溶栓疗法在心肺复苏患者中应用体会.docVIP

溶栓疗法在心肺复苏患者中应用体会 　　摘要：目的：探讨溶栓疗法在心肺复苏患者中的临床治疗效果。方法：对我院收治的80例心肺复苏患者相关资料进行综合性回顾性分析，根据患者不同治疗方案将其分为对照组和实验组，对照组实施常规治疗，实验组实施溶栓疗法治疗，比较两组治疗效果。结果：实验组自主循环恢复率为90%，24h生存率为60%，13例治疗后康复出院，神经功能恢复率为47.5%，高于对照组（Plt;0.05）;两组患者治疗前血清相关指标差异不显著（Pgt;0.05）;实验组治疗后AST指标为（65.2±14.7）、LDH指标为（227±16.8）、CK指标为（418.8±34.6）、CK-MB指标为（88.1±14.8），均低于对照组（Plt;0.05）。结论：心脏骤停患者多数由急性心肌梗死引起，患者治疗过程中采用溶栓疗法效果理想，能够提高临床疗效，值得推广使用。 　　关键词：溶栓疗法;心肺复苏;治疗效果 　　Abstract ：Objective： To investigate the clinical effect of thrombolytic therapy in patients with cardiopulmonary resuscitation.Methods： 80 cases of cardiopulmonary resuscitation in patients with relevant information in our hospital to undertake a comprehensive retrospective analysis， based on patients with different treatment options will be divided into a control group and the experimental group and the control group， the implementation of conventional therapy， the implementation of thrombolytic therapy in the experimental group， therapeutic effects were compared.Results： The experimental group restoration of spontaneous circulation was 90%， 24h survival rate was 60%， 13 cases recovered and were discharged after treatment， neurological recovery rate was 47.5%， higher than the control （P lt;0.05）; two groups of patients before treatment serum related indicators were no significant differences （Pgt; 0.05）; experimental group therapy AST indicators （65.2 ± 14.7）， LDH index is （227 ± 16.8）， CK indicators （418.8 ± 34.6）， CK-MB indicators （88.1 ± 14.8）， were lower than in the control group （P lt;0.05）.Conclusions： Most patients with cardiac arrest caused by acute myocardial infarction， treatment of patients with thrombolytic therapy using the results are satisfactory， can improve the clinical efficacy and should be introduced. 　　Keywords ：thrombolytic therapy; cardiopulmonary resuscitation; treatment effect 　　心脏骤停（CA）在临床上比较常见，且超过70%患者由于急性心肌梗死（AMI）引起，部分患者由大面积肺血栓栓塞（PE）引起，这个疾病发病率较高，且随着人们生活节奏的加快其发病率出现上升趋势，并趋于年轻化[1]。常规方法主要以心肺复苏手术治疗为主，这种方法虽然能够改善患者症状，但是复苏的成功率较高，影响患者治疗预后。近年