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中国临床药理学与治疗学 ›› 2017, Vol. 22 ›› Issue (7): 810-813.

• 药物治疗学 • 上一篇    下一篇

参附注射液对急性心肺复苏患者的心肌及肝肾功能的保护作用

孙陟中1,方一新1,黄海军1,王牡丹1,徐杰丰2   

  1. 1 浙江省中医院急救创伤中心,杭州 310018,浙江;2 浙江省余姚市人民医院急诊科,余姚 315400,浙江
  • 收稿日期:2016-12-08 修回日期:2017-03-06 出版日期:2017-07-26 发布日期:2017-07-19
  • 作者简介:孙陟中,男,本科,主治医生,主要研究方向:急救创伤治疗。 Tel:13857192433 E-mail:zgo1110@163.com
  • 基金资助:

    浙江省医药卫生一般研究计划(2013KYA190)

Protective effect of Shenfu injection on cardiac muscle and liver and renal function in patients with cardiopulmonary resuscitation

SUN Zhizhong 1, FANG Yixin 1, HUANG Haijun 1, WANG Mudan 1, XU Jiefeng 2   

  1. 1 Emergency Trauma Center, Zhejiang Province Traditional Chinese Medical Hospital, Hangzhou 310018, Zhejiang, China; 2 Department of Emergency Medicine, People's Hospital of Yuyao,Yuyao 315400, Zhejiang, China
  • Received:2016-12-08 Revised:2017-03-06 Online:2017-07-26 Published:2017-07-19

摘要:

目的: 探讨参附注射液对急性心肺复苏患者的心肌及肝肾功能的保护作用。方法: 将60例急性心肺复苏患者分为研究组和对照组,每组30例。对照组给予常规对症治疗。研究组在对照组基础上,在心肺复苏即刻给予参附注射液,于心肺复苏后0、24、48 h,对比两组心肌功能指标(肌酸激酶同工酶CK-MB、心肌肌钙蛋白cTnI)、肝肾功能指标(谷丙转氨酶ALT、肌酐Cr)、炎症因子(超敏C反应蛋白hs-CRP、肿瘤坏死因子TNF-α)的水平。结果: 两组心肺复苏后CK-MB、cTnI、ALT、Cr、hs-CRP、TNF-α显著升高(P<0.05);心肺复苏后24、48 h,研究组的CK-MB、cTnI、ALT、Cr、hs-CRP、TNF-α显著低于对照组,差异有统计学意义(P<0.05);研究组的死亡率(36.67%)显著低于对照组(70.00%),差异有统计学意义(χ2=5.406,P<0.05)。结论: 参附注射液对急性心肺复苏患者的心肌及肝肾功能具有一定的保护作用,能显著改善预后。

关键词: 参附注射液, 心肺复苏, 心肌功能, 肝肾功能, 保护

Abstract:

AIM: To investigate the protective effect of Shenfu injection on cardiac muscle and liver and renal function in patients with cardiopulmonary resuscitation.  METHODS: Sixty cases of cardiopulmonary resuscitation were divided into study group and control group (n=30). The control group was given conventional symptomatic treatment, on the basis of which, the study group was given the Shenfu injection in the meantime of cardiopulmonary resuscitation. Cardiac function indexes (CK-MB, cTnI), liver and kidney function indexes (ALT, Cr), the levels of inflammatory factors (hs-CRP, TNF-α) were compared 0 hour, 24 hours and 48 hours after the resuscitation.RESULTS:After the resuscitation, levels of CK-MB, cTnI, ALT, Cr, hs-CRP, TNF-α were significantly increased in both groups (P<0.05). While the increase of these parameters in the study group was significantly lower than those in the control group at 24 hours and 48 hours after cardiopulmonary resuscitation. The difference was statistically significant (P<0.05). The mortality rate (36.67%) of the study group was significantly lower than that of the control group (70%) (χ2=5.406, P<0.05). CONCLUSION:Shenfu injection exerts protective effect on cardiac muscle and liver and renal function in patients with acute cardiopulmonary resuscitation, and can significantly improve the prognosis of patients with acute cardiopulmonary resuscitation.

Key words: Shenfu injection, cardiopulmonary resuscitation, cardiac function, liver and kidney function, protection

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