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多巴胺联合硝普钠对老年顽固性心力衰竭患者的临床作用 被引量:2

Clinical effect of dopamine combined with sodium nitroprusside in elderly patients with refractory heart failure
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摘要 目的探讨多巴胺联合硝普钠对老年顽固性心力衰竭患者的临床作用。方法在医院2015年12月到2016年9月期间诊治的老年顽固性心力衰竭患者中抽取60例作研究对象,随机分成两组,对照组(n=30)予以常规治疗,实验组(n=30)则在常规治疗基础上加用多巴胺联合硝普钠方案,就两组患者疗效、心功能进行统计学分析。结果 (1)实验组患者的LVEDD、LVEF水平均优于对照组(均P<0.01);(2)实验组治疗总有效率是96.67%,高于对照组的80.00%(P<0.05)。结论多巴胺联合硝普钠对老年顽固性心力衰竭患者的临床作用明显,可有效纠正患者心功能指标,值得借鉴。 Objective To investigate the clinical effect of dopamine combined with sodium nitroprusside in elderly patients with refractory heart failure. Methods A total of 60 elderly patients with refractory heart failure who were diagnosed and treated in our hospital from December 2015 to September 2016 were enrolled and randomly divided into control group and experimental group, with 30 patients in each group. The patients in the control group were given conventional treatment, and those in the experimental group were given dopamine combined with sodium nitroprusside in addition to the conventional treatment. The two groups were analyzed in terms of outcome and cardiac function.Results The experimental group had significantly better left ventricular end-diastolic diameter and left ventricular ejection fraction than the control group(both P0.01). The experimental group had a significantly higher overall response rate than the control group(96.67% vs 80.00%, P0.05). Conclusion Dopamine combined with sodium nitroprusside has a marked clinical effect in elderly patients with refractory heart failure and can effectively improve their cardiac function parameters. Therefore, this regimen holds promise for clinical application.
作者 李琼
出处 《心血管病防治知识(学术版)》 2017年第10期62-63,共2页 Prevention and Treatment of Cardiovascular Disease
关键词 多巴胺 硝普钠 老年 顽固性心力衰竭 Dopamine Sodium nitroprusside Elderly Refractory heart failure
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