中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
22期
22-24
,共3页
慢性充血性心力衰竭%低钠血症%疗效
慢性充血性心力衰竭%低鈉血癥%療效
만성충혈성심력쇠갈%저납혈증%료효
Chronic congestive heart failure%Hyponatremia%Curative effect
目的：探讨慢性充血性心力衰竭与低钠血症的临床治疗方法及其临床治疗效果。方法：选自2013年2月-2014年5月本院收治的慢性充血性心力衰竭与低钠血症患者120例，将其按随机数字表法分成观察组和对照组，每组60例。两组患者均采用常规强心利尿扩血管进行治疗，观察组患者同时采用高渗盐水联合多巴胺进行治疗，对比两组的临床治疗效果。结果：治疗前，两组患者尿量、血钾、血钠、血肌酐等指标比较差异无统计学意义；治疗后，观察组患者的尿量、血钾、血钠水平上升的幅度大于对照组，且观察组患者血肌酐下降的程度大于对照组，比较差异均有统计学意义（P<0.05）。观察组患者临床治疗的总有效率为98.3%，对照组为91.7%；观察组患者不良反应发生率为5.1%，对照组为8.3%，观察组患者治疗的有效率高于对照组患者，且不良反应发生率低于对照组患者，比较差异均有统计学意义（P<0.05）。结论：在对患者进行常规治疗的基础上，应用高渗盐水联合多巴胺进行治疗，能够实现良好的治疗效果，该种治疗方法值得在临床上推广。
目的：探討慢性充血性心力衰竭與低鈉血癥的臨床治療方法及其臨床治療效果。方法：選自2013年2月-2014年5月本院收治的慢性充血性心力衰竭與低鈉血癥患者120例，將其按隨機數字錶法分成觀察組和對照組，每組60例。兩組患者均採用常規彊心利尿擴血管進行治療，觀察組患者同時採用高滲鹽水聯閤多巴胺進行治療，對比兩組的臨床治療效果。結果：治療前，兩組患者尿量、血鉀、血鈉、血肌酐等指標比較差異無統計學意義；治療後，觀察組患者的尿量、血鉀、血鈉水平上升的幅度大于對照組，且觀察組患者血肌酐下降的程度大于對照組，比較差異均有統計學意義（P<0.05）。觀察組患者臨床治療的總有效率為98.3%，對照組為91.7%；觀察組患者不良反應髮生率為5.1%，對照組為8.3%，觀察組患者治療的有效率高于對照組患者，且不良反應髮生率低于對照組患者，比較差異均有統計學意義（P<0.05）。結論：在對患者進行常規治療的基礎上，應用高滲鹽水聯閤多巴胺進行治療，能夠實現良好的治療效果，該種治療方法值得在臨床上推廣。
목적：탐토만성충혈성심력쇠갈여저납혈증적림상치료방법급기림상치료효과。방법：선자2013년2월-2014년5월본원수치적만성충혈성심력쇠갈여저납혈증환자120례，장기안수궤수자표법분성관찰조화대조조，매조60례。량조환자균채용상규강심이뇨확혈관진행치료，관찰조환자동시채용고삼염수연합다파알진행치료，대비량조적림상치료효과。결과：치료전，량조환자뇨량、혈갑、혈납、혈기항등지표비교차이무통계학의의；치료후，관찰조환자적뇨량、혈갑、혈납수평상승적폭도대우대조조，차관찰조환자혈기항하강적정도대우대조조，비교차이균유통계학의의（P<0.05）。관찰조환자림상치료적총유효솔위98.3%，대조조위91.7%；관찰조환자불량반응발생솔위5.1%，대조조위8.3%，관찰조환자치료적유효솔고우대조조환자，차불량반응발생솔저우대조조환자，비교차이균유통계학의의（P<0.05）。결론：재대환자진행상규치료적기출상，응용고삼염수연합다파알진행치료，능구실현량호적치료효과，해충치료방법치득재림상상추엄。
Objective:To investigate treatment method for chronic congestive heart failure with hyponatremia and its clinical therapeutic effect. Method:120 patients with chronic congestive heart failure and hyponatremia from February 2013 to May 2014 in our hospital were randomly divided into 2 groups,each group contained 60 patients. The two groups were treated with conventional strong heart diuresis vasodilator,the observation group at the same time was given hypertonic saline combined with dopamine. To compare clinical efficacy of the two groups. Result:Before treatment,the two groups had no significant difference in urine volume,blood potassium,sodium,blood creatinine. After treatment,urine volume,blood potassium,sodium values of the observation group rose more than that of the control group,and serum creatinine decreased greater. The clinical treatment efficiency of the observation group was 98.3%,that of the control group was 91.7%;the adverse reaction incidence of the observation group was 5.1%,and that of the control group was 8.3%. The effective rate of the observation group was higher than that of the control group,but adverse reaction rate was lower,with significant difference(P<0.05). Conclusion:On the basis of conventional treatment,application of hypertonic saline combined with dopamine for treatment,can achieve good treatment effect, this therapy is worthy of clinical popularization.
