心肺复苏自主循环恢复患者综合治疗后与存活出院的影响因素分析
Influencing Factors Affecting the Survival to Hospital Discharge in Patients with Return of Spon-taneous Circulation Following Cardiopulmonary Resuscitation and Comprehensive Treatment
李润1
作者信息
- 1. 洛阳市中心医院(河南洛阳 471000)
- 折叠
摘要
目的 探讨心肺复苏自主循环恢复患者综合治疗后与存活出院的影响因素.方法 回顾性选取洛阳中心医院2020年1月～2022年3月行心肺复苏的98例心搏骤停患者作为研究对象,收集临床资料,对其进行随访,观察心肺复苏综合治疗后自主循环恢复与存活患者的病情特点.采用多因素logistic回归分析影响心肺复苏自主循环恢复的因素.结果 本研究98例心肺复苏自主循环恢复患者中,最终死亡72例(73.47％),而自主循环恢复出院患者26例(6.53％).自主循环恢复出院组基础疾病中心血管疾病、心源性心脏骤停、未气管插管所占比均小于死亡组(P＜0.05),心脏停搏时间、急救反应时间、心脏复苏循环次数均小于死亡组(P＜0.05).经多因素lo-gistic 回归分析显示,基础疾病[OR(95％CI):1.870(1.212～2.447)]、心脏骤停原因[OR(95％CI):3.306(1.980～7.779)]、心脏停搏时间[OR(95％CI):2.948(1.869～6.541)]、心脏复苏循环次数[OR(95％CI):2.479(1.487～5.205)]、气管插管[OR(95％CI):2.091(1.349～3.943)]是影响心肺复苏自主循环恢复的独立危险因素(P＜0.05).结论 基础疾病、心脏骤停原因、心脏停搏时间、心脏复苏循环次数、气管插管是影响心肺复苏自主循环恢复的危险因素,临床上应给予重视,积极采取有效防治措施,最大限度挽救患者生命.
Abstract
Objective To explore the influencing factors affecting the survival to hospital discharge in patients with re-turn of spontaneous circulation following cardiopulmonary resuscitation and comprehensive treatment.Methods Ninety-eight patients with cardiac arrest underwent cardiopulmonary resuscitation in Luoyang Central Hospital from January 2020 to March 2022 were retrospectively enrolled.Clinical data were collected,and follow up was conducted.The return of spontane-ous circulation and the characteristics of survival patients were observed.Then the multivariate Logistic regression was per-formed to screen the factors affecting the return of spontaneous circulation following cardiopulmonary resuscitation.Results Of the 98 patients underwent cardiopulmonary resuscitation in this study,72(73.47％)patients died and 26(6.53％)survived and discharged after treatment.The proportion of patients with cardiovascular diseases,cardiogenic cardiac arrest,and non-tracheal intubation in discharge group was lower than that in death group(P＜0.05),and the time of cardiac ar-rest,emergency response time,and the number of cardiac resuscitation cycles was less than that of death group(P＜0.05).Multivariate Logistic regression analysis showed that underlying disease[OR(95％CI):1.870(1.212～2.447)],cause of cardiac arrest[OR(95％CI):3.306(1.980～7.779)],time of cardiac arrest[OR(95％CI):2.948(1.869～6.541)],number of cardiac resuscitation cycles[OR(95％CI):2.479(1.487～5.205)],and tracheal intubation[OR(95％CI):2.091(1.349～3.943)]were independent risk factors affecting the return of spontaneous circulation following cardiopulmo-nary resuscitation(all P＜0.05).Conclusion The underlying disease,the cause of cardiac arrest,the time of cardiac arrest,the number of cardiac resuscitation cycles,and tracheal intubation are risk factors that affect the return of spontaneous circula-tion in cardiopulmonary resuscitation,so the active prevention and treatment measures are of great value for patient's life.
关键词
心肺复苏/自主循环恢复/综合治疗/存活/影响因素Key words
Cardiopulmonary resuscitation/Return of spontaneous circulation/Comprehensive treatment/Survival/Influ-encing factors引用本文复制引用
出版年
2024
NETL
NSTL
万方数据