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

doi:10.20047/j.issn1673-7210.2023.24.39

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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.

Key words： Multidisciplinary collaboration and hierarchical collaboration Target temperature Management intervention Cardiac arrest

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	YE Yanan1 LIU Xingxing1 ZHU Tingting1 ZHANG Gongping2

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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[J]. 中国医药导报, 2023, 20(24): 165-168.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.24.39 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I24/165

[1] 胡月，王心涛，崔德荣.目标温度管理在成人心脏停搏患者中的应用[J].中华危重病急救医学，2018，30（5）：490- 493.
[2] 薛阳阳，姚红林，顾璐璐，等.严重腹部创伤患者目标温度管理研究[J].护理学杂志，2019，34（7）：4-7.
[3] 陶冉，宋凤卿，杨正飞，等.亚低温改善肾上腺素在心肺复苏早期心功能及微循环障碍中的作用[J].中华急诊医学杂志，2019，28（4）：443-448.
[4] 肖元新，尹亚丽，田超，等.急救站点与援助急救队在院内心肺复苏急救系统中的作用[J].内科急危重症杂志，2019，25（6）：486-488，499.
[5] 刘刚，高伟，杨波.急诊入院急性冠脉综合征患者近期预后的危险因素分析[J].内科急危重症杂志，2019，25（6）：470-474.
[6] 严浩，李贝.院外亚低温治疗与心肺复苏同时进行抢救心脏骤停患者的临床效果分析[J].北京医学，2015，37（11）：1089-1091.
[7] 孙磊，李俊，韦兵.早期诱导亚低温疗法对心脏骤停院前抢救效果的影响[J].安徽医药，2015，23（8）：1555-1556.
[8] 詹青，赵云.目标温度管理实施：基于2017年美国神经重症监护学会目标温度管理指南的解读[J].神经病学与神经康复学杂志，2017，13（4）：157-164.
[9] 温亚.心搏骤停病人自主循环恢复后实施目标温度管理的效果评价[J].护理研究，2018，32（13）：2143-2145.
[10] 高建强.院前早期诱导亚低温在心脏停搏患者抢救中的临床意义[J].中国临床医生杂志，2020，48（7）：811-813.
[11] 郭云泊.电击致心跳呼吸骤停患者院前急救的疗效分析[J].心血管康复医学杂志，2015（4）：442-444.
[12] 王敏，吴垠.护理专案改善对急诊心脏停搏复苏患者的自我管理能力及情绪状况的影响[J].徐州医科大学学报，2018，38（9）：621-625.
[13] 张冰.心脏停搏患者的目标温度管理技术[J].实用医学杂志，2016，32（7）：1184-1185.
[14] 薛阳阳，姚红林，顾璐璐，等.严重腹部创伤患者目标温度管理研究[J].护理学杂志，2019，34（7）：4-7.
[15] 孙奇，黄德嘉，张澍.改善心脏骤停研究：基本原理和设计方案[J].中华心律失常学杂志，2018，22（3）：199-204.
[16] 陈利红，张蕾，郭利涛，等.院外心脏骤停患者昏迷状态评分与神经学结局的相关性分析[J].内科急危重症杂志，2018，24（1）：34-37.
[17] 朱建良，刘励军，PHILLIPS SAUDER.苏州与法国斯特拉斯堡院外心脏骤停患者生存链质量比较[J].中国急救医学，2015，35（2）：142-146.
[18] 焦洋，黄海燕.大面积心肌梗死并发心脏骤停患者应用心肺复苏及护理干预的疗效[J].心血管康复医学杂志，2017，26（1）：116-119.
[19] 张艳，朱建良，刘励军，等.心脏骤停后综合征患者早期目标治疗情况调研[J].中国急救医学，2012，32（4）：295- 299.
[20] 陈启江，徐杰丰，金晓红，等.早期经食道快速诱导低温对猪心肺复苏后肠黏膜损伤的影响[J].中华急诊医学杂志，2018，27（4）：399-404.
[21] 夏强.亚低温治疗对急诊心脏骤停患者复苏后优化治疗的疗效分析[J].临床急诊杂志，2015，16（11）：880-882.
[22] 滕红，黄科林，李木珍，等.大面积心肌梗死并发心脏骤停临床急救及护理干预研究[J].国际护理学杂志，2015（9）：1219-1221.
[23] 杨胜，葛燕萍，张冬惠，等.连续性血液净化并强化目标控制温度管理救治热射病患者的临床观察[J].中国中西医结合急救杂志，2017，24（4）：409-414.
[24] 徐鹏，何飞，范国峰，等.目标温度管理时心动过缓对心搏呼吸骤停患者预后的评估[J].中华急诊医学杂志，2017，26（8）：939-943.
[25] 陈玉娇，马青变，李硕，等.心肺复苏后严重心功能不全患者目标温度管理治疗2例并文献复习[J].临床急诊杂志，2019，20（1）：36-39.