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急诊心肺复苏时间窗对患者复苏情况和心功能恢复的影响 被引量:3

The effect of emergency CPR time window on the recovery of cardiac function and recovery of cardiac resuscitation
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摘要 目的探讨急诊心肺复苏时间窗对患者复苏情况和心功能恢复的影响。方法选取2016年5月至2018年8月本中心收治的94例急诊心肺复苏患者,按照急诊心肺复苏时间不同分为A组(<3 min,32例)、B组(3~8 min,32例)、C组(>8 min,30例)。比较3组LVEF(射血分数)、LVEDD(左心室舒张末期直径)、E(舒张早期充盈峰速度)、复苏成功率指标,并分析心肺复苏时间与心功能恢复状况、复苏成功率的相关性。结果 3组心功能恢复状况与复苏成功率比较差异具有统计学意义(P<0.05);自变量为急诊心肺复苏时间,与LVEF、LVEDD、E、复苏成功率均呈负相关(P<0.05)。结论心肺复苏时间窗越短,患者心功能恢复程度越快,复苏成功率越高,越有利于改善患者病情。 Objective To investigate the effect of emergency CPR time window on the recovery of cardiac function and recovery of cardiac resuscitation. Methods 94 cases of emergency cardiopulmonary resuscitation from May 2016 to August 2018 were selected and they were divided into group A(<3 minutes, 32 cases), group B(3-8 minutes, 32 cases) and group C(>8 minutes, 30 cases) according to the time of emergency cardiopulmonary resuscitation. The LVEF(ejection fraction), LVEDD(left ventricular end-diastolic diameter), E(peak velocity of early diastolic filling) and the success rate of resuscitation were compared among the three groups. The correlation between CPR time, cardiac function recovery and success rate of CPR were analyzed. Results The difference was statistically significant between the recovery of cardiac function and the success rate of resuscitation in the three groups(P<0.05). The independent variable was the time of emergency CPR, which was negatively correlated with LVEF,LVEDD, E, and the success rate of resuscitation(P<0.05).Conclusion The shorter the CPR time window, the quicker the recovery of cardiac function and the higher the success rate of CPR is, which is beneficial to improve the patient’ s condition.
作者 王赵存 Wang Zhaocun(Jinzhou National Health Guarantee Center,Jinzhou,Liaoning,121100,China)
出处 《当代医学》 2020年第14期111-113,共3页 Contemporary Medicine
关键词 心功能恢复 复苏 急诊心肺复苏时间窗 Cardiac function recovery Resuscitation Emergency cardiopulmonary resuscitation time window
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