心肺复苏后脑保护的护理核心策略与思考

doi:10.3761/j.issn.2096-7446.2025.07.004

摘要/Abstract

摘要：

心肺复苏（cardiopulmonary resuscitation，CPR）后脑保护是改善患者神经功能预后的关键策略，但其临床护理实践仍面临标准化不足的挑战。该文通过系统梳理国内外指南、共识及循证证据，从神经功能多模态评估、目标体温管理、血流动力学优化、高压氧促醒及数智化康复技术等维度，整合CPR后脑保护护理的核心策略。CPR后脑保护是基于动态监测的分层干预与多学科协作，可显著提升临床护理效能。未来需进一步构建标准化护理路径，并探索人工智能在神经预后中的应用，以推动CPR后脑保护护理的精准化实施与发展。

关键词: 心肺复苏, 脑保护, 护理现状, 发展与思考

Abstract:

Brain protection after cardiopulmonary resuscitation（CPR） is a key intervention strategy to improve the prognosis of neurological function of patients，but its clinical nursing practice still faces the challenge of insufficient standardization. By systematically reviewing domestic and foreign guidelines，consensus and evidence-based evidence，this paper integrates the core strategies of brain protection nursing after CPR from the dimensions of multimodal assessment of neurological function，targeted temperature management（TTM），hemodynamic optimization，hyperbaric oxygen awakening and digital intelligence rehabilitation technology. Studies have proposed that the hierarchical intervention model based on dynamic monitoring and multidisciplinary collaboration mechanism can significantly improve clinical nursing efficacy. In the future，it is necessary to further construct standardized nursing pathways and explore the application of artificial intelligence in neurological prognosis prediction，so as to promote the precise development of brain protection nursing after CPR.

Key words: Cardiopulmonary Resuscitation, Brain Protection, Current Status of Nursing, Development and Reflection

刘芳, 李梦楠, 郭昱妍, 曹笑柏, 王宇娇, 杨倩倩. 心肺复苏后脑保护的护理核心策略与思考[J]. 中华急危重症护理杂志, 2025, 6(7): 792-797.

LIU Fang, LI Mengnan, GUO Yuyan, CAO Xiaobai, WANG Yujiao, YANG Qianqian. Core strategies of nursing and reflection on brain protection after cardiopulmonary resuscitation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 792-797.

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