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目的观察院前猝死患者在不同类型院前急救模式下心肺复苏(CPR)的结果。方法收集近十年公开发表的、资料完整的、资料出处为相同级别医疗机构、有各项比较标准的8篇文献资料,共得到6504例院前CPR,首先确定作者所收集资料的急救中心的急救模式,然后计算不同急救模式下心肺复苏的平均成功率,最后通过统计学分析比较不同急救模式对心肺复苏结果的影响。结果独立型的院前CPR成功率最高。指挥型的院前CPR成功率较院前型的更高。依托型和指挥型之间以及依托型和院前型之间无统计学意义。结论中国院前急救的标准化建设是一个急待解决的问题,否则任何本领域的研究都无法得出有说服力的结论。应该大力推广Utstein注册研究管理。专职化院前急救是提高院前CPR成功率的前提。
Objective To observe the results of cardiopulmonary resuscitation (CPR) in patients with pre-hospital sudden death under various types of pre-hospital first aid modalities. Methods A total of 8 articles published in the past 10 years with complete data sources and data sources of the same grade and various comparative criteria were collected. A total of 6504 cases of pre-hospital CPR were collected. The first aid center First aid mode, and then calculate the average success rate of cardiopulmonary resuscitation (CPR) under different first aid modes. Finally, the influence of different first aid modes on the results of CPR was compared by statistical analysis. Results Independent prehospital CPR had the highest success rate. Conductor-type pre-hospital CPR success rate higher than the pre-hospital type. Relying on the type and command type and between type and pre-hospital type was not statistically significant. Conclusion The standardization of pre-hospital emergency care in China is an urgent problem to be solved. Otherwise, any research in this field can not reach convincing conclusions. Utstein registration research management should be promoted. Full-time pre-hospital first aid is to improve the pre-hospital CPR success rate.