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

作　　者：凌进华[1] 

机构地区：[1]安徽省黄山市人民医院急诊科,245000

出　　处：《蚌埠医学院学报》2013年第9期1140-1142,共3页Journal of Bengbu Medical College

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1mg静脉推注（静推），3min后加用血管加压素40Iu静推的患者列入观察组，共32例；单用肾上腺素1mg静推者列入对照组，共35例。观察自主心率恢复时间、1h复苏有效例数、24h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、1h复苏有效率、24h复苏有效率均明显优于对照组（P〈0．05～P〈0．01），2组出院成活率差异无统计学意义（P〉0．05）。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1h复苏有效率、24h复苏有效率，但对出院成活率无明显影响。Objective：To 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 〉 O. 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.

关 键 词：心脏复苏 肾上腺素 血管加压素 

分 类 号：R605.974[医药卫生—急诊医学]