中国中西医结合急救杂志2026，Vol.33Issue(2)：223-227,5.DOI:10.3969/j.issn.1008-9691.2026.02.016
2024年杭州市公众启动除颤计划的实践数据分析
Practical data analysis of public access defibrillation in Hangzhou in 2024
摘要
Abstract
Objective To analyze the real-world effectiveness and influencing factors of public access defibrillation(PAD)to promote the rational configuration and scientific application of automated external defibrillator(AED)in public places and improve the success rate of out-of-hospital cardiac arrest(OHCA).Methods Hangzhou city 85 OHCA patients who received PAD were assigned to the experimental group,while those 3 598 patients treated solely by emergency medical services(EMS)during the same period constituted the control group.Comparisons were performed between the two groups in terms of the proportion of initial defibrillable rhythm and defibrillation success rate.The differences in treatment outcomes between patients with complete implementation of EMS clinical pathway and those with incomplete implementation were also compared.Multivariate analysis was used to explore the relevant influencing factors,and a continuous quality improvement plan was formulated.Results The proportion of shockable initial rhythms of the experimental group and the control group was 60.00%(51/85)and 12.34%(444/3 598)respectively,and the difference was statistically significant(P<0.05).The rate of return of spontaneous circulation(ROSC)and the survival and discharge rate of the experimental group were significantly higher than those of the control group[ROSC rate:70.59%(36/51)vs.26.58%(118/444),survival and discharge rate:47.06%(24/51)vs.12.16%(54/444),both P<0.05].The ROSC rate and survival discharge rate of the fully executed clinical path group were significantly high than the incomplete clinical path group[ROSC rate:46.71%(78/167)vs.23.19%(16/69),survival to discharge rate:23.35%(39/167)vs.11.59%(8/69),both P<0.05].Conclusions PAD is an important part of OHCA treatment.The further improvement of the success rate of OHCA treatment requires not only the rational allocation and scientific management of AED in public places,but also requires close cooperation between the public,pre-hospital and in-hospital services,as well as,EMS to standardize the implementation of clinical paths.关键词
院外心搏骤停/公众启动除颤/临床路径/院前院内衔接Key words
Out-of-hospital cardiac arrest/Public access defibrillation/Clinical path/Pre-hospital and in-hospital integration引用本文复制引用
孙宝云,张军根,付卫林,王建岗,宋因力,鲁美丽,徐琪..2024年杭州市公众启动除颤计划的实践数据分析[J].中国中西医结合急救杂志,2026,33(2):223-227,5.基金项目
浙江省杭州市医药卫生科技项目(20220919Y064) The Medical and Health Science and Technology Project of Hangzhou City,Zhejiang Province(20220919Y064) （20220919Y064）
