影响心肺复苏中ROSC患者预后的相关因素分析

Analysis of prognostic factors in patients with spontaneous circulation recovery during cardiopulmonary resuscitation

目的探讨影响心肺复苏(Cardiopulmonary Resuscitation,CRP)中自主循环恢复(Return of Spontaneous Circulation,ROSC)患者预后的相关因素。方法整理收集急诊科经过心肺复苏后自主循环恢复的96例心跳呼吸骤停患者的病历资料,对相关指标进行单因素分析和多因素分析。结果单因素分析结果显示,预后良好与不良患者的心跳停搏到开始复苏的时间、开始复苏到自主循环恢复的时间和复苏后第一次监测的收缩压差异有统计学意义(均P<0.05);Logistic回归分析显示,复苏开始的时间、复苏持续的时间和复苏后的收缩压是影响ROSC患者预后的独立因素(均P<0.05)。结论尽量缩短复苏时间、有效维持复苏后的血压对于ROSC患者的预后至关重要。

Objective To examine the factors that affect the prognosis of return ofspontaneous circulation（ROSC） during cardiopulmonary resuscitation（CRP）.Methods The data of 96 patients with cardiopulmonary resuscitation after cardiac arrest in the emergency department were collected.Univariate analysis and multivariate analysis were performed on the related indexes.Findings Univariate analysis showed that the time of beginning CPR,the duration of CPR and the systolic blood pressure after CPR were statistically significantdifferentbetween patients with good prognosis and those with poor prognosis（all P〈0.05）.Logistic regression analysis showed that the time of recovery,the duration of recovery and the systolic blood pressure after resuscitation were independent factors affecting the prognosis of patients of ROSC（all P〈0.05）.Conclusion It is vital to shorten the recovery time and effectively maintain the blood pressure after resuscitation for desirable prognosis for patients with ROSC.