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目的:分析并探讨小儿重症肺炎合并心衰临床治疗效果。方法:选取2013年1月~2014年1月期间来我院就诊(收入院治疗)的小儿重症肺炎合并心衰患儿100例。将其随机平均分为两组,每组50人,分别为实验组和对照组组。对照组患者给予常规的抗感染、供氧治疗、止咳平喘、强心利尿治疗,而实验组患儿在对照组常规治疗的基础上使用多巴胺联合酚妥拉明。观察两组患者的临床效果。结果:实验组显效人数为30人,有效人数为16人,无效人数为4人,有效率为92.00%,对照组显效人数为24人,有效人数为15人,无效人数为11人,有效率为78.00%P<0.05,实验组有效率明显高于对照组,经统计学检验差异具有统计学意义(P<0.05)。结论:在以往常规治疗的基础上,使用多巴胺联合酚妥拉明对小儿重症肺炎合并心衰的临床治疗有显著效果,临床上值得使用。
Objective: To analyze and discuss the clinical effect of severe pneumonia complicated with heart failure in children. Methods: A total of 100 children with severe pneumonia complicated with heart failure admitted to our hospital from January 2013 to January 2014 were enrolled in this study. Randomly divided into two groups, each group of 50 people, respectively experimental group and control group. Patients in the control group were given routine anti-infective, oxygen therapy, cough and asthma, and cardiac diuretic therapy. The experimental group used dopamine combined with phentolamine on the basis of routine treatment in the control group. To observe the clinical effect of two groups of patients. Results: The effective number of the experimental group was 30, the effective number was 16, the invalid number was 4, the effective rate was 92.00%, the effective number of the control group was 24, the effective number of people was 15, the invalid number of people was 11, the effective rate 78.00% P <0.05, the experimental group was significantly higher than the effective rate of the control group, the statistical test showed statistically significant difference (P <0.05). Conclusion: Based on the conventional treatment, the combination of dopamine and phentolamine has a significant effect on the clinical treatment of severe pneumonia complicated with heart failure in children. It is worth to be used clinically.