影响心肺复苏成功的相关因素分析  

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

作　　者：伍凌[1] 

机构地区：[1]宜昌市第一人民医院急诊科,湖北443000

出　　处：《中国急救医学》2008年第2期161-163,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的探讨影响心肺复苏(CPR)成功的相关因素,以便进一步指导临床治疗和抢救。方法回顾分析2004-05～2007-05我院急诊科及院前呼吸、心搏骤停需紧急实施CPR的患者113例,根据有无围心搏骤停期的表现及病因分为选择顺序组及常规组,对两组复苏成功率进行回顾性分析。结果选择顺序组复苏成功28例(47·5%),高于常规组12(21·3%),差异有统计学意义(P<0·05)。结论加强对围心搏骤停期患者的监测和管理,即时发现心肺骤停的早期信号,做到早期CPR,并根据围心搏骤停期的表现及病因选择适当的ABCD顺序,这将有助于提高CPR成功率。Objective To assess the effects of the relative factors on the success of cardiopulmonary resuscitation in order to guide clinical treatment and rescue. Methods All 113 patients undergoing CPR in our emergency department or outside hospital were divided into selective order group and routine group according to whether they had the signs and cause of pericardiac arrest, and the rates of successful CPR in the two groups were compared. Results 28 patients（47.5% ） were resuscitated successfully in selective order group, which were higher than 12 patients （ 21.3% ） in routine group （P 〈 0.05 ）. Conclusion It will improve the rate of successful CPR by strengthen management of the patients with pericardiac arrest, finding the early signs of cardiac arrest, carrying out CPR early and choosing proper ABCD order according to the sign and cause of pericardiac arrest.

关 键 词：围心搏骤停期 心肺复苏 成功率 

分 类 号：R459.7[医药卫生—急诊医学]