心脏骤停患者心肺复苏抢救中的影响因素分析

目的 探讨心脏骤停患者心肺复苏抢救中的影响因素.方法 回顾性收集2015年9月-2018年9月急救中心收治的304例成年心脏骤停患者的临床数据,包括患者基本人口学信息、现场心肺复苏(cardio-pulmonary resuscitaion,CPR)情况[包括是否有目击者、目击者是否实施CPR、胸部按压分数(chest...

Influence factors in the rescue of patients with cardiac arrest

Objective To explore the influence factors in the rescue of patients with cardiac arrest. Methods The clinical data of 304 adult cardiac arrest patients admitted to emergency center from September 2015 to September 2018 were retrospectively collected, including demographic information,24 h survival rate, cardio-pulmonary resuscitaion(CPR) status on site, including whether there are witnesses CPR, whether the witnesses implement CPR, chest compression fraction(CCF), time to emergency center. The relation factors were analyzed by single factor analysis and Logistic regression analysis. Results Single-factor analysis showed that there were significant differences in 24-hour survival rate between the patients who received CPR and those who received different CCF(P＜0.05);Logistic regression analysis showed that CCF≤80 was an independent risk factor for 24 h survival rate(P＜0.05),and witnesses were given CPR as a protective factor for 24 h survival rate(P＜0.05). Conclusion Early implementation of CPR and increasing the effective duration of chest compressions can improve the survival rate of patients with cardiac arrest.