中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
2期
278-279
,共2页
托拉塞米%急性左心衰竭%院前急救%疗效
託拉塞米%急性左心衰竭%院前急救%療效
탁랍새미%급성좌심쇠갈%원전급구%료효
Torasemide%Acute left heart failure%Pre-hospital care%Curative effect
目的：观察托拉塞米在急性左心衰竭院前急救中的临床疗效。方法：选择我院急性左心衰竭竭患者102例，分为实验组和对照组，其一般资料比较无显著差异(P>0.05)。实验组常规治疗+静脉推注20~80mg托拉塞米注射液。对照组常规治疗+静脉推注20~100mg呋塞米注射液。两组患者转入急救室继续给予西地兰0.4mg静脉滴注治疗，观察疗效及生理指标变化。结果：两组患者呼吸频率、心率、收缩压、舒张压、血K+、血Na+等指标对应比较(P<0.05)，动脉CO2、动脉O2、严重不良反应对应比较(P<0.05)。实验组治疗总有效率(96.08%)显著大于对照组治疗总有效率(78.43%)，其结果比较具有显著的统计学意义(P<0.01)。结论：托拉塞米应用于急性左心衰竭院前急救疗效显著，安全可靠，值得在临床上推广应用。
目的：觀察託拉塞米在急性左心衰竭院前急救中的臨床療效。方法：選擇我院急性左心衰竭竭患者102例，分為實驗組和對照組，其一般資料比較無顯著差異(P>0.05)。實驗組常規治療+靜脈推註20~80mg託拉塞米註射液。對照組常規治療+靜脈推註20~100mg呋塞米註射液。兩組患者轉入急救室繼續給予西地蘭0.4mg靜脈滴註治療，觀察療效及生理指標變化。結果：兩組患者呼吸頻率、心率、收縮壓、舒張壓、血K+、血Na+等指標對應比較(P<0.05)，動脈CO2、動脈O2、嚴重不良反應對應比較(P<0.05)。實驗組治療總有效率(96.08%)顯著大于對照組治療總有效率(78.43%)，其結果比較具有顯著的統計學意義(P<0.01)。結論：託拉塞米應用于急性左心衰竭院前急救療效顯著，安全可靠，值得在臨床上推廣應用。
목적：관찰탁랍새미재급성좌심쇠갈원전급구중적림상료효。방법：선택아원급성좌심쇠갈갈환자102례，분위실험조화대조조，기일반자료비교무현저차이(P>0.05)。실험조상규치료+정맥추주20~80mg탁랍새미주사액。대조조상규치료+정맥추주20~100mg부새미주사액。량조환자전입급구실계속급여서지란0.4mg정맥적주치료，관찰료효급생리지표변화。결과：량조환자호흡빈솔、심솔、수축압、서장압、혈K+、혈Na+등지표대응비교(P<0.05)，동맥CO2、동맥O2、엄중불량반응대응비교(P<0.05)。실험조치료총유효솔(96.08%)현저대우대조조치료총유효솔(78.43%)，기결과비교구유현저적통계학의의(P<0.01)。결론：탁랍새미응용우급성좌심쇠갈원전급구료효현저，안전가고，치득재림상상추엄응용。
Objective:To observe the clinical effect of torasemide in emergency treatment of acute left heart failure in pre-Hospital.Methods:102 cases of patients with acute left heart failure in our hospital,divided into the experimental group and the control group,no significant difference in the general information (P>0.05).The experimental group received routine treatment plus intravenous injection of 20~80mg torsemide injection.The control group received the routine treatment plus intravenous injection of 20~100mg furosemide injection.Two groups of patients transferred to the emergency room to continue to give cedilanid 0.4mg intravenous infusion therapy,curative effect and physiological indexes changes observed.Results:The two groups of patients with respiratory frequency,heart rate,systolic blood pressure,diastolic blood pressure, blood K+,blood Na+index corresponding comparison (P<0.05),arterial CO2,arterial O2,serious adverse reactions corresponding comparison (P<0.05).The experimental group total effective rate (96.08%) was significantly higher than that of the control group total effective rate (78.43%),and the results compared with significant statistical significance (P<0.01). Conclusion:Torasemide used in acute left heart failure in pre-hospital first aid effect is significant,safe and reliable,and is worthy of popularization and application in clinical.
