序贯性气道开放式心肺复苏术在心脏呼吸骤停中的应用及对患者预后康复质量的影响  

Application of sequential airway open cardiopulmonary resuscitation in cardiac respiratory arrest and its impact on the quality of prognosis and rehabilitation

作　　者：赵扬[1] 王浩[1] 黄小琴[1] ZHAO Yang;WANG Hao;HUANG Xiao-qin(Department of Emergency,Affiliated Hosptial of North Sichuan Medical College,Nanchong 637000,Sichuan,China)

机构地区：[1]川北医学院附属医院急诊科,四川南充637000

出　　处：《川北医学院学报》2018年第3期419-422,共4页Journal of North Sichuan Medical College

基　　金：四川省南充市社科联项目(NC2013B026)

摘　　要：目的:研究序贯性气道开放式心肺复苏术在心脏呼吸骤停中应用及对患者预后康复质量的影响。方法:收集接受抢救的88例ICU重症心脏呼吸骤停患者作为研究对象,44例接受常规的心肺复苏术治疗的患者作为对照组,44例应用序贯性气道开放式心肺复苏术治疗的患者为研究组,术后给予两组患者1~3个月随访。比较两组患者生命指征恢复时间、心肺复苏成功率、复苏后神经功能、预后康复质量。结果:研究组患者气道开放时间、心跳恢复时间、自主呼吸恢复时间、意识改善时间均低于对照组,差异有统计学意义(P<0.05);研究组患者治疗后1、6、12周的神经功能NFI评分均低于对照组,差异有统计学意义(P<0.05);研究组患者治疗后1、6、12周的预后康复质量QOL评分均低于对照组,差异有统计学意义(P<0.05)。结论:序贯性气道开放式心肺复苏术在ICU重症患者心脏呼吸骤停中的应用效果显著,能有效促进患者生命体征恢复,减轻神经功能损伤,提高预后康复质量,值得临床推广。Objective：To study the application of sequential airway open cardiopulmonary resuscitation（CPR） in cardiac respiratory arrest and its effect on prognosis and rehabilitation of patients. Methods：88 cases of ICU patients with severe cardiac arrest were selected as study subjects,and the patients were divided into the control group and the study group,each group had 44 cases. Patients in the control group received routine CPR. The patients in the study group were treated with sequential airway open CPR. And the patients in both groups were followed up for 1-3 months postoperatively. The recovery time of vital signs,the success rate of CPR,the neurological function after resuscitation and the quality of prognosis were compared between the two groups. Results：The airway opening time,heartbeat recovery time,spontaneous breathing recovery time and consciousness improvement time in the study group were all lower than those in the control group,the differences were statistically significant（ P〈0. 05）. 1,6,12 weeks after treatment,the NFI scores of neurological function in the study group were lower than those of the control group,the differences were statistically significant（ P〈0. 05）. The QOL scores of the rehabilitation quality of the patients in the study group at 1,6,12 weeks after treatment were all lower than those in the control group,the differences were statistically significant（ P〈0. 05）. Conclusion：Sequential airway open CPR has significant effect on resuscitation of cardiac respiratory arrest,which can effectively promote the recovery of vital signs,reduce neurological damage and improve the quality of prognosis rehabilitation,which is worthy of clinical promotion.

关 键 词：序贯性气道开放式心肺复苏术 心脏呼吸骤停 预后 康复 

分 类 号：R541.7[医药卫生—心血管疾病]