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目的分析心搏骤停患者急诊心肺复苏成功率的影响因素。方法回顾性分析我院急诊科收治的71例心搏骤停患者,参照2010年美国心脏学会(AHA)心肺复苏(CPR)与心血管病急救指南予以CPR,根据患者是否存活分为CPR成功组与CPR失败组,评价患者的CPR成功率,进行单因素及多因素的相关分析。结果 71例患者中,15例复苏成功,46例复苏失败,CPR成功率为21.13%。在CPR影响因素方面,复苏成功组的年龄低小于失败组,复苏开始时间短于失败组,院内复苏比例较高,复苏前心律失常类型以可电击心律多见,与复苏失败组相比均有统计学意义(P均<0.05)。多因素回归分析提示的独立预测因素有:年龄、复苏开始时间、复苏前心律失常类型。结论年龄、复苏地点、复苏开始时间、复苏前心律失常类型是影响CPR成功率的重要因素。
Objective To analyze the influencing factors of the success rate of emergency CPR in patients with cardiac arrest. Methods A retrospective analysis of 71 patients with cardiac arrest admitted to the Emergency Department of our hospital was conducted according to the 2010 American Heart Association (AHA) cardiopulmonary resuscitation (CPR) and first aid guidelines for cardiovascular disease. CPR patients were divided into CPR success group And CPR failure group, evaluate the success rate of patients with CPR, univariate and multivariate correlation analysis. Results Among the 71 patients, 15 patients recovered successfully and 46 patients failed to recover. The success rate of CPR was 21.13%. In terms of CPR influencing factors, the success rate of resuscitation was lower in the successful group than in the failed group, and the resuscitation time was shorter than that in the failed group. The rate of resuscitation was higher in patients with CPR. The type of arrhythmia before resuscitation was more striking than that in failed resuscitation group Statistical significance (P <0.05). Independent predictors suggested by multivariate regression analysis included age, time to recovery, and type of arrhythmia before resuscitation. Conclusion Age, location of resuscitation, time to resuscitation, type of arrhythmia before resuscitation are important factors affecting the success rate of CPR.