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目的探讨呼吸心搏骤停患者心肺复苏(CPR)的疗效及其影响因素。方法回顾性分析2009—2014年期间兵器工业521医院急诊科收治的呼吸心搏骤停49例患者的临床资料,并随访其预后。结果 49例呼吸心搏骤停患者经CPR后,27例CPR成功,总成功率为55.10%。多因素Logistic回归分析结果发现心搏骤停至复苏开始时间、复苏开始至患者恢复自主循环时间、气管插管、电击复律、心搏骤停原因是影响CPR成功的因素(P<0.05)。研究组患者心搏骤停至复苏开始时间、复苏开始至患者恢复自主循环时间均短于对照组(P<0.05)。27例CPR成功患者的心搏骤停至复苏开始时间与复苏开始至患者恢复自主循环时间呈正相关。结论 CPR成功率与病因、发病地点及复苏开始时间有关,普及CPR知识,缩短复苏开始时间能提高复苏成功率。
Objective To investigate the efficacy and influential factors of cardiopulmonary resuscitation (CPR) in patients with respiratory arrest. Methods The clinical data of 49 patients with respiratory arrest admitted in emergency department of 521 Hospital of Weaponry Industry from 2009 to 2014 were retrospectively analyzed and their prognosis was followed up. Results After CPR, 49 cases of CPR patients were successful in CPR, with a total success rate of 55.10%. Multivariate Logistic regression analysis showed that the factors that influenced the success of CPR were the factors of CPR success (tracheal intubation, cardioversion and cardiac arrest). The time from resuscitation to recovery began. Patients in the study group had a cardiac arrest from the start of resuscitation, and the duration of resuscitation until recovery of spontaneous circulation was shorter in the study group than in the control group (P <0.05). Twenty-seven CPR successful patients had a positive correlation between the start of resuscitation and the time from resuscitation to recovery of spontaneous circulation. Conclusion The success rate of CPR is related to the etiology, the place of onset and the time of resuscitation, popularizing CPR knowledge and shortening the resuscitation start time can improve the success rate of resuscitation.