心肺复苏自主循环恢复患者预后影响因素的Logistic回归分析

Logistic Regression Analysis on Prognosis of Patients with Cardiopulmonary Resuscitation Return of Spontaneous Circulation

目的:探讨心肺复苏自主循环恢(ROSC)患者预后影响因素,为临床防治提供参考依据。方法:收集2012年1月-2015年1月在我院行心肺复苏ROSC的148例心脏骤停患者的病历资料,分析患者预后情况,采用Logistic回归方程分析其影响因素。结果:所有患者中,预后良好48例(32.43%),预后不良100例(67.57%)。心脏骤停至复苏开始时间、复苏开始至ROSC时间、复苏后72 h体温、复苏后有无肌阵挛或抽搐、复苏后D-二聚体(D-D)水平、复苏后血pH值、复苏后第3 d急性生理与慢性健康评分(APACHEII)评分均是影响心肺复苏后ROSC者预后的危险因素(P<0.05)。结论:影响心肺复苏后ROSC患者预后的因素较多,抢救心脏骤停患者时,应尽可能缩短心肺复苏时间,遵循10 min内抢救原则,有利于改善其预后。

Objective： To investigate the relationship between serum parathyroid hormone （PTH） level and nutritional status in patients with chronic renal failure （CTo explore the influencing factors on prognosis of patients with cardiopulmonary resuscitation return of spontaneous circulation （ROSC）, and to provide reference for clinical disease guidance. Methods： Collected the medical records of 148 patients with sudden cardiac arrest who were underwent cardiopulmonary resuscitation and ROSC in our hospital from January 2012 to January 2015, analyzed the prognosis of patients, and used logistic regression equation to analyze its influencing factors. Results： There were 48 cases （32.43%） of patients with good prognosis,and 100 cases （67.57%） of patients with poor prognosis.Time from sudden cardiac arrest to resuscitation start, time from resuscitation start to ROSC, 72 h body temperature after resuscitation, myoclonus or smoke after resuscitation, D-dimer （D-D） levels after resuscitation, blood pH value after resuscitation, acute physiology and chronic health evaluation （APACHEII） score 3d after resuscitation were risk factors for the prognosis of patients with cardiopulmonary resuscitation and ROSC （P〈0.05）. Conclusion： There are many factors that affect the prognosis of patients with cardiopulmonary resuscitation and ROSC, when rescuing patients with sudden cardiac arrest, cardiopulmonary resuscitation should be shortened as far as possible,and follow the principle of rescue in 10min, it may help improving prognosis.