院内成功心肺复苏患者早期发生心血管衰竭的独立危险因素分析

目的对院内成功心肺复苏患者早期发生心血管衰竭的独立危险因素进行分析。方法选取成功心肺复苏患者201例,根据是否早期发生心血管衰竭情况分为观察组(早期发生心血管衰竭,n=65)及对照组(未发生心血管衰竭,n=136)。对2组患者的临床资料情况进行回顾性分析。结果观察组肾功能障碍占46.15%、高血糖占61.54%、左心室肥大占60%、高体温占49.23%、高血压占80%,肺功能障碍64.62%、60岁以上占84.62%、男性61.54%;对照组肾功能障碍占44.85%、高血糖占19.85%、左心室肥大占13.97%、高体温占8.82%、高血压占11.76%、肺功能障碍占16.17%、60岁以上占7.35%,男性占61.76%。结论血糖情况、左心室情况、体温情况、血压情况、肺功能情况、年龄对心肺复苏患者早期发生心血管衰竭有一定影响,其中高血糖、左心室肥大、高体温、高血压、肺功能障碍、年龄60岁以上是早期发生心血管衰竭的独立危险因子。针对这些因素进行早期干预可有效提高患者抢救成功率,降低死亡率,应予以重视。

Objective To analyze the independent risk factors of patients with success cardiopulmonary resuscitation（CPR） with early cardiovascular failure.Methods Selected our hospital 201 cases with success CPR,divided into observation group（had early cardiovascular failure）65 cases and control group（no early cardiovascular failure）136 cases,retrospectively analyzed the two groups clinical data.Results The study found：the group of renal dysfunction in patients with high blood sugar patients accounted for 46.15%, accounted for 61.54%, left ventricular Fei Dazhan 60%,high temperature accounted for 49.23%, accounting for 80%of hypertension,pulmonary dysfunction in 64.62%,60 years of age accounted for 84.62%,the male accounted for 61.54%;the control group of renal dysfunction in patients with high blood sugar patients accounted for 44.85%, accounted for 19.85%,accounting for 13.97% of left ventricular hypertrophy high temperature, accounted for 8.82%, accounting for 11.76%of hypertension, pulmonary dysfunction in 16.17%, 60 years of age accounted for 7.35%, accounted for 61.76%of men. Through statistical analysis,blood glucose,left ventricular, body temperature, blood pressure,pulmonary function,cardiopulmonary resuscitation in patients with early age on cardiovascular failure have a certain influence, including high blood glucose,left ventricular hypertrophy,high temperature,hypertension, pulmonary dysfunction, aged above 60 years old were independent risk factors for early cardiovascular failure.Conclusion For theses independent risk factors,took early intervention can effectively improve the survival rate and reduce mortality,should paid enough attention.