目標溫控治療於心跳停止經復甦後恢復自發性循環病人之臨床運用

Using Targeted Temperature Therapy for Patients who Regain Spontaneous Circulation Following Cardiac Arrest Resuscitation

10.6530/YYN.202211_16(3).0004

黃宥瑄(Yu-Hsuan Huang)；戴如君(Ru-Chun Tai)；李淑燕(Shu-Yen Lee)

目標溫控治療 ； 低溫療法 ； 心跳停止 ； targeted temperature management ； therapeutic hypothermia ； cardiac arrest

源遠護理

16卷3期（2022 / 11 / 01）

25 - 30

繁體中文;英文

目標溫控治療（targeted temperature management），又稱低溫療法（therapeutic hypothermia），可改善心跳停止經復甦後恢復自發性循環病人的神經學預後並降低死亡率，被列為復甦後照護的重要一環。然而，不同的降溫方式、設定的目標溫度以及回溫速率都會影響病人對於治療的反應及預後。本文將藉由文獻查證，介紹目標溫控治療的類型及測量方式、使用對象、不同治療分期、合併症以及護理等，期能提供國內臨床相關醫療人員在照護心跳停止經急救復甦後介入目標溫控治療之參考。

Targeted temperature management (TTM), also known as therapeutic hypothermia, can improve the neurological prognosis and reduce mortality among patients with spontaneous circulation following a cardiac arrest resuscitation, is considered a crucial component of post-resuscitation care., There are various cooling methods, fixed target temperatures, and warming rates can influence patients' response to treatment and prognosis. The authors conducted a literature review to introduce the types of targeted temperature management, methods, treatment stages, complications, and related nursing care. The findings of this study can form the basis for health care professionals to understand the goal of interventional targeted temperature management following cardiac arrest resuscitation.

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