中南医学科学杂志2025，Vol.53Issue(2)：324-326,3.DOI:10.15972/j.cnki.43-1509/r.2025.02.032
ECMO辅助CPR治疗急诊院外SCA复苏效果的影响因素分析
Analysis of factors influencing the resuscitation effects of ECMO-assisted CPR in out-of-hos-pital SCA patients
摘要
Abstract
Aim To explore the factors influencing the resuscitation effects of extracorporeal membrane oxygenation(EC-MO)-assisted cardiopulmonary resuscitation(CPR)in out-of-hospital sudden cardiac arrest(SCA)patients.Methods A total of 268 out-of-hospital SCA patients were retrospectively analyzed and divided into a success group(144 cases)and a failure group(124 cases)based on resuscitation outcomes.Clinical data and rescue indicators were compared between the two groups.Univariate and multivariate logistic regression analyses were performed to identify risk factors for successful resuscitation.Results The failure group had longer SCA absolute time,emergency response time,resuscitation start time,and CPR to ECMO time compared to the suc-cess group,with lower rates of bystander CPR and defibrillation(P＜0.05).SCA absolute time,resuscitation start time,CPR to EC-MO time,and absence of defibrillation were identified as independent risk factors for successful resuscitation under ECMO-assisted CPR(P＜0.05).Conclusion Longer SCA absolute time,resuscitation start time,CPR to ECMO time,and absence of defibril-lation are risk factors for successful resuscitation in out-of-hospital SCA patients under ECMO-assisted CPR.关键词
体外膜肺氧合/心肺复苏/急诊/院外心脏骤停/影响因素Key words
extracorporeal membrane oxygenation/cardiopulmonary resuscitation/emergency/out-of-hospital cardiac ar-rest/influencing factors分类
医药卫生引用本文复制引用
郑晓春,李曼,张瑞,相金鑫,刘蕊..ECMO辅助CPR治疗急诊院外SCA复苏效果的影响因素分析[J].中南医学科学杂志,2025,53(2):324-326,3.基金项目
哈尔滨市科技计划自筹经费项目(2023KJ0163) （2023KJ0163）
