影响心肺复苏预后的相关因素分析  

Analysis of the relative factors associated with the prognosis of cardiopulmonary resuscitation

作　　者：何新华[1] 李春盛[1] 许丽[1] 邵菲[1] 沈露晖[1] 

机构地区：[1]首都医科大学附属北京朝阳医院急诊科,北京100020

出　　处：《中国急救医学》2005年第10期709-711,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的探讨影响心肺复苏预后的相关因素,为治疗提供依据.方法回顾分析我院急诊重症监护室2001-01～2005-05心肺复苏患者48例,按复苏成功与否分为复苏失败组(A组)、复苏成功组(B组)和存活出院组(C组).分析患者年龄、合并疾病、骤停时间、抢救时间、存活时间、Glasgow评分和APACHEⅡ评分.结果与A组比较,B组和C组年龄、骤停时间、抢救时间差异具有显著性(P＜0.05),但两组间差异不明显;与A组和B组比较,C组存活时间、Glasgow评分和APACHEⅡ评分相差非常显著(P＜0.01).三组患者均合并多种疾病,而以合并心脑血管疾病和呼吸系统疾病为首位.结论年龄是复苏成功的重要因素,合并心脑血管和呼吸系统疾病是心脏骤停高危因素,骤停时间是复苏成功的关键,脑复苏成功是存活出院的最重要因素,APACHEⅡ评分能评估心肺复苏的预后.Objective To assess effects of the relative factors on the prognosis of cardiopulmonary resuscitation （CPR）. Methods 48 cases with CPR were selected from January 2001 to May 2005 in our emergency intensive care unit （EICU）. They were divided into failure group （A group）, success group （B group） and survival group （C group） according as resuscitation was successful or not. The age, complication, arrest times, rescuing times, survival times, Glasgow coma scales（GCS） and acute physiology and chronic health evaluationⅡ（APACHEⅡ） scores of all the cases were analyzed. Results Age, arrest times and rescuing times were significantly younger and shorter in B and C group than those in A group（P〈0.05）, but there were no statistical differences between B and C group. Compared with A and B groups, survival times, and APACHEⅡ scores were markedly longer and lower in group C（P〈0.01）. All the cases had complication, and cardiocerebral vascular diseases and respiratory diseases were first diseases. Conclusions Age was an important factor in resuscitation. It was very high risk for the cases with cardiocerebral vascular diseases and respiratory diseases. Arrest times were a key factor in successful CPR and cerebral resuscitation was the most important factor for the survival who discharged from the hospital, APACHEⅡ may predict the prognosis of CPR.

关 键 词：心肺复苏 GLASGOW评分 APACHEⅡ评分 

分 类 号：R459.7[医药卫生—急诊医学]