心肺复苏中肾上腺素使用剂量的临床探讨  

Study on the amount of adrenaline in cardiopulmonary resuscitation

作　　者：余海佳 李法良[1] 宋慧慧[1] 张明[1] Yu Haijia;Li Faliang;Song Huihui;Zhang Ming(Department of Emergency,Henan Provincial People’s Hospital,Zhengzhou 475200,China)

机构地区：[1]河南省人民医院急诊科,郑州475200

出　　处：《临床医学》2020年第3期10-12,共3页Clinical Medicine

摘　　要：目的探讨心肺复苏(CPR)中不同肾上腺素用量的临床效果。方法选取2017年9月至2019年8月在河南省人民医院急诊科进行CPR抢救的280例患者,对其基本资料、肾上腺素累计用量、CPR结局等资料进行分析。结果CPR结局与患者肾上腺素累计用量具有相关性,肾上腺素累计用量≤5 mg的患者获得非自主循环恢复的可能性更大(P<0.05);CPR后存活与患者心脏骤停的病因、肾上腺素累计用量有关,心源性心脏骤停、肾上腺素累计用量≤5 mg的患者CPR后存活可能性更大(P<0.05)。结论肾上腺素累计用量与CPR结局密切相关,可将CPR肾上腺素累计用量>5 mg作为停止复苏的参考依据。Objective To investigate the clinical effect of different dosage of adrenaline on cardiopulmonary resuscitation(CPR).Methods A total of 280 patients who underwent CPR rescue in the emergency department of Henan Provincial People’s Hospital from September 2017 to August 1919 were enrolled.The basic data,cumulative amount of adrenaline,and CPR outcome were analyzed.Results The CPR outcome was correlated with the cumulative amount of adrenaline in patients.The cumulative dose of adrenaline≤5 mg was more likely to be obtained by patients with R0 SC(P<0.05).Survival after CPR was related to the etiology of CA and the cumulative amount of adrenaline.Patients with sexual CA and adrenaline≤5 mg were more likely to survive after CPR(P<0.05).Conclusions The cumulative dose of epinephrine is closely correlated with the outcome of CPR.The cumulative dose of epinephrine in CPR>5 mg can be used as a reference for stopping resuscitation.

关 键 词：肾上腺素用量 心肺复苏 结局 

分 类 号：R459.7[医药卫生—急诊医学]