原创《院前急救心肺复苏效果的影响因素分析》：本文是一篇关于院前急救论文范文，可作为相关选题参考,和写作参考文献。
[摘 要] 目的 探讨影响院前急救心肺复苏效果的危险因素,以进一步提高急救心肺复苏成功率. 方法 对2015年1月～2016年12月我院行院前急救心肺复苏的413例患者的病历资料进行回顾性分析,从不同患者年龄、疾病性质、心搏停止时间、現场除颤时间及复苏时间几方面进行心肺复苏成功率对比,分析出影响院前急救心肺复苏效果的危险因素. 结果 ≤50岁急救患者的心肺复苏成功率明显高于>50岁急救患者,差异具有统计学意义（χ2等于12.261,P<0.05）；心脑血管疾病急救患者的心肺复苏成功率明显低于非心脑血管疾病急救患者,差异具有统计学意义（χ2=20.589,P<0.05）；心搏停止时间在≤5 min急救患者的心肺复苏成功率明显高于心搏停止时间在>5 min的急救患者,差异具有统计学意义（χ2等于12.041,P<0.05）；现场除颤时间≤5 min急救患者的心肺复苏成功率明显高于除颤时间>5 min的急救患者,差异具有统计学意义（χ2等于8.593,P<0.05）；复苏时间≤6 min急救患者的心肺复苏成功率明显高于复苏时间>6 min的急救患者,差异具有统计学意义（χ2等于10.127,P<0.05）. 结论 患者年龄、疾病性质、心搏停止时间、现场除颤时间及复苏时间差异均是影响院前急救患者心肺复苏效果的危险因素,针对危险因素制定有效措施能进一步提高急救患者的心肺复苏成功率.
[关键词] 院前急救；心肺复苏；影响因素；心脏骤停；复苏成功率
[中图分类号] R459.7 [文献标识码] B [文章编号] 1673-9701（2018）05-0104-03
[Abstract] Objective To investigate the risk factors affecting the effect of pre-hospital emergency resuscitation to further improve the success rate of emergency resuscitation. Methods The clinical data of 413 patients with prehospital cardiopulmonary resuscitation from January 2015 to December 2016 in our hospital were retrospectively analyzed.The success rate of cardiopulmonary resuscitation was compared from the aspects including different patient"s age, nature of disease, cardiac arrest time,on-site defibrillation time and resuscitation time,and the risk factors affecting prehospital emergency cardiopulmonary resuscitation were analyzed. Results The success rate of cardiopulmonary resuscitation in first aid patients ≤50 years of age was significantly higher than that of first aid patients >50 years old, and the difference was statistically significant（χ2等于12.261, P<0.05）. The success rate of cardiopulmonary resuscitation in first aid patients with cardiovascular and cerebrovascular diseases was significantly lower than that of first aid patients without cardiovascular and cerebrovascular diseases, and the difference was statistically significant（χ2=20.589, P<0.05）. The success rate of CPR in emergency patients with cardiac arrest time≤5 minutes was significantly higher than that of emergency patients with cardiac arrest time more than >5 minutes, and the difference was statistically significant（χ2等于12.041, P<0.05）. The success rate of cardiopulmonary resuscitation in emergency patients with on-site defibrillation time ≤5 minutes was significantly higher than that of emergency patients with defibrillation time more than >5 minutes, and the difference was significant（χ2等于8.593, P<0.05）. The success rate of CPR in emergency patients with resuscitation time ≤6 minutes was significantly higher than that of emergency patients with resuscitation time more than >6 minutes, and the difference was significant（χ2等于10.127, P<0.05）. Conclusion The differences in patients" age, nature of disease, cardiac arrest time, on-site defibrillation time and recovery time are the risk factors influencing cardiopulmonary resuscitation in pre-hospital emergency patients.To establish effective measures for risk factors can further improve the success rate of cardiopulmonary resuscitation in patients.
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