影响心肺复苏成功的相关因素探讨  

Investigation of the related factors associated with the success of cardiopulmonary resuscitation

作　　者：翟荣慧[1] 

机构地区：[1]泰山医学院附属泰安医院急诊科,山东泰安271000

出　　处：《泰山医学院学报》2009年第4期285-287,共3页Journal of Taishan Medical College

摘　　要：目的探讨影响心肺复苏（cardiopulmonary resuscitation，CPR）成功的相关因素，以便进一步指导临床抢救和治疗。方法回顾分析2003.01-2008.01我院急诊科及院前呼吸、心搏骤停需紧急实施CPR的患者226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56例（47.5%），高于常规组24例（22.2%），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，及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 related factors on the success of cardiopulmonary resuscitation in order to guide clinical treatment and rescue. Methods： All 226 patients undergoing CPR in our Emergency Department or outside the hospital were divided into selective order group and routine group according to the signs and cause of pericardiac arrest, and the rates of successful CPR in the two groups were compared. Results： Fifty-six patients （47. 5% ） were resuscitated successfully in the selective order group, which were higher than the 24 patients （22. 2% ） in the routine group （P 〈 0. 05）. Conclusion The rate of successful CPR can be improved by strengthening management of the patients with pericardiac arrest, finding the early signs of cardiac arrest, carrying out early CPR and choosing proper ABCD order according to the signs 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]