CAJ | 학술논문

目的：探讨心血管病患者院内心脏骤停经心肺复苏（ CPR）抢救成功的相关影响因素。方法收集137例心血管病住院患者院内心脏骤停经CPR抢救的完整病例资料，分为成功组和死亡组，采用多因素 logistic回归分析性别、年龄、病因、各种抢救措施等因素与CPR成功的关系。结果两组患者的年龄、性别、基础心脏疾病比较差异无统计学意义（P＞0．05）。多因素logistic回归分析显示，胺碘酮、低温脑保护和艾司洛尔的使用可提高CPR成功率（P＜0．05），阿托品、机械通气、利多卡因、碳酸氢钠会增加CPR死亡率（P＜0．05）。结论胺碘酮、低温脑保护和艾司洛尔是心血管病患者心脏骤停CPR成功的独立影响因素。
목적：탐토심혈관병환자원내심장취정경심폐복소（ CPR）창구성공적상관영향인소。방법수집137례심혈관병주원환자원내심장취정경CPR창구적완정병례자료，분위성공조화사망조，채용다인소 logistic회귀분석성별、년령、병인、각충창구조시등인소여CPR성공적관계。결과량조환자적년령、성별、기출심장질병비교차이무통계학의의（P＞0．05）。다인소logistic회귀분석현시，알전동、저온뇌보호화애사락이적사용가제고CPR성공솔（P＜0．05），아탁품、궤계통기、리다잡인、탄산경납회증가CPR사망솔（P＜0．05）。결론알전동、저온뇌보호화애사락이시심혈관병환자심장취정CPR성공적독립영향인소。
Objective To explore the related factors of the success of cardiopulmonary resuscitation( CPR) of cardiovascular disease patients with cardiac arrest in hospital.Methods A total data of 137 hospitalized cardiovascular disease patients with cardiac arrest who had received CPR rescue in the hospital were enrolled in the study and divided into success group and death group.The relationship of the success of CPR with the factors including gender,age,diagnosis,different first-aid measures was assessed based on multivariate logistic regression analysis.Results There was no statistical difference in the age,gender and case number of basic cardiovascular diseases between two groups(P<0.05).Multivariate logistic regression analysis showed that amiodarone,hypothermia cerebral protection,esmolol increased the success rate of CPR(P<0.05),while atropine,mechanical ventilation,lidocaine and sodium bicarbonate increased the mortality of CPR(P<0.05). Conclusion Amiodarone,hypothermia cerebral protection,and esmolol are the independent factors of the success of CPR rescue for cardiovascular disease patients with cardiac arrest.