Analysis of emergency care and resuscitation outcomes for patients with cardiac arrest in the emergency department
急诊科心脏骤停患者的急救护理与复苏效果分析

摘要

目的 将急救护理用于急诊科心脏骤停患者中，探究其对患者的复苏效果。方法 回顾性选取2023年10月-2025年10月本院急诊科收治的92例心脏骤停患者临床资料，根据护理方案进行分组，对照组46例行常规护理，观察组46例行急救护理，对两组干预结果进行比较。结果 干预前，两组心率、平均动脉压指标水平比较，不具显著差异（P>0.05），干预后，两组各指标水平均较前显著升高，且组间比较，观察组各指标水平更高（P<0.05）；两组干预后12h、24h、48h各时段格拉斯哥昏迷评分（Glasgow Coma Scale，GCS）比较，观察组更高（P<0.05），两组各时段急性生理学与慢性健康状况评分Ⅱ（Acute Physiology and Chronic Health Evaluation Ⅱ，APACHE Ⅱ）比较，观察组更低（P<0.05）；两组并发症发生率比较，观察组4.35%更低（P<0.05）；两组急救护理满意度比较，观察组97.83%更高（P<0.05）。结论 对心脏骤停患者来说，心肺复苏过程中配合急救护理可有效稳定患者生命体征，改善昏迷程度及预后，降低并发症发生几率，还可提高患者对急救的护理满意度，具有较高应用价值。

Abstract

Objective To apply emergency care to patients with cardiac arrest in the emergency department and explore its effect on the resuscitation of patients.
Methods Retrospectively, the clinical data of 92 patients with cardiac arrest admitted to the emergency department of our hospital from October 2023 to October 2025 were selected. They were divided into groups according to the nursing plan. The control group of 46 patients received routine care, while the observation group of 46 patients received emergency care. The intervention results of the two groups were compared.
Results Before the intervention, there was no significant difference in heart rate and mean arterial pressure between the two groups (P > 0.05). After the intervention, the levels of each indicator in both groups significantly increased compared with before, and the levels in the observation group were higher than those in the control group (P < 0.05); the GCS scores at 12h, 24h, and 48h after the intervention in the two groups were compared, and the observation group had higher scores (P < 0.05); the APACHE II scores at each time period were compared between the two groups, and the observation group had lower scores (P < 0.05); the incidence of complications between the two groups was compared, and the incidence in the observation group was 4.35% lower (P < 0.05); the satisfaction of emergency care between the two groups was compared, and the satisfaction in the observation group was 97.83% higher (P < 0.05).
Conclusion   For patients with cardiac arrest, the combination of cardiopulmonary resuscitation and emergency care can effectively stabilize the patient’s vital signs, improve the degree of coma and prognosis, reduce the incidence of complications, and also improve the patient's satisfaction with emergency care, which has a high application value.