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目的:评估普及心肺复苏(CPR)培训和对目击者电话胸外按压指导后我镇心脏骤停患者的流行病学特征和复苏情况,探讨早期目击者CPR的意义。方法:对我院急诊科及院前救治的5年472例心脏骤停患者进行回顾性多因素分析,2012年1月~2014年12月我院院前心脏骤停患者315例为培训组,2010年1月~2011年12月未普及心肺复苏培训时我院院前心脏骤停患者157例为对照组。结果 :与对照组比较,培训组从患者心脏骤停至启动急救医疗系统(EMSS)的时间、急救车到达时间明显缩短(P<0.05),复苏成功率也明显提高(P<0.05),目击者进行CPR人数明显增多(P<0.01),出院生存率虽然比以往提高,但差异无统计学意义(P>0.05)。结论 :普及全民急救基本技术,提高第一目击者的现场基本急救,缩短从发病到启动EMSS的时间,尽早启动急救生存链,是提高复苏成功率的关键。
Objective: To evaluate the epidemiological characteristics and recovery of patients with cardiac arrest after cardiopulmonary resuscitation (CPR) training and post-mortem on the eyewitness phone, and to explore the significance of early eyewitness CPR. Methods: A retrospective multivariate analysis was performed on 472 patients with cardiac arrest who were treated in our emergency department and pre-hospital for treatment. 315 patients with pre-hospital cardiac arrest in our hospital from January 2012 to December 2014 were selected as the training group, From January 2010 to December 2011 157 cases of cardiac arrest in our hospital before CPR training were used as control group. Results: Compared with the control group, the training group significantly reduced the arrival time of ambulance (P <0.05) and the success rate of resuscitation (P <0.05) from the moment of cardiac arrest to the start of Emergency Medical System (EMSS) The number of CPR patients increased significantly (P <0.01). Although the discharge rate was higher than before, the difference was not statistically significant (P> 0.05). Conclusion: It is the key to improve the success rate of recovery by popularizing the basic technology of universal emergency, improving the first aid of the first witness in the field and shortening the time from onset to starting EMSS.