高质量心肺复苏抢救心脏骤停患者的应用效果  

The Application Effect of High-quality Cardiopulmonary Resuscitation to Resuscitate Sudden Cardiac Arrest Patients

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作  者:朱毅斌 李林青 余文武 Zhu Yibin;Li Linqing;Yu Wenwu(Department of Acute and Critical Care Medicine,Guangdong Provincial People's Hospital Zhuhai Hospital,Zhuhai Jinwan Central Hospital,Zhuhai 519041,Guangdong Province,China;Department of Emergency Medicine,Zhuhai Third People's Hospital,Zhuhai 519060,Guangdong Province,China;Department of Emergency Medicine,Guangdong Provincial People's Hospital Zhuhai Hospital,Zhuhai Jinwan Central Hospital,Zhuhai 519041,Guangdong Province,China)

机构地区:[1]广东省人民医院珠海医院,珠海市金湾中心医院急危重症医学部,广东珠海519041 [2]珠海市第三人民医院急诊科,广东珠海519060 [3]广东省人民医院珠海医院,珠海市金湾中心医院急诊科,广东珠海519041

出  处:《中外医药研究》2023年第26期78-80,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘  要:目的:探究高质量心肺复苏(CPR)抢救心脏骤停(SCA)患者的应用效果。方法:收集2020年1月—2023年1月广东省人民医院珠海医院急危重症医学部接受CPR的SCA患者173例资料为研究对象,2020年1月—2021年7月为施行常规CPR抢救的对照组(n=78);2021年8月—2023年1月为实施高质量CPR抢救的观察组(n=95)。比较两组自主循环恢复(ROSC)比率、CPR成功率,ROSC患者自主心律恢复时间、自主呼吸恢复时间、自主意识恢复时间,存活者复苏后不同时刻格拉斯哥(GCS)评分。结果:观察组ROSC比率、CPR成功率高于对照组,差异有统计学意义(P<0.05);观察组患者自主心律恢复、呼吸恢复、意识恢复短于对照组,差异有统计学意义(P<0.001);观察组存活者复苏时、复苏后12 h及复苏后24 h GCS评分高于对照组,差异有统计学意义(P<0.001)。结论:高质量CPR抢救SCA患者成功率较高,利于患者自主心律、意识、呼吸及循环的恢复,且复苏后患者神经系统恢复较好。Objective:To investigate the application effect of high-quality cardiopulmonary resuscitation(CPR)to resuscitate pa⁃tients with sudden cardiac arrest(SCA).Methods:One hundred and seventy-three SCA patients who received CPR in the Depart⁃ment of Acute and Critical Care Medicine of Guangdong Provincial People's Hospital Zhuhai Hospital from January 2020 to Janu⁃ary 2023 were collected as study subjects.January 2020-July 2021 was the control group(n=78)in which routine CPR resuscita⁃tion was performed.From August 2021 to January 2023,the observation group(n=95)performed high-quality CPR resuscitation.The two groups were compared in terms of recovery of autonomic circulation(ROSC)rate,CPR success rate,recovery time of auto⁃nomic rhythm,recovery time of autonomic respiration,recovery time of autonomic consciousness in patients with ROSC,and Glasgow(GCS)scores at different moments after resuscitation in survivors.Results:The ROSC rate and CPR success rate of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05);The recov⁃ery of autonomic rhythm,respiratory recovery,and recovery of consciousness of patients in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.001);The GCS scores of the survivors in the obser⁃vation group at the time of resuscitation,12 h after resuscitation and 24 h after resuscitation were higher than those of the control group,and the difference was statistically significant(P<0.001).Conclusion:High-quality CPR resuscitation of SCA patients has a higher success rate,facilitates the recovery of patients'autonomic rhythm,consciousness,respiration and circulation,and pa⁃tients'neurological recovery is better after resuscitation.

关 键 词:心肺复苏 心脏骤停 高质量 除颤 转归 

分 类 号:R47[医药卫生—护理学]

 

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