急诊护理对心脏骤停患者心肺复苏后患者康复情况及不良反应的影响分析

孙春玲

[摘要] 目的 分析急诊护理对心脏骤停患者心肺复苏后患者康复情况及不良反应的影响。方法 方便抽取2018年10月—2019年10月在该院接受治疗的心脏骤停患者78例为研究对象，按照随机数表法将78例患者平均分为两组，即对照组与实验组，每组患者均为39例。对照组行常规护理，实验组在常规护理基础上行急诊护理，对比两组患者心肺复苏后患者康复情况及不良反应情况。结果 护理前对照组与实验组平均动脉压、心率，差异无统计学意义（P>0.05）。护理后对照组平均动脉压（7.32±1.65）kPa低于实验组（9.53±1.34）kPa，护理后对照组患者心率（61.55±10.25）次/min低于实验组（82.39±6.58）次/min，差异有统计学意义（t=6.248、9.254，P<0.05），对照组患者住院时间（8.63±1.58）d长于实验组（6.11±1.25）d（t=4.334，P<0.05）;对照组患者不良反应发生率（17.95%）高于实验组（5.13%）（χ2=5.349，P<0.05）。结论 对心脏骤停患者行急诊护理能够使患者的平均动脉压和心率恢复到正常水平，缩短患者的住院时间，降低患者的不良反应发生率，值得在临床上推广。

[关键词] 急诊护理;心脏骤停;心肺复苏;康复情况;不良反应;护理效果

[Abstract] Objective To analyze the effect of emergency nursing on rehabilitation and adverse reactions of patients with cardiac arrest after CPR. Methods A total of 78 patients with cardiac arrest who were treated in the hospital from October 2018 to October 2019 were convenient selected as the research objects. According to the random number table method，78 patients were divided into two groups，that is，the control group and the experimental group. There were 39 patients in each group. The control group received routine nursing care，and the experimental group went to emergency care based on conventional nursing care. The patients' rehabilitation and adverse reactions after cardiopulmonary resuscitation were compared between the two groups. Results There was no statistically significant difference in the mean arterial pressure and heart rate between the control group and the experimental group before nursing（P>0.05）. The mean arterial pressure （7.32±1.65） kPa in the control group after nursing was lower than that in the experimental group （9.53±1.34） kPa. Heart rate （61.55±10.25）times/min was lower than the experimental group （82.39±6.58）times/min，the difference was statistically significant（t= 6.248，9.254，P<0.05），and the hospital stay in the control group （8.63±1.58）d was longer than the experimental group （6.11±1.25）d（t=4.334，P<0.05）; the incidence of adverse reactions （17.95%） in the control group was higher than that in the experimental group （5.13%）（χ2=5.349，P<0.05）. Conclusion Emergency care for cardiac arrest patients can restore the average arterial pressure and heart rate of patients to normal levels，shorten the length of hospitalization for patients，and reduce the adverse reaction rate of patients. It is worthy of widespread clinical promotion.

[Key words] Emergency care;Cardiac arrest;Cardiopulmonary resuscitation;Rehabilitation;Adverse reactions;Nursing effect

心臟骤停是临床常见的一种病症，如患者在短时间内得不到治疗，病死率是非常高的[1]。在心脏骤停治疗过程中，主要运用心肺复苏方法，这种方法能够有效稳定患者的动脉压和心率，但这种治疗方法并不是一劳永逸的[2-3]。由于患者出现心脏骤停的原因不确定，患者在心肺复苏后各项生命体征仍处于不稳定状态，还存在很多潜在的安全隐患，患者并没有完全脱离风险[4]。研究发现对心脏骤停患者行急诊护理效果优于常规护理，经护理后，患者的各项生命体征有所好转，不良反应发生率也大大降低[5]。该次研究方便抽取2018年10月—2019年10月在该院接受治疗的心脏骤停患者78例为研究对象，分析急诊护理对心脏骤停患者心肺复苏后患者康复情况及不良反应的影响。现报……