急诊科心肺复苏预后及相关因素分析

发布时间：2018-06-24 07:30

  本文选题：心搏骤停 + 心肺复苏　； 参考：《重庆医科大学学报》2016年12期

【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(P0.05);院内(cardiopulmonary arrest,CA)组,ROSC率、24 h存活率、存活出院率相对较高(P0.05);心源性、医务人员目击者ROSC率和24 h存活率相对较高(P0.05);非脏器功能不全、白天抢救者ROSC率相对较高(P0.05)。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 investigate the prognostic factors of cardiopulmonary resuscitation (cardiopulmonary resuscitation) in patients with cardiac and respiratory arrest in order to improve the success rate of cardiopulmonary resuscitation (CPR). Methods: the cases of emergency department of Quanzhou first Hospital from December 2010 to February 2014 were analyzed retrospectively. Univariate and multivariate logistic regression analysis was used to analyze the related factors affecting the effect of CPR. Results among the 298 cases, 75 cases (25.2%) survived within 24 hours after spontaneous circulatory recovery (restoration of spontaneous), 19 cases (6.4%) were discharged from hospital, 9 cases (3.0%) had better prognosis of nerve function. The relative factors showed that the duration of CPR was 鈮，

本文编号：2060614