摘要
目的分析影响ICU心脏骤停患者心肺复苏的相关因素。方法收集ICU心脏骤停并行心肺复苏抢救病例131例，分为自主循环恢复（ROSC）组与未恢复（Non—ROSC）组，分析患者临床资料及影响ROSC的相关因素。结果单因素分析显示，ROSC组和Non—ROSC组有统计学意义的项目：原发病（x^2=11．015，P=0．026）、心脏骤停形式（x^2=7．048，P=0．029）、目击察觉（x^2=15．886，P〈0．001），无统计学意义的项目：性别、年龄及心脏骤停时间点等。Logistic回归分析显示，原发病为心血管疾病（OR=0．129，P=0．003）、脑血管疾病（OR=7．818，P=0．002）、严重多发伤（OR=0．141，P=0．014），心脏骤停形式为心脏停搏或无脉电活动（OR=4．573，P=0．006），目击察觉（OR=0．078，P=0．000）是影响ICU心脏骤停患者心肺复苏的重要因素。结论原发病、心脏骤停形式及目击察觉是影响ICU心脏骤停患者心肺复苏的重要因素。
Objective To study the influencing factors of effective resuscitation of cardiac arrest patients in ICU. Methods A total of 131 cardiac arrest cases with cardiopulmonary resuscitation（CPR） were divided into recovery of spontaneous circulation（ROSC） group and non- ROSC group. Analysis of the clinical materials of 131 cases and the influencing factors of ROSC were carried out. Results The ROSC group was compared with the non - ROSC group. There was a statistical difference in the following items： the primary diseases （X^2 = 11. 015, P = 0. 026） , the form of cardiac arrest （X^2 = 7. 048, P = 0. 029）,immediate detection of cardiac arrest （X^2 = 15. 886, P 〈 0. 001 ）. There was no statistical difference in the following items ： sex, age, the time of cardiac arrest. The risk factors were analyzed by Logistic regression. The OR value for cardiovascular disease, cerebrovascular disease, multiple injuries, the form of cardiac arrest, immediate detection of cardiac arrest was 0. 129 （ P = 0. 003 ） ,7. 818 （ P = 0. 002）,0. 141（P=0. 014）,4.573（P=0. 006）,0. 078（P=0. 000）,respectively. Conclusion The important factors of CPR success rate include the primary diseases, the form of cardiac arrest, immediate detection of cardiac arrest.
出处
《中国急救医学》
CAS
CSCD
北大核心
2011年第2期135-138,共4页
Chinese Journal of Critical Care Medicine
关键词
心脏骤停
心肺复苏
ICU
影响因素
Cardiac arrest
Cardiopulmonary resuscitation
Intensive Care Unit
Influencing factors
