影响ICU患者心肺复苏后神经功能预后的因素分析

摘要

Objective: Clinical analysis of prognostic factors on nerve function of ICU patients after cardiopulmonary resuscitation. Method: Collecting 58 cases in ICU from January 2007 to December 2011. Subjects were divided by CPC score into the good prognosis nerve function group ( n = 17 ) and poor and death group ( n = 41 ), and then analyzing prognosis factors of two groups by the SOFA score, Glasgow Coma Scale ( GCS ) score. Result: There were significant difference ( P <0.05 ) between two groups in hypotension, coagulation disorders, acid-base disorders and enteral nutrition recovery status within 48 hours. Total SOFA score and GCS score were significant different between two groups on 2hours to 24hours, 24hours to 3 days 3 days to lweek after resuscitation. Conclusion: Hypotension, coagulation disorders, acid-base disorders , enteral nutrition recovery status within 48 hours were important factors affecting the neurological outcome after cardiopulmonary resuscitation of ICU patients. SOFA score and GCS score can be used for the e-valuation of neurological outcomes in patients with cardiopulmonary resuscitation.%目的:对影响ICU心肺复苏后神经功能预后的因素进行临床分析.方法:收集2007年1月至2011年12月我院ICU住院病例58例资料.CPC评分将研究对象分为神经功能预后良好组(n=17)和预后功能较差及死亡组(n=41),通过SOFA评分、格拉斯哥昏迷评分量表(GCS)评分分析影响两组预后的因素.结果:复苏后48h内低血压、凝血功能障碍、酸碱紊乱及肠内营养恢复在两组中均存在统计学差异(P<0.05).复苏后2h-24h、24h-3d、3d至1周的总SOFA评分与GCS评分在两组中存在统计学差异.结论:复苏后48h内低血压、凝血功能障碍、酸碱紊乱及肠内营养恢复是影响ICU患者心肺复苏后神经功能预后的重要因素.SOFA评分与GCS评分可用于评价患者心肺复苏后神经功能预后.