心肺复苏后脑复苏在心脏骤停患者急救过程中的应用效果研究  

Study on the Application Effect of Cerebral Resuscitation after Cardiopulmonary Resuscitation in the First Aid Process of Cardiac Arrest Patients

作　　者：朱超国 ZHU Chaoguo(Dongguan Chang'an Hospital Emergency Medicine Department,Dongguan 523000,China)

机构地区：[1]东莞常安医院急诊医学科,广东东莞523000

出　　处：《中华灾害救援医学》2024年第8期903-905,共3页Chinese Journal of Disaster Medicine

摘　　要：目的分析在心脏骤停患者中,心肺复苏后脑复苏的急救价值。方法选取东莞常安医院2020年5月至2024年5月收治的90例心搏骤停患者,根据复苏手段的不同,分为观察组和对照组,每组45例。观察组患者行心肺复苏后脑复苏,对照组患者采取心肺复苏抢救。比较两组患者临床疗效、意识状态、生活质量及两组患者复苏1、3、5、7 d后血乳酸水平。结果观察组患者总有效率(97.78%,44/45)明显高于对照组(73.33%,33/45)(P=0.001)。随着复苏时间的延长,两组患者GCS评分均增加;且观察组患者复苏当天、复苏第3天、复苏第7天GCS评分均显著高于对照组(P<0.001)。心肺复苏后,两组患者生存质量均明显改善(P<0.001),且观察组各维度评分均显著高于对照组(P<0.001)。复苏1、3 d后,两组患者的乳酸水平比较差异无统计学意义(P>0.05);复苏5、7 d后,观察组患者的乳酸水平显著低于对照组,差异有统计学意义(P<0.05)。结论对于心脏骤停患者,心脑肺复苏可提高患者的生存率,促进意识状态的恢复,有利于提高患者生存质量。Objective To analyze the emergency value of brain resuscitation following cardiopulmonary resuscitation(CPR)in patients with cardiac arrest.Methods 90 patients with cardiac arrest treated at Chang'an Hospital,Dongguan,from May 2020 to May 2024 were selected for this study.Based on different resuscitation methods,patients were divided into the observation group and the control group,with 45 cases in each group.The observation group received brain resuscitation following CPR,while the control group underwent standard CPR.Clinical efficacy,consciousness state,quality of life,and blood lactate levels at 1,3,5,and 7 days post-resuscitation were compared between the two groups.Results The overall efficacy rate in the observation group(97.78%,44/45)was significantly higher than that in the control group(73.33%,33/45),P=0.001.The Glasgow Coma Scale(GCS)scores increased in both groups over time;however,the GCS scores on the day of resuscitation,the 3rd day,and the 7th day were significantly higher in the observation group compared to the control group(P<0.001).Post-CPR,both groups showed significant improvements in quality of life(P<0.001),with the observation group scoring significantly higher in all dimensions compared to the control group(P<0.001).There were no significant differences in lactate levels between the two groups at 1 and 3 days post-resuscitation(P>0.05);however,by the 5th and 7th days,lactate levels were significantly lower in the observation group than those in the control group,with statistically significant differences(P<0.05).Conclusion For patients with cardiac arrest,combined cardiopulmonary and brain resuscitation can improve survival rates,facilitate the recovery of consciousness,and enhance the quality of life.

关 键 词：心脏停搏 心肺复苏术 脑水肿 

分 类 号：R541.78[医药卫生—心血管疾病]