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中华脑血管病杂志(电子版) ›› 2021, Vol. 15 ›› Issue (05) : 293 -296. doi: 10.11817/j.issn.1673-9248.2021.05.004

所属专题: 指南共识

指南与规范

《2020年中国心脏骤停后脑保护专家共识》解读二:目标温度管理
杜兰芳1, 马青变1,()   
  1. 1. 100191 北京大学第三医院急诊科
  • 收稿日期:2021-05-01 出版日期:2021-10-09
  • 通信作者: 马青变

Interpretation of 2020 expert consensus statement on neuroprotection after cardiac arrest in China (Ⅱ): target temperature management

Lanfang Du1, Qingbian. Ma1,()   

  1. 1. Department of Emergency, Peking University Third Hospital, Beijing 100191, China
  • Received:2021-05-01 Published:2021-10-09
  • Corresponding author: Qingbian. Ma
引用本文:

杜兰芳, 马青变. 《2020年中国心脏骤停后脑保护专家共识》解读二:目标温度管理[J/OL]. 中华脑血管病杂志(电子版), 2021, 15(05): 293-296.

Lanfang Du, Qingbian. Ma. Interpretation of 2020 expert consensus statement on neuroprotection after cardiac arrest in China (Ⅱ): target temperature management[J/OL]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2021, 15(05): 293-296.

心脏骤停患者预后仍然不容乐观,复苏后脑损伤是致死致残的主要原因,因此,减轻脑损伤是心脏骤停患者治疗的重点。目标温度管理(TTM)是目前唯一被证实可以有效改善患者生存率和神经功能预后的干预措施,但调查研究表明,中国医务人员对于心脏骤停患者TTM的认知度和实践情况非常不理想。因此,为了提高急诊及危重症医师TTM的认知度,推动TTM在中国的进程及规范化应用,本文就《2020年中国心脏骤停后脑保护专家共识》中的TTM部分,并结合国际复苏指南进行解读,内容主要包括TTM脑保护机制、启动时机、降温方式、目标温度选择、持续时间及复温速率等。

The outcomes of cardiac arrest (CA) patients are still not optimistic. Severe brain damage after resuscitation is the main cause of death and neurological disability. Therefore, reducing brain injury is the key point of treatment in post CA syndrome. Target temperature management (TTM) is proved to be the only intervention that can effectively improve survival and neurological prognosis. However, a investigation published recently showed insufficient understanding and poor practice of TTM in CA patients in China. So it is of great significance to promote TTM awareness and translations of guidelines into standardized clinical practice in pre-hospital emergency medical systems, departments of emergency, intensive care units. We comprehensively interpreted the TTM part in 2020 expert consensus statement on neuroprotection after cardiac arrest in China and other international guidelines, mainly involved the neuroprotective mechanism, timing of initiation, target temperature, duration of the cooling phase, cooling methods and rewarming rate.

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