Research on the application of emergency intensive care in the rescue of patients with cardiac arrest
急诊重症护理在心脏骤停患者救护中的运用研究

摘要

目的 对于心脏骤停患者的救护进行探讨，详细分析急诊重症护理的运用效果。方法 从本院2022年2月~2023年2月一年中，收治的心脏骤停患者，抽选76例作为研究对象，按照患者自主意愿对其随机分组护理，对照组患者（38人）应用常规急救护理，观察组患者（38）人运用急诊重症护理，展开2组患者的救护效果、护理前后的GCS评分、并发症及生活质量指标的对比研究。结果 2组患者的心率、平均动脉压及复苏成功时间相比，观察组各项指标均显著优于对照组，（p＜0.05）；测评2组患者的GCS评分，护理前相比差异不显著，（p＞0.05），护理后相比，观察组复苏后4~24h的GCS评分明显比对照组更优，（p＜0.05）；统计患者出现的并发症，观察组（抽搐、反应迟钝及心房颤动）发生率5.26%＜对照组发生率23.68%，2组数据具有显著差异，（p＜0.05）；经过护理后评估2组患者的生活质量（生理职能、社会功能、躯体疼痛及一般健康状况），观察组各项评分明显高于对照组，（p＜0.05）。结论 对于心脏骤停患者的救护，运用急诊重症护理的效果最为理想，利于患者尽快复苏，有效改善其病情，值得推广。

Abstract

Objective To explore the rescue of patients with cardiac arrest and analyze in detail the effectiveness of emergency critical care.
Methods From February 2022 to February 2023, 76 patients with cardiac arrest admitted to our hospital were selected as research subjects. They were randomly divided into nursing groups according to their own wishes. The control group (38 patients) received routine emergency care, while the observation group (38 patients) received emergency critical care. A comparative study was conducted on the rescue effect, GCS score before and after nursing, complications, and quality of life indicators of the two groups of patients.
Results Compared with the control group, the heart rate, mean arterial pressure, and successful resuscitation time of the two groups of patients in the observation group were significantly better in all indicators (p<0.05); The GCS scores of the two groups of patients were evaluated, and there was no significant difference before nursing (p>0.05). However, after nursing, the GCS scores of the observation group at 4 to 24 hours after resuscitation were significantly better than those of the control group (p<0.05); The incidence of complications in the observation group (convulsions, delayed response, and atrial fibrillation) was 5.26% compared to 23.68% in the control group, and there was a significant difference between the two groups (p<0.05); After nursing, the quality of life (physiological function, social function, physical pain, and general health status) of the two groups of patients was evaluated. The observation group had significantly higher scores than the control group (p<0.05).
Conclusion   For the rescue of patients with cardiac arrest, the use of emergency critical care has the most ideal effect, which is beneficial for patients to recover as soon as possible and effectively improve their condition. It is worth promoting.