不同年龄心脏骤停后综合征与复苏后管理的相关性研究

The related research of syndrome for different ages after cardiac arrest and administration after resuscitation

目的：观察年龄与心脏骤停后综合征及复苏后管理选择的相关性.方法：将收诊的心脏骤停后综合征患者按年龄分成三组,分别为青年组（14～ 29岁）、中年组（30 ～ 59岁）及老年组（60岁及以上）.分析三组患者间发病原因、APACHEⅡ评分、24h存活率、7 d存活率差异,统计三组患者间并发症的发生率差异.结果：入院时及治疗24 h、7 d后三组患者间APACHEⅡ评分差异无统计学意义（P＞0.05）;但治疗24 h、7 d后三组患者间生存率差异有统计学意义（P＜0.05）,以中年组为最高.三组患者间肺炎、脓毒症、心律失常和癫痫性发作发生率组间差异有统计学意义,肺炎、脓毒症、心律失常的发生率与年龄呈正相关,癫痫性发作与年龄呈负相关.结论：不同年龄患者心脏骤停的原因不同,并发症情况也存在差异,病情严重程度相当,但中年组患者生存率最高.

Objective To observe the correlation of syndrome for different ages after cardiac arrest and administration after resuscitation. Methods The patients with syndrome after cardiac arrest in our hospital were divided into three groups,namely the youth group（14 to 29 years old）,the middle-aged group（30 to 59 years） and the older group（60 years and above）.The differences of causes of morbidity,APACHE II score,24 h survival and 7 days survival differences were taken for analysis.The differences of the incidence of complications for the three groups were taken for statistics.Results The APACHE 1I scores during admission and 24 h,7 days after treatment in the three groups were without significant difference（P 〉 0.05）.After treatment for 24 h,7 days,the differences of survival rates for the three groups of patients were with significant differences（P 〈 0.05）,and the middle age group was the highest.The incidence of sepsis and arrhythmia was without significant difference,while pneumonia and incidence of status epilepticus difference between the groups was statistically significant,the incidence of pneumonia was positively correlated with age,status epilepticus was negatively correlated with age.Conclusion Cardiac arrest patients of different ages are with different reasons,there are also differences in complications,severity is considerable,but the middle-aged group is with the highest survival rate.