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目的:调查分析军队干休所院前心搏骤停患者心肺复苏的救治情况。方法:选取2006年1月—2015年12月9家军队干休所心搏骤停61例为研究对象,系统分析其院前急救资料,探讨心肺复苏成功相关影响因素。结果:院前心搏骤停61例中,复苏成功39例(63.9%)。年龄<75岁者抢救成功率75.0%,显著高于年龄≥75岁者的63.2%(P<0.05);3种基础疾病及以上者抢救成功占33.3%,显著低于3种基础疾病以下者的66.6%(P<0.05);心肺复苏开始时间≤5 min者抢救成功占70.0%,显著高于>5 min者的30.0%(P<0.05);电除颤开始时间<5 min者抢救成功占66.7%,显著高于≥5 min者的33.3%(P<0.05)。结论:心肺复苏开始时间、电除颤开始时间及年龄、基础疾病等,是心肺复苏成功与否的主要影响因素。
OBJECTIVE: To investigate and analyze the treatment of cardiopulmonary resuscitation in patients with cardiac arrest before military intervention in the army. Methods: From January 2006 to December 2015, 61 military cadres with cardiac arrest in 9 military cadres were selected as study subjects, and the pre-hospital emergency data were systematically analyzed to explore the influencing factors of success of cardiopulmonary resuscitation. Results: Among the 61 cases of cardiac arrest in hospital, 39 cases were successful (63.9%). The successful rescue rate was 75.0% for those aged <75 years old, significantly higher than 63.2% for those aged ≥75 years (P <0.05), 33.3% for three kinds of basic diseases and above, significantly lower than those for the three basic diseases (P <0.05). The success rate of resuscitation was 70.0%, which was significantly higher than 30.0% (P <0.05) of rescue> 5 min after cardiopulmonary resuscitation Accounting for 66.7%, significantly higher than 33.3% of those ≥5 min (P <0.05). CONCLUSIONS: The starting time of cardiopulmonary resuscitation, the time and age of initial defibrillation, and underlying diseases are the main factors affecting the success of CPR.