【摘要】 目的:分析我院心脏骤停患者心肺复苏的成功率,并探讨其影响因素。方法:选取198名行心肺复苏的心脏骤停患者为研究对象,实施心肺复苏,并记录患者一般情况、复苏开始时间和地点、复苏过程和复苏结局等多项指标,统计分析复苏效果。结果:1198名患者,72例取得最终复苏成功,心肺复苏成功率为36.4%;2不同年龄(=15.380,P<0.001)、基础性疾病(x~2=11.465,P=0.043)、复苏开始时间(x~2=57.968,P<0.001)、地点(x~2=61.384,P<0.001)患者心肺复苏成功率差异有统计学意义,年龄16~60岁、非心血管疾病、心脏骤停5分钟内、院内开始心肺复苏者成功率较高;3复苏成功者和失败者复苏持续时间(t=-5.961,P<0.001)和气道建立时间(t=-4.045,P=0.004)的差异具有统计学意义,成功者复苏持续时间要短于失败者,而气道建立时间要早于失败者。结论:快速建立人工气道,不盲目延长心肺复苏时间,提高心脏骤停患者心肺复苏的成功率。更多还原

【Abstract】 Objective: To investigate the success rate and influencing factors of cardiopulmonary resuscitation(CPR) among patients with cardiac arrest. Methods: 198 patients with cardiac arrest had CPR in our hospital. Their general condition, the start time and place of CPR, the recovery process and outcome were recorded and all data were analyzed by SPSS17.0. Results: Among the patients, 72 cases had success of CPR. The success rate was 36.4%. The age(x~2=15.380, P<0.001), primary diseases(x~2=11.465, P=0.043), the resuscitation starting time(x2=57.968, P<0.001)and place(x~2=61.384, P<0.001)of CPR, the duration time of CPR(t=-5.961, P<0.001) and the establishment time of airway(t=-4.045, P=0.004) were the effecting factors of the success rate of CPR among patients with cardiac arrest.Patients of such factors had higher success rate of CPR as with ages of 16-60, no cardiovascular disease, 5 min cardiac arrest, cardiopulmonary resuscitation performed in hospital. There were also differences in anabiosis lasting time(t=-5.961, P<0.001) and airway setting time(t=-4.045, P=0.004) between the patients with successful CPR and those with failed CPR. Patients with successful CPR had shorter anabiosis lasting time and earlier airway setting than those with failed CPR. Conclusion: To establish the airway rapidly. We should not prolong the CPR time, so as to improve the success rate of CPR among patients with cardiac arrest.更多还原