联合应用药物加超长时程心肺复苏的疗效分析  

Efficacy analysis of drug combination and long time cardiopulmonary resuscitation

作　　者：洪充 吴小良[2] 彭晓东[2] 

机构地区：[1]广东省雷州市祥瑞骨科医院内科,524200 [2]广东医学院附属医院急救中心

出　　处：《中国现代医药杂志》2013年第11期38-40,共3页Modern Medicine Journal of China

摘　　要：目的探讨联合应用肾上腺素、多巴胺和多巴酚丁胺,并且进行超长时程心肺复苏(CPR)的临床疗效。方法将91例心搏骤停患者随机分为4组:对照组(肾上腺素组)、治疗Ⅰ组(肾上腺素+超长CPR)、治疗Ⅱ组(肾上腺素+多巴胺+多巴酚丁胺)、治疗Ⅲ组(肾上腺素+多巴胺+多巴酚丁胺+超长CPR),分别观察比较各组的自主循环恢复率、24h存活率及出院存活率。结果治疗Ⅲ组的自主循环恢复率、24h存活率、出院存活率明显高于对照组(P<0.01或P<0.05)。结论联合应用肾上腺素、多巴胺和多巴酚丁胺,并且进行超长时程CPR可提高CPR的成功率。Objective To explore the clinical effect of epinephrine combined with dobutamine,dopamine and long time cardiopulmonary resuscitation （CPR）. Methods 91 patients with cardiac arrest were randomly divided into control group （epinephrine group） ,treatment group I （epinephrine ＋ long time CPR group） ,treatment group Ⅱ （epinephrine ＋ dopamine ＋ dobutamine group） and treatment group Ⅲ （epinephrine ＋ dopamine ＋ dobutamine ＋ long time CPR group）. Spontaneous circu- lation recovery rate, 24h survival rate and discharge survival rate were observed and compared among different groups. Results Spontaneous circulation recovery rate, 24h survival rate and discharge survival rate in treatment group Ⅲ were significantly high- er than those of control group （P〈0.01 or P〈0.05）. Conclusion The combination of epinephrine,dobutamine,dopamine and long time CPR may significantly increase the success rates of CPR.

关 键 词：心脏骤停 超长时程心肺复苏 肾上腺素 多巴酚丁胺 多巴胺 

分 类 号：R459.7[医药卫生—急诊医学]