本文選題：心搏驟停 + 心肺復(fù)蘇��； 參考：《重慶醫(yī)科大學(xué)學(xué)報》2016年12期

【摘要】：目的:探討影響心跳呼吸驟�；颊呒痹\科心肺復(fù)蘇(cardiopulmonary resuscitation,CPR)預(yù)后的相關(guān)因素,以期提高急診科CPR的成功率。方法:回顧性分析泉州市第一醫(yī)院急診科2010年12月至2014年2月期間的CPR病例,對影響CPR效果的相關(guān)因素進行單因素和多因素logistic回歸分析。結(jié)果:298例病例中,自主循環(huán)恢復(fù)(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%),神經(jīng)功能預(yù)后較好出院存活9例(3.0%)。相關(guān)因素分組比較顯示,CPR起始時間≤5 min、CPR連續(xù)時間≤10 min、腎上腺素總量≤5 mg、可除顫心律組,ROSC率、24 h存活率、存活出院率、神經(jīng)功能預(yù)后較好,出院存活率相對較高(P0.05);院內(nèi)(cardiopulmonary arrest,CA)組,ROSC率、24 h存活率、存活出院率相對較高(P0.05);心源性、醫(yī)務(wù)人員目擊者ROSC率和24 h存活率相對較高(P0.05);非臟器功能不全、白天搶救者ROSC率相對較高(P0.05)。結(jié)論:影響心跳呼吸驟停患者急診科CPR預(yù)后的相關(guān)因素主要有CPR起始時間和連續(xù)時間,可除顫心率以及年齡。期中可除顫心律是影響神經(jīng)功能預(yù)后較好的有利因素。
[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，

本文編號：2060614