目的：探讨集中护理管理模式对心源性心脏骤停心肺复苏患者应激反应的影响。方法将78例心源性心脏骤停患者随机分为观察组和对照组各39例。两组均给予“ABC”常规复苏方法，在围复苏期，对照组给予常规护理，观察组给予集中护理管理模式。观察并比较两组患者的复苏效果、血气分析、血清应激炎症因子含量及预后。结果两组复苏总成功率比较差异无统计学意义（P＞0.05），但观察组复苏60 min成功的比例明显高于对照组，而复苏成功的消耗时间明显少于对照组，差异均有统计学意义（ P＜0.05）。两组复苏开始时的收缩期动脉血压（SBP）和血氧饱和度（SaO2）、血清IL－6和IL－8含量比较差异无统计学意义（P＞0.05），复苏开始后30、60 min观察组SBP与SaO2明显高于对照组，血清IL－6和IL－8含量明显低于对照组，差异均有统计学意义（P＜0.05）。观察组的预后良好率明显高于对照组，而病死率明显低于对照组，差异均有统计学意义（P＜0.05）。结论集中护理管理模式应用于心源性心脏骤停心肺复苏患者，能有效减轻应激反应，改善血气指标，促进患者的复苏，从而提高预后总体疗效。%Objective To investigate the effects of intensive care management model on the stress response of cardiac arrest patients receiving cardiac resuscitation .Methods Seventy-eight cardiac arrest patients accepting cardiac resuscitation were randomly divided into treatment group and control group ( n=39 ) .All patients received "ABC"con-ventional recovery;subsequent routine care and intensive care management model were given to those in control group and treatment group , respectively .The cardiac resuscitation , blood gas analysis , contents of serum inflammatory factors of stress, and prognosis between the two groups were compared .Results There was no significant difference in the success rates of recovery between the two groups;however, significant higher 60 min success rate and shortened recovery time were observed in treatment group (P<0.05).There was no significant difference in baseline SBP , SaO2, serum IL-6 and IL-8 between the two groups .Thirty and 60 min after recovery , the SBP and SaO 2 of the treatment group were significant-ly higher, with significantly lower serum IL-6 and IL-8 levels than those of the control group (P<0.05).Significantly better prognosis, with lower mortality was observed in the treatment group (P<0.05).Conclusion The intensive care management model applied for cardiac resuscitation of cardiac arrest patients can be effectively reduce stress , improve blood gas analysis , and promote the recovery of the patients , thereby enhances the overall efficacy outcome .
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