Analysis Of The Relarive Factors Asssciated With The Success Of Hospital Cardiac Arrest Patient’ Cerebral Resuscitation

ObjectivesTo assess the relative factors of the cases with successful cerebral resuscitation after cardiac arrest, for provide the basis on higher success rate in cerebral resuscitation.MethodsCollected from2003to2010during the First Affiliated Hospital of Guangxi Medical University hospital the cardiac arrest and cardiopulmonary resuscitation patients were eligible for inclusion exclusion criteria, based on the success or failure of cerebral resuscitation is divided into cerebral resuscitation group (group A, n=11) and only restoration of spontaneous circulation (B group, n=30). Review of comparative analysis of the relevant indicator between the two groups of patients, including gender, age, primary disease, cardiac arrest, the reason, body temperature, mean arterial pressure, central venous pressure (CVP), pH value, oxygen saturation, blood glucose, electrolytes, fluid intake and output and the proportion of crystalloid, colloid after24h of the restoration of spontaneous circulation,ResultsThere was significant difference in ROSC time, Na+and Ca2+content PH value, the proportion of colloid and intake and output positive equilibrium between two groups.(P<0.05). There was no significant difference in sex, age, primary disease, CA reasons, body temperature, MAP, AOS, blood glucose between two groups (P>0.05). Multivariate logistic regression was also performed, ROSC time had close relationship with successful cerebral resuscitation, it is the independent influencing factors of successful cerebral resuscitation. Multivariate Cox regression analysis showed that the PH value is independent influencing factors affect the circulation in patients with survival (RR=0.003, P=0.004) was negatively correlated with patient mortality.ConclusionFor the patients with cardiac arrest, besides prompt and effective emergency treatment, it was favorable factors to successful cerebral resuscitation that post-rescue thorough brain protection, meanwhile, reasonable fluid therapy, to strengthen PH value supervision and appropriate electrolyte contents.