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观察低温治疗联合优化护理对心肺复苏后脑保护的效果:一项回顾性病例对照研究。

Observation of the effect of hypothermia therapy combined with optimized nursing on brain protection after cardiopulmonary resuscitation: A retrospective case-control study.

机构信息

The Second Department of Intensive Care Unit, Fujian Provincial Hospital South Branch, Fuzhou, China.

Department of Emergency Medicine, Fujian Provincial Hospital, Fuzhou, China.

出版信息

Medicine (Baltimore). 2024 Apr 19;103(16):e37776. doi: 10.1097/MD.0000000000037776.

DOI:10.1097/MD.0000000000037776
PMID:38640316
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11029950/
Abstract

This study aimed to investigate the impact of optimized emergency nursing in conjunction with mild hypothermia nursing on neurological prognosis, hemodynamics, and complications in patients with cardiac arrest. A retrospective analysis was conducted on the medical records of 124 patients who received successful cardiopulmonary resuscitation (CPR) at Fujian Provincial Hospital South Branch. The patients were divided into control and observation groups, each consisting of 62 cases. The brain function of both groups was assessed using the Glasgow Coma Scale and the National Institutes of Health Stroke Scale. Additionally, serum neuron-specific enolase level was measured in both groups. The vital signs and hemodynamics of both groups were analyzed, and the complications and satisfaction experienced by the 2 groups were compared. The experimental group exhibited significantly improved neurological function than the control group (P < .05). Furthermore, the heart rate in the experimental group was significantly lower than the control group (P < .05). However, no significant differences were observed in blood oxygen saturation, mean arterial pressure, central venous pressure, and systolic blood pressure between the 2 groups (P > 0.05). Moreover, the implementation of optimized nursing practices significantly reduced complications and improved the quality of life and satisfaction of post-CPR patients (P < .05). The integration of optimized emergency nursing practices in conjunction with CPR improves neurological outcomes in patients with cardiac arrest.

摘要

本研究旨在探讨优化急救护理联合亚低温护理对心脏骤停患者神经预后、血液动力学和并发症的影响。对福建省立医院南院成功进行心肺复苏(CPR)的 124 例患者的病历进行回顾性分析。患者分为对照组和观察组,每组各 62 例。采用格拉斯哥昏迷量表和美国国立卫生研究院卒中量表评估两组患者的脑功能。此外,测量两组患者的血清神经元特异性烯醇化酶水平。分析两组患者的生命体征和血液动力学,并比较两组患者的并发症和满意度。实验组的神经功能明显优于对照组(P<0.05)。此外,实验组的心率明显低于对照组(P<0.05)。然而,两组患者的血氧饱和度、平均动脉压、中心静脉压和收缩压无显著差异(P>0.05)。此外,优化护理措施的实施显著降低了并发症的发生率,提高了心肺复苏后患者的生活质量和满意度(P<0.05)。将优化急救护理与 CPR 相结合,可改善心脏骤停患者的神经预后。

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