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目的探讨心肺复苏中氨茶碱与肾上腺素联合应用的疗效。方法选取淮滨县人民医院2014年3月至2015年5月期间收治的心肺复苏患者60例,根据治疗方法的不同分为标准剂量组、大剂量组和联合组,每组20例。标准剂量组采用标准剂量的肾上腺素治疗,大剂量组采用大剂量肾上腺素治疗,联合组采用肾上腺素联合氨茶碱治疗。比较3组患者自主循环恢复、24 h存活和出院存活情况。结果联合组自主循环恢复率、24 h存活率和出院存活率明显优于其他两组,差异有统计学意义(P<0.05)。结论氨茶碱联合肾上腺素治疗心肺复苏患者具有较好的效果,能够提高自主循环恢复率和存活率,有效维持患者病情稳定。
Objective To investigate the efficacy of aminophylline combined with epinephrine in cardiopulmonary resuscitation. Methods Sixty patients with cardiopulmonary resuscitation admitted from March 2014 to May 2015 in Huaibei People’s Hospital were divided into standard dose group, high dose group and combination group according to the different treatment methods, with 20 cases in each group. The standard dose group with standard dose of epinephrine treatment, high-dose group with high-dose adrenaline treatment, the combination group with epinephrine combined with aminophylline treatment. Patients in the three groups recovered spontaneously, survived 24 hours and survived. Results The recovery rate of spontaneous circulation, the survival rate of 24 h and the survival rate of discharge in the combined group were significantly better than those in the other two groups (P <0.05). Conclusion Aminophylline combined with epinephrine in patients with CPR has good results, can improve spontaneous circulation recovery rate and survival rate, effectively maintain the patient’s condition stable.