摘要
目的探讨心脏骤停后综合征(PCAS)优化治疗对心脏骤停患者的影响。方法选取2009年10月～2011年8月所有院内外心脏骤停后、成功复苏且复苏时间小于30 min并于6 h之内进入广东省佛山市第一人民医院重症监护病房(ICU)的成年患者入选行PCAS优化治疗。与之相比较的是2005年7月～2007年6月广东省佛山市第一人民医院收入ICU的符合相同条件的PCAS患者。研究两组患者在ICU内治疗期间并发症的发生率、神经功能及死亡率等情况。结果干预组共入选48例患者,其中伴有良好神经功能预后的为23例(48%),与对照组(11例,21%)比较,差异有统计学意义(P<0.05)。在ICU治疗期间,肺炎、脓毒症、心律失常和癫痫等并发症的发生率两组比较。差异无统计学意义(P>0.05)。结论 PCAS优化治疗方案的实施能够有效地改善心脏骤停后综合征患者的神经功能和预后。
Objective To explore the effect of optimized treatment on the patients with post cardiac arrest syndromes. Methods Cardiac arrest cases occurred outside hospital with recovery time less than 30 minutes and admitted to ICU within 6 hours were selected for PCAS optimized treatment. The patients were all adult patients admitted in the First People＇s Hospital of Foshan City from October 2009 and August 2011. The control group consisted of PCAS patients admitted from July 2005 and June 2007 with all other conditions equivalent in ICU, the First People＇s Hospital of Foshan City. Information of incidence of complications, neurological outcomes and corresponding endpoints of both groups during treatment in ICU were collected. Results 48 patients were enrolled in the intervention group, with 23 people （48%） of good neurological outcomes. The results were significantly different compared with 11 people（21%） in the control group （P 〈 0.05）. The incidence of complications pneumonia, sepsis, cardiac arrhythmias, and epilepsy dur- ing treatment in ICU showed no positive significant differences （P 〉 0.05） between the two groups. Conclusion The study clearly demonstrates that the implementation of PCAS optimized treatment programs can effectively improve neu- rological function and prognosis.
出处
《中国医药导报》
CAS
2013年第7期64-65,67,共3页
China Medical Herald
基金
广东省佛山市卫生局基金项目(编号2012001)
关键词
优化治疗
心脏骤停后综合征
预后
Optimized treatment
Cardiac arrest syndrome
Prognosis
