心理干预联合米力农治疗小儿先天性心脏病并发重症肺炎及心力衰竭的临床探讨  

Investigation on the effect of psychological intervention combinedwith milrinone on the treatment of the children with congenital heart disease complicated with severe pneumonia and heart failure

作　　者：张振华[1] 王建龙[1] ZHANG Zhen-hua;WANG Jian-long(Department of Pediatrics, the First People’s Hospital in Jining City, Jining 272100 China)

机构地区：[1]济宁市第一人民医院儿科,山东济宁272100

出　　处：《中国生化药物杂志》2017年第9期116-117,共2页Chinese Journal of Biochemical Pharmaceutics

摘　　要：目的研究分析心理干预联合米力农治疗小儿先天性心脏病并发重症肺炎及心力衰竭的临床疗效。方法选取济宁市第一人民医院2015年2月～2016年12月收治的100例小儿先天性心脏病并发重症肺炎及心力衰竭患者为研究对象，随机分为对照组和试验组，每组50例。对照组患者给予常规治疗，包括心电监护以及抗感染和吸氧治疗，并给予米力农治疗。试验组患者给予米力农治疗，进行心理干预，关注患者心理健康。比较分析试验组与对照组患者的治疗效果。结果试验组患者与对照组患者均未出现严重不良反应，2组不良反应发生率差异无统计学意义。试验组患者呼吸稳定时间为（1.76±0.32）天，烦躁消除时间为（7.12±1.12）小时，心率恢复时间为（1.82±0.74）天，肺罗音消失时间为（8.12±1.41）天。试验组相关症状消失时间显著少于对照组（P＜0.05）。结论心理干预联合米力农治疗小儿先天性心脏病并发重症肺炎及心力衰竭临床效果较好，治疗有效率较高，值得临床应用。Objective To investigate the clinical effect of psychological intervention combined with milrinone on the treatment of the childrenwith congenital heart disease complicated with severe pneumonia and heart failure.Methods In the First People’s Hospital in Jining City fromFebruary2015to December2016,100children with congenital heart disease complicated with severe pneumonia and heart failure as the researchobject,randomly divided into the control group and the experimental group,50cases in each group.The control group were received routinetreatment,including ECG monitoring,anti infection and oxygen therapy,and the treatment of rice farmers.The experimental group was treated withmilrinone treatment,psychological intervention,pay attention to the mental health of patients.The therapeutic effects of the experimental group andthe control group were compared and analyzed.Results after the corresponding treatment,the patients in the experimental group and the controlgroup were mild and no serious adverse reactions occurred.There was no significant difference in the incidence of adverse reactions between thetwo groups,and there was no statistical significance.The experimental group of patients with respiratory stabilization time is(1.76±0.32)days,toeliminate irritability(7.12±1.12)hours,heart rate recovery time(1.82±0.74)days,pulmonary rales disappeared time was(8.12±1.41)days.Theclinical symptoms of the patients in the control group were significantly longer than those in the experimental group,with statistical difference(P<0.05).Conclusion The effective rate about psychological intervention combined with milrinone on the treatment of the children with congenitalheart disease complicated with severe pneumonia and heart failure is high,which is worthy of clinical application.

关 键 词：米力农 小儿先天性心脏病 重症肺炎 心力衰竭 

分 类 号：R725.4[医药卫生—儿科]