急诊心搏骤停患者心肺复苏成功的影响因素分析  

Analysis of the factors influencing the success of cardiopulmonary resuscitation in rescuing emergency cardiac arrest patients

作　　者：龚幼平[1] 杨贞文 谢章辉[3] Gong Youping;Yang Zhenwen;Xie Zhanghui(Surgery Staff Room,Jiaying College School of Medicine,Meizhou 514031,China;Department of Emergency,Eastern Hospital of Third Hospital Affiliated to Sun Yat-sen University,Meizhou 514031,China;Department of Emergency,Affilated Hospital of Jiaying College School of Medicine,Meizhou 514031,China)

机构地区：[1]嘉应学院医学院外科教研室,广东梅州514031 [2]中山大学附属第三医院粤东医院急诊科,广东梅州514031 [3]嘉应学院医学院附属医院急诊科,广东梅州514031

出　　处：《临床医学》2019年第3期4-6,共3页Clinical Medicine

基　　金：广东省医学科学技术项目(A2018538);嘉应学院人文社科项目(2018SKY07);梅州市哲学社会科学2018年规划项目(mzsk1x2018025)~~

摘　　要：目的探讨急诊心搏骤停患者心肺复苏成功的影响因素。方法选择2017年4月至2018年3月100例心搏骤停患者为研究对象,患者均行心肺复苏术抢救,根据抢救成功与否将患者分为观察组和对照组,观察组为抢救成功的患者,对照组为失败的患者,比较分析影响抢救结果的相关因素。结果观察组患者在院前发病率、心肺复苏持续时间、首次检测可除颤心率等方面均优于对照组,差异均有统计学意义(P<0.05)。院前发病率、开始复苏时间、首次检测可除颤心率是影响心肺复苏术成功的主要因素(P<0.05),其余因素均为心肺复苏术的危险因素。结论发病地点、心脑复苏所用时间、电击除颤等诸多因素对心脑复苏是否成功有影响,为了提高救治成功率,施术者要尽早识别病情,在最佳的救治时间内,对原发疾病进行积极处理,也要做好心脏骤停的后期医治工作。Objective To investigate the effect of cardiopulmonary resuscitation on the success of emergency cardiac arrest patients.Method A total of 100 patients with cardiac arrest from April 2017 to March 2018 were selected as the subjects,all of the patients were treated with cardiopulmonary resuscitation,and the patients were divided into observation group and control group according to the success of the rescue,the observation group had successful resuscitation,the control group had failed resuscitation,and the influencing factors of the rescue results were compared and analyzed.Results The patients in the observation group were better than that of the control group in pre-hospital morbidity,cardiopulmonary resuscitation duration and first detection of defibrillation heart rate,and the difference was significant(P<0.05).Pre-hospital morbidity,initiation of recovery time and first detection of defibrillation heart rate were the main factors affecting the success of cardiopulmonary resuscitation(P<0.05),and the remaining factors were risk factors for cardiopulmonary resuscitation.Conclusion The location of the disease,cardiac and cerebral resuscitation time,electric shock defibrillation and many other factors have an impact on the success of cardiac and cerebral resuscitation,in order to improve the success rate of treatment,the application should identify the condition as early as possible,in the best treatment time,to actively deal with the primary disease,but also to do a good job of cardiac arrest late treatment.

关 键 词：心肺复苏 电击除颤 心搏骤停 

分 类 号：R459.7[医药卫生—急诊医学]