Logistic Regressive Analysis of Prognostic Factors for Patients with Return of Spontaneous Circulation_West China Medical Journal

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Department of Emergency, West China Hospital, Sichuan University, Chengdu 610041, China;

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Keywords：

心肺复苏后自主循环恢复; logistic回归; 预后因素

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目的:探讨心肺复苏循环恢复患者早期评估预后的相关因素。方法:对56例心肺复苏循环恢复患者进行病例回顾分析,分别记录患者年龄、性别以及心肺复苏循环恢复1小时内的瞳孔直径、格拉斯高昏迷评分、血WBC计数、血清肌酐Cr、血清丙氨酸氨基转移酶ALT、肌酸磷酸激酶、D-二聚体定性、血钙、血钾、血清淀粉酶、复苏后1小时内是否使用亚低温治疗、pH值、动脉血氧分压PaO2、动脉血二氧化碳分压PaCO2、血葡萄糖、复苏时间等, 采用多因素logistic回归模型分析心肺复苏循环恢复患者的预后因素。结果:回顾56例心肺复苏循环恢复患者病例, logistic回归分析发现血清淀粉酶、血糖和复苏时间对早期评估心肺复苏循环恢复患者的预后有意义。结论:复苏后1小时内血清淀粉酶、血糖和复苏时间对早期评估心肺复苏循环恢复患者的预后有价值。

Citation： HU Hai,DU Xinmiao,ZHANG Jiancheng,et al.. Logistic Regressive Analysis of Prognostic Factors for Patients with Return of Spontaneous Circulation. West China Medical Journal, 2009, 24(9): 2275-2277. doi: Copy

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10.	VAN DEN BERGHE G, WILMER A, HERMANS G,〖WTBX〗 et al.〖WTBZ〗Intensive insulin therapy in the medical ICU[J].N Engl J Med, 2006,354(5):449-61..
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1. ECC Commitee, Subcommitees and Task Forces of the American Heart Association, 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care[J].Circulation, 2005, 112(24):IV1-203.
2. 李玉范,孟庆义．心肺复苏循环恢复后淀粉酶改变与预后关系的研究[J]．中国急教医学,2004,21(3):155-156.
3. RUDNER R,JALOWIECKI P,KARPEL E, et al.Surviavl after out of hospital cardiac arrest in Katowice (Poland):outcome report according to the“Utstein style”[J].Resuscltatinn,2004,61(3):315-25.
4. 郭金斌,刘玉海,王艳. 急性胰腺炎合并心脏改变—胰心综合征[J]. 中国综合临床, 2001,10:761.
5. WAN SONG MD,AHMED A ARIFI MD,CARMEN SY CHAN,et al.Is hyperamylasemia after cardiac surgery due to cardiopulmonary bypass[J].Asian Cardiovasc Thorac Ann,2002,10:115-11.
6. PARISSIS JT,ADAMOPOULOS SN,VENETSANOU KF,et al.Elevated plasma amylase levels in advanced chronic heart failure secondary to ischemic or idiopathic dilated cardiomyopathy:correlation with circulating interleukin6 activity[J].J Interferon Cytokine Res,2003,23(6):329-333.
7. 孟庆义,李玉范,张志强,等.心脏停搏患者心肺复苏自主循环恢复后高淀粉酶血症的研究[J].中国危重病急救医学,2001,13(10):618-620.
8. 刘金凤,许丽华.应激性高血糖对综合ICU危重病人预后的影响[J].局解手术学杂志,2008,17(1):33-34.
9. UMPIERREZ GE, ISAACS SD, BAZARGAN N, et al.Hyperglycemia; an independent marker of inhospital mortality in patients with undiagnosed diabetes[J].J Ciln Endocrinol Metab,2002,87(3):978-982.
10. VAN DEN BERGHE G, WILMER A, HERMANS G,〖WTBX〗 et al.〖WTBZ〗Intensive insulin therapy in the medical ICU[J].N Engl J Med, 2006,354(5):449-61..
11. 刘超群,林丽珍,朱影,等.护理干预预防复苏后多器官功能障碍综合征35例临床分析[J].中国医药指南,2008,6(4):38-40.

West China Medical Journal

Logistic Regressive Analysis of Prognostic Factors for Patients with Return of Spontaneous Circulation

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