摘要
目的分析对于心肌梗死后左心力衰竭患者使用多巴胺结合硝普钠治疗进行治疗的效果。方法选择在该院(2016年3月-2017年4月)接受治疗的心肌梗死后左心力衰竭患者(116例)为研究对象,并随机分为观察组(58例)和对照组(58例)。对照组患者使用注射盐酸多巴胺注射液的方式进行治疗,观察组患者采取的治疗方式是在对照组的基础上注射硝普钠进行治疗。结果观察组有效率为96.55%,显著高于对照组74.14%,差异有统计学意义(χ^2=5.729,P=0.014);两组患者治疗前呼吸、心率、血压比较差异无统计学意义(P>0.05),治疗后观察组患者呼吸、心率、血压均显著改善,其中治疗后观察组患者呼吸、心率、收缩压、舒张压分别为(29.65±7.06)次/min、(94.29±9.68)次/min、(126.03±10.98)mmHg、(72.12±10.98)mmHg均显著优于对照组,差异有统计学意义(t=7.456、4.215、4.169、4.869,P=0.026、0.021、0.019、0.016<0.05)。结论对于心肌梗死后左心力衰竭患者使用多巴胺结合硝普钠治疗进行治疗具有较好的治疗效果,值得推广。
Objective To analyze the effect of treatment with dopamine and sodium nitroprusside in patients with left heart failure after myocardial infarction.Methods Patients with left heart failure(116 cases)after myocardial infarction treated in our hospital(March 2016 to April 2017)were selected as subjects and randomly divided into observation group(58 cases)and control group(58 cases).The patients in the control group were treated with injection of dopamine hydrochloride.The treatment of the patients in the observation group was treated with sodium nitroprusside on the basis of the control group.Results The effective rate of the observation group was 96.55%,which was significantly higher than that of the control group(74.14%).The difference was statistically significant(χ^2=5.729,P=0.014).There was no statistically significant difference in pre-treatment breathing,heart rate and blood pressure between the two groups(P>0.05).Heart rate and blood pressure were significantly improved.The respiratory,heart rate,systolic blood pressure and diastolic blood pressure of the observation group were(29.65±7.06)times/min,(94.29±9.68)times/min,and(126.03±10.98)mmHg,(72.12±10.98)mmHg was significantly better than the control group,the difference was statistically significant(t=7.456,4.215,4.169,4.869,P=0.026,0.021,0.019,0.016<0.05.Conclusion For patients with left heart failure after myocardial infarction,treatment with dopamine combined with sodium nitroprusside has a good therapeutic effect and is worthy of promotion.
作者
吴文建
凌宗攀
WU Wen-jian;LING Zong-pan(Department of Cardiology, Linyi High-tech Hospital, Linyi, Shandong Province, 276000 China)
出处
《系统医学》
2019年第14期70-72,共3页
Systems Medicine
关键词
多巴胺
硝普钠
心肌梗死后左心衰竭
临床疗效
Dopamine
Sodium nitroprusside
Left heart failure after myocardial infarction
Clinical efficacy
作者简介
吴文建(1980-),男,山东临沂人,本科,主治医师,主要从事临床医学工作。
