论文部分内容阅读
目的:冠心病慢性心力衰竭急性加重期常规综合治疗及多巴酚丁胺辅助综合治疗的临床疗效。方法:将58例冠心病心力衰竭患者随机分为观察组29例和对照组29例,2组患者入院后均采用吸氧抗心肌缺血调脂抗血小板强心利尿扩血管,纠正电解质紊乱等内科综合治疗,观察组在常规治疗基础上加用多巴酚丁胺40~60mg/d,连用7天辅助治疗。结果:观察组和对照组总有效率为96.5%和87.3%,差异有显著性。多巴酚丁胺出现频发室早1例,停药后消失。对照组出现头晕1例,电解质紊乱1例。结论:短期应用多巴酚丁胺治疗冠心病慢性心力衰竭急性加重是一种安全有效方法,既可发挥正性肌力作用,又可扩张血管,减轻心脏负荷,在临床常规综合治疗心力衰竭不理想情况下可联合应用多巴酚丁胺。
Objective: The clinical curative effect of conventional combined treatment of acute exacerbation of coronary heart disease with chronic heart failure and dobutamine complementary therapy. Methods: Fifty-eight patients with heart failure of CHD were randomly divided into observation group (n = 29) and control group (n = 29). After admission, both groups were treated with oxygen and anti-myocardial ischemia and lipid-lowering cardiotonic diarrhea vasodilatation to correct electrolyte imbalance Medical comprehensive treatment, the observation group on the basis of conventional treatment with dobutamine 40 ~ 60mg / d adjuvant for 7 days adjuvant therapy. Results: The total effective rate of observation group and control group was 96.5% and 87.3%, the difference was significant. Dobutamine appeared as early as 1 case of early, disappear after stopping. The control group showed dizziness in 1 case and electrolyte imbalance in 1 case. Conclusion: Short-term use of dobutamine in patients with coronary heart disease acute exacerbation of chronic heart failure is a safe and effective method, both positive inotropic effect, but also dilate blood vessels, reduce cardiac stress in the conventional clinical treatment of heart failure is not Ideally, dobutamine should be used in combination.