The value of TCCD and ONSD on blood biochemical indexes,APACHEⅡ score and prognosis of cerebral resuscitation patients
Objective To analyze the value of transcranial color Doppler ultrasound (TCCD) and optic nerve sheath diameter (ONSD) monitoring on blood biochemical indexes,acute physiology and chronic health evaluation Ⅱ(APACHEⅡ) and prognosis of cerebral resuscitation patients.Methods Cerebral resuscitation patients with cardiac arrest who received TCCD combined with ONSD monitoring treatment at Changde First People's Hospital from January 2023 to December 2023 were selected as the study subject and categorized as the combination group (n=100).The control group (n=100) consisted of patients who received routine monitoring treatment during the same period.The blood biochemical parameters[white blood cell count (WBC),hemoglobin (HGB),creatine kinase (CK),creatine kinase isoenzyme (CK-MB),brain natriuretic peptide (BNP),serum creatinine (Scr),total bilirubin (TBIL),alanine aminotransferase (ALT) and prothrombin time (PT)]of the two groups were compared on the 1st day after admission and the 1st day before discharge.The APACHEⅡ score,sequential organ failure score (SOFA) and Glasgow Coma Score (GCS) on the first day after admission and the day before discharge were compared between the two groups.Results There were no significant differences in WBC,HGB,CK,CK-MB,BNP,Scr,TBIL,ALT,PT,APACHEⅡ,SOFA,and GCS scores between the combination group and the control group on the first day after admission (P>0.05).However,the WBC,HGB,CK,CK-MB,BNP,Scr,TBIL,ALT,PT levels and APACHEⅡ,SOFA,GCS scores of the combined group were better than those of the control group one day before discharge,and the difference was statistically significant (P<0.05).The incidence of adverse events in the combination group was lower than that in the control group,and the difference was statistically significant (x2=5.307,P<0.05).Conclusion TCCD combined with ONSD monitoring can improve the blood biochemical indexes and critical symptoms of patients undergoing cerebral resuscitation after cardiac arrest.This combination can also enhance the prognosis of patients.
万方数据
维普
