PDF(Pubmed)
Abstract：
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.
摘要：
本研究旨在探讨优化急诊护理联合亚低温护理对神经系统预后的影响。血流动力学,以及心脏骤停患者的并发症。方法对福建省医院南院124例心肺复苏(CPR)成功患者的病历资料进行回顾性分析。将患者分为对照组和观察组,每个包括62例。使用格拉斯哥昏迷量表和美国国立卫生研究院卒中量表评估两组的脑功能。此外,两组均检测血清神经元特异性烯醇化酶水平.分析两组患者的生命体征和血流动力学,比较两组患者的并发症及满意度。实验组神经功能改善明显优于对照组(P<0.05)。此外，实验组心率明显低于对照组(P<0.05)。然而,血氧饱和度无显著差异,平均动脉压,中心静脉压,两组收缩压比较(P>0.05)。此外，实施优化护理措施可显著减少并发症，提高CPR后患者的生活质量和满意度（P<0.05）。优化的急诊护理实践与CPR相结合可改善心脏骤停患者的神经系统预后。
