急诊科心肺复苏预后及相关因素分析

杨志燕; 黄天宝; 张国英

doi:10.13406/j.cnki.cyxb.001100

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急诊科心肺复苏预后及相关因素分析

心血管疾病 | 更新时间：2024-01-17

- 急诊科心肺复苏预后及相关因素分析
- Prognosis of emergency cardiopulmonary resuscitation and its influencing factors
- 重庆医科大学学报 2016年41卷第12期页码：1234-1238
- 作者机构：
  
  泉州市第一医院急诊科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.001100
  中图分类号： R459.7
- 纸质出版日期：2016，
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[1]杨志燕,黄天宝,张国英.急诊科心肺复苏预后及相关因素分析[J].重庆医科大学学报,2016,41(12):1234-1238.

Yang Zhiyan, Huang Tianbao, Zhang Guoying. Prognosis of emergency cardiopulmonary resuscitation and its influencing factors[J]. Journal of Chongqing Medical University, 2016,41(12):1234-1238.
[1]杨志燕,黄天宝,张国英.急诊科心肺复苏预后及相关因素分析[J].重庆医科大学学报,2016,41(12):1234-1238. DOI： 10.13406/j.cnki.cyxb.001100.

Yang Zhiyan, Huang Tianbao, Zhang Guoying. Prognosis of emergency cardiopulmonary resuscitation and its influencing factors[J]. Journal of Chongqing Medical University, 2016,41(12):1234-1238. DOI： 10.13406/j.cnki.cyxb.001100.

摘要

目的:探讨影响心跳呼吸骤停患者急诊科心肺复苏（cardiopulmonary resuscitation

CPR）预后的相关因素

以期提高急诊科CPR的成功率。方法:回顾性分析泉州市第一医院急诊科2010年12月至2014年2月期间的CPR病例

对影响CPR效果的相关因素进行单因素和多因素logistic回归分析。结果:298例病例中

自主循环恢复（restoration of spontaneous circulation

ROSC）75例（25.2%）

24 h存活41例（13.8%）

出院存活19例（6.4%）

神经功能预后较好出院存活9例（3.0%）。相关因素分组比较显示

CPR起始时间≤5 min、CPR连续时间≤10 min、肾上腺素总量≤5 mg、可除颤心律组

ROSC率、24 h存活率、存活出院率、神经功能预后较好

出院存活率相对较高（P<0.05）;院内（cardiopulmonary arrest

CA）组

ROSC率、24 h存活率、存活出院率相对较高（P<0.05）;心源性、医务人员目击者ROSC率和24 h存活率相对较高（P<0.05）;非脏器功能不全、白天抢救者ROSC率相对较高（P<0.05）。结论:影响心跳呼吸骤停患者急诊科CPR预后的相关因素主要有CPR起始时间和连续时间

可除颤心率以及年龄。期中可除颤心律是影响神经功能预后较好的有利因素。

Abstract

Objective:To assess the factors impacting outcomes of cardiopulmonary resuscitation(CPR)after cardiac arrest(CA)in department of emergency

in order to improve the success rate. Methods:Retrospective analysis on CPR cases belongs to the emergency department of Quanzhou First Hospital from December 2010 to February 2014 was conducted. The relevant factors of CPR were analyzed with univariate and multivariate logistic regression analysis. Results:There were 75 cases(25.2%)of restoration of spontaneous circulation(ROSC)

41 cases(13.8%)of 24-hour survival

19 cases(6.4%)of survival at discharge

9 cases(3%)of survival without neurological deficit at discharge. The corresponding subgroup comparison showed that factors of CPR start time less than 5 minutes

CPR duration ≤10 min

total adrenaline dose ≤5 mg

ROSC

defibrillation rhythm

24-hour survival

survival at hospital discharge

survival without neurological deficit at discharge correlated with high survival at discharge(P<0.05). Factors of nosocomial cardiopulmonary arrest group

ROSC

24-hour survival correlated with high survival at discharge(P<0.05). Factors of cardiogenic

medical personnel witness

ROSC correlated with 24-hour survival(P<0.05). Factors of non-organ dysfunction

daytime rescue had relatively high ROSC rate(P<0.05). Conclusion:The factors affect the prognosis of PCR of emergency cardiopulmonary patients are starting time and continuous time

defibrillation heart rate and age. The mid-term defibrillation rhythm of the heart is favorable factors affecting neural functional prognosis.

关键词

心搏骤停心肺复苏Utstein模式logistic回归分析预后

Keywords

cardiac arrestcardioplmonary resuscitationUtstein stylelogistical regression analysisoutcomes

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