CAJ | 학술논문

目的：探讨影响院前心肺复苏(CPR)效果的因素。方法选取本院2010年5月~2014年5月行CPR处理的258例患者作为研究对象，回顾性分析患者的临床资料，建立数据库，进行多因素回归分析。结果男性的复苏总有效率与女性比较，差异无统计学意义(P>0.05)。气管插管患者的复苏总有效率显著高于口对口、面罩给氧者，差异有统计学意义(P<0.05)。脑血管疾病患者的复苏总有效率显著低于多发性外伤、呼吸系统疾病患者，差异有统计学意义(P<0.05)。VF患者的复苏总有效率显著高于VA、无脉电活动患者，差异有统计学意义(P<0.05)。影响院前心肺复苏效果的因素包括年龄、通气方式、原发疾病、CPR前ECG(P<0.05)。结论院前心肺复苏患者自发循环恢复的独立影响因素包括年龄、原发疾病、通气方式、ECG表现。
목적：탐토영향원전심폐복소(CPR)효과적인소。방법선취본원2010년5월~2014년5월행CPR처리적258례환자작위연구대상，회고성분석환자적림상자료，건립수거고，진행다인소회귀분석。결과남성적복소총유효솔여녀성비교，차이무통계학의의(P>0.05)。기관삽관환자적복소총유효솔현저고우구대구、면조급양자，차이유통계학의의(P<0.05)。뇌혈관질병환자적복소총유효솔현저저우다발성외상、호흡계통질병환자，차이유통계학의의(P<0.05)。VF환자적복소총유효솔현저고우VA、무맥전활동환자，차이유통계학의의(P<0.05)。영향원전심폐복소효과적인소포괄년령、통기방식、원발질병、CPR전ECG(P<0.05)。결론원전심폐복소환자자발순배회복적독립영향인소포괄년령、원발질병、통기방식、ECG표현。
Objective To explore the influencing factor for the effect of pre-hospital cardio-pulmonary resuscitation (CPR). Methods 258 patients received CPR in our hospital from May 2010 to May 2014 were selected as the research object,their data were retrospectively analyzed,database was established.The multi-factor regression analysis was per-formed. Results There was no significant difference in the total effective rate of recovery between males and females (P>0.05).The total effective rate of recovery in patients with tracheal intubation was higher than that in patients with mouth to mouth,mask oxygen,with significant difference (P<0.05).The total effective rate of recovery of cerebral vascular disease patients was lower than that of patients with multiple trauma,respiratory system disease,with significant differ-ence (P<0.05).The total effective rate of VF patients was higher than that of patients with VA and no pulse electric ac-tivity,with significant difference (P<0.05). Conclusion The independent influencing factors of restoration of spontaneous circulation in patients with pre-hospital cardio-pulmonary resuscitation include age,primary disease,ventilation mode, ECG performance.