摘要
目的探讨不同心肺复苏时间窗应用于心脏骤停患者中的抢救效果,及对心功能恢复与预后的影响。方法选取我科85例心脏骤停患者根据随机数字表法分为观察组(42例,<3分钟),对照组(43例3-8分钟),对比两组患者心肺复苏成功率、抢救效果、心功能恢复状况、预后。结果观察组心肺复苏成功率高于对照组(p<0.05);观察组自主循环功能恢复时间(ROSC)小于对照组,但持续时间较对照组时间长(p<0.05);观察组心功能水平比对照组心功能水平更高(p<0.05);观察组格拉斯哥(GCS)评分明显高于对照组(p<0.05);观察组生活能力水平优于对照组(p<0.05)。结论不同心肺复苏时间窗对心脏骤停患者的心功能恢复及远期预后的影响不同,抢救时间窗越短,患者后期心功能、神经系统恢复越好,自主生活能力及预后越好。
Objective To explore the rescue effect of different time windows of cardiopulmonary resuscitation in patients with cardiac arrest, and their influence on the recovery and prognosis of cardiac function. Methods According to the random number table method, 85 patients with cardiac arrest in our department were divided into observation group(n=42 <3 min) and control group(n=43 3-8 min). The success rate of cardiopulmonary resuscitation, rescue effect, Heart function recovery status and prognosis. Results The success rate of cardiopulmonary resuscitation in the observation group was higher than that in the control group(p<0.05);the recovery time of spontaneous circulation(ROSC) in the observation group was shorter than that of the control group, but the duration was longer than that in the control group(p<0.05);the heart function of the observation group the level of cardiac function was higher than that of the control group(p<0.05);the Glasgow(GCS) score of the observation group was significantly higher than that of the control group(p<0.05);the living ability level of the observation group was better than that of the control group(p<0.05).Conclusions Different time windows of cardiopulmonary resuscitation have different effects on the recovery of cardiac function and long-term prognosis of patients with cardiac arrest. The shorter the rescue time window, the better the recovery of the patient’s later cardiac function and nervous system, the better the ability of autonomous living and the prognosis.
作者
崔晓彬
张俊燕
朱俊莹
Cui xiaobin;Zhang junyan;Zhu junying(First people’s Hospital of Ruzhou City,RuZhou,467599,China)
出处
《临床心电学杂志》
2021年第4期285-288,共4页
Journal of Clinical Electrocardiology
关键词
心肺复苏
时间窗
心脏骤停
抢救
心功能
预后
Cardiopulmonary resuscitation
Time window
Cardiac arrest
Rescue
Cardiac function
Prognosis
