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ICU 常规与优化治疗对心脏骤停后综合征患者心肺、脑复苏情况的影响分析
作者姓名:雷罗春  艾瑛  杨军英  郑炜
作者单位:1.新疆生产建设兵团第十三师红星医院重症医学科,哈密,839000,中国 2 新疆生产建设兵团第十三师红星医院,心内科,哈密,839000,中国
摘    要:目的:分析ICU 常规与优化治疗对心脏骤停后综合征患者心肺、脑复苏情况的影响。方法:选取90 例心脏骤停后综合征患者作为本次的研究对象,患者就诊时间段为2018 年7 月到2019 年11 月,按照数字表达法将其分为两组,其中接受ICU 常规治疗的45 例患者设为对照组,将另外45 例接受ICU 优化治疗的患者纳入观察组。将两组心脏骤停后综合征患者的神经功能评分、全心舒张末期容积指数、心脏指数、意识恢复时间以及并发症发生率进行对比。结果:经过治疗后,观察组患者的神经功能以及临床指标改善情况明显优于对照组;观察组的并发症发生率为4.4%;对照组的并发症发生率为17.8%,两组心脏骤停后综合征患者的神经功能评分、临床指标以及并发症发生率结果差异存在统计学意义(P<0.05)。结论:与ICU 常规治疗相比,ICU 优化治疗对心脏骤停后综合征患者的临床疗效更为显著,能够促进患者脑复苏情况的改善,提高神经功能恢复效率,改善心功能指标,减少并发症的产生,提升综合征患者的生存质量,具有积极的推广价值。

关 键 词:心脏骤停后综合征  ICU  常规治疗  ICU  优化治疗  脑复苏  

Effect of Routine and Optimized Treatment in ICU on Cerebral Resuscitation in Patients with Post-Cardiac Arrest Syndrome#br#
Authors:LEI Luo-chun  AI Ying  YANG Jun-ying  ZHENG Wei
Institution:1  Department of Critical Care Medicine of Hongxing Hospital of 13th Division of Xinjiang Production and Construction Corps,Hami,839000,China
2  Department of Cardiology of Hongxing Hospital of 13th Division of Xinjiang Production and Construction Corps,Hami,839000,China
Abstract:Objective:To analyze the effect of routine and optimized treatment in ICU on cerebral resuscitation in patients with post-cardiac arrest syndrome. Methods:Ninety patients with post-cardiac arrest syndrome were selected as the subjects of this study. The period of patients’ visits was from July 2018 to November 2019.They were divided into two groups according to the order of admission treatment. Among them,45 patients who received routine treatment in ICU were set as the control group,and another 45 patients who received optimized treatment in ICU were included in the observation group. The neurological scores,clinical indicators and complication rates of the two groups of patients with post-cardiac arrest syndrome were compared. Results:After treatment,the improvement of neurological function and clinical indicators in the observation group was significantly better than that in the control group;the incidence of complications in the observation group was 4.4%;the incidence of complicationsin the control group was 17.8%. There were significant differences in neurological function scores,clinical indicators and complication rates between the two groups of patients with postcardiac arrest syndrome (P<0.05). Conclusion:Compared with conventional treatment in ICU,ICU optimized treatment has more significant clinical effect on patients with post-cardiac arrest syndrome,can promote the improvement of patients’ cerebral resuscitation,improve the efficiency of neurological recovery,improve cardiac function indicators,reduce the occurrence of complications,and improve the quality of life of patients with syndrome,and has positive promotion value.
Keywords:post-cardiac arrest syndrome  conventional treatment in ICU  optimal treatment in ICU  cerebral resuscitation
  
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