影响心肺复苏成功率的相关因素分析  

Analysis of the Relevant Factors Influencing the Success Rate of Cardiopulmonary Resuscitation

作　　者：范再英[1] 黄艳娟[1] 周艳平[1] 

机构地区：[1]湖南省第二人民医院急诊科,湖南长沙410007

出　　处：《医学临床研究》2013年第7期1374-1376,共3页Journal of Clinical Research

摘　　要：【目的】分析影响心肺复苏（cPR）成功率的相关因素，为临床干预提供理论依据。【方法】2007年3月至2012年10月在本院接受CPR治疗的122例患者，根据CPR成功与否将上述患者分为复苏成功组（43例）与复苏失败组（79例），分析影响CPR成功率的相关因素。【结果】①复苏成功组年龄≥60岁、有心血管疾病史、院外发病、缓慢性心律失常患者的比例显著低于复苏失败组（P〈o．05），合并先兆症状、胸外按压频率≥100次／分钟、使用人工气道、使用电除颤、递增法使用肾上腺素、使用胺碘酮、纳洛酮患者的比例显著高于复苏失败组（P〈0．05），两组患者之间性别、发病时间、动脉血氧饱和度、瞳孔直径、阿托品相比差异无统计学意义（P〉0．05）。②多因素分析结果显示原发病类型、心脏骤停形式是影响CPR成功率的独立危险因素（P〈0．05），而先兆症状、纳洛酮则是影响CPR成功率的独立保护因素（P〈0．05）。【结论】严密观察先兆症状，及早采取抢救措施，积极应用纳洛酮有利于提高患者CPR的成功率。[Objective] To analyze the relevant factors influencing the success rate of cardiopulmonary re- suscitation（CPR）, and provide theoretical evidence for clinical intervention. [Methods] According to the suc cess or not success of CPR, 122 patients receiving CPR treatment in our hospital from March 2007 to Oct. 2012 were divided into CPR success group（n=43） and CPR failure group（n=79）. The relevant factors influ- encing the success rate o{ CPR were analyzed. [Results] The percentages of patients（aged over or equal to 60 years old） with the history of cardiovascular disease, disease onset outside the hospital, bradyarrhythmias in CPR success group were significantly lower than those in CPR failure group（ P d0.05）, while the percentages of patients with precursory symptoms, the frequency of external chest compression greater than or equal to 100 times a minute, receiving artificial airway, electric defibrillation, adrenaline increasing progressively, amioda- rone and naloxone in CPR success group were significantly higher than those in CPR failure group（ P d0.05）. There was no significant difference in gender, onset time, arterial oxygen saturation, diameter of pupil and at- ropine between 2 groups（ P ^-0.05）. Multiple-factor logistic regression analysis showed that the types of pri- mary diseases, the form of cardiac arrest were independent risk factors influencing the success rate of CPR（ P 〈0. 05）, while the precursory symptom and naloxone were independent protective factors （ P 〈 0. 05）. [Conclusion]Observing the precursory symptom closely and taking emergency measures as soon as possible and applying naloxone actively are able to improve the success rate of CPR in patients.

关 键 词：心肺复苏术 

分 类 号：R654.1[医药卫生—外科学]