血管加压素并用肾上腺素在心肺复苏中的疗效分析  

Analysis of efficacy of Vasopressin combined with Epinephrine in the treatment of cardiopulmonary resuscitation

作　　者：张明[1] 葛海明[1] 陶旭[1] 

机构地区：[1]江苏省南通市红十字救护中心,江苏南通226006

出　　处：《中国医药导报》2010年第9期54-55,共2页China Medical Herald

摘　　要：目的:探讨血管加压素联合肾上腺素在心肺复苏中的疗效。方法:146例呼吸心跳骤停患者随机分为肾上腺素组(对照组)75例和血管加压素联合肾上腺素组(治疗组)71例,观察自主心律恢复时间、1h及24h有效率、出院存活率,并进行统计学处理。结果:自主心律恢复时间、1h及24h有效率、出院存活率在治疗组分别为(10.2±3.1)min、74.7%、52.0%、30.7%,在对照组为(20.8±4.8)min、47.9%、16.7%、8.5%,两组比较,差异有统计学意义(P<0.05)。结论:心肺复苏中用血管加压素联合肾上腺素明显缩短自主心律恢复时间,明显提高1h、24h有效率及出院存活率。Objective： To evaluate the therapeutic effects of Vasopressin and Epinephrine in the treatment of cardiopulmonary resuscitation. Methods： 146 case of respiratory cardiac arrest patients were randomly divided into Epinephrine group （control group, n=75） and Vasopressin joint Epinephrine group （treatment group, n=71）. The recovery time of sponta- neous cardiac rhythm, the effective rate in 1 h and 24 h, the out-hospital survival rate were monitored in each group and processed statistically. Results： The average recovery time of spontaneous cardiac rhythm, the effective rate in 1 hour and 24 hour, the out-hospital survival rate in the treatment group were （10.2±3.1） min,74.7%,52.0%,30.7% and in the control group were （20.8±4.8） min,47.9%,16.7%,8.5%, the difference was significant between the two groups （P〈0.05）. Conclusion： Vasopressin combined with Epinephrine in the treatment of cardiopulmonary resuscitation can shorten the average recovery time of spontaneous cardiac rhythm, elevate obviously the effective rate in 1 h and 24 h, and the out-hospital sur - vival.

关 键 词：心肺复苏 血管加压素 肾上腺素 

分 类 号：R605.975[医药卫生—急诊医学]