心肺复苏中使用乌司他丁的效果观察  

Effect of ulinastatin in cardiopulmonary resuscitated patients

作　　者：韩智群[1] 林冬平[1] 单志刚[1] 李学斌[1] 刘凤慧[1] 

机构地区：[1]北京军区总医院263临床部急诊科,101149

出　　处：《中国医师进修杂志（内科版）》2007年第2期29-30,39,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的观察乌司他丁对心跳呼吸骤停患者的治疗效果，评价其在心肺复苏中的临床应用价值。方法将44例心跳呼吸骤停患者随机分为对照组（21例）和乌司他丁治疗组（简称治疗组，23例）。对照组患者仪进行标准心肺复苏，治疗组除了进行标准心肺复苏外。还使用了乌司他丁。观察两组患者自主循环恢复、自主呼吸恢复、心肺复苏成功和存活情况及自主循环恢复时间、自主呼吸恢复时间。结果治疗组的自主循环恢复牢（60．9％）、自主呼吸恢复率（47．8％）、心肺复苏成功率（34．8％）和存活率（26．1％）均高于对照组（分别为42．9％、28．6％、19．0％、14．3％）；而且治疗组的自主循环和自主呼吸恢复时间比对照组短，P〈0．05。结论心跳呼吸骤停患者心肺复苏中使用乌司他丁有一定的积极意义。’Objective To study the effect of administration of ulinastatin in eardiopulmonary resuscitation. Methods Forty-four patients with cardiac and respiratory sudden arrest were divided into therapy group （23 cases） and cont,vl group （21 cases ） randomly. Patients in the control group were treated with sole standard cardiopulmonary resuscitation（CPR）, while patients in the therapy group were treated with administration of ulinastatin combined with CPR. The rate of autonomous circulation and respiration restoration, the successful rate of resuscitation, the survival rate, the average time of autonomous circulation and respiration resuscitation were monitored in each group. Results The rate of autonomous circulation and respiration restoration,the successfld rate of resuscitation and the survival rate in the therapy group were significantly higher than those in the control group （P 〈 0.05 ）, the average time of autonomous circulation and respiration resuscitation were significantly shorter than those in the control group at the same time（P〈 0.05）. Conclusion The administration of uhnastatin may significantly increase the rate of autonomous circulation and respiration restoration, the successful rate of resuscitation and the survival rate, shorten the average time of autonomous circulation and respiration resuscitation during cardiopulmona.ry resuscitation.

关 键 词：心肺复苏术 心跳呼吸骤停 乌司他丁 

分 类 号：R605.974[医药卫生—急诊医学]