CAJ | 학술논문

目的：探讨小剂量多巴胺与多巴酚丁胺加呋噻米治疗顽固性心力衰竭临床疗效及对心功能的影响。方法：选择2008年1月～2012年1月在我科住院的顽固性心力衰竭患者48例，随机分成2组：常规组治疗7天，治疗组以小剂量的多巴胺＋多巴酚丁胺与呋噻米治疗7天。结果：常规组显效8例，有效8例，治疗组显效12例，有效11例，治疗组治疗后的SV、LVEF较常规组治疗后改善更明显（p﹤0．05）。结论：小剂量多巴胺与多巴酚丁胺加呋噻米治疗难治性心衰能明显改善心功能，是一种有较高的临床价值的治疗方法。
목적：탐토소제량다파알여다파분정알가부새미치료완고성심력쇠갈림상료효급대심공능적영향。방법：선택2008년1월～2012년1월재아과주원적완고성심력쇠갈환자48례，수궤분성2조：상규조치료7천，치료조이소제량적다파알＋다파분정알여부새미치료7천。결과：상규조현효8례，유효8례，치료조현효12례，유효11례，치료조치료후적SV、LVEF교상규조치료후개선경명현（p﹤0．05）。결론：소제량다파알여다파분정알가부새미치료난치성심쇠능명현개선심공능，시일충유교고적림상개치적치료방법。
Objective:To discuss the effect on the treatment of refractory heart failure and the cardiac function with small dose of dopamine and dobutamine adding furosemide.Methods:Data was made in 48 patients with refractory heart failure in our hospital from January 2008 to Janu-ary 2012, there were 27 male patients and 21 female patients, the age was between 54 and 78(66.38 ±7.35) years old.They were divided into two groups, one group was treated with normal method for 7 days and the other one was treated with small dose of dopamine and dobutamine adding furosemide.Results:8 patients in the group treated with normal method played an excellent efficacy and all of them were effective ,12 pa-tients in the dopamine group also played an excellent efficacy and 11 of them were effective, the efficacy on SV and LVEF of dopamine group was more obvious than the normal treatment group(p﹤0.05).Conclusion:treatment of refractory heart failure with small dose of dopamine and dobutamine adding furosemide can improve the cardiac function and it can be a valuable method on clinical treatment .