中国临床医生杂志
中國臨床醫生雜誌
중국림상의생잡지
CHINESE JOURNAL FOR CLINICIANS
2015年
4期
39-41
,共3页
心脏骤停%院前%心肺复苏%影响因素
心髒驟停%院前%心肺複囌%影響因素
심장취정%원전%심폐복소%영향인소
Cardiac arrest%Prehospital%Cardiopulmonary resuscitation%Factors
目的：总结院前心脏骤停患者心肺复苏方法,分析影响心肺复苏成功的影响因素。方法回顾分析505例院前心脏骤停患者的院前急救资料,总结心肺复苏流程,按心肺复苏( CPR)成功与否分为复苏成功组和复苏失败组,探讨与复苏成功相关的影响。结果505例院前心脏骤停患者中41例复苏成功(8.12%),464例复苏失败(91.88%),年龄、基础疾病、复苏前心律类型、群众性的CPR、CPR开始时间、电除颤开始时间是影响心肺复苏成功的影响因素。结论院前心脏骤停患者心肺复苏成功的影响因素较为复杂。应通过完善急救网络、普及急救常识、完善院前急救流程和规范化救治措施及加强基础疾病的治疗,才能提高院前心脏骤停患者心肺复苏的成功率。
目的：總結院前心髒驟停患者心肺複囌方法,分析影響心肺複囌成功的影響因素。方法迴顧分析505例院前心髒驟停患者的院前急救資料,總結心肺複囌流程,按心肺複囌( CPR)成功與否分為複囌成功組和複囌失敗組,探討與複囌成功相關的影響。結果505例院前心髒驟停患者中41例複囌成功(8.12%),464例複囌失敗(91.88%),年齡、基礎疾病、複囌前心律類型、群衆性的CPR、CPR開始時間、電除顫開始時間是影響心肺複囌成功的影響因素。結論院前心髒驟停患者心肺複囌成功的影響因素較為複雜。應通過完善急救網絡、普及急救常識、完善院前急救流程和規範化救治措施及加彊基礎疾病的治療,纔能提高院前心髒驟停患者心肺複囌的成功率。
목적：총결원전심장취정환자심폐복소방법,분석영향심폐복소성공적영향인소。방법회고분석505례원전심장취정환자적원전급구자료,총결심폐복소류정,안심폐복소( CPR)성공여부분위복소성공조화복소실패조,탐토여복소성공상관적영향。결과505례원전심장취정환자중41례복소성공(8.12%),464례복소실패(91.88%),년령、기출질병、복소전심률류형、군음성적CPR、CPR개시시간、전제전개시시간시영향심폐복소성공적영향인소。결론원전심장취정환자심폐복소성공적영향인소교위복잡。응통과완선급구망락、보급급구상식、완선원전급구류정화규범화구치조시급가강기출질병적치료,재능제고원전심장취정환자심폐복소적성공솔。
Objective To summarize the clinical experience of CPR in the treatment of 505 cardiac arrest patients Prehospital and analyze the influence factor of successful CPR, improve clinical outcomes. Method Made a retro﹣spective analysis of pre-hospital emergency data of 505 cardiac arrest patients Prehospital from January 2013 to De﹣cember 2013 ,Summary the CPR process,the patients were divided into Successful resuscitation group and resuscita﹣tion failure group by CPR result, made a analysis of the relate between Sex, age, underlying disease, heart rate type, mass CPR, CPR start time, defibrillation start time with Successful resuscitation. Result There were 41 cases of successful resuscitation, accounting for 8. 12%, 464 cases of recovery failure, accounting for 91. 88% in 505 cardiac arrest patients ,the influence factor of Successful resuscitation containing age, underlying disease, heart rate type, mass CPR, CPR start time, defibrillation start time . Conclusion The influence factors of Pre-hospital cardiac arrest resuscitation success are complex,including age, underlying disease, heart rate type, mass CPR, CPR start time, defibrillation start time ,so improve the success rate of hospital cardiac arrest should improve the network of first aid, popularize the knowledge of first aid, improve processes and standardized pre-hospital emergency treat﹣ment measures and strengthen the treatment of the underlying disease.
