论文部分内容阅读
目的:探讨影响复苏后综合症患者预后的主要危险因素,以指导临床诊疗。方法:收集2011年1月至2014年12月我院收治的98例PRS患者的临床资料,根据复苏后30 d时预后分为生存组和死亡组,基于相关影响因素单因素统计分析,进而行Logistic多元回归分析。结果:单因素分析结果显示CPR开始时间、ROSC时间、出现可除颤心率、瞳孔对光反射消失、自主呼吸、消化道出血、凝血功能障碍、格拉斯哥评分、衰竭器官数目等9项指标在两组间差别有统计学意义;Logistic多元回归分析显示CPR开始时间、ROSC时间、衰竭器官数目、瞳孔对光反射消失为PRS患者发生死亡的独立危险因素(P<0.05)。结论 :本研究分析提示CPR开始时间、ROSC时间、衰竭器官数目、瞳孔对光反射消失为PRS患者发生死亡的独立危险因素,对预测患者预后和针对性开展临床救治具有一定指导意义。
Objective: To explore the main risk factors affecting the prognosis of post-recovery syndrome patients to guide clinical diagnosis and treatment. Methods: The clinical data of 98 patients with PRS who were admitted to our hospital from January 2011 to December 2014 were collected and divided into survival group and death group according to the prognosis at 30 days after resuscitation. Based on the single factor statistical analysis of related factors, Logistic multiple regression analysis. Results: The results of univariate analysis showed that the 9 indexes of CPR start time, ROSC time, defibrillation heart rate, pupillary light reflex, spontaneous breathing, gastrointestinal bleeding, coagulation dysfunction, Glasgow score, Logistic multiple regression analysis showed that CPR onset time, ROSC time, number of failing organs, disappearance of pupil light reflex were independent risk factors of death in PRS patients (P <0.05). CONCLUSION: This study suggests that the onset of CPR, ROSC time, the number of failing organs, and the disappearance of pupil light reflex are the independent risk factors of death in patients with PRS, which may be of guiding significance in predicting patient prognosis and clinical treatment.