摘要
目的 研究重症急救患者心肺复苏后影响神经功能预后的危险因素分析。方法 选取我院2016年5月-2019年5月我院收治的201例重症急救患者心肺复苏患者。根据神经功能预后情况分为预后良好组(n=75)和预后较差组(n=126),收集患者一般资料并进行单因素和多因素分析相关危险因素。结果 两组患者一般资料对比,在基础病史、心搏骤停位置、心肺复苏时间、自主循环恢复时间、瞳孔情况、器官衰竭程度、血压情况等方面具有统计学意义(P<0.05);经Logisitic分析,年龄、基础病史、心搏骤停位置、心肺复苏时间、自主循环恢复时间、瞳孔情况、器官衰竭程度、血压情况重症急救患者心肺复苏影响神经功能预后的独立危险因素。结论 年龄、基础病史、心搏骤停位置、心肺复苏时间、自主循环恢复时间、瞳孔情况、器官衰竭程度、血压情况都是重症急救患者心肺复苏影响神经功能预后的危险因素。
Objective To study the risk factors affecting the prognosis of neurological function in critically ill patients after cardiopulmonary resuscitation(CPR).Methods Two hundred and one CPR patients admitted to our hospital from May 2016 to May 2019 were enrolled.According to the prognosis of neurological function,they were divided into good prognosis group(n=75)and poor prognosis group(n=126).The general data of the patients were collected and uni-and multivariate risk factors analysis were performed.Results The general data of the two groups of patients were compared with statistical significance in terms of basic medical history,cardiac arrest location,cardiopulmonary resuscitation time,spontaneous circulation recovery time,pupil condition,organ failure degree,blood pressure,etc.(P<0.05).Logisitic analysis showed that age,basic medical history,cardiac arrest location,cardiopulmonary resuscitation time,spontaneous circulation recovery time,pupil status,organ failure degree,and blood pressure status were the independent risk factors for the prognosis of neurological function.Conclusion Age,basic medical history,cardiac arrest location,cardiopulmonary resuscitation time,spontaneous circulation recovery time,pupil condition,organ failure degree,and blood pressure are all risk factors that affect the prognosis of neurological function in CPR patients.
作者
蔡薇
Cai Wei(Guangdong Sanjiu Brain Hospital,Guangzhou,Guangdong 510510)
出处
《辽宁医学杂志》
2023年第3期25-27,共3页
Medical Journal of Liaoning
关键词
重症急救
心肺复苏
神经功能
危险因素
Critical ill
Cardiopulmonary resuscitation
Neurological function
Risk factors
