ISSN 2096-7446　CN 10-1655/R
主管：中国科协技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2023, Vol. 4 ›› Issue (11): 983-988.doi: 10.3761/j.issn.2096-7446.2023.11.004

• 重症管理与质量控制专题 • 上一篇    下一篇

体外心肺复苏多学科团队协作方案的构建及应用

吴洁华 陈华 夏叶 冷夏华 王蒙蒙 谌欢 闫程坤   

  • 出版日期:2023-11-10 发布日期:2023-11-24

Construction and application of a multidisciplinary team approach for extracorporeal cardiopulmonary re- suscitation

WU Jiehua，CHEN Hua，XIA Ye，LENG Xiahua，WANG Mengmeng，CHEN Huan，YAN Chengkun   

  • Online:2023-11-10 Published:2023-11-24

摘要： 目的 构建体外心肺复苏多学科团队协作（multi-disciplinary treatment，MDT）方案 并评价其应用效果。 方法 采用专家小组讨论法，构建体外心肺复苏MDT方案。 采用方便抽样法，选取南昌市某三级甲等医院急诊科2020年1月-2021年12月进行体外心肺复苏的35例患者作为试验组，2018年1月-2019年12月进行体外心肺复苏的32例患者作为对照组。 试验组在常规接诊流程、护理的基础上实施体外心肺复苏MDT方案，对照组予常规急诊接诊、护理，比较两组患者各环节用时、48 h自主循环恢复率、48 h存活率及院内存活率的差异。 结果 试验组最终收集31例，对照组最终收集27例；试验组各环节用时明显低于对照组，差异均具 有统计学意义（P<0.001）；48 h自主循环恢复率、48 h存活率及院内存活率明显高于对照组，差 异均具有统计学意义（P<0.05）。 结论 应用体外心肺复苏MDT方案可缩短体外心肺复苏患者抢救时间，促进医护配合，提高抢救成功率。

关键词: 体外心肺复苏术, 合作行为, 跨学科研究, 急症护理, 临床护理研究

Abstract: Objective To construct a multi-disciplinary team （MDT） approach for extracorporeal cardiopulmonary resuscitation（ECPR） and evaluate its application. Methods An expert group discussion method was used to con- struct a MDT protocol for extracorporeal cardiopulmonary resuscitation. Using a convenience sampling method，35 patients who underwent ECPR from January 2020 to December 2021 were selected as the experimental group，and 32 patients who underwent ECPR from January 2018 to December 2019 were selected as the control group. The experimental group implemented the extracorporeal cardiopulmonary resuscitation MDT protocol on the basis of the conventional process and care，while the control group was given the conventional emergency receiving and nursing care. Compared the time spent on each session，48h return of spontaneous circulation rate，48h survival rate and in- hospital survival rate between the two groups of patients. Results 31 cases were collected in the experimental group and 27 cases in the control group. The time spent in each session was significantly lower in the experimen- tal group than that in the control group after the intervention，and the difference was statistically significant（P<0.001）. The 48h return of spontaneous circulation rate，48h survival rate and in-hospital survival rate were significantly higher than those in the control group，and the differences were statistically significant （P<0.05）. Conclusion The application of the MDT approach for extracorporeal cardiopulmonary resuscitation can shorten the resuscitation time of patients with extracorporeal cardiopulmonary resuscitation，promote medical and nursing cooperation，and improve the resuscitation success rate.

Key words: Extracorporeal Cardiopulmonary Resuscitation, Cooperative Behavior, Interdisciplinary Research, Emergency Nursing, Clinical Nursing Research