摘要
目的 探讨垂体后叶素联合氨茶碱对老年呼吸、心搏骤停病人心肺复苏的效果。 方法 选择2016年1月至2017年6月在我院接受治疗的心搏、呼吸骤停老年病人86例,根据药物使用的不同随机分为单独氨茶碱治疗组(常规组)44例和垂体后叶素联合氨茶碱治疗组(研究组)42例。收集并记录2组病人的临床基本资料,并对2组病人用药后的临床疗效及心肺复苏的预后进行比较。 结果 心脑血管类疾病是导致病人心搏、呼吸骤停的主要原因。研究组病人48h存活率和出院后存活率均明显高于常规组,呼吸及循环系统恢复所用的时间均低于常规组,差异有统计学意义(P<0.05);2组病人复苏后的血压差异无统计学意义(P>0.05);研究组病人的心率、动脉血压、6h尿量均明显优于常规组,差异有统计学意义(P<0.05)。 结论 垂体后叶素联合氨茶碱对老年呼吸、心搏骤停病人的心肺复苏有明显疗效,可提高老年病人的存活率并改善病人预后,值得临床推广和应用。
Objective To investigate the effect of pituitrin combined with aminophylline on cardiopulmonary resuscitation in the elderly patients with respiratory and cardiac arrest. Methods A total of 86 patients with cardiac and respiratory arrest treated in our hospital from January 2016 to June 2017 were selected and randomly divided into two groups according to the drug use, with 44 cases in the aminophylline treatment group (conventional group), 42 cases in the pituitary vasopressin combined with aminophylline treatment group (study group). The patients. clinical basic data of the two groups were statistically analyzed;The clinical efficacy and prognosis after cardiopulmonary resuscitation were compared between the two groups. Results Cardiovascular and cerebrovascular diseases were the main pathogenic factors of cardiac and respiratory arrest. The 48 h and post-discharge survival rate of patients in the study group were significantly higher than those in the conventional group (P<0. 05);The time spent on recovery of respiratory and circulatory system in the study group were lower than those in the conventional group (P<0. 05). There was no difference in blood pressure after resuscitation between the two groups (P>0. 05). Heart rate, arterial blood pressure and 6 h urine volume of the study group after cardiopulmonary resuscitation were significantly better than those of the conventional group (P<0. 05). Conclusions Pituitrin combined with aminophylline has an obvious effect on cardiopulmonary resuscitation in patients with respiratory and cardiac arrest, which can improve the survival rate and prognosis of the patients. It is worthy of clinical promotion and application.
作者
谭永峰
冯星火
TAN Yong-feng;FENG Xing-huo(Department of Critical Care Medicine, Liaoning Provincial People's Hospital, Shenyang 110016, China)
出处
《实用老年医学》
CAS
2019年第6期586-589,共4页
Practical Geriatrics
基金
辽宁省沈阳市卫计委科研项目(2016020685)
关键词
呼吸骤停
心搏骤停
心肺复苏
垂体后叶素
氨茶碱
临床疗效
老年人
respiratory arrest
cardiac arrest
cardiopulmonary resuscitation
pituitrin
aminophylline
clinical efficacy
aged
