Application effect of multidisciplinary collaboration and hierarchical collaboration combined with target temperature intervention in patients with cardiac arrest
YE Yanan1 LIU Xingxing1 ZHU Tingting1 ZHANG Gongping2
1.Emergency Intensive Care Unit, Lishui Central Hospital, Zhejiang Province, Lishui 321000, China;
2.Department of Emergency Medicine, Lishui Central Hospital, Zhejiang Province, Lishui 321000, China
Abstract：Objective To explore the application effect of multidisciplinary collaboration and hierarchical collaboration combined with target temperature intervention in patients with cardiac arrest. Methods A total of 80 patients with cardiac arrest admitted to Lishui Central Hospital of Zhejiang Province from January 2021 to January 2022 were collected and divided into observation group and control group according to different nursing measures, with 40 cases in each group. The observation group was treated with multidisciplinary collaboration and hierarchical collaboration combined with target temperature intervention, and the control group was treated with multidisciplinary collaboration and hierarchical collaboration intervention. The intervention time of the two groups were both for one month. The emergency situation of the two groups were observed. The bispectral index (BIS) and neurological function were compared between the two groups at 24 h, 72 h, one week, two weeks after admission, and the occurrence of adverse reactions in the two groups was recorded. Results The pain relief time of the observation group was shorter than that of the control group, and the heart recovery rate and survival rate were higher than those of the control group, and the differences were statistically significant (P＜0.05). The time to reach the target temperature, the time of initial treatment, the total time of examination, the time of emergency department, and the length of hospital stay in the observation group were shorter than those in the control group, and the differences were statistically significant (P＜0.05). The BIS of the two groups at 72 h, one week, two weeks after admission were lower than those at 24 h after admission, and the National Institutes of Health stroke scale (NIHSS) scores were higher than those at 24 h after admission, and the differences were statistically significant (P＜0.05). The BIS of the observation group at 72 h, one week, two weeks after admission were higher than those of the control group at the same time points, and the NIHSS scores were lower than those of the control group at the same time points, and the differences were statistically significant (P＜0.05). The total incidence of adverse reactions in the observation group was lower than that in the control group, and the difference was statistically significant (P＜0.05). Conclusion Multidisciplinary collaboration and hierarchical collaboration combines with target temperature intervention can shorten the time for patients to reach the target temperature, improve the success rate of first aid, promote the recovery of neurological function, and reduce the incidence of adverse conditions.
叶亚男1 刘星星1 朱婷婷1 张龚平2. 多学科协作分层协作联合目标温度干预在心脏停搏患者中的应用效果[J]. 中国医药导报, 2023, 20(24): 165-168.
YE Yanan1 LIU Xingxing1 ZHU Tingting1 ZHANG Gongping2. Application effect of multidisciplinary collaboration and hierarchical collaboration combined with target temperature intervention in patients with cardiac arrest. 中国医药导报, 2023, 20(24): 165-168.
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