不同利尿方式在老年重症心力衰竭中的临床分析  

作　　者：熊晓荣[1] 

机构地区：[1]湖北省潜江市中心医院心内科,湖北潜江433100

出　　处：《医学与社会》2015年第B06期255-256,共2页Medicine and Society

摘　　要：目的：探讨不同的利尿方式治疗老年重症l心力衰竭疗效及不艮反应。方法：将95例老年重症心力衰竭患者随机分为治疗组（49例）和对照组（46例）。两组都给予心力衰竭的常规治疗，治疗组利尿采用每天120mg呋塞米以5mg/h维持静脉泵入，对照组采用呋塞米注射液40mg静注，一天3次，5天后观察两组患者尿量及I心功能改善情况，比较两组在电解质，肾功能等方面的变化情况。结果：治疗组在尿量增加方面，心衰症状改善方面明显优于对照组（P〈0．05），治疗组的有效率87．7％．对照组有效率60．6％，差异有显著性（P〈0．05）；治疗组在电解质，肾功能、心律失常方面的不利影响低于对照组，但无统计学意义（P〉0．05），在尿酸方面的影响明显低于对照组（P〈0．05）。结论：在常规抗心力衰竭治疗的基础上采用静脉维持泵入呋塞米有利。Objective To detect the clinical efficacy and side effects of different dyuretics treatment on elderly patients with severe congestive heart failure（CHF）. Method 95 ca- ses were randomly divided into treatment group （49eases）and control group （46cases）. Both groups were given the basic treatment. The treatment group was given 120mg/d furosemide by intravenous pumping at a rate of 5mg/h,and the control group was given 40rag furesemide by intravenous injection,three times a day. After 5 days treatment,the improvement of CHF symptoms and urine volume in both groups were observed, and the changes of electrolyte, renal function, uric acid of the two groups were compared. Results CHF symptoms of treatment group was significantly better than those of control group（P 〈0. 05）. The total effective rate in the treatment group and the control group was 87. 7% and 60. 9% ,The effect was signifi- cantly different in the two groups（ P 〈0.05 ）. Side effects on the electrolyte and renal function of treatment group was lower than control group ,the difference was not stati.stically signifi- cant（P 〉 0. 05）, But the side effects on the uric acid of treatment group was lower than those of control group . The effect was significantly different in the two group （ P 〈 0. 05 ） Conclusion：Based on the conventional methods, Furosemide continued vein pumping treatment good for elderly patients.

关 键 词：呋塞米 静脉维持泵入 心力衰竭 老年 

分 类 号：R541.6[医药卫生—心血管疾病]