心搏骤停患者院前心肺复苏效果影响因素分析  

Analysis of factors affecting the effectiveness of pre hospital cardiopulmonary resuscitation in patients with cardiac arrest

作　　者：顾芳 许雅峰 王晓彦 邹丽婷 Gu Fang;Xu Yafeng;Wang Xiaoyan(Emergency Department,Jiangnan University Affiliated Hospital,Wuxi 214000,China)

机构地区：[1]江南大学附属医院急诊科,无锡214000 [2]江南大学附属医院心内科,无锡214000

出　　处：《中华保健医学杂志》2025年第1期62-64,共3页Chinese Journal of Health Care and Medicine

基　　金：江苏省卫生健康科研项目(ZDA2020023)。

摘　　要：目的分析本区域院外心搏骤停(OHCA)患者临床资料,探讨影响心肺复苏(CPR)成功率的影响因素。方法回顾性收集2020年1月~2024年8月江南大学附属医院发生OHCA实施CPR患者资料,根据复苏结果将患者分为自主循环恢复(ROSC)组及无效组。数据录入采用Utstein模式,整理患者一般资料及急救反应时间、初始心律类型、呼吸支持方式、肾上腺素使用等急救情况。进行多因素logistic回归分析。结果共407例患者纳入研究,其中81例ROSC,复苏成功率19.9%。多因素回归结果显示,急救反应时间短、初始心律为心室颤动或无脉性室性心动过速是OHCA患者复苏成功的独立影响因素(P<0.05)。结论急救反应时间、初始心律类型为可电击心律是OHCA患者复苏成功的独立影响因素,进一步提高目击者CPR率及CPR质量,优化自动体外除颤仪配置方案有助于提高CPR成功率。Objective To analyze the clinical data of patients with out of hospital cardiac arrest(OHCA)in this region and explore the influencing factors on the success rate of cardiopulmonary resuscitation(CPR).Methods Retrospective collect data on patients who experienced out of hospital cardiac arrest and underwent CPR in our district from January 2020 to August 2024.Based on the resuscitation results,the patients were divided into ROSC group and ineffective group.The data entry adopts Utstein mode to organize patient general information,emergency response time,initial heart rhythm type,respiratory support method,adrenaline use and other emergency situations.Perform multiple logistic regression analysis.Results A total of 407 patients were included in the study,including 81 cases of ROSC,with a successful resuscitation rate of 19.9%.The results of multiple regression analysis showed that short emergency response time and initial heart rhythm of ventricular fibrillation or avascular ventricular tachycardia were independent factors affecting the success of resuscitation in OHCA patients.Conclusion The emergency response time and initial heart rhythm type that can be electrocuted are independent influencing factors for the success of resuscitation in OHCA patients.Further improving the witness CPR rate and CPR quality,optimizing the automated external defibrillator configuration plan can help improve the success rate of CPR.

关 键 词：院外心搏骤停 心肺复苏 目击者心肺复苏 影响因素 

分 类 号：R541[医药卫生—心血管疾病]