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关合应用氨茶碱与肾上腺素在心肺复苏中能临床效果
引用本文:孙远新.关合应用氨茶碱与肾上腺素在心肺复苏中能临床效果[J].中国现代医生,2013(14):68-70.
作者姓名:孙远新
作者单位:沈阳急救中心培训科,辽宁沈阳110006
摘    要:目的探讨在心肺复苏中快速同步联用氨茶碱与肾上腺素的临床效果。方法回顾性分析90例在我院急诊科进行心肺复苏患者的临床资料。其中30例患者在心肺复苏中快速同步联用氨茶碱和肾上腺素抢救为联合组。30例患者使用大剂量肾上腺素抢救为大剂量组。30例患者使用标准剂量肾上腺素抢救为标准剂量组。比较三组复苏疗效以及自主循环恢复的时间和格拉斯哥昏迷评分结果。结果联合组自主循环恢复率、24h存活率、存活出院率均显著高于常规组(P〈0.05)。联合组自主循环恢复时间短于常规组和大剂量组,格拉斯哥昏迷评分高于常规组(P均〈0.05)。结论在心肺复苏中联合使用氨茶碱和肾上腺素能够提高自主循环恢复率、24h存活率和存活出院率。

关 键 词:心肺复苏  氨茶碱  肾上腺素

Clinical efficacy of combined aminophylline with epinephrine for cardio-pulmonary resuscitation
Authors:SUN Yuanxin
Institution:SUN Yuanxin( Training Section, Shenyang Emergency Center, Shenyang 110006, China)
Abstract:Objective To discuss clinical efficacy of combined aminophylline with epinephrine for cardio-pulmonary resuscitation. Methods Retrospective analyzed clinical data of 90 cases who received CPR. 30 cases treated combined aminophylline with epinephrine in CRP as combined group. 30 cases treated by large dose of epinephrine, 30 cases treated by normal dose of epinephrine. Clinical efficacy and spontaneous circulation recovery time, GCS were compared in 3 groups. Results Spontaneous circulation recovery rate, 24 h survival rate, hospital survival rate of combined group were higher than normal dose group (P 〈 0.05). Spontaneous circulation recovery time shorter than normal dose group, and GCS higher than normal group (P 〈 0.05). Conclusion Combined aminophylline with epinephrine for cardio-pulmonary resuscitation can improve spontaneous circulation recovery rate, 24 h survival rate and hospital survival rate
Keywords:Cardio-pulmonary resuscitation  Aminophylline  Epinephrine
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