实用休克杂志（中英文）2023，Vol.7Issue(6)：342-345,4.
院外心脏骤停患者预警症状分析及预后价值评估的临床研究
Clinical study on early warning symptoms and prognostic value evaluation of out-of-hospital cardiac arrest patients
摘要
Abstract
Objective To explore the analysis of early warning symptoms before out-of-hos-pital cardiac arrest(OHCA)and the evaluation of prognostic value.Methods A retrospective study was conducted to collect 200 patients with OHCA admitted to the emergency department of the Chuiy-angliu Hospital affiliated to Tsinghua University from January 2019 to December 2022,and to com-pare the characteristics of the early warning symptoms and the onset time.Divide the patients into two groups based on whether they had warning symptoms within 4 weeks before the onset of OHCA,and analyze the relationship between risk factors and basic medical history in the two groups.Divide the patients into two groups based on whether they called 120 after experiencing the warning symptoms,and compare the characteristics of the symptoms,the availability of on-site cardiopulmonary resuscita-tion,and the relationship between the symptoms and prognosis in the two groups.Results The number of early warning symptoms occurring within 1 hour and 1～24 hours before the onset of OHCA was higher,with a higher proportion of chest pain and dyspnea occurring at different time pe-riods,with significant differences(P＜0.05).The number of cases with diabetes,hyperlipidemia,smoking history,and history of coronary heart disease in group A was higher than that in group B,with a statistically significant difference(P＜ 0.05).The number of patients with chest pain as a warning symptom,the number of cases receiving on-site CPR,and the success rate of CPR in group C were higher than those in group D,with significant differences(P＜0.05).Conclusions There are often early warning symptoms before OHCA occurs,with chest pain being the most common symp-tom,and it is associated with underlying heart disease and cardiovascular risk factors.Early recogni-tion of early warning symptoms before OHCA,as well as the prompt activation of emergency rescue systems and effective intervention can improve patient outcomes.关键词
院外心脏骤停/预警症状/胸痛/预后Key words
Out-of-hospital cardiac arrest/Warning symptoms/Chest pain/Prognosis引用本文复制引用
隗沫,顾伟,钟洁,潘兴邦..院外心脏骤停患者预警症状分析及预后价值评估的临床研究[J].实用休克杂志（中英文）,2023,7(6):342-345,4.基金项目
首都临床特色诊疗技术研究及转化应用(项目编号:Z221100007422129) （项目编号:Z221100007422129）
北京市临床重点专科培育项目资助(2023) （2023）
