2010年广东省中医院大急诊科99例心肺复苏患者临床分析.pdfVIP

2010 年广东省中医院大急诊科 99 例心肺复苏患者临床分析 徐慧聪 陶兰亭 周红 郑丹文 张春燕 方志坚 （广东省中医院大急诊科，广东广州 510120 ） 摘要 目的 应用心肺复苏 Utstein 指南模式原则评价心肺复苏影响因素与 效果。方法 按照心肺复苏 Utstein 评价指南设计心肺复苏登记表，应用回顾性、 描述性研究方法，研究院内心脏/ 呼吸骤停病人流行病学特征、心肺复苏影响因 素与效果。结果 心脏/ 呼吸骤停病人男性与女性分别为 61.6 ％、38.4 ％。以60-80 岁为高发年龄段。既往史中以心血管、呼吸系统疾病为主，分别占 36.4 ％与 16.2 ％。心脏/ 呼吸骤停初始心律，室颤占 14.1％，院内心脏/ 呼吸骤停病人心肺复苏 自主循环恢复、成功复苏、成活出院分别为32 ％、13％、9 ％。共29例（29.2%） 患者应用中成药，应用最多的是参附针 24 例（24.2%）。 结论 本研究病例复苏 措施符合国际心肺复苏与心血管急救指南原则，且本组资料院内心肺复苏效果与 国际上心肺复苏Utstein 模式注册研究报道结果相似。 关键词 心肺复苏 Utstein 模式 注册研究 中医 A Clinical Analysis of 99 CPR Patients from Guangdong hospital of TCM in 2010 Abstract:Objective To discuss the related factors and effect of resuscitation of cardiopulmonaryarrest(CPR) according to the principle of the Utstein guidelines of CPR. Methods: To devise the enrollment of cardiopulmonary arrest patients according to the principle of the Utstein guidelines of CPR.Then to discuss the epidemiology characteristic of patients with cardiopulmonary arrest and to discuss the related factors and effect of resuscitation of CPR use retrospective and descriptive research method.Results There were 61.6% male and 38.4 ％ females in cardiopulmonary arrest patients. The peak onset age of the disease ranged from 60 to 80 years.The main disease in past medical history include cardiovascular disease and respiratory system disease,The percentage were 36.4 ％ and 16.2 ％.The percent of 1 ventricular fibrillation in the initial heart rhythm of cardiopulmonary arrest patients was 14.1％. The rate of ROSC (return of spontaneous circulation), successful resuscitation,leaving hospital surviving were 32％,13％ and 9％. Traditional Chinese Medicine Patent Prescription were prescribed on 29（29.2%） patients.Ginseng and radix aconiti carmichaeli injectien was the mostly prescribed Traditional Chinese