心源性心脏骤停心肺复苏成功的分析∗

摘要

目的：分析影响心源性心脏骤停患者心肺复苏成功的临床因素。方法选择该院收治的心源性心脏骤停患者共58例，根据复苏成功与否分成心肺复苏成功组(成功组)22例和心肺复苏失败组(失败组)36例。分析两组患者的临床资料，探讨与心肺复苏成功的相关因素。结果两组患者性别比和发病种类比较，差异无统计学意义(P >0.05)；成功组患者的年龄和入院时间明显低于失败组，院前给予抢救的比例明显高于失败组，差异均有统计学意义(P <0.05)。成功组患者的心脏停搏时间、抢救时间、心肺复苏循环平均次数、肾上腺素剂量和电除颤次数明显低于失败组，应用辅助机械通气的比例明显高于失败组，差异均有统计学意义(P <0.05)。结论心肺复苏成功的因素可能与发病年龄、入院时间、院前给予抢救的比例、心脏停搏时间、抢救时间、心肺复苏循环次数、肾上腺素剂量、平均电除颤次数和应用辅助机械通气有关。%Objective To analyze the clinical factors affecting cardiopulmonary resuscitation success in the pa-tients with cardiogenic sudden cardiac arrest.Methods A total of 58 of cardiogenic sudden cardiac arrest in our hos-pital were selected and divided into the success group(n=22)and the failure group(n=36)according to whether car-diopulmonary resuscitation success.Then the clinical data of the two groups were analyzed for investigating the relat-ed factors of cardiopulmonary resuscitation success.Results The gender and disease types had no statistical differ-ences between the two groups (P >0.05);the mean age and admission time in the success group were significantly lower than those in the failure group(P <0.05);the proportion of pre-hospital rescue in the success group was signif-icantly higher than that in the failure group(P < 0.05 );the mean time of cardiac arrest,rescuing time,CPR circle times,mean dose of epinephrine and electric defibrillation times in the success group were significantly lower than those in the control group,the times of assisted mechanical ventilation use in the success group were significantly higher than that in the control group,the difference was statistically significant(P <0.05).Conclusion The factors of cardiopulmonary resuscitation success may be related with onset age,admission time,pre-hospital rescuing propor-tion,mean time of cardiac arrest,rescuing time,CPR circle times,dose of epinephrine,electric defibrillation times and assisted mechanical ventilation use.