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目的观察采用生脉注射液和左西孟旦联合治疗急性心肌梗死泵衰竭的疗效。方法选择入院进行急诊治疗的急性心肌梗死泵衰竭患者80例,按治疗方法分为二组,对照组和观察组,各40例。对照组采用基本的治疗急性心肌梗死泵衰竭的方法,观察组在对照组基础上采用生脉注射液和左西孟旦联合使用进行治疗。治疗10~14d后,对比二组患者使用不同治疗方法所取得的治疗效果及临床指标,总结治疗经验。结果对照组的患者中,显效6例,病死率55.0%;观察组患者中,显效12例,病死率40.0%,观察组的治疗效果相对较好;左室舒张末内径、左室射血分数水平、BNP观察组改善优于对照组,差异有统计学意义。结论对于急性心肌梗死泵衰竭患者,采用生脉注射液联合左西孟旦进行治疗能够缓解患者的症状,达到治愈的效果,治疗效果较常用的治疗方法好,适合基层医院广泛的推广应用。
Objective To observe the curative effect of Shengmai injection combined with levosimendan in treating pump failure of acute myocardial infarction. Methods Eighty patients with acute myocardial infarction with pump failure admitted to hospital for emergency treatment were divided into two groups according to the treatment method, the control group and the observation group, 40 cases each. The control group used the basic treatment of acute myocardial infarction pump failure, the observation group in the control group based on the use of Shengmai injection and levosimendan used in combination. After 10 to 14 days of treatment, the therapeutic effects and clinical indexes obtained by different treatment methods were compared between the two groups, and the treatment experience was summarized. Results Among the control group, 6 cases were markedly effective and the case fatality rate was 55.0%. In the observation group, 12 cases were markedly cured and the case fatality rate was 40.0%. The treatment effect in the observation group was relatively good. The left ventricular end-diastolic diameter, left ventricular ejection fraction Level, BNP observation group improved better than the control group, the difference was statistically significant. Conclusion For patients with acute myocardial infarction with pump failure, Shengmai injection combined with levosimendan can alleviate the symptoms of patients and achieve the curative effect. The treatment effect is better than the commonly used treatment methods and is suitable for wide application in primary hospitals.