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目的了解一汽厂区院前急救和院内急救心肺复苏的相关对比分析。方法对心肺复苏的863例患者的临床资料进行回顾性分析。结果全组心肺复苏为863例,其中院前急救443例,院内急救420例,院前急救成功率和生存率分别为4.97%(22/443)和4.06%(18/443),院内急救成功率和生存率分别为22.14%(93/420)和19.29%(81/420),院前急救和院内急救抢救成功率和生存率比较差异有统计学意义(P均<0.01);心肺复苏术前呼吸心跳停止到开始抢救时间为(14.15±6.57)min,院前和院内急救时间分别为(18.01±5.81)min和(10.26±4.62)min(P<0.01);院前和院内急救资料均显示,心肺复苏术前心电图表现与复苏成功率密切相关,以室颤最佳,无脉电活动次之,心室静止最差(P<0.01)。结论院内急救心肺复苏较院前急救患者生存率高,应广泛普及急救知识和技能,可提高急救成功率和生存率。
Objective To understand the comparative analysis of emergency pre-hospital and first-aid cardiopulmonary resuscitation in hospital of FAW. Methods The clinical data of 863 patients with cardiopulmonary resuscitation were analyzed retrospectively. Results The cardiopulmonary resuscitation (CPR) was performed in 863 patients. Among them, 443 patients were hospitalized for first aid and 420 patients were hospitalized for first aid. The success rate and survival rate of first aid before hospital were 4.97% (22/443) and 4.06% (18/443) respectively. The rates of survival and survival were 22.14% (93/420) and 19.29% (81/420) respectively. The success rate and survival rate of pre-hospital and emergency hospital resuscitation were statistically significant (all P <0.01) The duration of emergency resuscitation from the beginning of respiration to the beginning of respiration was (14.15 ± 6.57) min, and the time to emergency before hospital and hospital were (18.01 ± 5.81) min and (10.26 ± 4.62) min respectively (P <0.01) The results showed that the performance of cardiopulmonary resuscitation before electrocardiogram was closely related to the success rate of resuscitation. The ventricular fibrillation was the best with ventricular fibrillation, followed by no pulse activity, and the ventricular resting was the worst (P <0.01). Conclusions The first-aid hospital cardiopulmonary resuscitation has higher survival rate than that of pre-hospital emergency patients. First aid knowledge and skills should be widely used to improve emergency success rate and survival rate.