CAJ | 학술논문

目的探讨持续泵入多巴胺和呋塞米对老年人难治性心力衰竭的临床疗效.方法选择因心力衰竭住院的老年患者76例作为观察对象,数字表法随机分观察组和对照组,每组38例,对照组给予吸氧、扩张血管及强心等常规治疗,观察组在常规治疗的基础,持续泵入多巴胺和呋塞米,对比两组临床疗效及心功能改善情况.结果持续泵入多巴胺和呋塞米的观察组疗效(92.1％)明显优于常规治疗组(73.7％)(x2=10.29,P＜0.05)；两组治疗后心功能改善情况差异有统计学意义(=15.94、10.18,均P＜0.05).结论持续泵入多巴胺和呋塞米治疗老年人难治性心力衰竭,可以很好地改善心功能,提高临床疗效.
목적 탐토지속빙입다파알화부새미대노년인난치성심력쇠갈적림상료효.방법 선택인심력쇠갈주원적노년환자76례작위관찰대상,수자표법수궤분관찰조화대조조,매조38례,대조조급여흡양、확장혈관급강심등상규치료,관찰조재상규치료적기출,지속빙입다파알화부새미,대비량조림상료효급심공능개선정황.결과 지속빙입다파알화부새미적관찰조료효(92.1％)명현우우상규치료조(73.7％)(x2=10.29,P＜0.05)；량조치료후심공능개선정황차이유통계학의의(=15.94、10.18,균P＜0.05).결론 지속빙입다파알화부새미치료노년인난치성심력쇠갈,가이흔호지개선심공능,제고림상료효.
Objective To explore the clinical effect of continuous infusion of dopamine and furosemide on elderly patients with refractory heart failure.Methods 76 elderly patients with heart failure were selected as the observation subjects,they were randomly divided into observation group and control group,38 cases in each group.The control group was given oxygen inhalation,the expansion of vascular,cardiac and other conventional treatment.The observation group was given conventional treatment and continuous infusion of dopamine and furosemide.Clinical efficacy and cardiac function improvement were compared between the two groups.Restlts The effective rate of observation group was 92.1％,which was higher than that of the control group (73.7％) (x2 =10.29,P ＜ 0.05).After treatment,the improvement of cardiac function between the two groups had significant difference (t =15.94,10.18,all P ＜0.05).Conclusion Continuous infusion of dopamine and furosemide in treatment of elderly patients with refractory heart failure could improve heart function,enhance curative effect.