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时间:2018-12-06
《急诊抢救心肺复苏成功率提高的原因分析》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、急诊抢救心肺复苏成功率提高的原因分析高瑞筠(四川省内江市资中县人民医院急诊科四川内江641200)【摘要】目的:分析急诊抢救心肺复苏(CPR)成功率提高的原因。方法:回顾性选择我院于院外行CPR急诊抢救的126例心脏骤停患者为研究对象,根据抢救结果将患者分为成功组32例(25.40%)和失败组94例(74.60%)。通过比较两组患者的相关急诊抢救指标,分析影响CPR成功率的因素。结果:CPR成功组患者平均年龄小于失败组(PV0.05),患者急诊急救120反应时间2、始时间短于对照组(PV0.05),现场电除颤时间V8min的比例高于失败组(P<0.05),患者急救使用纳洛酮、胺碘酮的比例均高于失败组(PV0.05),有心脏骤停先兆者的比例高于失败组(P<0.05)o结论:年龄、120反应时间、心肺复苏开始时间、现场电除颤时间、纳洛酮和胺碘酮使用与否及有无心脏骤停先兆者均是影响CPR成功率的重要因素,而于CPR急诊抢救实践中,缩短120反应时间、心肺复苏开始时间、现场电除颤时间,配合使用纳洛酮、胺碘酮心肺复苏药物及掌握心脏骤停先兆是提高CPR成功率的重要原因。【关键词】心脏骤停;心肺3、复苏;急诊抢救;原因【中图分类号】R605.974【文献标识码】B【文章编号】1003・5028(2015)7-0136-02Analysisofthecausesofemergencycardiopulmonaryresuscitationsuccessrateincrease[Abstract】objective:toAnalyszethecausesofemergencycardiopulmonaryresuscitationsuccessrateincrease.Method:CPRemergencyrescue4、of126casesofpatientswithcardiacarrestistakenastheresearchobjectintheoutofhospital,accordingtothetreatmentresults,thepatientsweredividedintothethesuccessfulgroup32cases(25.40%)andthefailedgroup94cases(74.60%).Throughtherelevantemergencyrescueindexoftwogroupswascom5、pared,analysisoffactorsaffectingthesuccessrateofCPR.Results:theaverageageofCPRpatientswaslessthansuccessfulgroupfailuregroup(P<0.05),patientswithemergencyreactiontime120<10minwashigherthantheproportionoffailuregroup(P<0.05),cardiopulmonaryresuscitationin6、patientswithstarttimewasshorterthanthecontrolgroup(P<0.05),thefieldofelectricaldefibrillationtime<8minratiowashigherinthefailuregroup(P<0.05),patientsusedwithnaloxone,amiodaronewerehigherthantheproportionofthefailuregroup(P<0.05),Cardiacarrestaurawere7、higherthantheproportionoffailuregroup(P<0.05).Conclusion:age,reactiontime,cardiopulmonaryresuscitation(CPR)120time,theelectricdefibrillation,naloxoneandamiodaroneuseornotandthepreseneeofcardiacarrestprecursorsaretheimportantfactorsthataffectthesuccessrateofCPR8、,inCPRemergencyrescuepractice,shortenthereactiontime,cardiopulmonaryresuscitation(CPR)120electricalshockafterthistime,starttime,thescenematchingusingnaloxone,a
2、始时间短于对照组(PV0.05),现场电除颤时间V8min的比例高于失败组(P<0.05),患者急救使用纳洛酮、胺碘酮的比例均高于失败组(PV0.05),有心脏骤停先兆者的比例高于失败组(P<0.05)o结论:年龄、120反应时间、心肺复苏开始时间、现场电除颤时间、纳洛酮和胺碘酮使用与否及有无心脏骤停先兆者均是影响CPR成功率的重要因素,而于CPR急诊抢救实践中,缩短120反应时间、心肺复苏开始时间、现场电除颤时间,配合使用纳洛酮、胺碘酮心肺复苏药物及掌握心脏骤停先兆是提高CPR成功率的重要原因。【关键词】心脏骤停;心肺
3、复苏;急诊抢救;原因【中图分类号】R605.974【文献标识码】B【文章编号】1003・5028(2015)7-0136-02Analysisofthecausesofemergencycardiopulmonaryresuscitationsuccessrateincrease[Abstract】objective:toAnalyszethecausesofemergencycardiopulmonaryresuscitationsuccessrateincrease.Method:CPRemergencyrescue
4、of126casesofpatientswithcardiacarrestistakenastheresearchobjectintheoutofhospital,accordingtothetreatmentresults,thepatientsweredividedintothethesuccessfulgroup32cases(25.40%)andthefailedgroup94cases(74.60%).Throughtherelevantemergencyrescueindexoftwogroupswascom
5、pared,analysisoffactorsaffectingthesuccessrateofCPR.Results:theaverageageofCPRpatientswaslessthansuccessfulgroupfailuregroup(P<0.05),patientswithemergencyreactiontime120<10minwashigherthantheproportionoffailuregroup(P<0.05),cardiopulmonaryresuscitationin
6、patientswithstarttimewasshorterthanthecontrolgroup(P<0.05),thefieldofelectricaldefibrillationtime<8minratiowashigherinthefailuregroup(P<0.05),patientsusedwithnaloxone,amiodaronewerehigherthantheproportionofthefailuregroup(P<0.05),Cardiacarrestaurawere
7、higherthantheproportionoffailuregroup(P<0.05).Conclusion:age,reactiontime,cardiopulmonaryresuscitation(CPR)120time,theelectricdefibrillation,naloxoneandamiodaroneuseornotandthepreseneeofcardiacarrestprecursorsaretheimportantfactorsthataffectthesuccessrateofCPR
8、,inCPRemergencyrescuepractice,shortenthereactiontime,cardiopulmonaryresuscitation(CPR)120electricalshockafterthistime,starttime,thescenematchingusingnaloxone,a
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