摘要
目的探讨心肺复苏联合临时心脏起搏器、胺碘酮在呼吸心跳骤停抢救中的作用。方法选取2016年9月至2018年1月在高州市人民医院急诊科治疗的74例呼吸心跳骤停患者,随机分为对照组和实验组,每组37例。对照组给予心肺复苏联合临时心脏起搏器治疗,实验组应用心肺复苏、临时心脏起搏器联合胺碘酮治疗,观察比较两组患者自主循环恢复时间及生存率。结果实验组自主心率恢复时间为(8.21±1.25)min,自主呼吸恢复时间为(91.86±21.85)min,意识改善时间为(34.51±5.97)min,少于对照组的(14.68±2.53)、(129.57±34.69)、(55.27±7.63)min(P<0.05);实验组24h存活率为56.76%,出院存活率为45.95%,高于对照组的37.83%、24.32%(P<0.05)。结论针对呼吸心跳骤停患者应用心肺复苏、临时心脏起搏器联合胺碘酮治疗可提高救治成功率,促进患者恢复,值得推广应用。
Objective To investigate the effects of cardiopulmonary resuscitation(CPR)combined with temporary cardiac pacemaker and amiodarone on rescue of respiratory and cardiac arrest.Methods Seventy-four patients with respiratory and cardiac arrest who were treated in Gaozhou People’s Hospital from September 2016 to January 2018 were selected.And they were randomly divided into control group and experimental group,with 37 cases in each group.Patients in control group were treated by CPR combined with temporary cardiac pacemaker,while patients in experimental group were treated by CPR and temporary cardiac pacemaker combined with amiodarone.The time of spontaneous circulation restoration and survival rate of the two groups were observed and compared.Results The recovery time of spontaneous heart rate,spontaneous breathing and consciousness in experimental group were(8.21±1.25)min,(91.86±21.85)min,(34.51±5.97)min,which were shorter than those in control group,(14.68±2.53)min,(129.57±34.69)min,(55.27±7.63)min(P<0.05).The 24 h survival rate was 56.76%and the survival rate after discharge was 45.95%in experimental group,which were significantly higher than those in control group(37.83%,24.32%),P<0.05.Conclusions Cardiopulmonary resuscitation,temporary cardiac pacemaker combined with amiodarone can improve the success rate of treatment and promote the recovery of patients with respiratory and cardiac arrest,which is worthy of popularization and application.
作者
陈南成
黄安恒
高海庆
Chen Nancheng;Huang Anheng;Gao Haiqing(Department of Emergency,Gaozhou People's Hospital,Guangdong 525200,China)
出处
《中国实用医刊》
2019年第3期83-85,共3页
Chinese Journal of Practical Medicine
关键词
心肺复苏
临时心脏起搏器
胺碘酮
呼吸
心跳骤停
Cardiopulmonary resuscitation
Temporary cardiac pacemaker
Amiodarone
Respiration
Cardiac arrest
