论文部分内容阅读
目的研究心力衰竭(心衰)伴低血压应用硝普钠联合多巴胺治疗的效果。方法 83例心衰伴低血压患者,应用随机数字表法分为常规组(41例)和联合用药组(42例)。常规组采取常规抗心衰治疗,给予利尿剂、吸氧治疗、氨茶碱常规治疗等,联合用药组在常规组基础上应用硝普钠联合多巴胺治疗。对比两组治疗效果。结果干预后,常规组总有效率为75.61%,联合用药组总有效率为95.24%,联合用药组治疗总有效率高于常规组,差异有统计学意义(P<0.05)。联合用药组舒张压、收缩压、左心射血分数(LVEF)、左心室舒张末期内径(LVDD)均优于常规组,差异有统计学意义(P<0.05)。两组副作用发生率比较差异无统计学意义(P>0.05)。联合用药组生存质量评分优于常规组,差异有统计学意义(P<0.05)。结论心衰伴低血压应用硝普钠联合多巴胺治疗的效果确切,值得推广。
Objective To study the effect of combined use of sodium nitroprusside and dopamine in patients with heart failure (heart failure) and hypotension. Methods A total of 83 patients with heart failure and hypotension were divided into two groups according to a random number table: conventional group (41 cases) and combination group (42 cases). Routine treatment with conventional anti-heart failure, giving diuretics, oxygen therapy, aminophylline conventional treatment, the combination group in the conventional group on the basis of sodium nitroprusside combined with dopamine treatment. Compare the two groups treatment effect. Results After the intervention, the total effective rate was 75.61% in the conventional group and 95.24% in the combined group, and the total effective rate in the combined group was higher than that in the conventional group (P <0.05). Diastolic blood pressure, systolic blood pressure, left ventricular ejection fraction (LVEF) and left ventricular end-diastolic diameter (LVDD) in the combination group were significantly higher than those in the conventional group (P <0.05). There was no significant difference in the incidence of side effects between the two groups (P> 0.05). The quality of life score of the combination group was superior to that of the conventional group, the difference was statistically significant (P <0.05). Conclusions The application of sodium nitroprusside plus dopamine in patients with heart failure and hypotension is effective and worthy of promotion.