硝普钠联合多巴胺持续静脉泵入治疗老年顽固性心衰的临床疗效

杨少妮

（陕西省宝鸡市千阳县中医医院内一科，陕西 宝鸡，721100）

浏览次数：150次 下载次数：425次

摘要：

目的 探讨硝普钠联合多巴胺持续静脉泵入治疗老年顽固性心衰的效果。方法 将我院80 例老年顽固性心衰患者作为 研究对象，并由临床医生将其随机分为两组，各40 例。对照组行硝普钠避光持续静脉泵入，观察组行硝普钠联合多巴胺持续 静脉泵入。比较两组治疗前、后临床指标情况，不良反应发生情况及治疗总有效率。结果 治疗后，两组患者的血压、心率、呼 吸均较治疗前明显改善（P<0.05），且观察组患者收缩压、心率、呼吸均明显低于对照组（P<0.05）。观察组患者不良反应总发 生率和治疗总有效率明显优于对照组（P<0.05）。结论 采用硝普钠联合多巴胺持续静脉泵入，能够改善老年顽固性心衰患者 临床指标，降低老年患者不良反应发生率，具有显著的临床应用价值。

关键词：硝普钠；多巴胺；心衰

中图分类号：R541.6文献标志码：A文章编号：2096-1413(2018)01-0030-02

Clinical efficacy of sodium nitroprusside combined with dopamine sustained intravenous infusion in elderly patients

with refractory heart failure
YANG Shao-ni
(No.1 Internal Medicine Department, the TCM Hospital of Qianyang County, Baoji 721100, China)

ABSTRACT: Objective To investigate the effect of sodium nitroprusside combined with dopamine sustained intravenous infusion in elderly patients with refractory heart failure. Methods A total of 80 cases of elderly patients with refractory heart failure in our hospital were enrolled and randomly divided into two groups by clinicians, with 40 cases in each group. The control group was treated with sodium nitroprusside continuous intravenous pump without light, the observation group was treated with sodium nitroprusside combined with dopamine sustained intravenous infusion. The clinical indexes before and after treatment, the adverse reactions and the total effective rate of treatment were compared between the two groups. Results After treatment, the blood pressure, heart rate and respiration of the two groups significantly improved (P<0.05), and the systolic blood pressure, heart rate and respiration of the observation group were significantly lower than those of the control group (P<0.05). The total incidence rate of adverse reactions and total effective rate of treatment in the observation group were significantly better than those in the control group (P<0.05). Conclusion The use of sodium nitroprusside plus dopamine continuous intravenous infusion can improve the clinical indicators of elderly patients with refractory heart failure, and reduce the adverse reaction rate in elderly patients, which has significant clinical value.
KEYWORDS: sodium nitroprusside; dopamine; heart failure

参考文献：
[1] 王凌.硝普钠、多巴胺联合持续静脉泵入治疗老年顽固性心衰的效果观察[J].中外医学研究,2017,15(3):124-125.
[2] 宋金梅.硝普钠与多巴胺持续静脉泵入联合治疗老年顽固性心衰效果观察[J].当代医学,2017,23(2):76-78.
[3] 钟海.硝普钠联合多巴胺持续静脉泵入治疗老年顽固性心力衰竭的临床疗效及安全性[J].中国医药指南,2016,14(35):180-181.
[4] 刘畅.硝普钠联合多巴胺持续泵入治疗顽固性心衰的疗效分析[J].中国现代药物应用,2016,10(16):129-130.
[5] 王晓渤.多巴胺联合硝普钠持续静脉泵入治疗老年顽固性心衰的治疗效果及对心功能的影响[J].中国现代医生,2016,54(22):78-80.
[6] 李金魁.持续泵入硝普钠、多巴胺治疗老年顽固性心力衰竭41 例疗 效观察[J].世界最新医学信息文摘:连续型电子期刊,2016,16(5):103.
[7] 张耀辉,魏家琳.硝普钠联合多巴胺治疗顽固性心衰的临床疗效观察[J].河南医学研究,2015,24(4):82-83.