中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
25期
332-332,334
,共2页
小剂量多巴胺%新生儿窒息%效果分析
小劑量多巴胺%新生兒窒息%效果分析
소제량다파알%신생인질식%효과분석
Small dose dopamine%Neonatal asphyxia%Effect analysis
目的研究使用小剂量多巴胺治疗新生儿重度窒息的临床效果,为临床实践提供一定的理论依据。方法将54例重度新生儿窒息的患者随机分成两组,其中一组为对照组27例。对患者在窒息复苏之后使用吸氧、降低患者颅内压、维持脑的灌注,控制对于患者的入液,保持患者体内酸碱平衡。另一组为治疗组27例,该组患者在对照组治疗的基础之上,在早期使用小剂量的多巴胺对患者开展治疗。对治疗之后对两组患者的治疗效果进行对比。结果两组患者相比较,患者心功能损害发生的情况无显著性差异,但是胃肠障碍和肾功能的损害发生率降低有着显著的统计学差异。结论早期小剂量多巴胺治疗重度窒息的患者可以有效的减少患者胃肠以及肾脏等一些重要器官的损害,从而最大限度的缓解患者的病情,缩短患者治疗的病程,提升患儿的治愈率,值得在临床上进行应用推广。
目的研究使用小劑量多巴胺治療新生兒重度窒息的臨床效果,為臨床實踐提供一定的理論依據。方法將54例重度新生兒窒息的患者隨機分成兩組,其中一組為對照組27例。對患者在窒息複囌之後使用吸氧、降低患者顱內壓、維持腦的灌註,控製對于患者的入液,保持患者體內痠堿平衡。另一組為治療組27例,該組患者在對照組治療的基礎之上,在早期使用小劑量的多巴胺對患者開展治療。對治療之後對兩組患者的治療效果進行對比。結果兩組患者相比較,患者心功能損害髮生的情況無顯著性差異,但是胃腸障礙和腎功能的損害髮生率降低有著顯著的統計學差異。結論早期小劑量多巴胺治療重度窒息的患者可以有效的減少患者胃腸以及腎髒等一些重要器官的損害,從而最大限度的緩解患者的病情,縮短患者治療的病程,提升患兒的治愈率,值得在臨床上進行應用推廣。
목적연구사용소제량다파알치료신생인중도질식적림상효과,위림상실천제공일정적이론의거。방법장54례중도신생인질식적환자수궤분성량조,기중일조위대조조27례。대환자재질식복소지후사용흡양、강저환자로내압、유지뇌적관주,공제대우환자적입액,보지환자체내산감평형。령일조위치료조27례,해조환자재대조조치료적기출지상,재조기사용소제량적다파알대환자개전치료。대치료지후대량조환자적치료효과진행대비。결과량조환자상비교,환자심공능손해발생적정황무현저성차이,단시위장장애화신공능적손해발생솔강저유착현저적통계학차이。결론조기소제량다파알치료중도질식적환자가이유효적감소환자위장이급신장등일사중요기관적손해,종이최대한도적완해환자적병정,축단환자치료적병정,제승환인적치유솔,치득재림상상진행응용추엄。
Objective to study the use of small doses of dopamine in the treatment of neonatal severe asphyxia, provide certain theoretical basis for clinical practice. Methods The 54 cases of severe neonatal asphyxia were randomly divided into two groups, one group was the control group of 27 patients. After resuscitation for patients using oxygen, reducing intracranial pressure in patients maintain cerebral perfusion, control lfuid into the patient, the patient's body to maintain acid-base balance. Another group of 27 patients for the treatment of the patients in the control group on the basis of the treatment in the early use of small doses of dopamine on patients to carry out treatment. After the treatment the therapeutic effect of two groups of patients were compared. Results Compared two groups of patients, cardiac dysfunction happens no signiifcant difference, but gastrointestinal disorders and kidney damage has reduced the incidence of signiifcant statistical difference . Conclusion Early treatment of low-dose dopamine in patients with severe asphyxia can effectively reduce the number of patients with gastrointestinal and kidney damage to vital organs, thus maximizing ease the patient's condition, shorten the patient's course of treatment to improve the cure rate in children, it is worth the on the clinical application and promotion.