护理干预用于恶性心律失常致心脏骤停患者中的效果评价  

Effect of nursing intervention in patients with malignant arrhythmia-caused cardiac arrest

作　　者：周利[1] 张婷[1] 刘思[1] 

机构地区：[1]武汉大学中南医院心内科,湖北武汉430071

出　　处：《实用临床医药杂志》2016年第20期1-3,10,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探究护理干预用于恶性心律失常致心脏骤停患者中的效果。方法选取恶性心律失常致心脏骤停患者83例,按随机数字表法分为观察组(42例)与对照组(41例),对照组患者给予常规护理干预,观察组患者给予常规护理干预并加强相关护理操作及其管理。观察并比较2组患者的抢救情况、生存质量以及相关生命体征指标恢复时间。结果观察组的抢救初步成功率、抢救完全成功率以及生存质量总得分均高于对照组;观察组的自主呼吸恢复时间、自主循环恢复时间、窦性心律恢复时间均低于对照组,差异具有统计学意义(P<0.05)。结论加强相关护理操作及其管理等护理干预措施能够有效促进恶性心律失常致心脏骤停患者呼吸、心律等恢复正常,提高患者抢救成功率及其生存质量。Objective To explore the effect of nursing intervention in patients with cardiac arrest caused by malignant arrhythmia. Methods Eighty-three patients with cardiac arrest caused by malignant arrhythmia treated in our hospital were randomly divided into observation group（ n = 42）and control group（ n = 41）. Patients in the control group were given conventional nursing intervention,while patients in the observation group were treated with conventional nursing plus enhanced nursing operations and management. Emergency treatment,quality of life and recovery time of related vital sign in two groups were observed and compared. Results The initial rescue success rate,completely successful rescue rate and total quality of life score in the observation group were higher than that in the control group; Spontaneous breathing recovery time,spontaneous circulation recovery time and sinus rhythm recovery time in the observation group were lower than that in the control group,the difference was statistically significant（ P 〈 0. 05）. Conclusion Enhanced nursing intervention and management can effectively promote the recovery of breathing and heart rate,and increase rescue rate and quality of life in malignant arrhythmia-induced cardiac arrest patients.

关 键 词：恶性心律失常 心脏骤停 护理干预 

分 类 号：R473.5[医药卫生—护理学]