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目的:探讨心肺复苏自主循环恢(ROSC)患者预后影响因素,为临床防治提供参考依据。方法:收集2012年1月-2015年1月在我院行心肺复苏ROSC的148例心脏骤停患者的病历资料,分析患者预后情况,采用Logistic回归方程分析其影响因素。结果:所有患者中,预后良好48例(32.43%),预后不良100例(67.57%)。心脏骤停至复苏开始时间、复苏开始至ROSC时间、复苏后72 h体温、复苏后有无肌阵挛或抽搐、复苏后D-二聚体(D-D)水平、复苏后血pH值、复苏后第3 d急性生理与慢性健康评分(APACHEII)评分均是影响心肺复苏后ROSC者预后的危险因素(P<0.05)。结论:影响心肺复苏后ROSC患者预后的因素较多,抢救心脏骤停患者时,应尽可能缩短心肺复苏时间,遵循10 min内抢救原则,有利于改善其预后。
Objective: To investigate the influencing factors of prognosis in cardiopulmonary resuscitation voluntary circulation (ROSC) patients and provide reference for clinical prevention and treatment. Methods: The clinical data of 148 patients with cardiac arrest who underwent cardiopulmonary resuscitation (ROSC) from January 2012 to January 2015 in our hospital were collected. The prognosis of patients was analyzed. Logistic regression equation was used to analyze the influencing factors. Results: In all patients, the prognosis was good in 48 cases (32.43%) and poor prognosis in 100 cases (67.57%). Cardiac arrest until onset of resuscitation, resuscitation to ROSC time, body temperature 72 h after resuscitation, myoclonus or convulsion after resuscitation, D-dimer (DD) level after resuscitation, blood pH after resuscitation, post-resuscitation The 3-day acute physiology and chronic health score (APACHEII) scores were all risk factors influencing the prognosis of patients with ROSC after cardiopulmonary resuscitation (P <0.05). CONCLUSIONS: There are many factors affecting the prognosis of patients with ROSC after cardiopulmonary resuscitation. When resuscitating patients with cardiac arrest, the CPR should be shortened as much as possible and the principle of rescue within 10 min should be followed, which is beneficial to improve the prognosis.