持续泵入多巴胺和呋塞米治疗老年人难治性心力衰竭76例疗效观察.pdfVIP

中国基层医药2013 年5 月第20 卷第 10 期 Chin J Prim Med Phann ,May 2013 ,Vol. 20 ,No. 10 • 1521 • 持续泵入多巴胶和映塞米治疗老年人难治性 心力衰竭 76 例疗效观察 范维勇王红红刘淑敏闰鹏鹏 [摘要] 目的探讨持续泵人多巴胶和峡塞米对老年人难治性心力衰竭的临床疗效。方法 选择因心 力衰竭住院的老年患者76 例作为观察对象，数字表法随机分观察组和对照组，每组 38 例，对照组给予吸氧、 扩张血管及强心等常规治疗，观察组在常规治疗的基础，持续泵入多巴胶和峡塞米，对比两组i临床疗效及心功 2 能改善情况。结果持续泵人多巴胶和峡塞米的观察组疗效(92.1%) 明显优于常规治疗组(73.7% ) (X = 10. 29 ， P0.05);两组治疗后心功能改善情况差异有统计学意义(t=15.94、 10.18 ，均 PO.05) 。结论 持 续泵入多巴胶和吱塞米治疗老年人难治性心力衰竭，可以很好地改善心功能，提离1临床疗效。 I 关键词] ，(;、力衰竭;老年人;多巴胶;峡塞米 Observation on the efted ofω，ntinuo山 infusion of dopamine and fur脚皿de in trea恤ent of 76 elderly pa- tients with refra，伽ηh昭rt failure Fan Weiyong , Wang Honghong , Liu Shumin , Yan Pengpeng. Department of Cardíology ， 仇e Peoples Hospital of Wudi County ,Sharu1ong 2519∞， China [Abstract] Objective To explore the clinical effect of continuous infusion of 邮d0叩paI町mir elderly 阴pati由en晦.ts 叨wit也hr配e曲fra肌蚓ct伽tωor巧y heart failure. Meth创Is 76 elderly patients with heart fai!ure were se!ected as the ob- servation subjects ，由ey were randomly divided into observation group and control group ,38 cases in each group. 咽le control group was given oxygen inhalation ，由e expansion of vascular ,cardiac and other conventional treatment. The ob- servation group was given conventional treatment and continuous infusion of doparnine and furosemide. Clinical effica- cy and cardiac function improvement were compared between the two groups. 四Ilts 币le effective ra徊。f observa- tion group was92.1% ,which was higher than that ofthe control group(73. 7%) cl = 10.29 ,P0.OS). After treat- ment ,the improvement of cardiac function between the two groups had significant differenceC t = 15.94 ,10. 18 ,all P 0.05). Conclusion Continuous infusion of doparnine and furosemide in treatment of elderly patie盹 with refractory heart fail