摘要
目的探讨心搏骤停患者心肺复苏成功率的影响因素。方法选取2013年3月至2015年3月广州花都区花山镇卫生院收治的心搏骤停患者86例,均行心肺复苏术,按心肺复苏是否成功分为成功组(31例)和失败组(55例),分析心肺复苏成败的影响因素。结果单因素分析结果显示,两组患者在发生地点、开始复苏时间、心肺复苏持续时间、气管插管时间、通路建立时间、首次监测心律、肾上腺素用量及心源性原发疾病方面差异均有统计学意义(均P<0.05);Logistic回归分析结果显示,发生于院内、开始复苏时间早、首次监测可除颤心律是心肺复苏的成功因素,而通路建立时间长、气管插管时间长、大剂量应用肾上腺素、心源性原发疾病是心肺复苏的危险因素。结论急诊心肺复苏是否成功受多种因素的影响,急救医师需采取针对性的抢救措施,以提高心肺复苏抢救质量。
Objective To explore the influence factors in patients with cardiac arrest cardiopulmonary resuscitation success rate analysis.Methods March 2013-March 2015 period in our hospital 86 cases of cardiac arrest patients to carry out cardiopulmonary resuscitation, according to cardiopulmonary resuscitation success into a successful group of 31 cases and 55 cases of failure groups, analysis factors affecting the success of cardiopulmonary resuscitation. Results Various factors after multivariate Logistic regression analysis concluded that occur in the hospital, started to recover earlier, the first heart rate monitor can be a success factor defibrillation CPR, and the establishment of a long passage of time, intubation long time,a large the amount of the dose of adrenaline,cardiac primary disease are risk factors for cardiopulmonary resuscitation.Conclusion The success of the emergency CPR affected by many factors, emergency physicians need to take specific rescue measures to improve the quality of CPR rescue.
出处
《中国药物经济学》
2016年第4期103-105,共3页
China Journal of Pharmaceutical Economics
关键词
心搏骤停
心肺复苏
影响因素
Cardiac arrest
Cardiopulmonary resuscitation
Factors
