The Correlation Between Traditional Chinese Medical Syndrome,Partial Pressure Of Carbon Dioxide Of Post Cardiac Arrest Syndrome And Prognosis

ObjectiveTo explore the correlation between Traditional Chinese Medical syndrome of postcardiac arrest syndrome,arterial carbon dioxide partial pressure level and the prognosis of discharged neurological function,and the correlation between Yin-Yang syndrome and carbon dioxide partial pressure level.MethodsUsing retrospective cohort study,according to the inclusion and exclusion criteria,patients after ROSC(restoration of spontaneous circulation)were screened from Guangdong Provincial Chinese hospital electronic medical record system(October 2015-June 2020).Establish a database using SPSS 17.0 software for analysis.ResultsThis study included 30 patients,18 males and 12 females,with an average age of 71.00±12.59.According to the carbon dioxide partial pressure level,there were 4 cases in the PaCO2<30mmHg group(low group),13 cases in the 30mmHg≤PaCO2≤50mmHg group(medium group),and 13 cases in the PaCO2>50mmHg group(high group).There was no significant difference in gender,age,vital signs,blood routine indexes,coagulation function,liver function,renal function,cardiac enzyme indexes,oxygen partial pressure,SOFA score,APACHE Ⅱ score,CPC score and survival time after ROSC between groups with different carbon dioxide partial pressure levels(P>0.05).In the pH data,the difference between the middle group and the high group was statistically significant(P=0.038);in the lactic acid data,there was a statistically significant difference between the low carbon dioxide partial pressure group and the middle and high groups(P=0.008,0.037).There were 13 cases in the Yang syndrome group and 17 cases in the Yin syndrome group.There was no significant difference in gender,age,PH,partial pressure of oxygen,partial pressure of carbon dioxide,SOFA score,APACHE Ⅱ score,CPC score and survival time after ROSC between Yin and Yang dialectical groups(P>0.05).ConclusionThere was no significant correlation between Yin-Yang syndrome differentiation of post-cardiac arrest syndrome and neurological function prognosis in statistical analysis.There was no significant difference between different arterial carbon dioxide partial pressure levels and neurological prognosis.Low carbon dioxide partial pressure level had a worse trend of neurological prognosis.Patients with Yin syndrome are more likely to have low carbon dioxide partial pressure,but there is no significant difference in statistics between Yin-Yang syndrome and carbon dioxide partial pressure level.