肾上腺素与血管加压素联合心肺复苏治疗心源性猝死患者的疗效  

Effect of Epinephrine and Vasopressin Combined with Cardiopulmonary Resuscitation in Patients with Sudden Cardiac Death

作　　者：陈端扬 郑福珍 CHEN Duan-yang;ZHENG Fu-zhen(Xiamen Medical Emergency Center,Fujian Xiamen 361000;Xiamen Second Hospital,Fujian Xiamen 361000)

机构地区：[1]厦门市医疗急救中心,福建厦门361000 [2]厦门市第二医院,福建厦门361000

出　　处：《深圳中西医结合杂志》2021年第23期119-121,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨肾上腺素与血管加压素联合心肺复苏在心源性猝死治疗中的应用价值。方法:选取厦门市医疗急救中心2019年1月至2021年1月收治的心源性猝死患者95例作为研究对象,根据治疗方案分为对照组(47例)与观察组(48例)。两组患者均给予心肺复苏,对照组给予肾上腺素,观察组在对照组基础上给予血管加压素。比较两组患者的疗效。结果:观察组患者心肺复苏有效率为89.58 %,较对照组的68.09 %更高,差异具有统计学意义(P<0.05)。观察组患者复苏时间各项指标均较对照组短,差异具有统计学意义(P<0.05)。观察组患者出院存活率为41.67 %(20/48),较对照组的19.15 %(9/47)高,差异具有统计学意义(P<0.05)。两组患者心肺复苏时、心肺复苏10 min与20 min后心率水平比较,差异均无统计学意义(P>0.05)。结论:肾上腺素与血管加压素联合心肺复苏治疗心源性猝死可缩短患者复苏时间,提高出院存活率。Objective To investigate the application value of epinephrine and vasopressin combined cardiopulmonary resuscitation (CPR) in patients with sudden cardiac death.Methods A total of 95 patients with sudden cardiac death admitted to Xiamen Medical Emergency Center from January 2019 to January 2021 were selected as the study subjects,and were divided into control group (47 cases) and observation group (48 cases) according to the treatment plan.Both groups were given CPR,the control group was given epinephrine,and the observation group was given vasopressin in addition to the control group.The efficacy of the two groups was compared.Results The effective rate of cardiopulmonary resuscitation in the observation group was 89.58%,higher than 68.9% in the control group,the difference was statistically significant (P < 0.05).The recovery time of the observation group was shorter than that of the control group,and the difference was statistically significant (P < 0.05).The survival rate of the observation group was 41.67% (20/48),which was higher than that of the control group 19.15% (9/47),and the difference was statistically significant (P < 0.05).There was no significant difference in heart rate between the two groups during CPR,10 min after CPR and 20 min after CPR (P > 0.05).Conclusion Epinephrine and vasopressin combined cardiopulmonary resuscitation can shorten the resuscitation time and improve the discharge survival rate of patients with sudden cardiac death.

关 键 词：心源性猝死 肾上腺素 血管加压素 心肺复苏 

分 类 号：R541.78[医药卫生—心血管疾病]