急诊科心肺复苏患者存活出院的影响因素分析

摘要

目的：评估急诊科心搏骤停（CA）患者心肺复苏（CPR）存活出院的影响因素。方法采用标准的心肺复苏Utstein模式注册登记表连续收集我院急诊科2010年1月~2014年12月的CA患者，比较不同分组的复苏效果，对影响复苏效果的因素进行单因素和多因素分析，得出影响CPR存活出院的因素。结果134例行CPR的患者中，自主循环恢复（ROSC）、存活出院分别为29例（21.6%）、19例（14.2%）。单因素及多因素分析结果显示：CA地点、首次监测心律、CPR持续时间≤15min是影响存活出院的独立预测因素。结论 CA发生在院内、可除颤心律、CPR持续时间≤15min是影响存活出院的因素。%Objective To assess influence factors on cardiac arrest patients accepted cardiopulmonary resuscitation sur-vived to discharge in emergency department. Methods A CPR registry followed the Utstein template was carried out in emer-gency department of our hospital from Jan 2010 to Dec 2014. Univariate and multivariate analysis were performed to evaluated factors associated with survived to discharge. Results 134 patients with cardiopulmonary resuscitation,29 (21.6%) had ROSC,19 (14.2%)survived to discharge. Univariate and multivariate analysis showed that CA site, first monitored rhythm and CPR duration≤15 minutes were an independent predictor of survival and discharge. Conclusion CA site,shockable rhythms and CPR duration≤15 minutes are independent predictors of survived to discharge of cardiopulmonary resuscitation (CPR) after cardiac arrest(CA) in department of emergency.