院外危重症哮喘导致心脏骤停患者心肺复苏效果及风险控制影响因素分析  

Analysis of cardiopulmonary resuscitation effect and risk control influencing factors in after-hospital cardiac arrest patients

作　　者：郑淑凤 汪群智[2] 陈宗相 ZHENG Shufeng;WANG Qunzhi;CHEN Zongxiang(Department of Endocrinology,Jinhua People's Hospital in Zhejiang Province,Jinhua 321000,China;Department of Respiratory Medicine,Jinhua People's Hospital in Zhejiang Province,Jinhua 321000,China;Department of Emergency,Jinhua People's Hospital in Zhejiang Province,Jinhua 321000,China)

机构地区：[1]浙江省金华市人民医院内分泌科,浙江金华321000 [2]浙江省金华市人民医院呼吸内科,浙江金华321000 [3]浙江省金华市人民医院急诊科,浙江金华321000

出　　处：《中国现代医生》2022年第18期93-96,共4页China Modern Doctor

基　　金：浙江省基础公益研究计划项目(LGF19H010004)。

摘　　要：目的判断实施心肺复苏的院外心脏骤停患者心肺复苏效果的影响因素。方法选取2020年3月~2021年6月金华市人民医院收治的发生OHCA并接受CPR救治的成年患者100例,进行完整2个月院内追踪及随访,判断心脏复苏的风险控制及应用效果;并针对患者的最终存活情况相关影响因素进行分析。结果100例患者中,恢复自主呼吸的患者共18例,6例存活出院。患者的年龄、性别、有无目击者等一般资料比较,差异无统计学意义,与存活出院无关(P>0.05),患者存活出院主要与心脏骤停的病因、初始心率、CPR开始时间、急救的反应时间及肾上腺素的累计剂量有直接关系(P<0.05)。结论心脏骤停复苏能否成功的关键在于是否给予规范的心脏复苏及除颤治疗。Objective To perform CPR in patients with cardiac arrest and determine the effect of CPR in patients with after-hospital cardiac arrest.Methods A total of 100 adult patients with OHCA from March 2020 to June 2021 and CPR were selected and follow-up and followed up to determine the risk control and application effect of cardiac resuscitation.And the factors related to the final survival were analyzed.Results Among the patients,18 patients resumed spontaneous breathing and 6 survived and were discharged.There was no statistically significant difference in general data such as age,sex,or presence of witnesses,unrelated to survival discharge(P>0.05),while survival discharge was directly related to the cause of cardiac arrest,initial heart rate,CPR start time,emergency response time,and cumulative dose of adrenaline(P<0.05).Conclusion The key to the success of cardiac arrest recovery is whether standardized cardiac recovery and defibrillation treatment were performed.

关 键 词：院外心脏骤停 心脏复苏 自主呼吸 除颤治疗 

分 类 号：R459.7[医药卫生—急诊医学]