心肺复苏后综合性血压的变化因素及分析

Analysis of Factors and Comprehensive Blood Pressure after Cardiopulmonary Resuscitation

目的:分析心肺复苏后综合性血压变化因素。方法:选取从2010年1月-2014年12月行心肺复苏后恢复自主循环100例患者,随机分为对照组与观察组(各50例),对照组采取常规治疗,观察组采取血压调控,对比NFI评分与GCS评分。结果:观察组复苏4周、8周、12周NFI评分明显低于对照组(P<0.05)。复苏即刻、复苏后12 h、24 h,两组GCS评分无明显差异(P>0.05);复苏后48 h,两组GCS评分有明显差异(P<0.05)。结论:心肺复苏后调控血压变化,能使脑灌注衰竭情况得到有效改善,提升心肺复苏后患者脑复苏成功率。

Objective ： To analyze the factors of the change of blood pressure after cardiopulmonary resuscitation.Methods： 60 patients who had restoration of spontaneous circulation after cardiopulmonary resuscitation from January 2010 to December 2014 were randomly divided into control group（n=50） and the observation group（n=50）, patients in the control group were received conventional treatment, and patients in the observation group were adopted the regulation of blood pressure. The NFI score and GCS score were compared between two groups. Results： Postresuscitation at of 4 weeks, 8 weeks and 12 weeks, the NFI score in the observation group were significantly lower than those of the control group（P〈0.05）. Immediate recovery, recovery after 12 h, 24 h, GCS scores of the two groups had no significant difference（P〉0.05）; 48 h after resuscitation, the GCS scores of the two groups had significant difference（P〈0.05）.Conclusion： The regulation of blood pressure changes after cardiopulmonary resuscitation can improved the cerebral perfusion effectively, enhance the cardiopulmonary resuscitation in patients with cerebral resuscitation success rate.