早期应用小剂量多巴胺联合呋塞米治疗心力衰竭的疗效分析

Analysis of the Effect of Early Application of Low-dose Dopamine Combined with Furosemide in the Treatment of Heart Failure

目的探讨小剂量多巴胺联合呋塞米治疗心力衰竭的意义。方法随机将该院2018年5月—2019年5月收治的94例心力衰竭患者分为两组,每组47例。对照组给予呋塞米,观察组在上述基础上给予多巴胺。比较两组心功能指标、生化指标等指标。结果观察组总有效率95.74%(45/47)明显优于对照组74.47%(35/47),差异有统计学意义(χ~2=13.065,P<0.05);观察组LVEF、LVEDD、LVESD以及6MWT等指标分别为(55.6±1.7)%、(50.8±1.9)mm、(32.9±1.2)mm、(322.4±15.7)m;对照组分别为(48.1±1.4)%、(59.4±2.1)mm、(38.5±1.6)mm、(231.4±11.5)m,两组比较差异有统计学意义(P<0.05)。结论小剂量多巴胺联合呋塞米能够有效治疗早期心力衰竭,不仅提高了患者的心功能,改善了生化指标,另外还加快了病情的康复,减轻了患者的经济压力。

Objective To explore the significance of low-dose dopamine combined with furosemide in the treatment of heart failure.Methods Randomly divide 94 patients with heart failure admitted to the hospital from May 2018 to May2019 into two groups,with 47 cases in each group.The control group was given furosemide,and the observation group was given dopamine based on the above.Compare the two groups of cardiac function indicators,biochemical indicators and other indicators.Results The total effective rate of the observation group 95.74%(45/47)was significantly better than the control group 74.47%(35/47),the difference was statistically significant(χ~2=13.065,P<0.05);LVEF,LVEDD,LVESD and 6 MWT were respectively(55.6±1.7)%,(50.8±1.9)mm,(32.9±1.2)mm,(322.4±15.7)m;the control group were(48.1±1.4)%,(59.4±2.1)mm,(38.5±1.6)mm,(231.4±11.5)m;the difference between the two groups was statistically significant(P<0.05).Conclusion Low-dose dopamine combined with furosemide can effectively treat early heart failure,which not only improves the patient’s heart function and biochemical indicators,but also accelerates the recovery of the patient’s condition and reduces the patient’s economic pressure.