呼吸心搏骤停心肺复苏治疗分析

Therapeutic Analysis of Cardiopulmonary Resuscitation with Cardiac Arrest

目的探讨呼吸心搏骤停患者心肺复苏(CPR)的疗效及其影响因素。方法回顾性分析2009—2014年期间兵器工业521医院急诊科收治的呼吸心搏骤停49例患者的临床资料,并随访其预后。结果 49例呼吸心搏骤停患者经CPR后,27例CPR成功,总成功率为55.10%。多因素Logistic回归分析结果发现心搏骤停至复苏开始时间、复苏开始至患者恢复自主循环时间、气管插管、电击复律、心搏骤停原因是影响CPR成功的因素(P<0.05)。研究组患者心搏骤停至复苏开始时间、复苏开始至患者恢复自主循环时间均短于对照组(P<0.05)。27例CPR成功患者的心搏骤停至复苏开始时间与复苏开始至患者恢复自主循环时间呈正相关。结论 CPR成功率与病因、发病地点及复苏开始时间有关,普及CPR知识,缩短复苏开始时间能提高复苏成功率。

Objective To probe the curative effect and influence factors of cardiopulmonary resuscitation（ CPR） on patients with cardiopulmonary arrest. Methods The clinical data of 49 patients with cardiopulmonary arrest in Department of Emergency of 521 Hospital of Ordnance Industry from 2009 to 2014 were retrospectively analyzed, and the prognosis of all patients were followed up. Results 27 patients with cardiopulmonary arrest were successfully treated by CPR within 49 patients,the total successful rate was 55. 10%. The time from cardiac arrest to recovery began, time from recovery began to return of spontaneous circulation,trachea cannula,electrical countershock,cause of cardiac arrest were influence factors of successful CPR（ P 〈 0. 05）. The time from cardiac arrest to recovery began,time from recovery began to return of spontaneous circulation of patients in study group were significantly lower compared with control group（ P 〈 0. 05）. The time from cardiac arrest to recovery began was positively correlated with the time from recovery began to return of spontaneous circulation in 27 cases of successful CPR. Conclusion The success rate of CPR was related to pathogenesis, site and time of cardiac arrest. To understand knowledge of CPR and shorten the time from recovery began can increase the successful rate of CPR.