CAJ | 학술논문

目的：观察应用微量注射泵泵入硝酸甘油、多巴胺、多巴酚丁胺治疗难治性心力衰竭的临床疗效。方法选择2011年1月~2014年1月本院102例心功能Ⅲ~Ⅳ级(NYHA分级法)的住院患者，在卧床休息、控制饮食、吸氧、强心剂及利尿剂治疗的基础上，应用微量注射泵泵入硝酸甘油、多巴胺、多巴酚丁胺，疗程3~5d，观察患者临床症状、体征、心功能改善情况。结果102例患者用药后临床症状和心功能各项参数均明显改善，与治疗前比较，差异有统计学意义(P<0.05)。结论应用微量泵泵入硝酸甘油、多巴胺、多巴酚丁胺治疗难治性心力衰竭患者疗效明显，安全可靠。
목적：관찰응용미량주사빙빙입초산감유、다파알、다파분정알치료난치성심력쇠갈적림상료효。방법선택2011년1월~2014년1월본원102례심공능Ⅲ~Ⅳ급(NYHA분급법)적주원환자，재와상휴식、공제음식、흡양、강심제급이뇨제치료적기출상，응용미량주사빙빙입초산감유、다파알、다파분정알，료정3~5d，관찰환자림상증상、체정、심공능개선정황。결과102례환자용약후림상증상화심공능각항삼수균명현개선，여치료전비교，차이유통계학의의(P<0.05)。결론응용미량빙빙입초산감유、다파알、다파분정알치료난치성심력쇠갈환자료효명현，안전가고。
Objective To observe the clinical efficacy of nitroglycerin,dopamine and dobutamine pumped by micro-in-jection pump for the treatment of refractory heart failure. Methods 102 hospitalized patients with Grade Ⅲ to Ⅳ(NY-HA grading method) heart function in our hospital from January 2011 to January 2014 were selected and given nitro-glycerin, dopamine and dobutamine pumped by micro-injection pump on the basis of bed rest,diet control,oxygen up-take,cardiotonic and diuretic therapy.The course of treatment was 3 to 5 days.The patients’ clinical symptoms,body signs and cardiac function improvement situation were observed. Results All 102 patients’ clinical symptoms and car-diac function parameters improved significantly after medication.Compared with before treatment,the difference was sta-tistically significant (P<0.05). Conclusion Nitroglycerin,dopamine and dobutamine pumped by micro-injection pump is significantly effective,safe and reliable for the treatment of refractory heart failure.