摘要
目的探讨亚低温治疗对心搏骤停后心肺复苏术成功患者的疗效。方法按照组间基线资料匹配原则,将本院2018年5月至2020年5月心搏骤停后心肺复苏术成功的46例患者随机分组,对照组23例予以常规治疗,观察组23例予以亚低温治疗,观察两组血乳酸清除率、脑神经功能及存活率。结果与对照组相比,复苏成功6h和24h后,观察组患者血乳酸清除率明显升高(P<0.05),治疗7d后GCS评分、存活率明显升高,NIHSS评分显著降低(P<0.05)。结论亚低温治疗可提高心搏骤停后心肺复苏术成功患者的血乳酸清除速率,改善脑功能,提高近期存活率。
Objective To investigate the effect of mild hypothermia on patients with successful cardiopulmonary resuscitation after cardiac arrest.Methods A total of 46 patients underwent successful cardiopulmonary resuscitation after cardiac arrest were divided into two groups randomly,namely control group and observation group.The patients enrolled in the control group were received routine treatment and the patients in the observation group were received mild hypothermia treatment.Then the lactate clearance rate,brain nerve function and survival rate were observed in these enrolled patients.Results Compared with the control group,the blood lactate clearance rate,GCS score and survival rate in the observation group was significantly increased at 6 hours and 24 hours post successful resuscitation(P < 0.05).Meantime,GCS score and survival rate were significantly increased while NIHSS score was significantly decreased at 7 days post successful resuscitation(P< 0.05).Conclusions Mild hypothermia can increase the rate of blood lactate clearance,alleviate brain deficits and improve survival rate.
作者
伍洪清
雷圣贤
廖文林
潘庆飞
杨春平
Wu Hongqing;Lei Shengxian;Liao Wenlin;Pan Qingfei;Yang Chunping(Emergency department of Shiyan people’s hospital)
关键词
心搏骤停
亚低温
心肺复苏术
脑复苏
Cardiac arrest
Mild hypothermia
Cardiopulmonary resuscitation
Cerebral resuscitation
