CAJ | 학술논문

目的心肺复苏Utstein评价模式已被许多国家广泛用于心肺复苏评价研究.本文以心肺复苏结果Utstein评价模式设计心肺复苏注册登记表,以评价中国海南海南省人民医院心搏骤停患者流行病学特征、心肺复苏效果与影响因素.方法应用心肺复苏Utstein模式注册登记表,对海南省人民医院急诊科511例心肺复苏患者进行前瞻性观察研究,评价本组患者心搏骤停流行病学特征及心肺复苏结果.结果注册登记的511例心肺复苏患者纳入研究.本研究患者以40 ～ 70岁等年龄段心搏骤停发生率较高.既往史中,心血管系统疾病(190例,37.2％)、脑血管疾病(48例,9.4％)及呼吸系统疾病(39例,7.6％)等慢性疾病较为常见.173例(33.9％)为心源性心搏骤停,其中109例(21.3％)为急性心肌梗死.80例(15.7％)患者首次监测心律为心室纤颤.院内心搏骤停患者自主循环恢复率及成活出院率分别为47.0％和13.5％,院外心搏骤停患者为16.7％和4.7％.结论本研究表明心血管系统疾病、脑血管疾病及呼吸系统疾病为最常见慢性疾病.急性心肌梗死、中风及创伤为最常见心搏骤停病因.院内心搏骤停组自主循环恢复率及成活出院率均高于院外心搏骤停组,两组差异具有统计学意义.
목적 심폐복소Utstein평개모식이피허다국가엄범용우심폐복소평개연구.본문이심폐복소결과Utstein평개모식설계심폐복소주책등기표,이평개중국해남해남성인민의원심박취정환자류행병학특정、심폐복소효과여영향인소.방법 응용심폐복소Utstein모식주책등기표,대해남성인민의원급진과511례심폐복소환자진행전첨성관찰연구,평개본조환자심박취정류행병학특정급심폐복소결과.결과 주책등기적511례심폐복소환자납입연구.본연구환자이40 ～ 70세등년령단심박취정발생솔교고.기왕사중,심혈관계통질병(190례,37.2％)、뇌혈관질병(48례,9.4％)급호흡계통질병(39례,7.6％)등만성질병교위상견.173례(33.9％)위심원성심박취정,기중109례(21.3％)위급성심기경사.80례(15.7％)환자수차감측심률위심실섬전.원내심박취정환자자주순배회복솔급성활출원솔분별위47.0％화13.5％,원외심박취정환자위16.7％화4.7％.결론 본연구표명심혈관계통질병、뇌혈관질병급호흡계통질병위최상견만성질병.급성심기경사、중풍급창상위최상견심박취정병인.원내심박취정조자주순배회복솔급성활출원솔균고우원외심박취정조,량조차이구유통계학의의.
Objective To investigate the usefulness of Utstein template to guide the assessment and study of cardiopulmonary resuscitation (CPR) in our medical practice because it has been popularized in many countries since 1991.Methods A prospective observational study using Utstein CPR registry form to evaluate the epidemiological features and outcomes of 511 patients resuscitated in the emergency department.Results Of 511 CPR patients registered,higher cardiac arrest rates were observed in the group of patients aged 40- 70 years. In 511 CPR patients registered,preexisting chronic diseases were common including cardiovascular diseases ( 190,37.2％ ) cerebrovascular diseases (48,9.4％ ) and respiratory diseases (39,7.6％ ).Of them,173 cardiac arrest patients (33.9％) had underlying cardiac causes,such as acute myocardial infarction (AMI) found in 109 (21.3％) patients,and ventricular fibrillation witnessed during first cardiac monitoring in eighty ( 15.7％ ) patients.The restoration of spontaneous circulation (ROSC) rate and survival rate at discharge of in - hospital cardiac arrest (IHCA) patients were 47.0％ and 13.5％respectively,but 16.7％ and 4.7％ respectively in the out - hospital cardiac arrest (OHCA) patients (P ＜0.01,both ). Conclusions This study indicated that the cardiovascular diseases, cerebrovascular diseases,and respiratory diseases were the most common preexisting chronic diseases found in cardiac arrest patients.Myocardial infarct,stroke and trauma were the most common precipitation causes of cardiac arrest in the recruited patients.The rates of ROSC and survival at discharge were significantly higher in statistics in patients with IHCA than those in ones with OHCA.