影响心搏骤停心肺复苏效率的多因素分析

Multiple Factors Analysis of the Effect of Cardiopulmonary Resuscitation on Cardiac Arrest

目的:研究与分析影响心搏骤停心肺复苏(CPR)效率的多因素。方法:选取2016年1月-2017年12月本院急诊科院前及院内接诊的心搏骤停(CA)患者93例为研究对象,回顾性分析全部患者的临床资料,根据心肺复苏是否有效分为复苏有效组(36例)和复苏失败组(57例)。总结分析影响心搏骤停心肺复苏效率的多因素。结果:患者恢复自主循环的影响因素为年龄、基础疾病、CPR开始时间、CPR持续时间、电击除颤开始时间、肾上腺素使用剂量。其中基础疾病如心血管疾病、交通意外致伤、CPR开始时间>5 min、电击除颤开始时间>5 min为危险因素;年龄≤60岁、CPR持续时间≤15 min和肾上腺素使用剂量≤5 mg为保护因素。结论:心血管疾病、交通意外致伤、开始CPR>5 min和开始电击除颤>5 min是影响心肺复苏效率的危险因素,年龄≤60岁、CPR持续≤15 min和肾上腺素≤5 mg是影响心肺复苏效率的保护因素。

Objective：To study and analyze the multiple factors influencing cardiopulmonary resuscitation（CPR）efficiency in cardiac arrest.Method：A total of 93 patients with cardiac arrest（CA）received from January 2016 to December 2017 in front of and in the emergency department of our hospital were selected as subjects.All clinical data were retrospectively analyzed.According to the results of cardiopulmonary resuscitation effectively,they were divided into resuscitation effective group（36 cases）and resuscitation failed group（57 cases）.The multiple factors that affect the efficiency of cardiopulmonary resuscitation in cardiac arrest were summarized and analyzed.Result：The factors influencing the patient＇s recovery from spontaneous circulation were age,underlying disease,CPR start time,CPR duration,start time of shock defibrillation,and epinephrine use dose.Among them,basic diseases such as cardiovascular diseases,accidents caused by traffic accidents,CPR start time5 min,and shock defibrillation initiation time5 min were risk factors;age≤60 years,CPR duration≤15 min, and adrenaline use dose≤5 mg were protective factors.Conclusion：Cardiovascular disease,injury from traffic accidents,initiation of CPR for more than 〉5 min and initiation of defibrillation for more than 〉5 min are risk factors affecting cardiopulmonary resuscitation efficiency,ages≤60 years,CPR lasting≤15 min,and epinephrine≤5 mg are the effects,the protective factors of CPR efficiency.