摘要
目的探讨院前不同心肺复苏时间窗对心脏骤停患者心功能恢复及预后的影响。方法 108例院前心肺复苏心脏骤停患者作为研究对象,根据心肺复苏时间窗不同进行分组,<3 min为A组(23例), 3～8 min为B组(58例),>8 min为C组(27例)。比较三组患者心肺复苏成功率,成功后心脏超声检查结果[左心室舒张早期充盈峰速度(E峰)、左心室舒张末期内径(LVEDD)以及左心室射血分数(LVEF)],复苏后2周的日常生活能力及康复情况。结果 A组复苏成功率为73.91%, B组复苏成功率为43.10%, C组复苏成功率为11.11%,三组比较差异具有统计学意义(P<0.05)。三组E峰、LVEDD、LVEF水平比较,差异均具有统计学意义(P<0.05)。其中A组复苏成功率及各心功能指标均明显高于B、C组, B组复苏成功率及各心功能指标均明显高于C组,差异均具有统计学意义(P<0.05)。复苏2周后,三组日常生活能力水平比较,差异具有统计学意义(P<0.05)。A组、B组分别康复出院11例(64.71%)、8例(32.00%), C组无康复出院患者,三组康复出院率比较差异具有统计学意义(P<0.05)。其中A组日常生活能力水平及康复出院率均优于B、C组, B组日常生活能力水平及康复出院率优于C组,差异均具有统计学意义(P<0.05)。结论心肺复苏时间窗对于心脏骤停患者心功能恢复及其日常生活能力有显著影响,心肺复苏时间窗越短患者的预后越好。
Objective To discuss the effects of different time windows of pre-hospital cardiopulmonary resuscitation on cardiac function recovery and prognosis in patients with cardiac arrest. Methods A total of 108 patients with pre-hospital cardiopulmonary resuscitation with cardiac arrest as study subjects were divided into three groups according to different cardiopulmonary resuscitation time, with <3 min as group A(23 cases), 3~8 min as group B(58 cases),>8 min as group C(27 cases). Comparison were made on successful rate of cardiopulmonary resuscitation, echocardiographic results [left ventricular early diastolic filling peak velocity(E peak), left ventricular end-diastolic diameter(LVEDD) and left ventricular ejection fraction(LVEF)] after successful resuscitation, daily living ability and rehabilitation at 2 weeks after resuscitation in three groups. Results Group A had successful rate of cardiopulmonary resuscitation as 73.91%, which was 43.10% in group B, and 11.11% in group C. Three groups had no statistically significant difference(P<0.05). Three groups had statistically significant in E peak, LVEDD and LVEF level(P<0.05). Group A had obviously higher successful rate of cardiopulmonary resuscitation and cardiac function indexes than group B and C, and group B had obviously higher successful rate of cardiopulmonary resuscitation and cardiac function indexes than group C. Their difference was statistically significant(P<0.05). At 2 weeks after resuscitation, three groups had statistically significant difference in daily living ability(P<0.05). In group A and B, 11 cases(64.71%) and 8 cases(32.00%) were discharged from hospital after rehabilitation, respectively. In group C, no patients were discharged after rehabilitation. Three groups had statistically significant in discharge rate(P<0.05). Group A had better daily lividing ability level and rehabilitation discharge rate than group B and C, and group B had better daily lividing ability level and rehabilitation discharge rate than group C. Their difference was stat
作者
姚明
YAO Ming(Department of Pharmacy, Shanghai Medical Emergency Center, Shanghai 200233, China)
出处
《中国实用医药》
2019年第10期11-13,共3页
China Practical Medicine
关键词
心肺复苏
时间窗
心功能
预后
Cardiopulmonary resuscitation
Time windows
Cardiac function
Prognosis
