Effect of Abdominal Compression Cardiopulmonary Resuscitation Technique on Hemodynamics,Brain Function and Cardiac Enzymes in Patients with Cardiac Arrest
Objective:To investigate the effects of abdominal compression cardiopulmonary resuscitation on hemodynamics,brain function and cardiac enzymes in patients with cardiac arrest.Method:Ninety-four patients with cardiac arrest admitted to Xinyu People's Hospital from January 2021 to January 2023 were selected and divided into the control group(conventional cardiopulmonary resuscitation)and the observation group(abdominal compressional cardiopulmonary resuscitation technique)of 47 cases each by random number table method.The hemodynamics[heart rate(HR),mean arterial pressure(MAP),central venous pressure(CVP)],brain function[neuron-specific enolase(NSE),S100 protein(S100β),brain-derived neurotrophic factor(BDNF)],myocardial enzyme spectrum indexes[cardiac troponin(cTnI),lactate dehydrogenase(LDH),creatine kinase(CK)],oxygen metabolism indexes[internal jugular venous oxygen saturation(SjvO2),arterial-internal jugular vein oxygen difference(Ca-jvO2),cerebral oxygen extraction rate(ERO2)]and complications were compared between the two groups.Result:After 20 minutes of resuscitation,HR,MAP and CVP levels in the observation group were higher than those in the control group(P<0.05).After 1 hour of resuscitation,the levels of NSE and S100β in the control group were higher than those in the observation group,and BDNF was lower than that in the observation group(P<0.05).After 1 hour of resuscitation,the levels of cTnI,LDH and CK in the observation group were lower than those in the control group(P<0.05).After 24 hours of resuscitation,SjvO2,Ca-jvO2 and ERO2 levels in the control group were lower than those in the observation group(P<0.05).The rate of complication in the observation group was lower than that in the control group(P<0.05).Conclusion:Performing abdominal compression cardiopulmonary resuscitation on patients in cardiac arrest can improve patients'hemodynamics,protect their brain function,reduce myocardial injury and decrease the incidence of complications.
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