{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T07:19:50Z","timestamp":1767165590475,"version":"build-2238731810"},"reference-count":24,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T00:00:00Z","timestamp":1653523200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Evidence-Based Complementary and Alternative Medicine"],"published-print":{"date-parts":[[2022,5,26]]},"abstract":"<jats:p>\n                    Purpose. To study the effects of optimized emergency nursing combined with mild hypothermia nursing on neurological prognosis, hemodynamics, and cytokines in patients with cardiac arrest (CA). Methods. The medical records of 147 patients who were successfully rescued by cardiopulmonary resuscitation (CPR) after CA in our hospital were retrospectively analyzed. The 56 patients admitted in 2020 who received optimized emergency nursing were recorded as the control group; and the 91 patients admitted in 2021 who received optimized emergency nursing combined with mild hypothermia nursing were recorded as the study group. The brain function of the two groups at 72\u2009h after return of spontaneous circulation (ROSC) was analyzed: cerebral performance category (CPC) assessment method. The neurological function of the two groups before nursing and 7, 30, and 90\u2009d after nursing was analyzed: National Institutes of Health Stroke Scale (NISHH) score. The vital signs of the two groups after 24\u2009h of nursing were analyzed: heart rate, spontaneous breathing rate, and blood oxygen saturation. The hemodynamic indexes of the two groups at 24\u2009hours after nursing were analyzed: mean arterial pressure (MAP), central venous pressure (CVP), systolic blood pressure (SBP), and diastolic blood pressure (DBP). The levels of cytokines of the two groups before nursing and 7 days after nursing were analyzed: tumor necrosis factor-\u03b1 (TNF-\u03b1), interleukin-6 (IL-6), and interleukin-8 (IL-8). The incidence of complications and the incidence of postresuscitation syndrome (PRS) during the nursing period were compared between the two groups. Results. 72\u2009h after ROSC, the CPC results in the study group were slightly better than those in the control group, but there was no significant difference in the number of cases of CPC Grade 1, CPC Grade 2, CPC Grade 3, CPC Grade 4, and CPC Grade 5 between the two groups\n                    <jats:inline-formula>\n                      <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mfenced open=\"(\" close=\")\" separators=\"|\">\n                          <a:mrow>\n                            <a:mi>P<\/a:mi>\n                            <a:mo>&gt;<\/a:mo>\n                            <a:mn>0.05<\/a:mn>\n                          <\/a:mrow>\n                        <\/a:mfenced>\n                      <\/a:math>\n                    <\/jats:inline-formula>\n                    . Before nursing, there was no statistical difference in the NISHH total score between the two groups\n                    <jats:inline-formula>\n                      <f:math xmlns:f=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <f:mfenced open=\"(\" close=\")\" separators=\"|\">\n                          <f:mrow>\n                            <f:mi>P<\/f:mi>\n                            <f:mo>&gt;<\/f:mo>\n                            <f:mn>0.05<\/f:mn>\n                          <\/f:mrow>\n                        <\/f:mfenced>\n                      <\/f:math>\n                    <\/jats:inline-formula>\n                    . 7, 30, and 90\u2009d after nursing, the NISHH total score between the two groups were lower than those before nursing, and the study group\u2019s score was lower than the control group\u2019s\n                    <jats:inline-formula>\n                      <k:math xmlns:k=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <k:mfenced open=\"(\" close=\")\" separators=\"|\">\n                          <k:mrow>\n                            <k:mi>P<\/k:mi>\n                            <k:mo>&lt;<\/k:mo>\n                            <k:mn>0.05<\/k:mn>\n                          <\/k:mrow>\n                        <\/k:mfenced>\n                      <\/k:math>\n                    <\/jats:inline-formula>\n                    . 24\u2009h after nursing, the heart rate and spontaneous breathing rate of the study group were lower than those of the control group\n                    <jats:inline-formula>\n                      <p:math xmlns:p=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                        <p:mfenced open=\"(\" close=\")\" separators=\"|\">\n                          <p:mrow>\n                            <p:mi>P<\/p:mi>\n                            <p:mo>&lt;<\/p:mo>\n                            <p:mn>0.05<\/p:mn>\n                          <\/p:mrow>\n                        <\/p:mfenced>\n                      <\/p:math>\n                    <\/jats:inline-formula>\n                    , and there was no significant difference in blood oxygen saturation between the two groups\n                    <jats:inline-formula>\n                      <u:math xmlns:u=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\">\n                        <u:mfenced open=\"(\" close=\")\" separators=\"|\">\n                          <u:mrow>\n                            <u:mi>P<\/u:mi>\n                            <u:mo>&gt;<\/u:mo>\n                            <u:mn>0.05<\/u:mn>\n                          <\/u:mrow>\n                        <\/u:mfenced>\n                      <\/u:math>\n                    <\/jats:inline-formula>\n                    . 24\u2009h after nursing, there was no significant difference in MAP, CVP, SBP, and DBP between the two groups\n                    <jats:inline-formula>\n                      <z:math xmlns:z=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M6\">\n                        <z:mfenced open=\"(\" close=\")\" separators=\"|\">\n                          <z:mrow>\n                            <z:mi>P<\/z:mi>\n                            <z:mo>&gt;<\/z:mo>\n                            <z:mn>0.05<\/z:mn>\n                          <\/z:mrow>\n                        <\/z:mfenced>\n                      <\/z:math>\n                    <\/jats:inline-formula>\n                    . Before nursing, there was no significant difference in the levels of TNF-\u03b1, IL-6, and IL-8 between the two groups\n                    <jats:inline-formula>\n                      <eb:math xmlns:eb=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M7\">\n                        <eb:mfenced open=\"(\" close=\")\" separators=\"|\">\n                          <eb:mrow>\n                            <eb:mi>P<\/eb:mi>\n                            <eb:mo>&gt;<\/eb:mo>\n                            <eb:mn>0.05<\/eb:mn>\n                          <\/eb:mrow>\n                        <\/eb:mfenced>\n                      <\/eb:math>\n                    <\/jats:inline-formula>\n                    . 7\u2009d after nursing, the levels of TNF-\u03b1, IL-6, and IL-8 between the two groups were lower than those before nursing, and the levels of the study group were lower than those of the control group\n                    <jats:inline-formula>\n                      <jb:math xmlns:jb=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M8\">\n                        <jb:mfenced open=\"(\" close=\")\" separators=\"|\">\n                          <jb:mrow>\n                            <jb:mi>P<\/jb:mi>\n                            <jb:mo>&lt;<\/jb:mo>\n                            <jb:mn>0.05<\/jb:mn>\n                          <\/jb:mrow>\n                        <\/jb:mfenced>\n                      <\/jb:math>\n                    <\/jats:inline-formula>\n                    . During the nursing period, the total complication rates of the control group and the study group were 55.36% and 34.07%, respectively, with statistical difference\n                    <jats:inline-formula>\n                      <ob:math xmlns:ob=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M9\">\n                        <ob:mfenced open=\"(\" close=\")\" separators=\"|\">\n                          <ob:mrow>\n                            <ob:mi>P<\/ob:mi>\n                            <ob:mo>&lt;<\/ob:mo>\n                            <ob:mn>0.05<\/ob:mn>\n                          <\/ob:mrow>\n                        <\/ob:mfenced>\n                      <\/ob:math>\n                    <\/jats:inline-formula>\n                    . During the nursing period, the incidences of PRS in the control group and the study group were 12.50% and 3.30%, respectively, with significant difference\n                    <jats:inline-formula>\n                      <tb:math xmlns:tb=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M10\">\n                        <tb:mfenced open=\"(\" close=\")\" separators=\"|\">\n                          <tb:mrow>\n                            <tb:mi>P<\/tb:mi>\n                            <tb:mo>&lt;<\/tb:mo>\n                            <tb:mn>0.05<\/tb:mn>\n                          <\/tb:mrow>\n                        <\/tb:mfenced>\n                      <\/tb:math>\n                    <\/jats:inline-formula>\n                    . Conclusion. The application of optimized emergency nursing combined with mild hypothermia nursing in CA can effectively improve the neurological prognosis and inflammatory levels of patients and reduce the incidence of body complications and PRS.\n                  <\/jats:p>","DOI":"10.1155\/2022\/1787312","type":"journal-article","created":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T19:35:14Z","timestamp":1653593714000},"page":"1-7","source":"Crossref","is-referenced-by-count":1,"title":["Study on the Effects of Optimized Emergency Nursing Combined with Mild Hypothermia Nursing on Neurological Prognosis, Hemodynamics, and Cytokines in Patients with Cardiac Arrest"],"prefix":"10.1155","volume":"2022","author":[{"given":"Xiaoxia","family":"Wang","sequence":"first","affiliation":[{"name":"The First Affiliated Hospital, Department of Pediatrics Emergency Medicine, Hengyang Medical School, University of South China, Hengyang, Hunan 421001, 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