硫酸镁、硝酸甘油、多巴胺联合应用治疗肺心病心衰并发呼衰的临床疗效评价  

Clinical efficacy of combined treatment of magnesium sulfate,nitroglycerin and dopamine for heart failure complicated with respiratory failure of pulmonary heart disease

作　　者：张华均 Zhang Huajun(Tiaodeng town Chongqing Dadukou District Hospitals 401325)

机构地区：[1]重庆市大渡口区跳蹬镇卫生院,401325

出　　处：《中国社区医师》2018年第15期77-77,79,共2页Chinese Community Doctors

摘　　要：目的:探讨硫酸镁、硝酸甘油、多巴胺联合应用治疗肺心病心力衰竭并发呼吸衰竭的临床疗效。方法:收治肺心病心衰并发呼衰患者52例,随机分为研究组和对照组。对照组采用抗感染、吸氧、强心等常规治疗,研究组在对照组基础上加用硫酸镁、硝酸甘油、多巴胺联合治疗,比较两组治疗效果。结果:治疗后,研究组PaO_2、SaO_2高于对照组(P<0.05),PaCO_2低于对照组(P<0.05),治疗总有效率高于对照组(P<0.05)。结论:在常规对症治疗基础上,给予肺心病心衰并发呼衰患者硫酸镁、硝酸甘油、多巴胺联合治疗效果显著。Objective：To explore the clinical efficacy of combined treatment of magnesium sulfate,nitroglycerin and dopamine for heart failure complicated with respiratory failure of pulmonary heart disease.Methods：52 patients with heart failure complicated with respiratory failure of pulmonary heart disease were selected.They were randomly divided into the study group and the control group.The control group was treated by routine treatment of anti infection,oxygen inhalation,strong heart.The study group added with combined treatment of magnesium sulfate,nitroglycerin and dopamine on the basis of the control group.We compared the therapeutic effect of the two groups.Results：After treatment,PaO2 and SaO2 in the study group were higher than those in the control group（P 〈 0.05）;PaCO2 was lower than that in the control group（P 〈 0.05）;the total effective rate was higher than that of the control group（P 〈 0.05）.Conclusion：The clinical efficacy of combined treatment of magnesium sulfate,nitroglycerin and dopamine for heart failure complicated with respiratory failure of pulmonary heart disease was significant.

关 键 词：肺心痛 心力衰竭 呼吸衰竭 硫酸镁 硝酸甘油 多巴胺 

分 类 号：R541.5[医药卫生—心血管疾病] R541.6[医药卫生—内科学] R563.8[医药卫生—临床医学]