心肺复苏影响因素的回顾性分析

Retrospective analysis of influencing factors of the success of cardiopulmonary resuscitation

目的分析影响我院心肺复苏(CPR)成功率的相关因素,探讨提高CPR成功率的有效方法。方法回顾性分析贵港市人民医院149例实施CPR的心跳呼吸骤停患者,分析影响心肺复苏成功的相关因素。结果 CPR成功率及最终存活率分别为41.6%和23.5%,CPR的成功率与患者年龄、原发病、心跳骤停时间、复苏地点、是否气管插管均有统计学意义(P<0.05),而与患者性别、参与复苏人员数、电击复律及肾上腺素使用量的关系无统计学意义(P>0.05)。结论心跳骤停时间、气管插管及心源性基础疾病是影响CPR的关键因素,而年龄及复苏地点则是影响CPR的重要因素。

Objective To investigate the influencing factors of the success of cardiopulmonary resuscitation （CPR） and to identify the ways to improve the emergency treatment. Method A total of 149 patients undergoing CPR in our Emergency Department or outside the hospital were analyzed for the relevant factors of successful CPR. Results The rate and the ultimate survival rate of CPR success were 41.6% and 23.5%, respectively. CPR successful rate was statistically correlated with the patient＇s age, primary disease, cardiac arrest time, recovery location, and tracheal intubation（P〈 0.05）, but was not statistically significant related to patient gender, the number of healthier workers participating in CPR, electric shock cardioversion and the dose of adrenaline hormone used（P〉0.05）. Conclusion The key factors of successful CPR are cardiac arrest time, endotracheal intubation and cardiogenic underlying diseases and the age of patients, and the recovery location is also an important factor of successful CPR.