联用肾上腺素、氨茶碱和纳洛酮在院外心肺复苏中的疗效观察

Combined the adrenaline, aminophylline and naioxone outside the hospital of cardiopulmonary resuscitation curative effect observation

目的：深入研究联用肾上腺素、氨茶碱和纳洛酮在院外心肺复苏中的临床应用效果。方法：将我院2009年1月-2011年12月接诊的30例院外心脏骤停患者随机分为两组，其中对照组15例，观察组15例，对照组患者采用肾上腺素治疗，治疗组患者联用肾上腺素、氨萘碱和纳洛酮治疗，观察两组患者治后的心电活动、自主呼吸恢复情况、自主循环以及出院存活率。结果：治疗组患者治后的自主呼吸、心电活动、自主循环恢复时间均短于对照组患者，出院存活率明显高于对照组患者。结论。在院外心肺复苏患者的救治过程中。联用肾上腺素、氨荼碱和纳洛酮有利于提高患者心肺复苏成功率，增加患者出院存活率，可在临床救治CA患者时广为推广。

Objective：In--depth study combined adrenaline, aminophylline and naloxone outside the hospital the clinical application effect of cardiopulmonary resuscitation （CPR）. Methods：Our hospital from January 2009 to December 2011 accepts 30 cases of external cardiac arrest patients were randomly divided into two groups, the control group in 15 cases, the observation group in 15 cases, control group were treated by adrenaline treatment, the treatment group used patients epinephrine, aminophylline and nal0xone treatment, observation two groups of patients after cure of ecg activities, spontaneous recovery, autonomous cycle and discharge survival rate. Result： The treatment group patients after cure spontaneous breathing, ecg activities, independent circulation recovery time is shorter than control group patients, the hospital surial was significantly higher than that of the control group patients. Conclusion： Outside the hospital patients with cardiopulmonary resuscitation treatment process, combined the adrenaline, aminophylline and naloxone is helpful to improve the success rate of patients with cardiopulmonary resuscitation, increase hospital patients survival rate, can be in clinical treatment of CA patients widely promotion.