优化治疗对我院急诊心脏骤停后综合征患者预后的影响

The Effect of Optimized Treatment on the Prognosis of Patients with Emergency Cardiac Arrest Syndrome in our Hospital

目的比较优化治疗和常规ICU治疗对急诊心脏骤停后综合征患者预后及生活质量的影响。方法选取2012年8月～2016年4月空军军医大学第一附属医院急诊科尚未开展心肺复苏后优化治疗,进行常规ICU治疗的院内心肺复苏术后的患者38例设为对照组;2016年4月～2018年7月开展优化治疗的院内心肺复苏术后的患者36例设为实验组。比较两组患者复苏后心脏及循环功能的恢复程度,神经功能恢复程度,同时对比两组患者肺部感染、心律失常等并发症的发生率。结果实验组CI、CO较对照组升高,差异有统计学意义(P<0.05),PPV较对照组下降,统计学意义显著(P<0.01);神经功能恢复程度优于对照组(P<0.01),实验组患者肺部感染、肾功能衰竭、电解质紊乱、癫痫及心律失常的疾病总发生率低于对照组(P<0.05)。结论对心脏骤停后综合征的患者进行优化治疗,可改善患者神经功能、心脏功能及自主循环的恢复,减少并发症的发生率,对提高生存质量意义重大。

Objective To compare the effect of optimized and conventional ICU treatment on the prognosis and quality of life of patients with acute cardiac arrest syndrome.Methods 38 cases of patients after CPR were set as control group when the emergency department of the the first affiliated hospital of medical university of the air force did not carry out optimal treatment after cardiopulmonary resuscitation from August 2012 to April 2016.36 cases of patients after cardiopulmonary resuscitation CPR in our hospital were set as the experimental group from April 2016 to July 2018.The recovery of cardiac and circulatory function and neurological function after resuscitation were compared between the two groups, and the incidence of complications such as pulmonary infection and arrhythmia were also compared between the two groups.Results CI and CO were increased in the experimental group compared with the control group, and the difference was statistically significant（P〈0.05）.PVV was decrease compared with control group,the stastistical significant was significant（P〈0.01）;The recovery degree of neurological function was better than that of the control group（P〈0.01）, and the total incidence rate of pulmonary infection, renal failure, electrolyte disturbance, epilepsy and arrhythmia in the experimental group was lower than that of the control group（P〈0.05）.Conclusion The optimal treatment for patients with post-cardiac arrest syndrome can improve the recovery of neurological function, cardiac function and autonomic circulation, reduce the incidence of complications and improve the quality of life.