急诊护理对心脏骤停患者心肺复苏后康复状况的影响被引量：12

Effect of emergency care on rehabilitation in patients with cardiac arrest after cardiopulmonary resuscitation

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摘要目的探讨急诊护理对心脏骤停患者心肺复苏(CPR)后康复状况的影响,以期为临床治疗提供参考。方法选取2021年1—12月信丰县人民医院收治的60例心脏骤停患者为研究对象。采用随机数字表法将患者分为对照组与观察组,每组30例。对照组患者采取常规护理干预,观察组患者在对照组基础上加用急诊护理。比较2组患者呼吸机使用时间、ICU入住时间。比较2组患者干预前及干预2周时美国国立卫生研究院卒中量表(NIHSS)和中国卒中量表(CSS)评分。比较2组患者干预前及干预2周时血气指标水平。结果观察组患者呼吸机使用时间、ICU入住时间均短于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者CSS及NIHSS评分比较,差异无统计学意义(P>0.05)。干预2周时,2组患者CSS及NIHSS评分均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、血氧饱和度(SaO_(2))水平比较,差异无统计学意义(P>0.05)。干预2周时,2组患者PaO_(2)、SaO_(2)水平均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预2周时,2组患者PaCO_(2)水平低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。结论心脏骤停患者CRP后采用急诊护理干预的临床康复效果确切,可显著缩短患者康复时间,改善患者神经功能,值得推广应用。 Objective To investigate the effect of emergency care on the rehabilitation in patients with cardiac arrest after cardiopulmonary resuscitation(CPR),so as to provide a reference for clinical treatment.Methods Sixty patients with cardiac arrest admitted to the Xinfeng People’s Hospital from January to December 2021 were selected as the study participants.The patients were randomly assigned to the control group and observation group,with 30 cases in each group.Patients in the control group received routine care intervention and patients in the observation group emergency care in addition to the care in the control group.Time of ventilator use and ICU stay were compared between the 2 groups.National Institutes of Health Stroke Scale(NIHSS)and Chinese Stroke Scale(CSS)scores were compared between the 2 groups before and at 2 weeks of intervention.Blood gas parameters were compared between the 2 groups before and at 2 weeks of intervention.Results The duration of ventilator use and ICU stay in the observation group were significantly shorter than those in the control group(P<0.05).Before the intervention,there was no significant difference in CSS and NIHSS scores between the two groups(P>0.05).At 2 weeks of intervention,the CSS and NIHSS scores of the two groups were significantly lower than those before the intervention,with the observation group significantly lower than the control group(P<0.05).Before the intervention,there was no significant difference in PaO_(2),PaCO_(2),and SaO_(2)levels between the 2 groups(P>0.05).At 2 weeks of intervention,PaO_(2)and SaO_(2)levels in the two groups were significantly higher than those before the intervention,with the observation group significantly higher than the control group(P<0.05),PaCO_(2)levels in the 2 groups were significantly lower than those before the intervention,with the observation group significantly higher than the cantol group(P>0.05).Conclusion Emergency care intervention in patients with cardiac arrest after CRP has an established clinical rehabilitation effect,which can significantly shorten the rehabilitation time and improve the neurological function of patients.These benefits justify a wider application of this procedure.