心搏骤停患者初始心律影响因素分析

发布时间：2018-06-01 09:32

本文选题：心脏停搏 + 初始心律　；参考：《中国全科医学》2017年11期

【摘要】：目的了解心搏骤停患者初始心律的情况和一般临床特征,探讨心搏骤停患者初始心律为不可电击心律的危险因素,为该类疾病的防治提供理论依据。方法选取2014年4月—2016年4月中国人民解放军陆军总医院、首都医科大学附属北京友谊医院、卫生部北京医院发生于院前及急诊科的非创伤性心搏骤停患者232例,根据初始心律分为可电击心律32例(13.8%),不可电击心律200例(86.2%)。记录患者的性别、年龄、心搏骤停病因、基础疾病、心血管有创检查及治疗史、心血管类处方药物服用史等。采用多因素Logistic回归分析心搏骤停患者初始心律的影响因素。结果可电击心律与不可电击心律患者年龄,心源性猝死、重症感染发生率、冠状动脉疾病(CAD)、慢性阻塞性肺疾病(COPD)检出率,β-受体阻滞剂服用率比较,差异均有统计学意义(P0.05)。多因素Logistic回归分析结果显示,重症感染、CAD、COPD、服用β-受体阻滞剂史是心搏骤停患者初始心律的影响因素(P0.05)。结论重症感染、COPD、服用β-受体阻滞剂史是心搏骤停患者初始心律为不可电击心律的高危因素,其可能降低了心搏骤停患者可电击心律的发生;而具有CAD病史的患者发生心搏骤停时的初始心律多表现为可电击心律。
[Abstract]:Objective to investigate the initial cardiac rhythm and its general clinical characteristics in patients with cardiac arrest, and to explore the risk factors of non-electric cardiac rhythm in patients with cardiac arrest, so as to provide a theoretical basis for the prevention and treatment of these diseases. Methods from April 2014 to April 2016, 232 cases of non-traumatic cardiac arrest in Beijing Friendship Hospital, Beijing Friendship Hospital, Capital Medical University and Beijing Hospital of Ministry of Health were selected from the General Hospital of the Chinese people's Liberation Army (PLA) from April 2014 to April 2016. According to the initial rhythm, 32 cases were divided into electroshock rhythm (n = 32) and non-electric rhythm (n = 200) (n = 86.2). Gender, age, cause of cardiac arrest, underlying diseases, history of cardiovascular invasive examination and treatment, history of cardiovascular prescription drug use were recorded. Multivariate Logistic regression analysis was used to analyze the factors affecting the initial cardiac rhythm in patients with cardiac arrest. Results there were significant differences in age, sudden cardiac death, severe infection rate, coronary artery disease (CAD), chronic obstructive pulmonary disease (COPD) and 尾 -receptor blocker (尾 -blocker) in patients with electrocardiogram and non-electric arrhythmia (P 0.05). The results of multivariate Logistic regression analysis showed that the history of 尾-receptor blocker and severe infection were the influencing factors of the initial cardiac rhythm in patients with cardiac arrest (P0. 05). Conclusion the history of 尾 -receptor blocker and severe infection may be the high risk factors of non-electric cardiac rhythm in patients with cardiac arrest, which may reduce the occurrence of electrocardiac rhythm in patients with cardiac arrest. The initial rhythm of cardiac arrest in patients with history of CAD was electroshock rhythm.
【作者单位】：安徽医科大学陆军总医院临床学院;中国人民解放军陆军总医院急诊科;
【基金】：北京协和医学基金会睿意急诊医学研究专项基金(R2015006)
【分类号】：R541.78

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