心搏骤停患者院前急救心肺复苏效果的影响因素研究OA
Influencing Factors of Effectiveness of Pre-hospital Emergency Cardiopulmonary Resuscitation in Patients with Cardiac Arrest
目的 探讨心搏骤停患者院前急救心肺复苏(CPR)效果的影响因素.方法 回顾性选取2019年1月—2023年3月上海交通大学医学院附属瑞金医院收治的心搏骤停患者278例,收集患者的临床资料,根据院前急救CPR成功与否将其分为成功组(56例)及失败组(222例),采用多因素Logistic回归分析探讨心搏骤停患者院前急救CPR效果的影响因素.结果 两组心搏骤停病因、首次监测心律情况、肾上腺素用量、急救响应时间、高级气道开放模式、CPR持续时间比较,差异有统计学意义(P＜0.05).多因素Logistic回归分析结果显示,首次监测心律情况[OR=0.293,95%CI(0.121～0.709)]、肾上腺素用量[OR=0.409,95%CI(0.195～0.855)]、急救响应时间[OR=3.995,95%CI(1.444～11.048)]、高级气道开放模式[OR=0.309,95%CI(0.113～0.844)]、CPR持续时间[OR=2.659,95%CI(1.409～5.018)]是心搏骤停患者院前急救CPR效果的独立影响因素(P＜0.05).结论 首次监测心律情况、肾上腺素用量、急救响应时间、高级气道开放模式、CPR持续时间是心搏骤停患者院前急救CPR效果的独立影响因素.
Objective To investigate the influencing factors of effectiveness of pre-hospital emergency cardiopulmonary resuscitation(CPR)in patients with cardiac arrest.Methods A total of 278 patients with cardiac arrest admitted to Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from January 2019 to March 2023 were retrospectively selected.The clinical data of the patients were collected,the patients were divided into successful group(n=56)and failed group(n=222)according to the effectiveness of pre-hospital emergency CPR.Multivariate Logistic regression analysis was used to explore the influencing factors of effectiveness of pre-hospital emergency CPR in patients with cardiac arrest.Results There were significant differences in the causes of cardiac arrest,initial monitoring the heart rhythm,adrenaline dosage,emergency response time,advanced airway opening mode,and CPR duration between the two groups(P<0.05).Multivariate Logistic regression analysis showed that initial monitoring the heart rhythm[OR=0.293,95%CI(0.121-0.709)],adrenaline dosage[OR=0.409,95%CI(0.195-0.855)],emergency response time[OR=3.995,95%CI(1.444-11.048)],advanced airway opening mode[OR=0.309,95%CI(0.113-0.844)],CPR duration[OR=2.659,95%CI(1.409-5.018)]were independent influencing factors of effectiveness of pre-hospital emergency CPR in patients with cardiac arrest(P<0.05).Conclusion Initial monitoring the heart rhythm,adrenaline dosage,emergency response time,advanced airway opening mode,CPR duration are independent influencing factors of effectiveness of pre-hospital emergency CPR in patients with cardiac arrest.
王敏慧;吴圣佳;康磊
200025 上海市,上海交通大学医学院附属瑞金医院心脏内科200025 上海市,上海交通大学医学院附属瑞金医院心脏内科200025 上海市,上海交通大学医学院附属瑞金医院心血管专科
医药卫生
猝死,心脏急救医疗服务心肺复苏术影响因素分析
Death,sudden,cardiacEmergency medical servicesCardiopulmonary resuscitationRoot cause analysis
《实用心脑肺血管病杂志》 2026 (3)
41-44,4
上海市健康科普青年英才能力提升专项(JKKPYC-2023-A05)上海交通大学医学院附属瑞金医院护理专项基金(RJKH-2023-008)
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