摘要
Abstract
Objective:To explore the effect of precision cardiopulmonary resuscitation on patients with cardiac arrest and its influence on prognosis related serum indexes.Method:A total of 80 patients with sudden cardiac arrest admitted to Fujian Medical University Affiliated Mindong Hospital from December 2021 to October 2023 were divided into two groups according to random number table method,with 40 cases in each group.The control group was treated according to routine cardiopulmonary resuscitation,and the observation group was treated according to precision cardiopulmonary resuscitation.The total response rate,cerebral performance category(CPC),recovery and duration of spontaneous circulation,myocardial damage indexes[growth differentiation factor 15(GDF-15),creatine kinase-MB(CK-MB)and heat-fatty acid binding protein(H-FABP)]and nerve damage indexes[neuron-specific enolase(NSE),S100 calcium-binding protein B(S100B)]were compared between the two groups.Result:The total effective rate of the observation group was significantly higher than that of the control group,the CPC classification was better than that of the control group,the recovery time of spontaneous circulation was shorter than that of the control group,and the duration of spontaneous circulation was longer than that of the control group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in myocardial damage index and nerve damage index between two groups(P>0.05).At 1,2 and 3 h after treatment,GDF-15,CK-MB,H-FABP,NSE and S100B in observation group were significantly lower than those in control group,the differences were statistically significant(P<0.05).Conclusion:Precision cardiopulmonary resuscitation is effective in patients with sudden cardiac arrest,and can significantly improve prognostic serum indexes of patients with sudden cardiac arrest,and has high application value in patients with cardiac arrest.关键词
精准心肺复苏/心搏骤停/预后相关血清指标Key words
Precision cardiopulmonary resuscitation/Sudden cardiac arrest/Prognosis related serum indexes
