心脏骤停患者心肺复苏抢救中的影响因素分析  

Influence factors in the rescue of patients with cardiac arrest

作　　者：赵俊雅 刘丹丹[1] 苏玉敏[1] 韩国杰 ZHAO Junya;LIU Dandan;SU Yumin;HAN Guojie(Department of EICU,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院急诊科,郑州450052

出　　处：《中国临床护理》2021年第7期447-449,共3页Chinese Clinical Nursing

摘　　要：目的探讨心脏骤停患者心肺复苏抢救中的影响因素。方法回顾性收集2015年9月-2018年9月急救中心收治的304例成年心脏骤停患者的临床数据,包括患者基本人口学信息、现场心肺复苏(cardio-pulmonary resuscitaion,CPR)情况[包括是否有目击者、目击者是否实施CPR、胸部按压分数(chest compression fraction,CCF)、到达急救中心时间等],患者24 h的存活率,采用单因素分析和Logistic回归分析研究心脏骤停患者CPR后24 h存活率的影响因素。结果单因素分析发现,目击者是否进行CPR及接受不同CCF的患者,其24 h存活率比较,差异有统计学意义(P<0.05);Logistic回归分析显示,CCF≤80%为24 h存活率的危险因素(P<0.05),目击者进行CPR为24 h存活率的保护因素(P<0.05)。结论对心脏骤停患者,目击者尽早实施CPR及增加有效持续胸部按压时间,能够提高心脏骤停患者心肺复苏后的24 h存活率。Objective To explore the influence factors in the rescue of patients with cardiac arrest.Methods The clinical data of 304 adult cardiac arrest patients admitted to emergency center from September 2015 to September 2018 were retrospectively collected,including demographic information,24 h survival rate,cardio-pulmonary resuscitaion(CPR)status on site,including whether there are witnesses CPR,whether the witnesses implement CPR,chest compression fraction(CCF),time to emergency center.The relation factors were analyzed by single factor analysis and Logistic regression analysis.Results Single-factor analysis showed that there were significant differences in 24-hour survival rate between the patients who received CPR and those who received different CCF(P<0.05);Logistic regression analysis showed that CCF≤80 was an independent risk factor for 24 h survival rate(P<0.05),and witnesses were given CPR as a protective factor for 24 h survival rate(P<0.05).Conclusion Early implementation of CPR and increasing the effective duration of chest compressions can improve the survival rate of patients with cardiac arrest.

关 键 词：心肺复苏 胸部按压分数 心脏骤停 

分 类 号：R47[医药卫生—护理学]