摘要
心脏骤停后患者常面临多器官功能障碍，其病死率高且预后较差，因此亟需优化护理策略以改善患者结局。本研究旨在探讨多器官功能支持集束化护理策略在心脏骤停后综合征管理中的应用效果。通过前瞻性队列研究设计，选取某三甲医院重症监护病房中120例心脏骤停复苏成功患者作为研究对象，将其随机分为干预组和对照组，干预组实施包含目标体温管理、循环支持优化、呼吸功能维护及肾功能保护等在内的集束化护理措施，对照组则接受常规护理。结果显示，干预组患者28天存活率显著高于对照组（P0.05），多器官功能障碍发生率明显降低，且住院时间缩短。该研究创新性地将多器官功能支持理念与集束化护理相结合，形成系统化护理方案，为临床实践提供了科学依据。研究表明，多器官功能支持集束化护理可有效改善心脏骤停后患者的生存率和生活质量，具有重要的临床推广价值。关键词：心脏骤停后综合征；多器官功能支持；集束化护理；28天存活率；重症监护病房
Post-Cardiac Arrest: A Bundle of Multi-Organ Functional Support Nursing Strategies
Abstract
Patients who survive cardiac arrest often face multiple organ dysfunction syndrome, which is associated with high mortality and poor prognosis, thus necessitating the optimization of nursing strategies to improve patient outcomes. This study aimed to investigate the application effect of a bundled nursing strategy for multi-organ functional support in the management of post-cardiac arrest syndrome. Using a prospective cohort study design, 120 patients who successfully recovered from cardiac arrest in the intensive care unit of a tertiary hospital were selected and randomly divided into an intervention group and a control group. The intervention group received bundled nursing measures including target temperature management, circulatory support optimization, respiratory function maintenance, and renal function protection, while the control group received routine care. The results showed that the 28-day survival rate in the intervention group was significantly higher than that in the control group (P0.05), with a markedly reduced incidence of multiple organ dysfunction and shorter hospital stays. This study innovatively integrated the concept of multi-organ functional support with bundled nursing to develop a systematic care protocol, providing a scientific basis for clinical practice. The findings indicate that bundled nursing for multi-organ functional support can effectively improve the survival rate and quality of life of patients after cardiac arrest, demonstrating significant clinical promotion value.
Keywords: Post-Cardiac Arrest Syndrome; Multiple Organ Function Support; Bundle Of Care; 28-Day Survival Rate; Intensive Care Unit
目录
摘要 I
Abstract II
引言 1
1 心脏骤停后护理策略概述 1
1.1 心脏骤停后的病理生理特点 1
1.2 集束化护理策略的定义与意义 2
1.3 国内外研究现状分析 2
2 呼吸功能支持的集束化护理策略 2
2.1 呼吸支持技术的应用与优化 2
2.2 机械通气管理的关键措施 3
2.3 并发症预防与护理干预 3
3 循环功能支持的集束化护理策略 4
3.1 血流动力学监测与评估 4
3.2 血管活性药物的精准管理 4
3.3 心律失常的护理干预策略 5
4 多器官功能支持的整体护理策略 5
4.1 肾功能支持的护理措施 5
4.2 神经功能保护的护理方案 5
4.3 综合护理质量的提升路径 6
结论 6
参考文献 8
致谢 9
