多巴胺联合硝酸甘油在顽固性心力衰竭中的应用研究

Dopamine Combined with Nitroglycerin in the Treatment of Refractory Heart Failure

目的分析多巴胺联合硝酸甘油治疗顽固性心力衰竭的临床应用效果。方法选取2017年1月至2018年12月武警河南省总队医院收治的顽固性心力衰竭患者82例,采用数表法分为观察组与对照组,各41例。对照组采用单用硝酸甘油及其他常规治疗处理方式,观察组在对照组的治疗基础上加用多巴胺。对2组患者的疗效进行对比。结果观察组左心射血分数显著高于对照组;观察组治疗后C反应蛋白水平显著低于对照组;观察组治疗后总有效率显著高于对照组,差异均有统计学意义(P<0.05)。结论多巴胺联合硝酸甘油治疗心力衰竭有助于尽快帮助患者恢复心脏功能,其临床疗效确切,值得推广。

Objective To study and analyze the clinical effect of dopamine combined with nitroglycerin in the treatment of refractory heart failure.Methods Totally 82 patients with refractory heart failure admitted to our hospital from January 2017 to December 2018 were randomLy divided into the observation group and the control group.The patients in the control group were treated with nitroglycerin alone and other conventional treatment methods,and the observation group was treated with dopamine on the basis of the control group.Observe and analyze the curative effect of the two groups.Results The left heart ejection fraction of the observation group was significantly higher than that of the control group,the C-reactive protein water of the observation group was significantly lower than that of the control group,and the total effective rate of the observation group was significantly higher than that of the control group(P<0.05).Conclusion dopamine combined with nitroglycerin in the treatment of heart failure can help patients recover heart function as soon as possible.