亚低温对院外心肺复苏术后患者预后的影响

冯博¹  毛峥嵘¹ 邓洋²

（1.河南中医学院第一附属医院，河南  郑州，450000；2. 郑州大学第三附属医院/河南省妇幼保健院，河南  郑州，450000）

中图分类号：R278       文献标识码：A    文章编号：1674-7860（2016）15-0129-02   证型：GBA

【摘  要】目的：研究亚低温治疗对院外心肺复苏术后患者预后的影响。方法：选择2010年1月—2015年12月在河南中医学院第一附属医院重症医学科住院的82例院外行心肺复苏术后的患者，随机分入亚低温组和对照组，其中亚低温治疗组45例，对照组患者37例。观察不同方法对患者神经功能和预后效果，在6个月后随访的神经功能缺损评分（NFI）和Barthel指数（MBI）。结果：两组在6个月后随访的神经功能缺损评分（NFI）分别为（22.3±3.5）分和（23.1±2.8）分（P＞0.05），Barthel指数（MBI）分别为（62.4±4.1）分和（60.5±3.8）分，均无统计学差异（P＞0.05）。结论：亚低温治疗对院外心肺复苏术后患者神经功能预后未见影响。

【关键词】亚低温；心肺复苏；神经功能

【Abstract】Objective:To observe the effects of mild hypothermia on the prognosis of patients after out-of-hospitalcardiopulmonary resuscitation. Methods: 82 patients in intensive care unit afterout-of-hospital cardiopulmonary resuscitation, admitted to the First AffiliatedHospital of Henan College of TCM from January 2010 to December 2015, wererandomly divided into the mild hypothermia group, with 45 cases, and the controlgroup, with 37 cases. The effect of mild hypothermia on the nerve function and prognosisof patients was observed. The neurologic functional insufficiency (NFI) andmodified Barthel index (MBI) were used to evaluate the nerve function of patients in the follow-up after6 months. Results:In the follow-upafter 6 months, the neurologic functional insufficiency (NFI) of two groups was(22.3±3.5) and (23.1±2.8) respectively,(P＞0.05); the modified Barthel index (MBI) of two groups was (62.4±4.1) and (60.5±3.8)respectively, (P＞0.05); The differencewas of no statistical significance.Conclusion:Mildhypothermia had no significant effect on the nerve function prognosis of patients after out-of-hospitalcardiopulmonary resuscitation.

【Keywords】Mildhypothermia; Cardiopulmonary resuscitation; Nerve function

doi:10.3969/j.issn.1674-7860.2016.15.063

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基金项目：

河南省中医药科学研究专项课题（2014ZY02029）。

详情请浏览《中医临床研究》2016第15期