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目的 :了解心肺复苏时联合使用肾上腺素、血管加压素、氨茶碱的疗效。方法 :29例心跳停搏的患者随机分为两组 ,肾上腺素标准剂量组 (对照组 )15例 ,联合使用肾上腺素、血管加压素、氨茶碱 (治疗组 )14例 ,各组分别观察自主循环恢复率及恢复时间。结果 :对照组、治疗组自主循环恢复率分别为13 3%、64 3% ,治疗组的自主循环恢复率明显高于对照组 ,同时治疗组的自主循环恢复时间明显小于对照组。结论 :心肺复苏期间 ,联合应用肾上腺素、血管加压素、氨茶碱比单独使用标准剂量的肾上腺素能显著提高自主循环恢复率 ,缩短自主循环恢复时间。
Objective: To understand the effect of combined use of epinephrine, vasopressin and aminophylline during cardiopulmonary resuscitation. Methods: Twenty-nine patients with cardiac arrest were randomly divided into two groups: 15 patients in the standard dose of epinephrine group (control group), 14 patients in combination with epinephrine, vasopressin and aminophylline (treatment group) Observation of spontaneous circulation recovery rate and recovery time. Results: The recovery rates of spontaneous circulation in the control group and the treatment group were 13 3% and 64 3% respectively. The recovery rate of spontaneous circulation in the treatment group was significantly higher than that in the control group, and the recovery time of spontaneous circulation in the treatment group was significantly less than that in the control group. Conclusion: The combination of epinephrine, vasopressin and aminophylline can significantly improve the rate of spontaneous circulation recovery and shorten the recovery time of spontaneous circulation during cardiopulmonary resuscitation compared with the standard dose of adrenergic alone.