心肺复苏后应用亚低温治疗探析及护理.docVIP

心肺复苏后应用亚低温治疗探析及护理【摘要】 目的 探讨亚低温治疗心肺复苏后患者脑复苏的效果及护理。方法 将42例心肺复苏后患者按随机方法分为实验组21例和对照组21例,实验组采用全身亚低温, 对照组为头部戴冰帽局部降温。观察两组的治疗效果及并发症发生率 。结果 复苏5 d后全身亚低温组GCS评分明显高于头部局部降温组 ( P 0 . 05)。结论 全身亚低温对心肺复苏后患者脑复苏是一种安全有效方法,值得临床推广应用,配合在亚低温治疗期间给予精心护理,对提高患者生存质量具有重要意义。 【关键词】 亚低温;心肺脑复苏;疗效;护理 The method of mild hypothermia and nursing for patients after cardiopulmonaryresuscitation GONG Xiao-qi,ZHANG Hai-yan,OU Yang-dan.HuiZhou Municipal Central Hospital ICU ,GuangDong,HuiZhou 516001,China. 【Abstract】 Objective To investigate the results of treatment of mild hypothermiaand nursingafter cardiopulmonary resuscitation in patients with cerebral resuscitation . Results 42 cases of patients after cardiopulmonary resuscitation were divided by random into an experimental group of 21 cases while another group of 21 cases in the control group. Experimental group were treated with systemic hypothermia and the control group were treated with partially iced capping on heads. It was designed to observe the therapeutic effects and the incidence of complications.Results The GCS score of the systemic hypothermia group was significantly higher than the control group in five days after recovery.(P 0.05).Conclusion It is safe for mild hypothermia after cardiopulmonary resuscitation in patients with cerebral recovery and it is considered effective for clinical applications. It is anticipated to bring about great improvements to patients with better quality of life during the mild hypothermia treatment period under intensive care. 【Key words】 Mild Hypothermia;Cardio-Pulmonary-Cerebral ResuscitationEfficacy; Nursing 作者单位:516001惠州市中心人民医院重症医学科 心跳骤停患者复苏成功并非仅指自主呼吸及循环的恢复,脑复苏是复苏的最终目的,应着眼于脑复苏,及早防治脑缺氧和脑水肿,加强脑复苏,可促进大脑神经元的恢复[1]。多年来人们一直致力于脑保护方法的探索,亚低温对脑的保护作用早已为人们所公认。冰毯作为新一代的降温仪器,利用半导体制冷原理,通过主机工作与冰毯内的水进行循环交换,促使冷却的毯面接触皮肤进行散热,达到降温目的[2]。亚低温治疗(33℃～34℃)是利用对中枢神经系统具有抑制作用的镇静药物,使患者进入睡眠状态,再配合物理降温,使患者体温处于一种可控性的低温状态,从而达到治疗的目的[3]。惠州市中心人民医院 ICU从2007年 3月 至2010年 1月应用亚低温治疗心肺复苏后患者 ,取得了满意效果,现报告如下。 1 资料与方法 1.1 一般资料 本组为心肺