心跳呼吸骤停患者心肺复苏成功的影响因素  

Impact Factors of Cardiopulmonary Resuscitation Success in Cardiopulmonary Arrest Patients

作　　者：周伟梁[1] 曾凡杰[1] 秦伟毅[1] 唐绍辉[1] 彭雄[1] 

机构地区：[1]广州军区广州总医院心血管内科,广东广州510010

出　　处：《华南国防医学杂志》2015年第11期839-842,共4页Military Medical Journal of South China

基　　金：广东省科技厅基金项目(2011B031800204)

摘　　要：目的分析心跳骤停患者的心肺复苏效果,为进一步提高急救效能提供科学依据。方法回顾分析2011-01/2014-12月151例心跳骤停患者期待救治时间与第一目击者实施救治措施对成功救治结果的影响。结果心跳呼吸骤停期待救治对成功救治的影响,期待救治时间≤5 min的救治成功率最高（84.21%）,期待救治时间≥15 min抢救成功率为零,不同期待救治时间的救治成功率差异有统计学意义（Z=-7.97,P〈0.01）;第一目击者是否实施救治对救治成功影响较大,差异有统计学意义（χ~2=9.35,P=0.002）;院前与院内实施心肺复苏救治成功率差异亦有统计学意义（χ~2=31.33,P=0.000）。结论心跳呼吸骤停期待救治时间,院内救治与第一目击者是否及时救治,是影响心肺复苏成功的重要因素。Objective To analyse the effect of cardiopuImonary arrest in patients with cardiopulmonary arrest, in order to provide scientific evidence for further first aid improvement.Methods A total of 151 cases of cardiac arrest pa- tients during JarL 2011 to Dec. 2014 were included.The effects of expectant rescue time-point and first-aid from first wit- ness on the success of cardiopulmonary resuscitation were analyzed.Results The expectant treatment time ≤5 min had the highest resuscitation success rate （84.21 $）, while ≥Smin led to lowest success rate （0%）. There was a statistical significance in the success rate of different expectant treatment time-point （Z = - 7.97,≤0.01）, the treatment measures from first witness （X2 = 9.35,P = 0.002） and pre-hospital and in-hospital cardiopulmonary resuscitation （Z2 = 31.33,P = 0.000）.Conclusion The expectant rescue time-point, advanced treatment in the hospital and timely first-aid from first witness are imnortant factors in the cardiopulmonary resuscitation.

关 键 词：心跳骤停 心肺复苏 成功救治 影响因素 

分 类 号：R541.78[医药卫生—心血管疾病]