小剂量多巴胺联合多巴酚丁胺治疗小儿重症肺炎的临床效果

Clinical effect of low dose dopamine combined with dobutamine treatment in children with severe pneumonia

目的分析小儿重症肺炎在常规方案基础上实施小剂量多巴胺联合多巴酚丁胺治疗的临床效果。方法选择2016年1月至2018年2月我院120例重症肺炎患儿为研究对象,采用随机分组的方式将其分成常规组和治疗组,每组60例。其中常规组实施常规治疗,治疗组在常规组的基础上加用小剂量多巴胺联合多巴酚丁胺,比较两组的临床治疗效果。结果治疗组的症状缓解时间、肺功能水平和治疗时间均显著优于常规组,差异具有统计学意义(P<0.05)。治疗组的治疗总有效率显著高于常规组,差异具有统计学意义(P<0.05)。两组不良反应总发生率无显著差异(P>0.05)。结论针对小儿重症肺炎在常规方案基础上实施小剂量多巴胺联合多巴酚丁胺治疗的效果显著,值得临床推广和应用。

Objective To analyze the clinical effect of low dose dopamine combined with dobutamine on the basis of conventional treatment in children with severe pneumonia. Methods From January 2016 to February 2018, a total of 120 children with severe pneumonia in our hospital were selected as the research objects, which were divided into conventional group and treatment group by applying random grouping method, with 60 cases in each group. Coventional treatment was applied in the conventional group, low dose dopamine combined with dobutamine were used in the treatment group on the basis of the conventional group. Clinical effects of the two groups were compared. Results The symptom remission time,levels of pulmonary function and treatment time in the treatment group were significantly better than those in the conventional group, the differences were statistically significant(P <0.05). The total effective rate of treatment in the treatment group was significantly higher than that in the conventional group, the difference was statistically significant(P<0.05). There was no significant difference in the total incidences of adverse reactions between the two groups(P >0.05).Conclusion The clinical effect of low dose dopamine combined with dobutamine on the basis of conventional treatment in children with severe pneumonia is significant, which is worthy of promotion and application in clinical practices.