老年患者非预期性院内心脏骤停自主循环恢复的影响因素分析  

Influencing factors for restoration of spontaneous circulation in elderly patients with unexpected in-hospital cardiac arrest

作　　者：任抒文 王明明[1] 吴正男 王鹏[1] 李提提 姚昱名 Ren Shuwen;Wang Mingming;Wu Zhengnan;Wang Peng;Li Titi;Yao Yuming(Department of Emergency Medicine,People′s Hospital Affiliated to Jiangsu University,Zhenjiang 221002,China)

机构地区：[1]江苏大学附属人民医院急诊医学科,江苏镇江221002

出　　处：《护理学杂志》2024年第24期103-106,共4页Journal of Nursing Science

基　　金：江苏大学附属人民医院院级课题项目(YL2023008)。

摘　　要：目的探究老年患者非预期院内心脏骤停自主循环恢复的相关影响因素,为预防老年患者院内心脏骤停和提高抢救成功率提供参考。方法采用回顾性分析方法,连续收集134例老年患者非预期性院内心脏骤停的临床资料,根据抢救后结局分为自主循环恢复组和自主循环未恢复组,进行多因素logistic回归分析探讨影响因素。结果134例患者中,恢复自主循环患者69例,成功率为51.5%。logistic回归分析显示,年龄、抢救地点、持续CPR时间、肾上腺素累计使用量是老年患者非预期住院内心脏骤停自主循环恢复的影响因素(均P<0.05)。结论老年患者非预期院内心脏骤停自主循环恢复成功率较低,建议老年危重患者入住ICU,提前备齐急救仪器设备及药物;普通病房患者突发心脏骤停后,应立即启动快速反应系统以提高老年患者自主循环恢复成功率。Objective To explore the relevant influencing factors for restoration of spontaneous circulation(ROSC)in elderly patients with unexpected in-hospital cardiac arrest,and to provide references for preventing in-hospital cardiac arrest in elderly patients and improving the success rate of rescue.Methods A retrospective analysis method was adopted.The clinical data of 134 consecutive elderly patients with unexpected in-hospital cardiac arrest were collected.According to the outcomes after rescue,the patients were divided into the restoration of spontaneous circulation group(the ROSC group)and the non-restoration of spontaneous circulation group(the non-ROSC group).Multivariate logistic regression analysis was performed to explore the influencing factors.Results Among the 134 patients,69 patients had ROSC,with a success rate of 51.5%.Logistic regression analysis showed that age,rescue location,duration of continuous CPR,and cumulative dosage of adrenaline were the influencing factors for ROSC in elderly patients with unexpected in-hospital cardiac arrest(all P<0.05).Conclusion The success rate of ROSC in elderly patients with unanticipated in-hospital cardiac arrest is relatively low.It is recommended that critically ill elderly patients be admitted to the ICU,and emergency instruments,equipment and drugs should be prepared in advance.After a sudden cardiac arrest in a general ward patient,the rapid response system should be immediately activated to improve the success rate of ROSC in elderly patients.

关 键 词：老年患者 心脏骤停 心肺复苏 自主循环恢复 影响因素 院内急救 老年护理 

分 类 号：R473.5[医药卫生—护理学]