小儿重症肺炎伴心力衰竭综合救治的临床效果观察

Effect of Children with Severe Pneumonia Accompanied with Heart Failure with Comprehensive Treatment

目的:探讨小儿重症肺炎伴心力衰竭患儿的综合救治措施及效果。方法:选取2016年4月-2017年4月本院收治的小儿重症肺炎伴心力衰竭患儿72例,按照治疗措施的不同分为研究组(综合救治,n=36)与对照组(常规治疗,n=36)。对比两组治疗效果、临床症状改善情况及心功能指标变化情况。结果:研究组、对照组患儿总有效率分别为97.2%(35/36)、77.8%(28/36),比较差异有统计学意义(P<0.05)。治疗后,研究组呼吸平稳时间、心律好转时间、湿啰音消失时间、住院时间均短于对照组,差异均有统计学意义(P<0.05);研究组左室射血分数(LVEF)、左室短轴(LVSF)、左室舒张末径(LVSD)、左室收缩(LVDD)末径均优于对照组,差异均有统计学意义(P<0.05)。结论:在小儿重症肺炎伴心力衰竭患儿治疗中,实施综合救治的效果理想,能改善患儿心功能,促使其尽快康复,值得推广应用。

Objective:To investigate the measures and effects of comprehensive treatment for children with severe pneumonia accompanied with heart failure.Method:A total of 72 children with severe pneumonia accompanied with heart failure in our hospital were selected from April 2016 to April 2017.According to different treatment measures,they were divided into the study group(comprehensive treatment,n=36)and the control group(conventional treatment,n=36).The treatment effect,improvement of clinical symptoms and changes of cardiac function indexes of two groups were compared.Result:The total efficiency of the study group and the control group were 97.2%(35/36)and 77.8%(28/36),the difference was statistically significant(P<0.05).After treatment,breathing time,heart rate recovery time,rales disappeared time,hospitalization time of the study group were shorter than those of control group,the differences were statistically significant(P<0.05).LVEF,LVSF,LVSD,LVDD of the study group were better than those of the control group,the differences were statistically significant(P<0.05).Conclusion:In the treatment of children with severe pneumonia accompanied with heart failure,the effect of comprehensive treatment is ideal.It can improve the cardiac function of children and promote their rehabilitation as soon as possible,so it is worth of popularizing.