中外医学研究
中外醫學研究
중외의학연구
Chinese and Foreign Medical Research
2015年
32期
14-15
,共2页
慢性肺心病心力衰竭%多巴胺%多巴酚丁胺%酚妥拉明%硝酸甘油%呋塞米%基层医院
慢性肺心病心力衰竭%多巴胺%多巴酚丁胺%酚妥拉明%硝痠甘油%呋塞米%基層醫院
만성폐심병심력쇠갈%다파알%다파분정알%분타랍명%초산감유%부새미%기층의원
Heart failure of chronic pulmonary heart disease%Dopamine%Dobutamine%Phentolamine%Nitroglycerin%Furosemide%Primary hospital
目的:观察基层医院治疗慢性肺心病心力衰竭的效果,研究基层医院治疗慢性肺心病心力衰竭的方法.方法:选取2013年1月-2014年6月在笔者所在医院住院的60例慢性肺心病心力衰竭患者,将其按就诊顺序分为治疗组与对照组,每组30例.对照组按照病情给予休息、吸氧、平喘、祛痰、利尿、抗感染以及营养支持等方法治疗;治疗组在对照组常规治疗基础上,加用多巴胺、多巴酚丁胺、酚妥拉明、硝酸甘油及呋塞米治疗(下简称强心扩管利尿方案).比较两组的治疗效果和不良反应发生情况.结果:治疗组的治疗有效率为93.3%,明显高于对照组的70.0%,差异有统计学意义(P<0.05).结论:在常规治疗上加用强心扩管利尿方案治疗慢性肺心病心力衰竭疗效显著,而且相对安全.基层医院经过规范诊断和处理,绝大多数患者呼吸功能可改善,心功能可改善,减少了转诊上级医院,为患者减轻了经济负担,节约了医疗资源.值得在基层医院临床进行大范围推广应用.
目的:觀察基層醫院治療慢性肺心病心力衰竭的效果,研究基層醫院治療慢性肺心病心力衰竭的方法.方法:選取2013年1月-2014年6月在筆者所在醫院住院的60例慢性肺心病心力衰竭患者,將其按就診順序分為治療組與對照組,每組30例.對照組按照病情給予休息、吸氧、平喘、祛痰、利尿、抗感染以及營養支持等方法治療;治療組在對照組常規治療基礎上,加用多巴胺、多巴酚丁胺、酚妥拉明、硝痠甘油及呋塞米治療(下簡稱彊心擴管利尿方案).比較兩組的治療效果和不良反應髮生情況.結果:治療組的治療有效率為93.3%,明顯高于對照組的70.0%,差異有統計學意義(P<0.05).結論:在常規治療上加用彊心擴管利尿方案治療慢性肺心病心力衰竭療效顯著,而且相對安全.基層醫院經過規範診斷和處理,絕大多數患者呼吸功能可改善,心功能可改善,減少瞭轉診上級醫院,為患者減輕瞭經濟負擔,節約瞭醫療資源.值得在基層醫院臨床進行大範圍推廣應用.
목적:관찰기층의원치료만성폐심병심력쇠갈적효과,연구기층의원치료만성폐심병심력쇠갈적방법.방법:선취2013년1월-2014년6월재필자소재의원주원적60례만성폐심병심력쇠갈환자,장기안취진순서분위치료조여대조조,매조30례.대조조안조병정급여휴식、흡양、평천、거담、이뇨、항감염이급영양지지등방법치료;치료조재대조조상규치료기출상,가용다파알、다파분정알、분타랍명、초산감유급부새미치료(하간칭강심확관이뇨방안).비교량조적치료효과화불량반응발생정황.결과:치료조적치료유효솔위93.3%,명현고우대조조적70.0%,차이유통계학의의(P<0.05).결론:재상규치료상가용강심확관이뇨방안치료만성폐심병심력쇠갈료효현저,이차상대안전.기층의원경과규범진단화처리,절대다수환자호흡공능가개선,심공능가개선,감소료전진상급의원,위환자감경료경제부담,절약료의료자원.치득재기층의원림상진행대범위추엄응용.
Objective:To observe the effect of the treatment of chronic pulmonary heart disease with heart failure in the primary hospitals, and to study the treatment methods.Method:60 patients with chronic pulmonary heart disease heart failure in our hospital from January 2013 to June 2014 were selected, according to the doctor order,they were divided into the treatment group and the control group, 30 cases in each group. According to the condition, the control group was given rest, oxygen inhalation, antiasthmatic, expectorant, diuretic, anti infection and nutrition support therapy; the treatment group based on the control group was received the routine treatment combined with dopamine, dobutamine, phenol phentolamine, nitroglycerin and furosemide treatment.The curative effect and the occurrence of adverse reactions were observed and compared of the two groups.Result:The effective rate of the treatment group was 93.3%, which was higher than that the control group, the difference was statistically significant(P<0.05).Conclusion:In the routine treatment plus the use of strong heart expanding diuretic plan in the treatment of chronic pulmonary heart disease heart failure curative effect significantly, and the relative safety.The primary hospital after diagnosis and standard treatment, the vast majority of work of breathing in patients with can improve, cardiac function can be improved reduced referral superior hospital, and reduce the economic burden for patients, saving medical resources.It is worth to apply for clinical application in the primary hospitals.
