心搏骤停患者急诊心肺复苏成功率的影响因素  

Factors Influencing the Success Rate of Emergency Cardiopulmonary Resuscitation in Patients with Cardiac Arrest

作　　者：周君锋 黄武军[2] ZHOU Junfeng;HUANG Wujun(Department of Emergency,The First People's Hospital of Qinzhou,Qinzhou 535000,Guangxi Zhuang Autonomous Region,China;Department of Critical Care Medicine,The First People's Hospital of Qinzhou,Qinzhou 535000,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]钦州市第一人民医院急诊科,广西钦州535000 [2]钦州市第一人民医院重症医学科,广西钦州535000

出　　处：《系统医学》2025年第3期62-65,共4页Systems Medicine

基　　金：钦州市科学研究与技术开发计划(2021403)。

摘　　要：目的探究影响心搏骤停患者急诊心肺复苏成功率的危险因素。方法回顾性选取钦州市第一人民医院于2019年1月—2023年3月收治的70例心搏骤停患者的临床资料,均行心肺复苏,依据是否抢救成功分为观察组(抢救成功,n=50)与对照组(抢救失败,n=20),使用Logistic回归分析心搏骤停患者急诊心肺复苏成功的危险因素。结果通过单因素Logistic回归分析,两组患者的年龄、性别、心搏骤停原因对比,差异无统计学意义(P均>0.05)。高热、合并高乳酸血症、合并高血糖、合并低氧血症、合并高钠血症、抽搐、心搏骤停地点是心搏骤停患者急诊心肺复苏成功的独立危险因素(OR=1.322、1.326、1.587、2.141、2.362、2.148、2.345,P均<0.05)。结论影响心搏骤停患者急诊心肺复苏成功率的原因较多,医护人员应重点关注高热、合并症、抽搐、心搏骤停地点等情况。Objective To explore the risk factors affecting the success rate of emergency cardiopulmonary resuscitation in patients with cardiac arrest.Methods Clinical data of seventy patients with cardiac arrest admitted to The First People's Hospital of Qinzhou from January 2019 to March 2023 were retrospectively selected,all of whom underwent cardiopulmonary resuscitation,and were divided into observation group(rescue success,n=50)and control group(rescue failure,n=20)according to whether rescue success was achieved.Logistic regression was used to analyze the risk factors for successful emergency cardiopulmonary resuscitation in patients with cardiac arrest.Results By univariate Logistic regression analysis,there were no significant difference in age,gender and cause of cardiac arrest between the two groups(all P>0.05).High fever,combined with hyperlactemia,combined with hyperglycemia,combined with hypoxemia,combined with hypernatremia,convulsions,and location of cardiac arrest were independent risk factors for successful emergency cardiopulmonary resuscitation in patients with cardiac arrest(OR=1.322,1.326,1.587,2.141,2.362,2.148,2.345,all P<0.05).Conclusion There are many reasons affecting the success rate of emergency cardiopulmonary resuscitation in patients with cardiac arrest,and medical staff should pay attention to the factors such as high fever,complications,convulsions,and the location of cardiac arrest.

关 键 词：心搏骤停 急诊心肺复苏成功率 影响因素 

分 类 号：R4[医药卫生—临床医学]