观察采取肾上腺素及电除颤心肺复苏在心脏骤停患者中的有效性  

To Observe the Effectiveness of Epinephrine and Electrical Defibrillation Cardiopulmonary Resuscitation in Patients with Cardiac Arrest

作　　者：曹静 CAO Jing(Emergency Department of Internal Medicine,Tianjin Huanghe Hospital,Tianjin 300110)

机构地区：[1]天津市黄河医院内科急诊,天津300110

出　　处：《中国医疗器械信息》2020年第22期29-30,共2页China Medical Device Information

摘　　要：目的:探讨对心脏骤停患者采取肾上腺素、电除颤及心肺复苏的临床效果。方法:选择本院2018年4月~2019年5月诊治的20例心脏骤停患者,患者入院后均采用肾上腺素、电除颤及心肺复苏综合治疗方式,按照心肺复苏时间分为实验组与参照组,抢救时间在1min内为实验组,抢救时间超过1min为参照组;实验组11例,参照组9例,对比两组临床治疗情况及抢救成功率。结果:实验组抢救成功率(90.90%)高于参照组(33.33%),且实验组心脏骤停时间(0.83±0.19)min、抢救时间(25.56±13.87)min短于参照组(2.77±0.92)min、(60.54±7.67)min;实验组心肺复苏循环次数(18.33±5.89)次、电除颤次数(1.67±0.71)次、肾上腺素注射剂量(5.99±1.76)mg少于参照组(27.66±7.31)次、(3.96±0.89)次、(13.54±4.68)mg,组间存在明显差异,P<0.05。结论:对心脏骤停患者实施肾上腺素、心肺复苏、电除颤等治疗措施临床效果极佳,可有效提升心肺复苏成功率,提高患者存活率,减少病死率。Objective:To explore the clinical effects of adrenaline,electrical defibrillation and cardiopulmonary resuscitation in patients with cardiac arrest.Methods:Twenty patients with cardiac arrest who were diagnosed and treated in our hospital from April 2018 to May 2019 were selected.After admission,the patients were treated with adrenaline,electrical defibrillation,and cardiopulmonary resuscitation.They were divided into experimental groups and groups according to the time of cardiopulmonary resuscitation.In the reference group,the rescue time is within 1 minute as the experimental group,and the rescue time is more than 1 minute as the reference group;the experimental group has 11 cases and the reference group has 9 cases.The clinical treatment and rescue success rate of the two groups are compared.Results:The rescue success rate(90.90%)of the experimental group was higher than that of the reference group(33.33%),and the cardiac arrest time(0.83±0.19)min and rescue time(25.56±13.87)min of the experimental group were shorter than the reference group(2.77±0.92)min,(60.54±7.67)min;the number of cardiopulmonary resuscitation cycles in the experimental group was(18.33±5.89)times,the number of electrical defibrillation(1.67±0.71)times,the adrenaline injection dose(5.99±1.76)mg was less than the reference group(27.66±7.31)times,(3.96±0.89)times,(13.54±4.68)mg,there were significant differences between the groups,P<0.05.Conclusion:The clinical effects of adrenaline,cardiopulmonary resuscitation,electrical defibrillation and other treatment measures for patients with cardiac arrest are very effective,which can effectively increase the success rate of cardiopulmonary resuscitation,improve patient survival rate,and reduce mortality.

关 键 词：心脏骤停 肾上腺素 电除颤 心肺复苏 临床效果 

分 类 号：R541.78[医药卫生—心血管疾病]