急救调度电话指导心肺复苏对院前猝死患者的救治效果

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Abstract Objective To investigate the effect of emergency dispatch telephone guidance cardiopulmonary resuscitation on patients with sudden prehospital death. Methods A total of 143 cases of sudden death treated by Haikou 120 Emergency Center of Hainan Province ("our hospital" for short) from September 2017 to March 2018 were selected as observation group. Another 126 cases of cardiopulmonary resuscitation without emergency dispatch telephone guidance in our hospital from March to August 2017 were selected as control group. Observation group was given emergency dispatch telephone to guide cardiopulmonary resuscitation, while control group was not given medical guidance after receiving emergency telephone. The success rate, survival rate and self-care rate of cardiopulmonary resuscitation were compared between two groups. Results The success rate of cardiopulmonary resuscitation in observation group was significantly higher than that in control group, the difference was statistically significant （P < 0.05）. The survival rate and self-care rate of observation group were higher than those of control group, and the differences were statistically significant (P < 0.05). Conclusion Emergency dispatch telephone can improve the success rate and prognosis of CPR in sudden death patients. It can make up for the lack of knowledge of cardiopulmonary resuscitation before hospital, but because of the specialty, it can improve the prognosis of patients with sudden death. It still needs the joint efforts of the social sector to fundamentally improve the success rate of pre-hospital treatment.

Key words： Sudden death Cardiopulmonary resuscitation Emergency dispatch Telephone guidance

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	LI Liping XU Meiling WU Shuhong

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LI Liping XU Meiling WU Shuhong. Treatment effect of emergency dispatch telephone guidance for cardiopulmonary resuscitation on patients with sudden prehospital death[J]. 中国医药导报, 2019, 16(23): 139-141,145.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I23/139

[1] Sarr SA，Dodo B，Babaka K，et al. Risk assessment of the occurrence of sudden death related to hypertrophic cardiomyopathy in Dakar [J]. Cardiovasc J Afr，2018，29（1）：e1-e5.
[2] 陈伟伟，高润霖，刘力生，等.《中国心血管病报告2016》概要[J].中国循环杂志，2017，32（6）：521-530.
[3] Harmon MBA，van Meenen DMP，van der Veen ALIP，et al. Practice of mechanical ventilation in cardiac arrest patients and effects of targeted temperature management：a substudy of the targeted temperature management trial [J]. Resuscitation，2018，129：29-36.
[4] 占志刚.急诊猝死流行病学特征及心肺复苏效果分析[J].中国循证心血管医学杂志，2016，8（9）：1069-1071.
[5] Michael CG，Wong Jonathan M，Kalman Eugenia，et al. Bradycardia and asystole is the predominant mechanism of sudden cardiac death in patients with chronic kidney disease [J]. J Am J College Cardiol，2015，65（12）：1263-1265.
[6] 朱爱华，董艳.电话指导现场心肺复苏临床效果观察[J].华西医学，2012，27（8）：1228-1229.
[7] Morau E，Beaumont E，Verspyck E. Maternal deaths due to sudden death. Results from the French confidential enquiry into maternal deaths，2010-2012 [J]. Gynecol Obstet Fertil Senol，2017，45（12S）：S81-S83.
[8] 李明华，许臻晔，蒋婕，等.117例院前心脏骤停患者心肺复苏后自主循环恢复及出院存活率相关因素分析[J].中国急救医学，2017，37（7）：603-606.
[9] 王小刚，高丁.院前心脏骤停患者505例心肺复苏的临床体会及其成功影响因素分析[J].中国临床医生杂志，2015，43（4）：39-41.
[10] 田建广，陆峰，解炯，等.心脏骤停患者现场心肺复苏成功影响因素分析[J].中国急救复苏与灾害医学杂志，2011， 6（4）：292-294.
[11] Zakhary B，Nanjayya VB，Sheldrake J，et al. Predictors of mortality after extracorporeal cardiopulmonary resuscitation [J]. Crit Care Resusc，2018，20（3）：223-230.
[12] 陈锋，柯俊，王晓萍，等.福建省急救中心116例院前猝死的流行病学研究[J].中国急救医学，2010，30（3）：277-279.
[13] 廖纪华，闫辉，唐锦程.186例猝死患者临床及流行病学特征分析[J].岭南急诊医学杂志，2014，19（5）：401-403.
[14] 于文蓁，龚琳，张莹莹.公众心肺复苏知识、意愿和自我效能的调查[J].中国医药导报，2015，12（35）：39-43.
[15] 徐梅玲，孙文会，梁宁，等.海口地区公众接受电话急救指导心肺复苏现状调查分析[J].临床肺科杂志，2017， 22（11）：1956-1958.
[16] 李丽廉，黄慧萍，王雪梅，等.深圳市社区居民急救知识与技能的健康教育效果评价[J].中国社会医学杂志，2015， 32（3）：216-218.
[17] 张振宇，俞孝芳.院外猝死临床特点分析与现场干预对复苏效果的影响[J].中国中西医结合急救杂志，2011， 18（3）：184.
[18] 张军根，宋因力.512例猝死院前急救及效果分析[J].中华急诊医学杂志，2004，13（11）：785-786.
[19] Lerner EB，Sayre MR，Brice JH，et al. Cardiac arrest patients rarely receive chest compressions before ambulance arrival despite the availability of pre-arrival CPR instructions [J]. Resuscitation，2008，77（1）：51-56.
[20] Fabrice D，Vincent F，Laurent P，et al. Introducing systemaatic dispatcher-assisted cardiopulmonary rresuscitation （telephone-CPR） in a non-Advanced Medical Priority Dispatch System （AMPDS）：Implementation process and costs [J]. Resuscitation，2010，81（7）：848-852.