现场早期头部低温治疗对心肺复苏成功率及神经功能的影响  

The Effect of Early Head Preserved Hypothermia on the Outcome of Resuscitability and Neurological Function in Patients with Cardiac Arrest

作　　者：余学义 蒋龙元[2] 方向韶[2] 

机构地区：[1]广东省饶平县人民医院急诊科,515700 [2]中山大学孙逸仙纪念医院急诊科

出　　处：《岭南急诊医学杂志》2013年第3期166-167,共2页Lingnan Journal of Emergency Medicine

基　　金：广东省潮州市卫生局科研项目资助(潮卫科研201163)

摘　　要：目的:探讨在复苏现场对心搏骤停(CA)患者采用冰帽进行头部早期保存性低温治疗的可行性,及其对患者复苏成功率及神经功能预后的影响。方法:将2011年1月-2013年1月收治的院外CA患者48例随机分为早期低温治疗组25例和对照组23例,比较两组自主循环恢复率、存活出院率、存活患者神经功能评分。结果:头部保存性低温治疗有效地降低耳温,明显改善存活患者的GCS评分,并在一定程度上改善了出院存活率。结论:复苏现场进行头部早期保存性低温治疗可改善复苏后存活患者的神经功能预后。Objective：To investigate the feasibility of applying the medical ice cap on the scene for the patients with cardiac arrest （CA） and the effect on the outcome of neurological function. Methods： 48 patients were randomized into early head preserved hypothermia group（n=25） and control group （n=23） from Jan 2011 to Jan 2013. The resuscitability, discharge rate and neurological function deficit were compared between the two groups. Results： Early head preserved hypothermia can effectively reduce the tympanic temperature, significantly improved the GCS score, and to some extent improved the discharge rate. Conclusion： Early head preserved hypothermia can effectively ameliorate the neurologic prognosis after cardiac arrest.

关 键 词：保存性头部低温治疗 心搏骤停 心肺复苏 神经功能 

分 类 号：R459.7[医药卫生—急诊医学]