杨锁柱　费东生

[摘要] 目的 探討新型护理干预在阶梯式亚低温治疗心肺复苏患者脑复苏中的临床效果。 方法 选择2015年6月～2017年6月哈尔滨医科大学附属第一医院收治的接受阶梯式亚低温治疗心肺复苏的患者90例作为研究对象，采取随机数字表法分为对照组与观察组，每组各45例，对照组给予常规护理，观察组在对照组基础上给予新型护理干预。比较两组并发症发生率、Barthel指数及护理满意度。 结果 观察组并发症发生率明显低于对照组，差异有统计学意义（P < 0.05）。观察组神经反应指数、痛感指数、语言指数、躯体活动指数、心理状态及社会活动指数均高于对照组，差异均有统计学意义（P < 0.05）。观察组护理满意度明显高于对照组，差异有统计学意义（P < 0.05）。 结论 将新型护理干预应用于阶梯式亚低温治疗心肺复苏患者脑复苏患者中能够降低并发症发生率，提高Barthel指数和提高患者护理满意度。

[关键词] 新型护理干预；阶梯式亚低温；心肺复苏；脑复苏

[中图分类号] R473.54 [文献标识码] A [文章编号] 1673-7210（2018）07（b）-0141-04

The clinical effect of new nursing intervention in the treatment of cerebral resuscitation in patients with cardiopulmonary resuscitation underwent stepwise hypothermia therapy

YANG Suozhu FEI Dongsheng

Intensive Care Unit， the First Affiliated Hospital of Harbin Medical University， Heilongjiang Province， Harbin 150001， China

[Abstract] Objective To explore the clinical effect of new nursing intervention in the treatment of cerebral resuscitation in patients with cardiopulmonary resuscitation （CPR） underwent stepwise hypothermia therapy. Methods A total of 90 patients underwent stepwise hypothermia therapy in CPR in the First Affiliated Hospital of Harbin Medical University from June 2015 to June 2017 were selected as the research objects and divided into the control group and the observation group by random number table， with 45 cases in each group. The control group was given routine nursing intervention and the observation group was given new nursing intervention on the basis of control group. The incidence of complications， Barthel index and nursing satisfaction were compared between the two groups. Results The incidence of complications in the observation group was higher than that of control group， with statistically significantly difference （P < 0.05）. The neural response index， pain index， language index， physical activity index， mental state and social activity index in the observation group were all higher than those of control group， with statistically significantly differences （P < 0.05）. The nursing satisfaction in the observation group was higher than that of control group， with statistically significantly difference （P < 0.05）. Conclusion The new nursing intervention can reduce the incidence of complications， promote the Barthel index and improve nursing satisfaction in patients underwent stepwise hypothermia therapy in CPR.

[Key words] New nursing intervention； Stepwise hypothermia therapy； Cardiopulmonary resuscitation； Brain recovery

心肺复苏是应用较为广泛的抢救技术，实施心肺复苏的目的在于一方面恢复患者的自主呼吸并有效地促进微循环的恢复；另一方面在于更好地促进脑复苏，从而真正达到治疗的目的。因此，采取积极有效的方法预防脑缺氧以及脑水肿等不良反应至关重要，在提高脑复苏疗效的同时，能够更好地改善预后[1]。目前临床上较为常用的治疗方法为亚低温治疗，通过实施物理治疗方法，可以有效地降低患者的体温，从而更好地保护患者的脑组织，但给予双重治疗时，同时也会伴随着较高的并发症发生率，这就对治疗期间所实施的护理方法提出了更高的需求。为了更好地达到治疗目的，本研究对90例阶梯式亚低温治疗心肺复苏的患者在常规护理基础上实施新型护理干预，取得了较好的效果。……