《2020年中国心脏骤停后脑保护专家共识》解读一：神经功能评估.pdfVIP

《2020 年中国心脏骤停后脑保护专家共识》 解读一：神经功能评估 杜兰芳 马青变 【摘要】 对于心脏骤停患者，复苏后神经功能评估至关重要。准确的神经功能评估可以避免对于 有脑复苏可能患者的过早或不恰当撤除生命支持手段而导致的不必要的死亡，也有助于早期识别无脑 复苏希望的患者。我国心脏骤停后诊疗仍然存在诸多不足，如医务人员对复苏后神经功能评估的认知 度低、实践情况不规范等。为了提高院前急救、急诊科以及危重症医师对于心脏骤停后神经功能评估的 认知度，推进规范化神经功能评估操作流程，本文就《2020 年中国心脏骤停后脑保护专家共识》中的神经 功能评估部分进行解读，内容主要涉及心肺复苏后神经功能评估的手段和流程。 【关键词】 心脏骤停； 心肺复苏； 神经功能评估； 脑保护； 共识 Interpretation of 2020 expert consensus statement on neuroprotection after cardiac arrest in China (I): neurological assessment Du Lanfang, Ma Qingbian. Emergency Department, Peking University Third Hospital, Beijing 100191, China Corresponding author: Ma Qingbian, Email: maqingbian@126.com 【Abstract】 Neurological prognostication has become a very important part of post-cardiac arrest (CA) care. Early and accurate prediction of neurological should allows optimizing identification of those individuals with no chance of a good recovery and avoid making inappropriate decisions on withdrawal of life support in patients with the potential for recovery which is a frequent cause of death. However, there are still many challenges to address CA as an important public health issue in China, such as insufficient awareness as well as poor and non-standard practice of neurological assessment. To promote standardized neurological assessment after CA, we interpreted the part of neurological assessment in 2020 expert consensus statement on neuroprotection after cardiac arrest in China, which mainly involved the methods and protocols of neurological assessment after cardiopulmonary resuscitation. 【Key words】 Cardiac arrest; Cardiopulmonary resuscitation; Neurological assessment; Neuro- protection; Consensus 在世界范围内心脏骤停是致死致残的主要原 也有助于早期识别没有脑复苏希望的患者［4］。 因之一。在美国，每年有42 万人发生院外心脏骤 神经功能评估仍然是心肺复苏领域的难题和 停，欧洲和中国的人数分别是35 万人和54 万人， 挑战。目前评估手段主要包括临床评估、神经电 如果将院内心脏骤停计算在内，发病率将进一步