东方亚洲欧a∨人在线观看|欧美亚洲日韩在线播放|日韩欧美精品一区|久久97AV综合

        小劑量多巴胺聯(lián)合托拉塞米治療老年慢性心力衰竭的療效

        發(fā)布時(shí)間:2018-06-23 來源: 幽默笑話 點(diǎn)擊:

        http://img1.qikan.com.cn/qkimages/zsyx/zsyx201812/zsyx20181253-1-l.jpg
          【摘要】 目的 研究小劑量多巴胺聯(lián)合托拉塞米治療老年慢性心力衰竭的臨床效果。方法 130例
          老年慢性心力衰竭患者, 采用隨機(jī)數(shù)字法分為對(duì)照組和觀察組, 各65例。對(duì)照組給予呋塞米靜脈注射, 觀察組給予小劑量多巴胺聯(lián)合托拉塞米靜脈注射。對(duì)比兩組患者治療效果、不良反應(yīng)發(fā)生情況及治療前后左心功能變化情況。結(jié)果 觀察組患者的總有效率98.46%(64/65)高于對(duì)照組的81.54%(53/65), 差異具有統(tǒng)計(jì)學(xué)意義(P<0.05)。觀察組不良反應(yīng)發(fā)生率3.08%(2/65)少于對(duì)照組的21.54%(14/65), 差異具有統(tǒng)計(jì)學(xué)意義(P<0.05)。治療前, 兩組患者的左心室射血分?jǐn)?shù)(LVEF)、左心室舒張末期內(nèi)徑(LVEDD)水平比較差異無統(tǒng)計(jì)學(xué)意義(P>0.05);治療后, 兩組患者的LVEF、LVEDD水平均優(yōu)于對(duì)照組, 差異具有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論 在老年慢性心力衰竭治療采用小劑量多巴胺聯(lián)合托拉塞米具有顯著效果, 能夠有效改善患者心功能指標(biāo), 減少不良反應(yīng)發(fā)生, 具有較高的臨床推廣價(jià)值。
          【關(guān)鍵詞】 多巴胺;托拉塞米;慢性心力衰竭;不良反應(yīng);老年
          DOI:10.14163/j.cnki.11-5547/r.2018.12.053
          【Abstract】 Objective To study the clinical effect of low dose dopamine combined with torasemide in the treatment of elderly patients with chronic heart failure. Methods A total of 130 elderly patients with chronic heart failure were divided by random number table method into control group and observation group, with
          65 cases in each group. The control group received intravenous injection of furosemide, and the observation group received low dose dopamine combined with torasemide. Comparison were made on treatment effect, occurrence of adverse reactions and changes of left heart function before and after treatment between the two groups. Results The observation group had higher total effective rate as 98.46% (64/65) than 81.54% (53/65) in the control group, and the difference was statistically significant (P<0.05). The observation group had lower incidence of adverse reactions as 3.08% (2/65) than 21.54% (14/65) in the control group, and the difference was statistically significant (P<0.05). Before treatment, both groups had no statistically significant difference in left ventricular ejection fraction (LVEF) and left ventricular end diastolic diameter (LVEDD) level (P>0.05). After intervention, both groups had better LVEF and LVEDD level than the control group, and the difference was statistically significant (P<0.05). Conclusion Application of low dose dopamine combined with torasemide shows remarkable effect in the treatment of elderly patients with chronic heart failure, and it can effectively improve cardiac function indicator, reduce the incidence of adverse reactions. It contains a high clinical promotion value.
          【Key words】 Dopamine; Torasemide; Chronic heart failure; Adverse reactions; Elderly
          慢性心力衰竭是臨床內(nèi)科常見疾病, 以老年人為多發(fā)群體, 多數(shù)患者由于心肌梗死、心肌病、血液流動(dòng)學(xué)符合過重而導(dǎo)致心肌受損。病情初期階段, 患者可出現(xiàn)呼吸困難、乏力或體液潴留等臨床表現(xiàn), 隨疾病發(fā)展至晚期, 可出現(xiàn)心源性浮腫, 腎臟等功能則會(huì)受到不同程度損傷, 對(duì)其生活及健康狀態(tài)造成影響[1-3]。目前, 臨床多采用呋塞米藥物治療, 但長(zhǎng)期使用會(huì)導(dǎo)致其療效降低, 影響治療效果。本研究選取130例老年慢性心力衰竭患者作為研究對(duì)象, 對(duì)其中65例采用小劑量多巴胺聯(lián)合托拉塞米治療取得滿意效果, 現(xiàn)報(bào)告

        相關(guān)熱詞搜索:多巴胺 心力衰竭 療效 老年 治療

        版權(quán)所有 蒲公英文摘 smilezhuce.com