院外心脏骤停患者使用机械胸外按压时所致按压中断时长的相关因素分析

Factors associated with interruption of chest compression during manual-mechanical conversion of pre-hospital cardiopulmonary resuscitation

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摘要目的分析院外心脏骤停(OHCA)患者院前心肺复苏人工-机械转换所致按压中断时长暂停的相关因素。方法采用回顾性队列研究,分析2023年6月至2024年1月宜兴市急救中心直属急救站救治的OHCA患者且在院外均接受机械胸外按压。共纳入160例OHCA患者,其中男性120例(75.0%),女性40例(25.0%);年龄34~89岁,平均(62.75±15.48)岁。收集患者的基本资料、救治资料、使用机械按压时所致按压中断时长的相关数据资料。结果患者的体重(r=0.238,P=0.002)、身体质量指数(r=0.238,P=0.002)和机械按压启动时长(r=0.912,P<0.001)与按压中断时长是正性线性相关。多重线性回归分析发现,患者身高(P=0.01)、身体质量指数(BMI)(P=0.046)和机械启动时长(P<0.001)是按压中断时长的独立危险因素。结论患者的身高、BMI、机械启动时长与胸外按压中断的时长具有一定的相关性。 Objective To analyze the related factors of the pause duration caused by the manualmechanical conversion of cardiopulmonary resuscitation(CPR)in out-of-hospital cardiac arrest(OHCA)patients.Methods A retrospective cohort study was conducted to analyze the OHCA patients treated by the direct-affiliated emergency stations of Yixing Emergency Medical Center from June 2023 to January 2024,all of whom received mechanical chest compression outside the hospital.A total of 160 OHCA patients were enrolled,including 120 males(75.0%)and 40 females(25.0%),aged 34 to 89 years,with an average age of(62.75±15.48)years.Basic patient information,rescue data,and data related to the pause duration caused by the conversion to mechanical compression were collected.Results The patient's weight(r=0.238,P=0.002),body mass index(r=0.238,P=0.002),and the duration of mechanical compression initiation(r=0.912,P<0.001)were positively linearly correlated with the pause duration.Multiple linear regression analysis revealed that the patient's height(P=0.01),body mass index(BMI)(P=0.046),and the duration of mechanical compression initiation(P<0.001)were independent risk factors for the pause duration.Conclusion The patient's height,BMI,and the duration of mechanical compression initiation are correlated with the duration of chest compression interruption.

作者任静章楠朱妍 Ren Jing;Zhang Nan;Zhu Yan(Department of Cardiology,Yixing Hospital of Traditional Chinese Medicine,Yixing 214200,China;Department of Emergency,Yixing Emergency Center,Yixing 214200,China)

机构地区宜兴市中医医院心内科宜兴市急救中心急救科

出处《中华卫生应急电子杂志》 2025年第2期81-85,共5页 Chinese Journal of Hygiene Rescue(Electronic Edition)

基金 2023年宜兴市科技创新专项资金“陶都之光”科技攻关计划(社会发展类)(2023SF22)。

关键词院外心脏骤停院前心肺复苏机械按压人工-机械转换 Out-of-hospital cardiac arrest Pre-hospital Cardio-pulmonary resuscitation Mechanical compression Manual to mechanical conversion

分类号 R541.7 [医药卫生—心血管疾病]