多巴胺联合肾上腺素对心脏骤停患者自主循环恢复率的影响  

Effect of dopamine combined with epinephrine on the recovery rate of spontaneous circulation in patients with cardiac arrest

作　　者：陆志强 Lu Zhiqiang(Jinzhou Emergency Medical Rescue Center,Jinzhou,Liaoning,121000,China)

机构地区：[1]锦州市紧急医疗救援中心,辽宁锦州121000

出　　处：《当代医学》2020年第25期69-71,共3页Contemporary Medicine

摘　　要：目的探讨多巴胺联合肾上腺素对心脏骤停患者自主循环恢复率的影响。方法选取2018年10月至2019年11月本急救中心收治的60例心脏骤停患者,依据随机数表法分为两组,各30例。对照组予以肾上腺素治疗辅以心肺复苏处理,观察组在对照组基础上加用盐酸多巴胺注射液静脉注射治疗。比较两组心肺复苏情况、自主循环及心电活动恢复情况以及复苏后不良反应发生情况。结果观察组心跳恢复时间、自主循环恢复时间以及意识恢复时间均短于对照组,差异有统计学意义(P<0.05);观察组自主循环恢复率及心电活动恢复率均高于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率较低于对照组,差异有统计学意义(P<0.05)。结论心脏骤停患者采用多巴胺联合肾上腺素治疗效果确切,可有效缩短患者心跳、自主循环恢复时间,提高自主循环恢复率,降低不良反应,利于改善患者预后,值得临床推广运用。Objective To investigate the effect of dopamine combined with epinephrine on the recovery rate of spontaneous circulation in patients with cardiac arrest.Methods 30 patients with cardiac arrest admitted to this emergency center from October 2018 to November 2019 were selected and divided into two groups according to the random number table method,with 30 cases in each group.The control group was treated with adrenaline supplemented with cardiopulmonary resuscitation.The observation group was treated with intravenous dopamine hydrochloride injection on the basis of the control group.The cardiopulmonary resuscitation,spontaneous circulation and recovery of cardiac electrical activity and the occurrence of adverse reactions after recovery were compared between the two groups.Results The recovery time of heartbeat,autonomic circulation and consciousness in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The recovery rate of autonomous circulation and ECG activity in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The treatment effect of dopamine combined with epinephrine in patients with sudden cardiac arrest is definite.It can effectively shorten the recovery time of heartbeat and spontaneous circulation,improve the recovery rate of spontaneous circulation,reduce adverse reactions,and improve the prognosis of patients.It is worthy of clinical promotion and application.

关 键 词：心脏骤停 多巴胺 肾上腺素 心肺复苏 自主循环 

分 类 号：R541.78[医药卫生—心血管疾病]