摘要
目的:研究心脏骤停(Cardiac arrest,CA)后影响心肺复苏(cardiopulmonary resuscitation,CPR)救治效果的影响因素,提高CPR救治成功率,便于对心脏骤停患者的治疗效果进行管理和预测。方法:回顾性分析贵州省遵义医科大学第二附属医院2022年1月到2022年11月的72例心肺复苏患者的性别、年龄、CPR持续时间等因素,以自主循环恢复(Return⁃of Spontaneous Circulation,ROSC)为最终结局分为ROSC组与未ROSC组;以存活出院为最终结局分为分为存活出院组与未存活出院组,将上述分组进行单因素和多因素逻辑回归分析。结果:经CPR救治后21例患者ROSC,其中19例存活出院。单因素逻辑回归分析显示CPR持续时间短、肾上腺素累计剂量小为促进患者ROSC及存活出院可能的因素。多因素逻辑回归分析显示患者年龄小、肾上腺素累计剂量小是ROSC可能的保护因素;肾上腺素累计剂量小是患者存活出院可能的保护因素。结论:CPR过程中肾上腺素累计剂量小是ROSC和存活出院可能的影响因素,患者年龄小是ROSC可能的影响因素。
Objective:To study the influencing factors of cardiopulmonary resuscitation(CPR)treatment effective⁃ness after cardiac arrest(CA),improve the success rate of CPR treatment,and facilitate the management and predic⁃tion of results for patients with cardiac arrest.Methods:A retrospective analysis was conducted on 72 patients undergo⁃ing cardiopulmonary resuscitation at the Second Affiliated Hospital of Zunyi Medical University in Guizhou Province from January 2022 to November 2022,including gender,age,duration of CPRand other factors.The patients were divided in⁃to ROSC group and non ROSC group,with ROSC as the final outcome;The patients were divided into a Surviving Dis⁃charge group and a Non Surviving Discharge group,with survival discharge as the final outcome,Perform single factor and multiple factor logistic regression analysis on the above groups.Results:After CPR treatment,21 patients with ROSC,of which 19 survived and were discharged.Single factor logistic regression analysis showed that short duration of CPR and low cumulative dose of epinephrine were possible factors that promoted patient ROSC and survival discharge.Multivariate logistic regression analysis showed that younger age and lower cumulative dose of epinephrine were possible protective factors for ROSC;Low cumulative dose of epinephrine is a possible protective factor for patient survival and discharge.Conclusion:Low cumulative dose of epinephrine during CPR is a possible influencing factor for ROSC and survival discharge,while younger patient age is a possible influencing factor for ROSC.
作者
李竹
李小悦
LI Zhu;LI Xiao-yue(Zunyi Medical University,Zhuhai,Guangdong,519000;Department of Emergency,the Fifth Affiliated Hospital of Zunyi Medical University,Zhuhai,Guangdong)
出处
《岭南急诊医学杂志》
2024年第2期79-81,85,共4页
Lingnan Journal of Emergency Medicine
关键词
心脏骤停
救治效果
ROSC
存活出院
影响因素
cardiac arrest
treatment effect
ROSC
survival and discharge
influence factor
