中华急诊医学杂志
中華急診醫學雜誌
중화급진의학잡지
CHINESE JOURNAL OF EMERGENCY MEDICINE
2014年
10期
1127-1131
,共5页
刘元税%宋维%张蕾蕾%欧阳艳红%高允锁
劉元稅%宋維%張蕾蕾%歐暘豔紅%高允鎖
류원세%송유%장뢰뢰%구양염홍%고윤쇄
心脏骤停后%自主循环恢复%休克指数%修正休克指数%收缩压%心率%体温%成活出院
心髒驟停後%自主循環恢複%休剋指數%脩正休剋指數%收縮壓%心率%體溫%成活齣院
심장취정후%자주순배회복%휴극지수%수정휴극지수%수축압%심솔%체온%성활출원
Post-cardiac arrest%Return of spontaneous circulation%Shock index%Adjusted shock index%Systolic pressure%Heart rate%Body temperature%survival to hospital discharge
目的 评价休克指数和体温修正休克指数(以下简称“修正休克指数”)评估心脏骤停后自主循环恢复患者预后的价值.方法 以心肺复苏Utstien模式前瞻性注册登记并分析111例院内心脏骤停经心肺复苏恢复自主循环患者的生命体征等资料,以进一步评价休克指数和修正休克指数评估其预后的价值.结果 收缩压、心率在成活出院组与死亡组患者组间差异无统计学意义,P＞0.05.死亡组患者休克指数和修正休克指数[(1.109±0.428)和(1.082 ±0.410)]明显高于成活出院组[(0.899±0.303)和(0.844 ±0.265)],P＜0.05.修正休克指数＞1.1的患者死亡风险比为5.4,明显高于收缩压＜90 mm Hg组(1.6)和心率＞100次/min组(3.1),P＞0.05.休克指数＞1.1预测该组患者死亡风险的比值比为2.8.结论 休克指数和修正休克指数是易于记忆和获取的有效评价指标,有助于预测诸如心脏骤停循环恢复患者最终死亡或成活出院等病情预后.
目的 評價休剋指數和體溫脩正休剋指數(以下簡稱“脩正休剋指數”)評估心髒驟停後自主循環恢複患者預後的價值.方法 以心肺複囌Utstien模式前瞻性註冊登記併分析111例院內心髒驟停經心肺複囌恢複自主循環患者的生命體徵等資料,以進一步評價休剋指數和脩正休剋指數評估其預後的價值.結果 收縮壓、心率在成活齣院組與死亡組患者組間差異無統計學意義,P＞0.05.死亡組患者休剋指數和脩正休剋指數[(1.109±0.428)和(1.082 ±0.410)]明顯高于成活齣院組[(0.899±0.303)和(0.844 ±0.265)],P＜0.05.脩正休剋指數＞1.1的患者死亡風險比為5.4,明顯高于收縮壓＜90 mm Hg組(1.6)和心率＞100次/min組(3.1),P＞0.05.休剋指數＞1.1預測該組患者死亡風險的比值比為2.8.結論 休剋指數和脩正休剋指數是易于記憶和穫取的有效評價指標,有助于預測諸如心髒驟停循環恢複患者最終死亡或成活齣院等病情預後.
목적 평개휴극지수화체온수정휴극지수(이하간칭“수정휴극지수”)평고심장취정후자주순배회복환자예후적개치.방법 이심폐복소Utstien모식전첨성주책등기병분석111례원내심장취정경심폐복소회복자주순배환자적생명체정등자료,이진일보평개휴극지수화수정휴극지수평고기예후적개치.결과 수축압、심솔재성활출원조여사망조환자조간차이무통계학의의,P＞0.05.사망조환자휴극지수화수정휴극지수[(1.109±0.428)화(1.082 ±0.410)]명현고우성활출원조[(0.899±0.303)화(0.844 ±0.265)],P＜0.05.수정휴극지수＞1.1적환자사망풍험비위5.4,명현고우수축압＜90 mm Hg조(1.6)화심솔＞100차/min조(3.1),P＞0.05.휴극지수＞1.1예측해조환자사망풍험적비치비위2.8.결론 휴극지수화수정휴극지수시역우기억화획취적유효평개지표,유조우예측제여심장취정순배회복환자최종사망혹성활출원등병정예후.
Objective To examine the usefulness of shock index (Sl) and adjusted shock index (corrected to temperature) (ASI) in predicting prognosis of patients with return of spontaneous circulation after cardiac arrest.Methods A prospective study,which data such as vital signs of the cases were collected by the Utstein template,was conducted in 111 of cases with return of spontaneous circulation after cardiac arrest to assess the value of SI and ASI for predicting their prognoses.Results There was no evidence to show difference between the cases with survival to hospital discharge and the ones who died about systolic blood pressure and heart rate (P ＞0.05).SI and ASI [(1.109 ±0.428) and (1.082 ±0.410)] of the group of death were higher significantly than the ones [(0.899 ± 0.303) and (0.844 ± 0.265)] of the group with survival to hospital discharge,P ＜ 0.05.The risk of death was elevated in the group with "ASI ＞ 1.1",which odds ratio (5.4) higher than the ones of "systolic blood prcssure ＜90 mm Hg" (1.6)and "ventricular rat ＞ 100 beat/min" (3.1) significantly.The odds ratio of death with "AS ＞ 1" was 2.8.Conclusions Shock index and adjusted shock index are easy to derive and conducive to predict effectively diseases prognosis such as survival to hospital discharge or death of patients with ROSC.
