肾动脉超声指导下心肺复苏抢救心脏骤停患者的效果及对康复期心功能指标的影响  

Effect of cardiopulmonary resuscitation guided by renal artery ultrasound on patients with cardiac arrest and its influence on cardiac function indexes during rehabilitation

作　　者：赵俊 王勇勇 张喜荣 雷振民 刘雨夕 ZHAO Jun;WANG Yongyong;ZHANG Xirong;LEI Zhenmin;LIU Yuxi(Shaanxi Kangfu Hospital,Xi'an 710065;Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000,China)

机构地区：[1]陕西省康复医院,陕西西安710065 [2]陕西中医药大学附属医院,陕西咸阳712000

出　　处：《临床医学研究与实践》2022年第6期63-66,共4页Clinical Research and Practice

摘　　要：目的探讨肾动脉超声指导下心肺复苏抢救心脏骤停患者的效果及对康复期心功能指标的影响。方法选取2018年6月至2020年6月陕西省康复医院收治的88例心脏骤停患者作为研究对象,以患者入院的住院号作为分组依据随机将其分为对照组(44例,常规心肺复苏抢救)和观察组(44例,肾动脉超声指导下心肺复苏抢救)。比较两组各项生理指标恢复时间、血气指标、心肌损伤指标、心功能指标。结果观察组的自主心律恢复时间、自主呼吸恢复时间、自主意识恢复时间均短于对照组,差异具有统计学意义(P<0.05)。复苏前,两组的血氧分压(PaO2)、血氧饱和度(SaO2)、血二氧化碳分压(PaCO2)比较,差异无统计学意义(P>0.05);复苏后,两组的PaO2、SaO2均升高,PaCO2均降低,且观察组优于对照组,差异具有统计学意义(P<0.05)。复苏前,两组的乳酸(LA)、心肌肌钙蛋白I(cTnI)、肌酸激酶同工酶(CK-MB)水平比较,差异无统计学意义(P>0.05);复苏后,两组的LA、cTnI、CK-MB水平均降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。复苏前,两组的左室射血分数(LVEF)、左室收缩末期内径(LVESD)、左室舒张末期内径(LVEDD)、QT间期离散度(QTd)比较,差异无统计学意义(P>0.05);复苏后,两组的LVEF均升高,LVESD、LVEDD、QTd均缩短,且观察组优于对照组,差异具有统计学意义(P<0.05)。结论肾动脉超声指导下心肺复苏抢救心脏骤停患者的效果显著,能够缩短抢救治疗时间,促进患者的意识和呼吸恢复至正常状态,改善各项血气指标和心功能指标,进而减轻患者的心肌损伤。Objective To investigate the effect of cardiopulmonary resuscitation guided by renal artery ultrasound on patients with cardiac arrest and its influence on cardiac function indexes during rehabilitation.Methods A total of 88 cardiac arrest patients admitted in Shaanxi Kangfu hospital from June 2018 to June 2020 were selected as the research subjects,and the patients were randomly divided into control group( 44 cases,routine cardiopulmonary resuscitation)and observation group(44 cases,cardiopulmonary resuscitation guided by renal artery ultrasound) based on the hospitalization number of the patients.The recovery time of various physiological indexes,blood gas indexes,myocardial injury indexes and cardiac function indexes were compared between the two groups.Results The recovery time of spontaneous heart rhythm,spontaneous breathing,and autonomous consciousness in the observation group were shorter than those in the control group,and the differences were statistically significant(P <0.05).Before resuscitation,there were no significant differences in blood oxygen partial pressure(PaO2),blood oxygen saturation(SaO2) and blood carbon dioxide partial pressure(PaCO2) between the two groups(P>0.05);after resuscitation,the PaO2 and SaO2 increased and the PaCO2 decreased in both groups,those in the observation group were better than the control group,and the differences were statistically significant(P<0.05).Before resuscitation,there were no significant differences in the levels of lactate(LA),cardiac troponin I(cTnI) and creatine kinase isoenzyme(CK-MB) between the two groups(P >0.05);after resuscitation,the levels of LA,c TnI and CK-MB in both groups decreased,those in the observation group were lower than the control group,and the differences were statistically significant(P<0.05).Before resuscitation,there were no significant differences in left ventricular ejection fraction(LVEF),left ventricular end systolic diameter(LVESD),left ventricular end diastolic diameter(LVEDD),and QT interval dispersion(QTd) between the tw

关 键 词：心脏骤停 心肺复苏 肾动脉超声 抢救 血气指标 心肌损伤 心功能 

分 类 号：R459.7[医药卫生—急诊医学]