Observation of the effect of hypothermia therapy combined with optimized nursing on brain protection after cardiopulmonary resuscitation: A retrospective case-control study

被引:0
作者
You, Yan [1 ]
Gong, Zheng [2 ,3 ,4 ]
Zhang, Yaxu [1 ]
Qiu, Lirong [1 ]
Tang, Xiahong [5 ,6 ]
机构
[1] Fujian Prov Hosp, Dept Intens Care Unit 2, South Branch, Fuzhou, Peoples R China
[2] Fujian Prov Hosp, Dept Emergency Med, Fuzhou, Peoples R China
[3] Fujian Med Univ, Shengli Clin Med Coll, Fuzhou, Peoples R China
[4] Fujian Prov Key Lab Emergency Med, Fuzhou, Peoples R China
[5] Fujian Univ Tradit Chinese Med, Dept Crit Care Med, Affiliated Peoples Hosp, Fuzhou, Peoples R China
[6] Fujian Univ Tradit Chinese Med, Dept Emergency Med, Peoples Hosp, Fuzhou 350001, Peoples R China
关键词
brain protection; cardiac arrest; hypothermia therapy; optimized nursing; retrospective study; HOSPITAL CARDIAC-ARREST; NORMOTHERMIA;
D O I
10.1097/MD.0000000000037776
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This study aimed to investigate the impact of optimized emergency nursing in conjunction with mild hypothermia nursing on neurological prognosis, hemodynamics, and complications in patients with cardiac arrest. A retrospective analysis was conducted on the medical records of 124 patients who received successful cardiopulmonary resuscitation (CPR) at Fujian Provincial Hospital South Branch. The patients were divided into control and observation groups, each consisting of 62 cases. The brain function of both groups was assessed using the Glasgow Coma Scale and the National Institutes of Health Stroke Scale. Additionally, serum neuron-specific enolase level was measured in both groups. The vital signs and hemodynamics of both groups were analyzed, and the complications and satisfaction experienced by the 2 groups were compared. The experimental group exhibited significantly improved neurological function than the control group (P < .05). Furthermore, the heart rate in the experimental group was significantly lower than the control group (P < .05). However, no significant differences were observed in blood oxygen saturation, mean arterial pressure, central venous pressure, and systolic blood pressure between the 2 groups (P > 0.05). Moreover, the implementation of optimized nursing practices significantly reduced complications and improved the quality of life and satisfaction of post-CPR patients (P < .05). The integration of optimized emergency nursing practices in conjunction with CPR improves neurological outcomes in patients with cardiac arrest.
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页数:7
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