急诊科心肺复苏患者存活出院的影响因素观察

Influential factors of patients discharged alive after cardio-pulmonary resuscitation in emergency department

目的对急诊科心肺复苏患者存活出院的相关影响因素进行分析。方法选取急诊科心搏骤停患者200例作为本次研究对象,其均接受心肺复苏治疗,时间为2014年1月~2017年1月,对其临床资料进行回顾性分析,对比不同分组患者心肺复苏的效果,分析影响心肺复苏效果的影响因素。结果性别、目击者、心搏骤停地点、转运方式、首次监测心律、心搏骤停病因、心肺复苏开始时间、心肺复苏持续时间、肾上腺素用量等是影响患者存活出院的单因素(P<0.05);心搏骤停地点、首次监测心律、心肺复苏持续时间≤15 min是影响患者存活出院的主要独立预测因素(P<0.05)。结论急诊科心搏骤停患者接受心肺复苏干预意义重大,临床应加强其心肺复苏存活出现相关影响因素的分析,并实施相应的干预措施,从而尽量提高患者心肺复苏的存活出院率,改善其预后。

Objective To investigate the influential factors of patients discharged alive after being treated with cardiopulmonary resuscitation （CPR） in emergency department. Methods Clinical records of 200 patients with cardiac arrest who were treated with CPR in the emergency department from January 2014 to January 2017 were retrospectively analyzed. The effectiveness of CPR in different groups were compared and the influential factors of CPR effectiveness were analyzed. Results The single factors that affected whether the patient could be discharged alive included gender, witness, the location of cardiac arrest, transportation, heart rate at first monitoring, the cause of cardiac arrest, the start time of CPR, the duration of CPR and the dose of adrenaline（P〈0.05）. Main independent predictors that affected whether the patient could be discharged alive included the location of cardiac arrest, heart rate at first monitoring and the duration of CPR ≤ 15 min. Conclusion It is with great significance to treat patients with cardiac arrest with CPR. It should be enhanced to analyze the related influential factors that affect the survival after CPR and implement corresponded interventions, thus, to improve the survival rate when discharged of patients after CPR and improve the prognosis.