实施心肺复苏后临床预后及危险因素分析

景建军; 何光辉; 俞作发

doi:10.13201/j.issn.1009-5918.2017.06.007

实施心肺复苏后临床预后及危险因素分析

- 新疆石河子市人民医院急救中心(新疆石河子, 832000)
基金项目:
超长心肺复苏的临床研究 (No:2012YL03)

详细信息

通讯作者: 景建军, E-mail:2547552974@qq.com

中图分类号: R459.7

收稿日期: 2017-04-12

Analysis of clinical prognosis and risk factors after cardiopulmonary resuscitation

- Emergency Center, People's Hospital of Shihezi, Shihezi 832000, China

More Information

Corresponding author: JING Jianjun, E-mail: 2547552974@qq.com

Received Date: 12 April 2017

摘要

摘要: 目的: 探讨实施心肺复苏后临床预后及危险因素。方法: 回顾性分析2014-05-2016-05 393例在我院因心搏骤停进行心肺复苏患者的临床资料,依据复苏抢救时间分为常规组(抢救时间<30 min)与超长组(抢救时间 ≥ 30 min)。比较2组患者心肺复苏一般情况、预后,并分析影响心肺复苏预后的危险因素。结果: 2组患者心脏停搏时间、医务人员到达现场时间比较差异无统计学意义;超长组患者复苏时间及肾上腺素使用量明显高于常规组(P<0.05)。2组患者进心肺复苏后,常规组ROSC、出院存活率及30 d存活率明显高于超长组,差异具有统计学意义(P<0.05)。对393心搏骤停患者临床资料进行分析,发现年龄及心搏骤停病因不是患者预后的危险因素;而性别、发生地点、第一目击者是否是医务人员及抢救时间长短可影响心搏骤停患者预后(P<0.05)。对具有统计学意义单因素进行Logistic回归分析,发现发生地点、第一目击者是否是医务人员及抢救时间长短为影响心搏骤停患者预后的独立危险因素(P<0.05)。结论: 对心搏骤停患者及时进行心肺复苏,对恢复自主循环具有重要意义,且心搏骤停患者病发地点、第一目击者是否是医务人员及抢救时间长短可影响预后,需引起临床重视。
- 心肺复苏 /
- 预后 /
- 危险因素
Abstract: Objective: To explore the clinical prognosis and risk factors after cardiopulmonary resuscitation.Method: From May 2015 to May 2016,A retrospective analysis of 393 cases in our hospital for cardiac arrest clinical data in patients with cardiopulmonary resuscitation,according to resuscitation time divided into routine group (rescue time <30 min) and long group (rescue time=30 min).The general situation and prognosis of cardiopulmonary resuscitation were compared between the two groups.Result: There was no significant difference between the two groups of patients with cardiac arrest and the arrival time of the medical staff.The recovery time and the use of epinephrine in the super long group were significantly higher than those in the conventional group (P<0.05).Two groups of patients after cardiopulmonary resuscitation,the conventional group ROSC,discharge survival rate and the survival rate of 30 days was significantly higher than the super group,the difference was statistically significant (P<0.05).The 393 patients with cardiac arrest were analyzed retrospectively,found that the risk of age and cardiac arrest is not the cause factors of prognosis for patients with;sex,place,whether it is the first witness of medical personnel and the rescue time can affect the length of the prognosis of patients with cardiac arrest (P<0.05).The statistically significant univariate Logistic regression analysis,found the first place,witnesses are independent risk factors of medical personnel and rescue time influences the prognosis in patients with cardiac arrest (P<0.05).Conclusion: In patients with cardiac arrest cardiopulmonary resuscitation in a timely manner,has important significance for the restoration of spontaneous circulation,and cardiac arrest in patients with the disease location,the first witness is whether medical personnel and rescue time can affect the prognosis,should cause clinical attention.
- cardiopulmonary resuscitation /
- prognosis /
- risk factors

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