院外心脏骤停患者采用心肺复苏结合亚低温治疗的急救效果

The First Aid of the Effect of Simultaneous Treatment of Mild Hypothermia Therapy and Cardio-pulmonary Resuscitation Prehospital

目的 探讨院外心脏骤停患者采用心肺复苏结合亚低温治疗的急救效果。方法 选取2014年5月~2016年5月本院收治的院外心脏骤停患者58例,随机分为对照组和MHT组,各29例。对照组采用经CPR自主循环恢复后送至院内再行MHT治疗;MHT组采用CPR与MHT治疗同时进行。观察比较两组患者的入院前、到达医院时肛门温度、到达目标温度所用时间;复苏后第1、3、7 d进行GCS评分。结果 入院前平均肛温,MHT组与对照组差异无统计学意义（P〉0.05）;到达医院时,MHT组平均肛温和达到目标温度的时间低于对照组（P〈0.05）;两组GCS评分比较,在复苏后第7 d,MHT组比对照组升高（P〈0.05）;两组各自GCS评分第3、7 d较复苏当天均明显升高（P〈0.05）。结论 在院外心脏骤停行CPR的同时进行MHT治疗,能提高心肺复苏效率及改善脑功能的预后。

Objective Study on prehospital cardiac arrest patients by cardiopulmonary resuscitation combined with mild hypothermia treatment in emergency treatment. Methods From May 2014 to May 2016 in our hospital, 58 cases of cardiac arrest patients were chosen out of hospital, randomly divided into control group and MHT group, 29 cases in each group. The control group was treated by CPR and sent to the hospital and treated with MHT, MHT groupwas treated with MHT and CPR simultaneously. Observed and compared the two groups of patients before admission, to reach the hospital Anal temperature, time to reach the target temperature, recovery after first, three, seven days for GCS score. Results The average rectal temperature before admission, the MHT group and the control group had no significant difference （P〉0.05）, when you arrive at the hospital, MHT group mean rectal temperature reaches the target temperature time is lower than that of the control group （P〈0.05）, compare the GCS scores of the two groups, in the recovery after seventh days, MHT group than in the control group increased （P〈0.05）, the twO group of each, compared with the GCS score of the third seventh day recovery were significantly increased （P〈0.05）. Conclusion MHT treatment in hospital cardiac arrest for CPR at the same time, can improve the prognosis of cardiopulmonary resuscitation efficiency and improve brain function.