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目的:探讨专职化院前急救对心肺复苏成功率的影响。方法:抽取2014年3月-2015年3月于我院治疗心肺复苏的患者共120例,将患者按照数字表法随机分为实验组与常规组,常规组(n=60)患者予以非专职化院前急救进行治疗,实验组(n=60)患者给予专职化院前急救进行治疗,观察比较两组患者的SBP、DBP、不良症状恢复率、治疗效果。结果:治疗前,两组患者SBP、DBP水平比较,差异物统计学意义(P>0.05);治疗后,实验组SBP、DBP(152.2±6.8)mmHg、(31.7±3.4)mmHg,明显低于常规组(160.8±6.5)mmHg、(32.1±2.5)mmHg,差异具有统计学意义(t1=3.54,t2=4.23, P均小于0.05);实验组患者动脉搏动率、血压恢复率、恢复自主呼吸率、肌张力增加恢复率100%、95%、100%、90%,明显高于常规组65%、50%、45%、55%,差异具有统计学意义(t1=3.42,t2=2.41,t3=3.46,t4=2.87,P<0.05);实验组患者治疗总有效率92.0%,明显高于对照组76.0%,差异具有统计学意义(x2=4.347,P<0.05)。结论:对心肺复苏患者应用专职化院前急救进行治疗,可以有效降低患者血压,改善患者、提高治疗有效率,降低不良反应率,极具临床推广价值。
Objective: To investigate the impact of full-time prehospital first aid on the success rate of cardiopulmonary resuscitation. Methods: A total of 120 patients were selected from March 2014 to March 2015 in our hospital for cardiopulmonary resuscitation. The patients were randomly divided into experimental group and conventional group according to the digital meter method. Patients in the conventional group (n = 60) The patients in the experimental group (n = 60) were given full-time pre-hospital emergency treatment. The SBP, DBP, the recovery rate of adverse symptoms and the therapeutic effect were compared between the two groups. Results: Before treatment, SBP and DBP levels in both groups were statistically significant (P> 0.05). After treatment, SBP, DBP (152.2 ± 6.8) mmHg, (31.7 ± 3.4) mmHg in the experimental group were significantly lower than The difference was statistically significant (t1 = 3.54, t2 = 4.23, P <0.05) in the conventional group (160.8 ± 6.5) mmHg and (32.1 ± 2.5) mmHg respectively. The pulse rate, recovery rate and spontaneous respiration The rate of recovery of hypothalamic rate was 100%, 95%, 100%, 90%, which was significantly higher than 65%, 50%, 45%, 55% of the conventional group (t 1 = 3.42, t3 = 3.46, t4 = 2.87, P <0.05). The total effective rate of the experimental group was 92.0%, which was significantly higher than that of the control group (76.0%), the difference was statistically significant (x2 = 4.347, P <0.05). Conclusion: The use of full-time prehospital emergency treatment in patients with cardiopulmonary resuscitation can effectively reduce blood pressure, improve patients, improve the treatment efficiency, reduce the adverse reaction rate, great clinical value.