【摘要】：目的:分析院外心臟驟停(OHCA)現(xiàn)場(chǎng)自主循環(huán)恢復(fù)(ROSC)患者的流行病學(xué)特點(diǎn)。方法:參照Utstein模式,收集2012年1月至2016年12月,河南省人民醫(yī)院院前120出診的心臟驟停(CA)現(xiàn)場(chǎng)ROSC患者的臨床資料,根據(jù)數(shù)據(jù)特點(diǎn)采用SPSS 20.0軟件分析。結(jié)果:納入29例患者,ROSC≥6 h的有9例(31.03%),ROSC6 h的有20例(68.97%)。兩組患者在年齡、性別、初始發(fā)生地點(diǎn)、是否有目擊者、是否提供CPR、初始心律、病因、搶救用腎上腺素方面差異均無(wú)統(tǒng)計(jì)學(xué)意義。ROSC≥6 h的患者中,無(wú)人生存出院。平均住院時(shí)間為(44.15±34.16)h,最短住院時(shí)間為12.08 h,最長(zhǎng)住院時(shí)間為125.75 h。所有患者的急救反應(yīng)時(shí)間(min)與返院時(shí)間(min)相比(6.45±3.60 vs.4.55±2.46,P=0.014),急救反應(yīng)時(shí)間耗時(shí)更多。結(jié)論:現(xiàn)場(chǎng)ROSC的患者其入院生存率低,OHCA的發(fā)生需要早期預(yù)防。OHCA現(xiàn)場(chǎng)ROSC患者的短期生存時(shí)間(6 h)不受患者基本情況及急救情況的影響。
[Abstract]:Objective: to analyze the epidemiological characteristics of spontaneous circulation recovery (ROSC) in patients with out-of-hospital cardiac arrest (OHCA). Methods: according to Utstein model, the clinical data of ROSC patients with cardiac arrest (CA) in the first 120 visits in Henan Provincial people's Hospital from January 2012 to December 2016 were collected and analyzed by SPSS 20.0 software. Results: 9 cases (31.03%) with ROSC 鈮，

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