心肺复苏成功患者死亡的危险因素分析  

Analysis of death-related risk factors following successful cardiopulmonary resuscitation

作　　者：陈宁[1] 全坤[1] 曹敏[1] CHEN Ning, QUAN Kun, CAO Min(Emergency Department, Lianjiang People＇s Hospital, Lianjiang 524400, Chin)

机构地区：[1]广东省廉江市人民医院急诊科,广东廉江524400

出　　处：《广东医科大学学报》2017年第5期558-561,共4页Journal of Guangdong Medical University

摘　　要：目的分析心肺复苏(CPR)成功患者死亡的危险因素。方法 117例CPR成功的住院患者分为死亡组和存活组,采用多因素Logistic回归分析死亡的危险因素。结果 CPR成功患者在住院期间病死率为65.81%。多因素Logistic回归分析显示开始CPR时间>5 min、CPR前全身炎症反应综合征、CPR后第2天SOFA评分>14分、CPR至自主循环恢复>30 min与CPR成功患者死亡显著相关(P<0.05)。结论 CPR成功患者死亡的危险因素包括开始CPR时间>5 min、CPR前全身炎症反应综合症、CPR后第2天SOFA评分>14分、CPR至自主循环恢复>30 min。Objective To analyze the death-related risk factors after successful cardiopulmonary resuscitation（CPR）.Methods A total of 117 inpatients undergoing successful CPR were divided into death and survival groups,and the deathrelated risk factors were evaluated by multivariate logistic regression analysis.Results The mortality rate of in-hospital patients undergoing successful CPR was 65.81%.Multivariate logistic regression analysis showed that initiating CPR time〉5min,systemic inflammatory response syndrome before CPR,2-day SOFA score after CPR〉14,and spontaneous circulation restoration〉30 min were significantly correlated with patients’deaths（P〈0.05）.Conclusion The death-related risk factors include initiating CPR time5 min,systemic inflammatory response syndrome before CPR,2-day SOFA score after CPR〉14,and spontaneous circulation restoration〉30 min in patients undergoing successful CPR.

关 键 词：心肺复苏 危险因素 死亡 

分 类 号：R605.97[医药卫生—急诊医学]