心肺复苏期间无创生理指标监测的范围综述

doi:10.3761/j.issn.2096-7446.2026.11.006

摘要/Abstract

摘要：

目的综述心肺复苏期间无创生理指标监测的研究，明确无创生理监测技术在复苏质量评估、自主循环恢复和患者预后判断中的临床价值，为临床实践与研究提供参考。方法以范围综述指南结合综述范围界定扩展版（PRISMA-ScR）为方法学框架，检索PubMed、Web of Science、Scopus、中国知网、万方数据库等关于心肺复苏期间无创生理监测指标的相关研究。检索时限为2020年1月—2025年5月。对纳入的研究进行数据提取和汇总。结果共纳入37篇文献，涵盖呼气末二氧化碳监测、超声、近红外光谱监测等无创技术。呼气末二氧化碳和脑氧饱和度与自主循环恢复率显著相关，超声技术可实时评估心肺复苏质量，并且有助于尽早发现心搏骤停原因。结论无创生理指标监测在心肺复苏期间具有重要临床价值，但仍需更多高质量研究验证其标准化应用及预后关联。

关键词: 心肺复苏, 无创监测, 生理指标, 范围综述

Abstract:

Objective This review summarized research on non-invasive physiological monitoring during cardiopulmonary resuscitation（CPR），to identify the clinical value of these techniques in evaluating resuscitation quality，predicting return of spontaneous circulation，and assessing patient prognosis，with the aim of informing clinical practice and future research. Methods The methodology framework adopted was the scope review guideline combined with the expanded version of the scope definition for systematic reviews（PRISMA-ScR）. We searched the PubMed，Web of Science，Scopus，China National Knowledge Infrastructure（CNKI），Wanfang，and other databases for studies on non-invasive physiological monitoring indicators during CPR. The search period was from January 2020 to May 2025. Data were extracted and summarized from the included studies. Results A total of 37 articles were included，covering non-invasive technologies such as end-tidal carbon dioxide（ETCO₂） monitoring，ultrasound，and near-infrared spectroscopy（NIRS） monitoring. ETCO₂ and cerebral oxygen saturation were significantly associated with the rate of return of spontaneous circulation（ROSC）. Ultrasound technology can assess the quality of CPR in real-time and is helpful in identifying the causes of cardiac arrest as early as possible. Conclusion Non-invasive physiological monitoring has important clinical value during CPR. However，more high-quality studies are needed to validate its standardized application and prognostic associations.

Key words: Cardiopulmonary Resuscitation, Non-Invasive Monitoring, Physiological Indicators, Scoping Review

林高兴, 张玉坤, 王飒, 王美玲, 王钰炜. 心肺复苏期间无创生理指标监测的范围综述[J]. 中华急危重症护理杂志, 2026, 7(11): 1319-1326.

LIN Gaoxing, ZHANG Yukun, WANG Sa, WANG Meiling, WANG Yuwei. A scoping review on non-invasive physiological monitoring during cardiopulmonary resuscitation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(11): 1319-1326.

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