论文部分内容阅读
目的了解深圳市心肺复苏现状和影响因素。方法对照做过心肺复苏1630例患者的病历填写调查表,用Epidata建立数据库,用SPSS13.0统计学软件进行统计学分析。结果男∶女=2.61∶1,男女院前急救生存到院率分别为6.20%和8.73%(P>0.05),急诊科急救生存入院率分别为16.96%和21.10%(P>0.05);院前和急诊科生存率分别为7.00%和18.10%(P<0.001);患者平均(38.23±22.23)岁,有机会生存到达急诊科的患者较仅进行了院前急救的患者年轻(P<0.001);循环系统疾患和外伤是前两位病因;心肺复苏术前呼吸心搏停止平均(19.69±20.29)min,院前和急诊科患者分别为(21.51±19.02)min和(17.93±21.31)min(P<0.005);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),气管插管优于面罩给氧和口对口人工呼吸,但在急诊科未显示出差异有统计学意义;院前和急诊科均显示,复苏术前不同心电图复苏效果比较差异有统计学意义(P<0.001),以室颤最佳,无脉搏电活动次之,心室静止最差。结论深圳市院前和急诊科心肺复苏比较,复苏效果、年龄、通气方法和结果差异有统计学意义;复苏术前不同心电图患者复苏效果比较差异亦有统计学意义。
Objective To understand the status and influencing factors of cardiopulmonary resuscitation in Shenzhen. Methods The questionnaire was filled in 1630 cases of cardiopulmonary resuscitation. Epidata was used to establish the database and SPSS13.0 statistical software was used for statistical analysis. Results The survival rate of male and female pre-hospital emergency attendance was 6.20% and 8.73% respectively (P> 0.05). The emergency and emergency hospital admission rates were 16.96% and 21.10% respectively (P> 0.05) Pre-and emergency department survival rates were 7.00% and 18.10%, respectively (P <0.001); patients (38.23 ± 22.23) years on average had odds of younger patients who had had access to the emergency department than those who had pre-hospital first aid alone ); Circulatory system disorders and trauma were the top two causes; mean respiratory arrest was (19.69 ± 20.29) min before CPR and (21.51 ± 19.02) min and (17.93 ± 21.31) min respectively in prehospital and emergency departments (P <0.005). There were significant differences between the two groups (P <0.05). The tracheal intubation was superior to mask oxygen and mouth-to-mouth resuscitation, but there was no statistical difference in emergency department Significance of pre-hospital and emergency department showed that there were significant differences in the recovery effect of different electrocardiogram before resuscitation (P <0.001), the best ventricular fibrillation, the second pulse-less activity, and the worst ventricular rest. Conclusions The comparison of cardiopulmonary resuscitation between prehospital and emergency department in Shenzhen showed statistically significant difference in resuscitation effect, age, ventilation method and result. There was also significant difference in resuscitation effect between different electrocardiogram patients before resuscitation.