71例心搏骤停患者急诊心肺复苏成功率的影响因素分析  

Analysis of success rate and influence factors of 71 cardiac arrest patients with CPR in emergency room

作　　者：张宁[1] 董致郅[1] 赵景成[1] 吴永强[1] 宗湘裕[1] 王艾芳 

机构地区：[1]北京市怀柔区中医院,101400

出　　处：《北京医学》2017年第1期48-51,共4页Beijing Medical Journal

摘　　要：目的分析心搏骤停患者急诊心肺复苏成功率的影响因素。方法回顾性分析我院急诊科收治的71例心搏骤停患者,参照2010年美国心脏学会(AHA)心肺复苏(CPR)与心血管病急救指南予以CPR,根据患者是否存活分为CPR成功组与CPR失败组,评价患者的CPR成功率,进行单因素及多因素的相关分析。结果 71例患者中,15例复苏成功,46例复苏失败,CPR成功率为21.13%。在CPR影响因素方面,复苏成功组的年龄低小于失败组,复苏开始时间短于失败组,院内复苏比例较高,复苏前心律失常类型以可电击心律多见,与复苏失败组相比均有统计学意义(P均<0.05)。多因素回归分析提示的独立预测因素有:年龄、复苏开始时间、复苏前心律失常类型。结论年龄、复苏地点、复苏开始时间、复苏前心律失常类型是影响CPR成功率的重要因素。Objective To analyze the success rate and influence factors of cardiac arrest with CPR in emergency room. Methods Seventy-one cardiac arrest patients were analyzed retrospectively in our hospital＇s emergency room, all patients were given CPR according to the 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. The patients were divided into the successful group and failure group on the basis of survive or not. The successful rate of CPR was evaluated and the influence factors were compared by univariate and multivariate analysis. Results Fifteen cases＇were successfully resuscitated and 56 cases were not, the successful rate of CPR was 21.13%. Compared with the failure group, the average age was younger and the starting time of CPR was shorter and ratio of CPR in-hospital was higher in successful group. The ratio of ventricular fibrillation or pulseless ventricular tachycardia in successful group was higher than the failure group. Multivariate analysis revealed that age, the CPR starting time, type of heart rhythm were independent predictors of success CPR. Conclusion Age, site of CPR, the CPR starting time, type of heart rhythm are important influence factors for successful CPR. factors of successful CPR.

关 键 词：心搏骤停 心肺复苏 影响因素 

分 类 号：R541.78[医药卫生—心血管疾病]