摘要
目的探讨心搏骤停患者心肺复苏后经静脉心脏起搏的救治效果。方法急诊科2002年1月—2009年10月121例心搏骤停患者,随机分成两组,对照组60例,实验组61例。对照组采用标准心肺复苏。实验组采用标准心肺复苏后经静脉心脏起搏,对比两组的自主循坏恢复、持续自主循坏恢复、复苏成功及成活出院患者;对比两组心肺复苏时间及肾上腺素用量。结果自主循环恢复对照组19例(31.7%),实验组20例(32.8%),两组比较差异无统计学意义(P>0.05);持续自主循环恢复对照组6例(10.0%),实验组17例(27.9%),两组比较差异有统计学意义(P<0.05);复苏成功对照组4例(6.7%),实验组12例(19.7%),两组比较差异有统计学意义(P<0.05);成活出院对照组3例(5.0%),实验组10例(16.4%),两组比较差异有统计学意义(P<0.05)。对照组持续自主循环恢复6例患者复苏时间较实验组持续自主循环恢复17例患者明显延长,差异有统计学意义(P<0.05);对照组肾上腺素用量较实验组明显增多,差异有统计学意义(P<0.05)。结论心肺复苏后经静脉心脏起搏可提高持续自主循环恢复、复苏成功及成活出院率,缩短心肺复苏时间,减少肾上腺素用量。尤其对抢救复苏后出现的危重的心动过缓、高度房室传导阻滞有效。
Objective To discuss the treatment effect of transvenous cardiac pacing after CPR in heart arrest patients.Methods One hundred twenty-one heart arrest patients,admitted to our emergency department from January 2002 to October 2009,were divided randomly into groups control（n=60） and trial（n=61）.Control group received standard CPR,while trial group transvenous cardiac pacing after CPR.The rates of restoration of spontaneous circulation（ROSC）,sustained ROSC,CPR sussess,survival and discharges,and the time of CPR and dosages of adrenaline were compared between 2 groups.Results In contol group,19 patients had ROSC（31.7 %）,6 sustained ROSC（10.0 %）,4 successful CPR（6.7%）,3 survived and discharged（5.0%）;while in trial group,20（32.8 %）,17（27.9%）,12（19.7%）,10（16.4%）,respectively.The time of CPR was significantly longer in 6 sustained ROSC patients in control group than in 17 patients in trial group（P0.05）.The dosages of adrenalin was greater in control group than in trial group（P0.05）.Conclusion Post-CPR transvenous cardiac arrest can improve sustained ROSC,rates of successful CPR and survival and discharges,shorten CPR time,reduce dosages of adrenalin,especially for patients with critical bradycardia,atrioventricular block.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第24期2720-2722,共3页
Chinese General Practice
关键词
心脏停搏
心肺复苏术
心脏起搏
人工
Heart arrest
Cardiopulmonary resuscitation
Cardiac pacing
artificial
