探讨硝普钠抢救治疗急性左心衰竭的临床效果  

Exploration of clinical effect of sodium nitroprusside inrescue treatment of acute left heart failure

作　　者：邱鸿伟 陈校春 梁志豪 QIU Hongwei;CHEN Xiaochun;LIANG Zhihao(Department of Internal First,Yangjiang Traditional Chinese Medicine Hospital,Yangjiang,Guangdong,529500,China)

机构地区：[1]阳江市中医医院内一科,广东阳江529500

出　　处：《当代医学》2021年第11期35-37,共3页Contemporary Medicine

摘　　要：目的探讨硝普钠抢救治疗急性左心衰竭的临床效果。方法选取2018年1月至2020年1月本院收治的急性左心衰竭患者100例,依据抢救治疗方法分为常规性治疗组(常规性治疗)和硝普钠治疗组(常规性治疗基础上联合硝普钠治疗),各50例。比较两组患者的心率、心功能、临床疗效、不良反应发生率。结果治疗后,硝普钠治疗组患者心率、左室收缩末期内径、左室舒张末期内径降低幅度、左室射血分数均显著优于常规性治疗组(P<0.05)。硝普钠治疗组治疗总有效率为92.0%(46/50),高于常规性治疗组的80.0%(40/50),差异有统计学意义(P<0.05)。硝普钠治疗组不良反应发生率为6.0%(3/50),常规性治疗组为6.0%(3/50),组间比较差异无统计学意义。结论急性左心衰竭采用硝普钠抢救治疗临床效果好。Objective To explore the clinical effect of sodium nitroprusside in rescue treatment of acute left heart failure.Methods 100 cases of patients with acute left heart failure in our hospital from January 2018 to January 2020 were retrospectively selected.According to the rescue treatment methods,they were divided into routine treatment group(routine treatment)and sodium nitroprusside treatment group(sodium nitroprusside treatment based on routine treatment group),with 50 cases in each group.The heart rates,cardiac functions,clinical efficacy and adverse reactions were statistically analyzed between the two groups.Results After treatment,heart rate,left ventricular end systolic diameter,left ventricular end diastolic diameter and left ventricular ejection fraction of the sodium nitroprusside treatment group were significantly better than the routine treatment group(P<0.05).The total effective rate in the sodium nitroprusside treatment group was 92.0%(46/50),which was significantly higher than 80.0%(40/50)in the routine treatment group(P<0.05).The incidence of adverse reactions was 6.0%(3/50)in the sodium nitroprusside treatment group and 6.0%(3/50)in the routine treatment group,there was no significant difference between the two groups.Conclusion Sodium nitroprusside is effective in the treatment of acute left heart failure.

关 键 词：急性左心衰竭 硝普钠 抢救治疗 临床效果 心率 心功能 不良反应 

分 类 号：R541.6[医药卫生—心血管疾病]