浅议左西孟旦治疗急性心肌梗死后心力衰竭的护理.docVIP

精品论文 参考文献 浅议左西孟旦治疗急性心肌梗死后心力衰竭的护理 唐立霞 　　湖南省长沙市一医院 410006 　　摘要：目的：探究使用左西孟旦治疗急性心梗后心力衰竭的治疗效果，并总结护理体会。方法：择取2014年3月到2015年3月前来本院治疗急性心梗并心力衰竭的患者100例，作如下随机分组：50例患者归入观察组，全部使用左西孟旦进行治疗，另外50例患者归入参照组，全部使用巴多胺进行治疗。对比两组患者的各项临床指标。结果：治疗前进行组间对比，各指标均比较相近，P＞0.05，差异无统计学意义；行以治疗后，组间对比，两组的各项指标君存在比较显著的差异，p＜0.05，差异有统计学意义；组内对比，观察组在治疗前后各项指标也发生了显著变化，p＜0.05，差异有统计学意义。结论：相较于巴多胺，左西孟旦在治疗急性心梗并心力衰竭方面具有更为显著的疗效，尤其是短期内，疗效极为鲜明。使用左西孟旦后，患者的心梗和心力衰竭症状明显减轻，临床应用意义显著。 　　关键词：左西孟旦；急性心肌梗死；心力衰竭；护理体会 　　【abstract 】 objective：to explore the use of levosimendan in treatment of acute myocardial infarction（ami）after the treatment effect of heart failure，and summarize the nursing experience.Methods：will pick in March 2014 to March 2015 to come to our hospital treatment of 100 patients with acute myocardial infarction and heart failure，the randomized 50 cases in observation group，all use leosimendan treatment，the other 50 patients in control group，treated all use dopamine.Compared to two group of patients with the clinical indicators.Results：compared between groups before treatment，the indicators are more similar，P gt; 0.05，there was no statistically significant difference；Line with after treatment，compared between groups，two groups of the indicators there are significant differences，p lt; 0.05，the difference was statistically significant；Contrast group，the indicators before and after therapy group have changed dramatically，p lt; 0.05，the difference was statistically significant.Conclusion：compared with dopamine，levosimendan in treatment of acute myocardial infarction and heart failure is more remarkable curative effect，especially in the short term，the curative effect is extremely obvious.After the use of levosimendan in patients with myocardial infarction and heart failure symptoms significantly reduce，clinical significance is obvious. 　　【key words 】 levosimendan；Acute myocardial infarction；Heart failure；Nursing experience 　　急性心梗通常伴发心力衰竭，发病后极为危险，患者生命安全难以保证。本研究选择左西孟旦和巴多胺两种药物进行疗效对比。 　　1 资料与方法 　　1.1 一般资料 　　择取2014年3月到2015年3月前来本