呼吸心搏骤停心肺复苏治疗分析

发布时间：2019-01-20 11:44

【摘要】：目的探讨呼吸心搏骤停患者心肺复苏(CPR)的疗效及其影响因素。方法回顾性分析2009—2014年期间兵器工业521医院急诊科收治的呼吸心搏骤停49例患者的临床资料,并随访其预后。结果 49例呼吸心搏骤停患者经CPR后,27例CPR成功,总成功率为55.10%。多因素Logistic回归分析结果发现心搏骤停至复苏开始时间、复苏开始至患者恢复自主循环时间、气管插管、电击复律、心搏骤停原因是影响CPR成功的因素(P0.05)。研究组患者心搏骤停至复苏开始时间、复苏开始至患者恢复自主循环时间均短于对照组(P0.05)。27例CPR成功患者的心搏骤停至复苏开始时间与复苏开始至患者恢复自主循环时间呈正相关。结论 CPR成功率与病因、发病地点及复苏开始时间有关,普及CPR知识,缩短复苏开始时间能提高复苏成功率。
[Abstract]:Objective to investigate the effect of (CPR) on cardiopulmonary resuscitation (CPR) in patients with respiratory arrest and its influencing factors. Methods the clinical data of 49 patients with respiratory and cardiac arrest were retrospectively analyzed and their prognosis was followed up. Results after CPR in 49 patients with cardiac arrest, 27 patients with CPR were successful, the total power was 55.10. The results of multivariate Logistic regression analysis showed that the factors influencing the success of CPR were cardiac arrest to the beginning of resuscitation, the time from the beginning of resuscitation to the recovery of spontaneous circulation, tracheal intubation, electric shock and cardiopulmonary arrest (P0.05). The study group had cardiac arrest until the beginning of resuscitation. The time from the onset of resuscitation to the recovery of autonomic circulation was shorter than that of the control group (P0.05). There was a positive correlation between the time of cardiac arrest to the beginning of resuscitation and the time from the beginning of resuscitation to the recovery of autonomic circulation in 27 successful CPR patients. Conclusion the success rate of CPR is related to the etiology, the location of onset and the beginning time of resuscitation. Popularizing CPR knowledge and shortening the beginning time of resuscitation can improve the success rate of resusc
【作者单位】：兵器工业521医院;
【分类号】：R459.7

【相似文献】