中国全科医学2017，Vol.20Issue(11)：1379-1382,4.DOI:10.3969/j.issn.1007-9572.2017.01.y08
心搏骤停患者初始心律影响因素分析
Influencing Factors of Cardiac Arrest Patients with Initial Rhythms
摘要
Abstract
Objective To evaluate the distribution of initial rhythms and general clinical characteristics of patients with cardiac arrest,and to investigate the risk factors for cardiac arrest patients with initial non-shockable rhythms,so as to provide a theoretical basis for the prevention and management of this kind of disease.Methods We enrolled 232 patients with cardiac arrest occurred in pre-hospital and Emergency Department of PLA Army General Hospital,Beijing Friendship Hospital,Capital Medical University,Beijing Hospital from April 2014 to April 2016.And the patients were divided into initial shockable rhythm group (32 cases,13.8％) and initial non-shockable rhythm group (200 cases,86.2％) based on the conditions of initial rhythms.The patient's gender,age,cause of cardiac arrest,basic diseases,history of invasive cardiovascular examination and treatment,history of prescription of cardiovascular drugs and so on were recorded.Multivariate Logistic regression was used to analyze the influencing factors for initial rhythms in cardiac arrest patients.Results The differences in terms of age,incidences of sudden cardiac death and severe infection,history of coronary artery disease (CAD),history of chronic obstructive pulmonary disease (COPD),medication history of beta-blocker between the initial shockable rhythm group and initial non-shockable rhythm group demonstrated statistical significance (P ＜ O.05).Results of multivariate Logistic regression showed that severe infection,CAD,COPD,medication history of beta-blockers were the risk factors for initial rhythms cardiac arrest patients (P ＜0.05).Conclusion Severe infection,history of COPD,and beta-blocker medication history are high risk factors for cardiac arrest patients with initial non-shockable rhythms due to the incidence of initial shockable rhythms may be reduced;when cardiac arrest patients with a history of CAD,their initial rhythms more manifest as shockable rhythms.关键词
心脏停搏/初始心律/影响因素分析Key words
Heart arrest/Initial rhythm/Root cause analysis分类
医药卫生引用本文复制引用
赵梦龙,郭凯,马永刚,康艳飞,文敏,周荣斌..心搏骤停患者初始心律影响因素分析[J].中国全科医学,2017,20(11):1379-1382,4.基金项目
北京协和医学基金会睿意急诊医学研究专项基金(R2015006) （R2015006）
