实用老年医学

实用老年医学 ›› 2010, Vol. 24 ›› Issue (1): 62-.

• 论著 • 上一篇    下一篇

老年人心肺复苏的特点及临床分析

  

  • 出版日期:2010-02-20 发布日期:2010-03-26


Clinical analysis of cardiopulmonary resuscitation in the elderly patients

  • Online:2010-02-20 Published:2010-03-26

被引次数

4

摘要：

目的了解6年来我院老年人心肺复苏(CPR)现状，分析其临床特点，研究防治对策。方法对本院2002年6月至2008年6月发生的335例心跳骤停（CA）的患者资料进行分析，按年龄分为老年组（年龄≥60岁）和非老年组（年龄＜60岁），比较2组自主循环恢复（ROSC）成功率、脑复苏成功率；分析2组CPR开始时间、人工气道开始建立时间、CPR持续时间、除颤次数、肾上腺素用量，组间进行比较。结果非老年组ROSC成功率为3242%，脑复苏率为385%，老年组ROSC成功率为2092%，脑复苏成功率为065%。2组之间CPR开始时间、人工气道开始建立时间方面无显著性差异（P＞005），肾上腺素用量上有显著性差异（P＜005）。结论老年人CA患者CPR成功率相当低，重视老年人基础疾病的救治，完善急救医疗体系建设，是提高老年人CPR成功率的关键措施。

Abstract:

ＯｂｊｅｃｔｉｖｅTo study the status of 335 patients who showed cardiac arrest and received cardiopulmonary resuscitatian (CPR), and to investigate the clinical characteristics to improve the success rate of CPR.ＭｅｔｈｏｄｓA restrospective study was carried out in 335 patients who showed cardiac arrest. According to the age, the patients were divided into two groups. The success rates of return of spontaneous circulation (ROSC) and cerebral resuscitation were compared between two groups. The starting time of CPR, the starting time of the establishment of artificial airway, defibrillation time and the dose of adrenalin were analyzed and compared.ＲｅｓｕｌｔｓThe success rate of ROSC was 2092%, while the cerebral resuscitation rate was only 065% in the elderly group, compared with 3242% and 385% in nonelderly group. There was significant difference in adrenalin dose(P＜005), while no significant difference in the starting time of the establishment of artificial ventilation and CPR, CPR lasted time and defibrillation times (P＞005) between two groups.ＣｏｎｃｌｕｓｉｏｎｓThe success rate of CPR is poor especialy in the elderly. The key to improve CPR is to emphasize the underlying disease, strengthing the emergency medical service system.