摘要
目的比较体外心肺复苏与传统心肺复苏对老年心脏骤停患者预后的影响,为治疗该病症提供临床依据。方法选取2017年5月-2020年5月在济南市人民医院急诊救治的心脏骤停患者120例,按照2:1的比例使用随机数字表法分别设为观察组(n=80)与对照组(n=40)。观察组接受体外心肺复苏,对照组接受传统心肺复苏,比较2组患者复苏后预后、神经功能及血清学指标。结果观察组复苏成功率为96.35%,高于对照组的85.0%,急诊重症监护室(EICU)住院时间为(7.8±2.5)d,少于对照组的(9.3±4.2)d,差异均有统计学意义(P<0.05);复苏后24 h时,观察组GCS评分为(9.58±1.30)分,高于对照组的(9.19±1.71)分;观察组APACHEⅡ评分为(14.12±4.18)分,低于对照组的(18.85±5.54)分;观察组NSE、cTnI与NT-proBNP分别为(93.25±14.97)g/L,(28.84±7.46)g/L,(175.81±33.26)ng/L,低于对照组的(125.19±15.13)g/L,(46.15±8.40)g/L,(265.67±45.79)ng/L,差异均有统计学意义(P<0.01)。结论体外心肺复苏相比传统心肺复苏有更高的复苏成功率,能进一步改善老年心脏骤停患者预后,促进其神经功能恢复。
Objective To compare the effects of extracorporeal cardiopulmonary resuscitation and traditional cardiopulmonary resuscitation on the prognosis of elderly patients with cardiac arrest.Methods From May 2019 to May 2020,120 patients with cardiac arrest treated in People's Hospital of Jinan City were selected and divided randomly into observation group(n=80)and control group(n=40)according to the ratio of 2:1.The observation group received extracorporeal cardiopulmonary resuscitation,and the control group received traditional cardiopulmonary resuscitation.The prognosis,neurological function and serological indexes were compared between the two groups.Results The success rate of resuscitation of the observation group(96.35%)was higher than that of the control group(85.0%);the length of stay in the emergency intensive care unit(EICU)of the observation group(7.8±2.5 days)was less than that of the control group(9.3±4.2 days),the differences were statistically significant(P<0.05).At 24 hours after resuscitation,the GCS score of the observation group(9.58±1.30 points)was higher than that of the control group(9.19±1.71 points);the APACHEⅡscore of the observation group(14.12±4.18 points)was lower than that of the control group(18.85±5.54 points);the levels of NSE,cTnI and NTproBNP of the observation group(93.25±14.97g/L,28.84±7.46 g/L and 175.81±33.26 ng/L,respectively)were lower than those of the control group(125.19±15.13 g/L,46.15±8.40 g/L and 265.67±45.79 ng/L,respectively),the differences were statistically significant(P<0.01).Conclusion Compared with traditional cardiopulmonary resuscitation,extracorporeal cardiopulmonary resuscitation has a higher success rate of resuscitation,which can further improve the prognosis of elderly patients with cardiac arrest and promote the recovery of neurological function.
作者
孙燕
付红燕
杨逢永
杜沂峰
Sun Yan;Fu Hongyan;Yang Fengyong;Du Yifeng(EmergencyWard,People's Hospital of Jinan City,Jinan,Shandong,271100,P.R.China;Outpatient Operating Room,Second Maternal and Child Health Hospital of Jinan City,Jinan,Shandong,271100,P.R.China;Emergency Care Unit,People's Hospital of Jinan City,Jinan,Shandong,2711009,P.R.China;Department of Critical Care Medicine,People's Hospital of Linyi City,Linyi,Shandong,276000,P.R.China)
出处
《老年医学与保健》
CAS
2020年第6期948-951,960,共5页
Geriatrics & Health Care
基金
山东省医药卫生科技发展计划项目(2017WS137)。
关键词
老年
心脏骤停
体外心肺复苏
预后
elderly
cardiac arrest
extracorporeal cardiopulmonary resuscitation
prognosis
