大剂量呋塞米联合高渗盐水治疗顽固性心力衰竭24例临床护理  

Clinical nursing care in the treatment of 24 patients with intractable heart failure by using large dosage of furosemide combined with hypertonic saline

作　　者：张俊[1] 卜祥斌[1] 张文博[1] 

机构地区：[1]滨州医学院附属医院,山东滨州256603

出　　处：《齐鲁护理杂志》2010年第7期18-19,共2页Journal of Qilu Nursing

摘　　要：目的:探讨大剂量呋塞米加高渗盐水治疗顽固性心力衰竭的临床疗效及护理方法。方法:将48例顽固性心力衰竭患者采用随机数字表法将其分为治疗组和对照组各24例,两组均采取心理护理、密切观察用药情况、严格卧床休息等综合护理措施,治疗组在此基础上静滴大剂量呋塞米加高渗盐水治疗;对照组静滴呋塞米,不加高渗盐水,分析比较两组的治疗效果。结果:治疗组显效11例,有效8例,无效5例(包括死亡2例),总有效率79.17%;对照组显效5例,有效7例,无效12例(包括死亡4例),总有效率50%,两组比较差异有统计学意义(χ2=4.46,P<0.05)。结论:大剂量呋塞米合并高渗盐水能显著提高顽固性心力衰竭的治疗成功率,缜密的护理措施是提高治愈率的有力保障。Objective： To explore the clinical efficacy of large dosage of furosemide combined with hypertonic saline and nursing methods in the treatment of intractable heart failure.Methods： 48 patients with intractable heart failure were randomly divided into treatment group and control group（24 cases for each group）.Psychological care was taken in both groups,the usage of furosemide combined with hypertonic saline was intravenously infused at the same time in the treatment group and only furosemide was infused in the control group.The therapeutic effect was analyzed and compared between the two groups.Results： In the treatment group,it was effectual in 11 cases,effective in 8 cases and ineffective in 5 cases（including 2 death cases）,the total effective rate was 79.17%;in control group,it was effectual in 5 cases,effective in 7 cases and ineffective in 12 cases（including 4 death cases）,the total effective rate was 50%,the differences between the two groups were statistically significant（χ2 = 4.46,P 0.05）.Conclusion： Large dosage of furosemide combined with hypertonic saline can obviously increase the success rate of the treatment of intractable heart failure and meticulous nursing care plays an effective role in increasing the cure rate of the treatment.

关 键 词：顽固性心力衰竭 呋塞米 高渗盐水 护理 

分 类 号：R473.5[医药卫生—护理学]