Objectives To explore the efficacy of point of care ultrasound in the treatment of patients during periresusci-tative period.Methods A total of 309 patients in the periresuscitative period admitted to the emergency intensive care unite(ICU)of Yichang Central People's Hospital from January 2020 to October 2022 were collected by a non-randomized controlled study,including 173 patients who used ultrasound during resuscitation and not in 136 patients.Both groups were given conventional bundle therapy.The general information and clinical observation indicators of the two groups were collected and compared.Results Compared to non-ultrasound group,the success rate of resuscitation for the first time,success rate of cerebral resuscitation,28-day survival rate and correct diagnosis rate were higher in ultrasound group[76.7%vs.60.3%,84.7%vs.72.1%,74.6%vs.58.8%,65.9%vs.40.4%],with statistical significance(P<0.05).The correct diagnosis duration and mechanical ventilation duration in ultrasound group were shorter than those in non-ultrasound group[(14.76±1.89)min vs.(36.20±4.75)min,(97.5±22.10)h vs.(155.93±19.71)h],and the differences were statistically significant(P<0.05).The APACHE-Ⅱscore at ICU discharge of ultrasound group was lower than that of non-ultrasound group[(14.85±2.46)scores vs.(22.50±2.62)scores],and the difference was statistically significant(P<0.05).Although the evaluation duration of ultrasound group were longer than those of control group[(7.76±3.65)s vs.(7.43±0.53)s],the resuscitation duration of ultrasound group were shorter than those of non-ultrasound group[(16.42±7.15)s vs.(18.04±4.20)s],the etiological diagnosis rate was higher than that of non-ultrasound group[90.8%vs.87.5%],and the incidence of epilepsy was lower than that of non-ultrasound group[12.7%vs.19.1%],the differences were not statistically significant(P<0.05).Conclusions The use of point-of-care ultrasound can rapidly screen patients in the periresuscitative period,early detect the cause of disease,so that patients can get timely and accurate treatment,shorten the duration of mechanical ventilation,reduce the length of hospital stay,reduce hospitalization expenses,improve survival rate and prognosis.
关键词
床旁即时超声/围复苏期/重症监护病房
Key words
point of care ultrasound/periresuscitative period/intensive care unite
维普
万方数据