心脏骤停患者心肺复苏自主循环综合征预后相关因素分析  

Prognostic factors of cardiac arrest patients with cardiopulmonary resuscitation spontaneous circulation syndrome

作　　者：俞宁[1] 吕立文[1] 唐宇涛[1] 齐玉晶[1] 

机构地区：[1]广西壮族自治区人民医院急诊重症监护病房,广西南宁530021

出　　处：《临床肺科杂志》2016年第12期2268-2271,共4页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨影响心脏骤停后心肺复苏自主循环综合征患者预后的相关因素,为临床上预后评估提供依据。方法收集2013-2015年入住我院急诊重症监护室成功心肺复苏自主循环200例,除去年龄不符(小于16岁)的,还有资料不完整的,最后纳入研究150例,对可能与预后相关的因素进行单因素分析和多因素分析,找出它们之间的相关性。结果单因素Logistic回归分析发现年龄,基础疾病史情况,性别,这三个因素对患者预后无统计学意义(P>0.05)。多因素Logistic回归分析发现影响患者预后的因素有:心脏复苏开始的时间,持续时间,第4天的APACHEⅡ评分,以及复苏后有无肌肉阵挛,肌肉抽搐,有无脑干反应,有无室颤,室速等,这些因素对患者预后有统计学意义(P<0.05)。结论复苏开始时间,持续时间,第4天的APACHEⅡ评分以及复苏中有无肌肉阵挛,肌肉抽搐,有无室颤,室速,有无脑干反射等这些因素是进行心肺复苏自主循环综合征预后的科学依据。Objective To investigate the prognostic factors of cardiac arrest patients with cardiopulmonary resuscitation spontaneous circulation syndrome, in order to provide the basis for clinical prognosis. Methods 200 cases of successful cardiopulmonary resuscitation spontaneous circulation were collected from 2013 to 2015, and final- ly 150 of them were enrolled in the study. The possible related prognostic factors were analyzed by univariate analysis and multivariate analysis. Results Univariate Logistic regression analysis showed that age, history of underlying dis- ease and sex had no significant correlation with prognosis （ P 〉 0. 05 ）. Multivariate Logistic regression analysis showed that the influencing factors included CPR start time, duration, day 4 APACHE Ⅱ score, presence or absence of recovery after muscle clonus, muscle twitching, with or without brainstem response, chamber flutter, and ventricu- lar taehycardia （P 〈 0. 05 ）. Conclusion The prognostic factors of cardiopulmonary resuscitation spontaneous circu- lation include recovery start time, duration, day 4 APACHE Ⅱ score, presence or absence of myoclonic recovery, muscle twitching, with or without ventricular fibrillation, ventrieular taehycardia, with or without stem, etc.

关 键 词：心博骤停 心肺复苏 自主循环综合征 预后 

分 类 号：R459.7[医药卫生—急诊医学]