常规基础上静滴硝普钠加多巴胺治疗重度心力衰竭

Investigation on the effect of the routine therapy combining with sodium nitroprusside and dopamine dripped into veins in the treatment of serious heart failure

目的 :探讨硝普钠治疗重度心力衰竭的临床疗效。方法 :46例重度心力衰竭的住院患者随机分为两组。A组 :2 3例采用常规疗法即血管紧张素转换酶抑制剂 (ACEI)、螺内酶、地高辛。B组 :2 3例采用常规治疗基础上静滴硝普钠加多巴胺治疗重度心力衰竭。结果 :应用硝普钠后重度心力衰竭患者心功能明显改善 ,显效率86.95 % ,A组显效率 60 .86% ,两组差异有显著性 (P <0 .0 5 )。结论 :在常规疗法基础上静滴硝普钠加多巴胺可明显改善患者的心功能 。

OBJECTIVE: To study the effect of the routine therapy combining with sodium nitroprusside and dopamine dripped into veins in the treatment of serious heart failure.METHODS: 46 patients were randomly divided into two groups: group A (23 cases) and group B Spironolactone and digitalis, while the ones in group B were treated with the routine therapy combining with sodium nitroprusside and dopamine dripped into veins. RESULTS: The heart function of the patinents of the group B with serious heart failure was improved significantly. The rate of effectiveness was 86.95% and 60.86% in the group B and the group A, respectively. There was striking defference betwwen the group A and the group B (P<0.05).CONCLUSION: As sodium nitroprusside and dopamine were applied to the patients based on the routine therapy, theri heart function might be significantly improved and the survival rate of the patients would be increased