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
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陈端扬,男,主治医师,主要研究方向是急救医学。

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R 541.7+ 8

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

    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。

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    AbstractObjective 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.

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  • 收稿日期:2021-10-13
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  • 在线发布日期: 2023-07-20
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