂志》2024年第10期1194-1197,共4页Chinese Journal of Evidence-Based Cardiovascular Medicine

基　　金：江苏省财政支持临床重点专科项目[苏财政(2020)155号]。

摘　　要：目的探讨体外心肺复苏(ECPR)标准化急救流程应用于呼吸心搏骤停患者救治中的应用效果。方法选择2021年1月至2022年12月于南京医科大学第一附属医院急诊室收治的68例急诊呼吸心搏骤停患者为研究对象,根据随机数字表法将其分为两组,对照组34例实行常规ECPR流程干预,观察组34例实行急诊ECPR标准化急救流程干预。观察两组ECPR急救效率、ECPR急救效果、护理不良事件和家属急救满意度情况。结果观察组ECPR团队到达耗时、护士备物耗时以及ECPR上机耗时均短于对照组(P<0.05)。两组自主循环恢复率以及存活率无显著差异(P>0.05),观察组自主循环恢复时间短于对照组(P<0.05)。观察组护理不良事件总发生率低于对照组(P<0.05)。观察组家属急救满意率明显高于对照组(P<0.05)。结论急诊ECPR标准化急救流程能够提高呼吸心搏骤停患者急救效率,加速自主循环恢复,并可减少护理不良事件,促进患者家属急救满意度的提升。Objective To discuss the application effect of standardized first-aid procedure of emergency extracorporeal cardiopulmonary resuscitation(ECPR)in treatment of patients with cardiopulmonary arrest.Methods The patients with cardiopulmonary arrest(n=68)were chosen from Emergency Room in the First Affiliated Hospital of Nanjing Medical University from Jan.2021 to Dec.2022,and divided into observation group and control group(each n=34)according to random digital table.The control group was intervened with routine ECPR procedure,and observation group was intervened with standardized first-aid procedure of emergency ECPR.The first-aid efficiency and effect on ECPR,adverse nursing events and degree of satisfaction to first-aid in family members were observed in 2 groups.Results The time-consuming of ECPR team's arrival,nurses'preparation and ECPR computer operation were shorter in observation group than those in control group(P<0.05).There was no significant difference in autonomic circulation recovery between 2 groups(P>0.05),and time of autonomic circulation recovery was shorter in observation group than that in control group(P<0.05).The total incidence rates of adverse nursing events were lower in observation group than those in control group(P<0.05).The degree of satisfaction to first-aid in family members was significantly higher in in observation group than those in control group(P<0.05).Conclusion The standardized first-aid procedure of emergency ECPR can improve the first-aid efficacy and autonomic circulation recovery,reduce adverse nursing events,and promote degree of satisfaction to first-aid in family members.

关 键 词：体外心肺复苏 急救流程 呼吸心搏骤停 自主循环恢复 

分 类 号：R459.7[医药卫生—急诊医学]