急诊抢救心肺复苏成功率提高的原因分析.docVIP

急诊抢救心肺复苏成功率提高的原因分析 高瑞筠 （四川省内江市资中县人民医院急诊科四川内江641200） 摘 要 目的分析急诊抢救心肺复苏（CPR）成功率提高的原因。方法 回顾性选择我院于院外行CPR急诊抢救的126例心脏骤停患者为研究对象，根 据抢救结果将患者分为成功组32例（25.40%）和失败组94例（74.60%）。通过 比较两组患者的相关急诊抢救指标，分析影响CPR成功率的因素。结果CPR成 功组患者平均年龄小于失败组（PV0.05）,患者急诊急救120反应时间lOmin 的比例高于失败组（PV0.05）,患者心肺复苏开始时间短于对照组（PV0.05）, 现场电除颤时间V8min的比例高于失败组（P0.05）,患者急救使用纳洛酮、胺 碘酮的比例均高于失败组（PV0.05）,有心脏骤停先兆者的比例高于失败组（P 0.05）o结论年龄、120反应时间、心肺复苏开始时间、现场电除颤时间、纳 洛酮和胺碘酮使用与否及有无心脏骤停先兆者均是影响CPR成功率的重要因素, 而于CPR急诊抢救实践中，缩短120反应时间、心肺复苏开始时间、现场电除 颤时间，配合使用纳洛酮、胺碘酮心肺复苏药物及掌握心脏骤停先兆是提高CPR 成功率的重要原因。 关键词 心脏骤停；心肺复苏；急诊抢救；原因 R605.974 B 1003?5028 （2015） 7-0136-02 Analysis of the causes of emerge ncy cardiopulm on ary resuscitati on success rate increase [Abstract objective:to Analysze the causes of emergency cardiopulmonary resuscitation success rate increase. Method :CPR emergency rescue of 126 cases of patients with cardiac arrest is taken as the research object in the out of hospital, according to the treatment results, the patients were divided into the the successful group 32 cases (25.40%) and the failed group 94 cases (74.60%). Through the re leva nt emerge ncy rescue in dex of two groups was compared, an alysis of factors affecting the success rate of CPR. Results: the average age of CPR patients was less than successful group failure group (Plt;0.05), patients with emergency reaction time 120 lt;10min was higher than the proportion of failure group (Plt;0.05), cardiopulm on ary resuscitati on in patie nts with start time was shorter tha n the control group (Plt;0.05), the field of electrical defibrillation time lt;8min ratio was higher in the failure group (Plt;0.05), patients used with naloxone, amiodarone were higher than the proportion of the failure group (P lt; 0.05), Cardiac arrest aura were higher than the proportion of failure group (P lt; 0.05). Conclusion: age, reaction time, cardiopulmonary resuscitation (CPR) 120 time, the electric defibrillation, naloxone and amiodarone use or not and the presenee of cardiac arrest precu