【摘要】 目的探讨"一医两护"心肺复苏抢救流程在临床上的应用效果。方法选择2007年1月-2008年12月本院急诊科发生心跳呼吸骤停患者100例为实验组,选择2009年1月-2010年8月100例患者为对照组,对照组采用常规心肺复苏抢救流程,实验组采用"一医两护"配合的心肺复苏抢救流程。比较两组患者的存活率和实施心肺复苏、除颤、气管插管及静脉输液时间。结果实验组患者存活率高于对照组,实施除颤时间及气管插管时间短于对照组(均P<0.05);两组患者实施心肺复苏及静脉输液时间比较,均P>0.05,差异无统计学意义。结论 "一医两护"配合的心肺复苏抢救流程能提高患者的抢救成功率,缩短抢救时间,是一种较好的心肺复苏抢救流程。更多还原

【Abstract】 Objective To investigate the effect of ′one-doctor-two-nurses′ rescue process for optimized procedural cardiopulmonary resuscitation(CPR).Methods 100 cardiopulmonary arrest patients from January 2007 to August 2010 were assigned into experimental group,receiving ′one-doctor-two-nurses′ rescue process and another 100 cardiopulmonary arrest patients over the same period as the control group,receiving conventional cardiopulmonary resuscitation process.The two groups were compared in respect of return of spontaneous circulation(ROSC),survival rate,time to start CPR,time for defibrillation,time for endotracheal intubation and intravenous administrations.Results ROSC and survival rate of the experiment group were higher than those of the control group,time for stabilization in the experiment group was longer than that in the control group,time for defibrillation and time for endotracheal intubation in the experiment group were all significantly shorter than those in the control group(all P < 0.05).There were no significant differences between the groups in time for CPR and intravenous administration(P > 0.05).Conclusions The ′one-doctor-two-nurses′ rescue process for optimized procedural cardiopulmonary resuscitation may increase success rate of resuscitation and reduce rescue time.It is a better cardiopulmonary resuscitation process.更多还原