影响心肺复苏成功因素的临床分析

Clinical analysis on success factors of cardiopulmonary resuscitation

目的探讨影响心肺复苏预后的相关因素，为治疗提供依据。方法回顾分析急诊抢救室、急诊重症医学科（EICU）2007—01—2010—09心肺复苏患者150例，将150例患者分为复苏失败组（A组）、复苏成功组（B组）和存活出院组（C组），比较分析三组患者的年龄、合并疾病、骤停时间、抢救时间、存活时间及APACHEⅡ评分。结果与A组比较，B组和c组年龄、骤停时间、抢救时间差异有统计学意义（P〈0．05），但两组间差异不明显；与A组和B组比较，c组存活时间、APACHEⅡ评分差异有统计学意义（Pdo．01）；三组患者均合并多种疾病，而以合并循环系统和呼吸系统疾病为首位。结论年龄是复苏成功的重要因素，合并循环系统和呼吸系统疾病是心搏骤停高危因素，骤停时间是复苏成功的关键，脑复苏成功是存活出院的最重要因素，APACHEⅡ评分能评估心肺复苏的预后。

Objective To discuss the factors affecting the prognosis of cardiopulmonary resuscitation （CPR） and provide the bases for treatment. Methods From January 2007 to September 2010, 150 cardiopulmonary resuscitation （CPR） patients in the Emergency Room and Emergency Intensive Care Unit were retrospectively analyzed. The pa- tients were divided into three groups, recovery failure group （A）, recovery successful group （B） and discharge from hospital alive group （C）. Then we analyze their age, merger disease, cardiac arrest time, rescue time, survival time and APACHE Ⅱ score. Results Comparing with group A, age, cardiac arrest time, rescue time of group B and group C have difference （P〈0.05 }, but there have no obvious difference between group B and group C. And com- paring with group C, the APACHE l] score, survival time of group A and group B have difference （P〈0.01）. Three groups of patients were attacked by many merger diseases, in which mostly combined the diseases of circula- tion system and respiratory system. Conclusions Age is an important factor of success recovery. Combined circula- tion system and respiratory system diseases are the risk factors to cardiac arrest. The cardiac arrest time is the key to success recovery. Brain recovery success is the most important factor to discharge from hospital alive. The A- PACHE Ⅱ score can be used to evaluate cardiopulmonary resuscitation prognosis.