基于 Utstein 模式的心肺复苏注册单在急诊科的应用

摘要

Objective To explore the effect of Utstein cardiopulmonary resuscitation ( CPR) registry utilized in emergency department.Methods Totals of 167 cases, who suffered cardiac arrest from January 2011 to December 2012, had been retrospectively collected key data for CPR information from historical disease description, medical order and nursing documentation as control group.We designed registry based on Utstein model.Forty eight cases had been gathered key data prospectively from January to September 2013 as experimental group. We compared the deficiency rates of key data, and evaluate the effect of registry application.Clinical staff, who were trained with the standard of CPR registry, collected experimental information on time and consummated the quality of registry data strictly.Results The data deficiency in the experimental group was less than the control group on cardiac arrest time, reason of cardiac arrest, time of start-up CPR, time of first defibrillation and time of end CPR (χ2 =5.92,5.34,203.93,75.16 and 193.71;P <0.05). Conclusions The application of Utstein model reduces the deficiency of CPR key data and settles the foundation of CPR quality control.%目的：探讨基于Utstein模式的心肺复苏注册单在急诊科应用的效果。方法对167例病例进行一般资料登记，回顾审阅167例病历资料中关于心肺复苏的病程描述及医嘱和护理记录，逐一寻找符合注册单中的条目信息并进行登记。将2013年1—9月心脏骤停的48例患者分为实验组，运用注册单前瞻性收集心肺复苏关键数据。实验组的资料收集经过心肺复苏标准化注册培训的临床医务人员在心肺复苏抢救中利用注册单实时记录心肺复苏流程，并按照注册表的质控要求进行数据完善及严格质控。结果注册单应用后心脏骤停时间、心脏骤停病因、CPR启动时间、首次除颤时间、CPR终止时间的记录缺失率较应用前降低，差异均有统计学意义（χ2值分别为5．92，5．34，203．93，75.16，193．71；P＜0．05）。结论基于Utstein模式的心肺复苏注册单的应用降低了心肺复苏关键数据的缺失率，为心肺复苏质量控制奠定了基础。