CAJ | 학술논문

目的探讨氨茶碱联用肾上腺素在心肺复苏早期的临床疗效.方法 40例心脏骤停患者,随机分为两组:氨茶碱组(n=20)心肺复苏时给予氨茶碱和肾上腺素联合用药,对照组(n=20)心肺复苏时单用肾上腺素治疗,其它复苏用药两组相同,比较两组患者的心电活动和自主循环恢复情况及存活出院率.结果与对照组比较,氨茶碱组自主循环恢复率和24 h存活率提高(P<0.01),自主循环和自主呼吸的恢复时间明显缩短、持续时间明显延长(P<0.01).结论氨茶碱联用肾上腺素明显促进心脏骤停患者自主循环和自主呼吸的恢复,并能维持其稳定.
목적 탐토안다감련용신상선소재심폐복소조기적림상료효.방법 40례심장취정환자,수궤분위량조:안다감조(n=20)심폐복소시급여안다감화신상선소연합용약,대조조(n=20)심폐복소시단용신상선소치료,기타복소용약량조상동,비교량조환자적심전활동화자주순배회복정황급존활출원솔.결과 여대조조비교,안다감조자주순배회복솔화24 h존활솔제고(P<0.01),자주순배화자주호흡적회복시간명현축단、지속시간명현연장(P<0.01).결론 안다감련용신상선소명현촉진심장취정환자자주순배화자주호흡적회복,병능유지기은정.
Objective To explore clinical effects of aminophylline combined with epinephrine during the early stage of cardiopulmonary resuscitation.Methods 40 patients of sudden cardiac arrest were divided into aminophylline group(n=20)and control group(n=20)at random,the former received aminophylline and epinephrine earlier,the latter received epinephrine.while the patients in the control group only with epinephrine.Cardiac electrical activity,spontaneous circulation and the ratc of survival to hospital discharge Were examined.Results Recovery rates of spontaneous circulation and 24 h Survival rates and spontaneous breathe of aminophylline group.Conclusion Administration of aminophylline and epinephrine at the early stage of cardiopulmonary resuscitation can obviously increase the recovery rate of spontaneous circulation and respiration and stabilize them.