肾上腺素联合血管加压素在心肺复苏中的应用
The efficacy of adrenaline combined with vasopressin in cardiopulmonary resuscitation
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摘要: 目的:探讨肾上腺素联合血管加压素在心肺复苏中的应用效果。方法:选择67例符合入选条件的呼吸、心跳骤停患者。首剂用肾上腺素1 mg静脉推注(静推),3 min后加用血管加压素40 IU静推的患者列入观察组,共32例;单用肾上腺素1 mg静推者列入对照组,共35例。观察自主心率恢复时间、1 h复苏有效例数、24 h复苏成功例数、出院存活例数。结果:治疗组自主心率恢复时间、1 h复苏有效率、24 h复苏有效率均明显优于对照组(P0.05~P0.01),2组出院成活率差异无统计学意义(P0.05)。结论:在心肺复苏中,肾上腺素联合血管加压素能缩短自主心律恢复时间,提高1 h复苏有效率、24 h复苏有效率,但对出院成活率无明显影响。Abstract: ObjectiveTo explore the effects of adrenaline combined with vasopressin in cardiopulmonary resuscitation. Methods: The data of 67 cases with respiratory and cardiac arrest were retrospectively.All cases were divided into the treatment group( 42 cases)which were treated with the first dose of 1 mg adrenaline， and 40 IU vasopressin added after 3 minutes.In the control group( 35 cases)which were treated with 1 mg adrenaline.The spontaneous recovery time of heart rate， the effective recovery cases of 1 hour， the successful recovery cases of 24 hours and the survival cases after discharge of two groups were observed.Results: The spontaneous recovery time of heart rate， the effective recovery cases of 1 hour， the successful recovery cases of 24 hours of the treatmet group were obviously better than that of the control group( P 0.05) .There was no significantly statistical difference between the survival cases after discharge of two groups( P 0.05) . Conclusions: The treatment with adrenaline combined with vasopressin in cardiopulmonary resuscitation can short the recovery time of spontaneous cardiac rhythm， improve the recovery efficiency of 1 hour and 24 hours，but there was not significant effects on the survival cases after discharge between two groups
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