|
|
|
| Effect of Dopamine combined with Dobutamine on chronic heart failure with renal insufficiency |
| ZHANG Qing |
| Department of Cardiology,Liaoyang Central Hospital,Liaoning Province,Liaoyang 111000,China |
|
|
|
|
Abstract ObjectiveTo investigate the effect of Dopamine combined with Dobutamine in the treatment of chronic heart failure complicated with renal insufficiency.MethodsA total of 60 patients with chronic heart failure complicated with renal insufficiency admitted in our hospital from February 2014 to September 2016 were selected as subjects,and they were divided into observation group and control group by random distribution,30 cases in each group.The control group was treated with conventional drugs.The observation group was treated with Dopamine and Dobutamine.The effects of treatment,adverse reactions and the left ventricular diastolic(LVEDD),left ventricular ejection fraction(LVEF)and blood urea nitrogen(BUN)of the two groups were compared.ResultsThe total effective rate in the observation group(93.33%)was higher than that in the control group(73.33%),and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference between the two groups of patients with heart and kidney function(P>0.05).After treatment,the LVEDD and BUN were lower than before treatment in both groups,the LVEF was higher than before the treatment,and the differences were statistically significant(P<0.05).The LVEDD and BUN of patients in the observation group were significantly lower than those in the control group,while the LVEF was significantly higher than that in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in the observation group(6.67%)was lower than that in the control group(26.67%),and the difference was statistically significant(P<0.05).ConclusionThe clinical effect of Dopamine combined with Dobutamine in the treatment of chronic heart failure complicated with renal insufficiency is significant,which can reduce the incidence of adverse reactions and effectively improve the clinical symptoms of patients,it is worthy of clinical promotion.
|
|
|
|
|
|
| [1] |
杨靖义.多巴胺与多巴酚丁胺治疗慢性心衰合并肾功能不全的临床观察[J].中国实用医药，2011，6（15）：9-10.
|
| [2] |
付文辉.多巴胺联合多巴酚丁胺治疗慢性心力衰竭合并肾功能不全的疗效观察[J].中国实用医药，2012，7（25）：143-144.
|
| [3] |
卢丽.基层医院应用多巴酚丁胺联合多巴胺治疗顽固性心力衰竭25例疗效观察[J].临床医学研究与实践，2016，1（6）：35.
|
| [4] |
徐洋.前列地尔联合小剂量多巴胺治疗慢性心衰合并肾功能不全疗效分析[J].系统医学，2016，1（6）：25-27.
|
| [5] |
亓鹏，张朝香.ACC/AHA2009成人心力衰竭诊断与治疗最新指南简介（二）[J].中华保健医学杂志，2010，12（5）：403-406.
|
| [6] |
王利红.多巴胺联合硝普钠治疗顽固性心力衰竭的效果观察[J].中国当代医药，2014，21（20）：82-84.
|
| [7] |
吴雪照.多巴酚丁胺治疗收缩性心力衰竭合并缓慢性心律失常的疗效观察[J].实用心脑肺血管病杂志，2015，23（2）：67-68.
|
| [8] |
赵耀武.呋塞米联合多巴胺治疗心衰效果观察[J].临床医药文献电子杂志，2017，4（42）：8285.
|
| [9] |
张伟.硝普钠联合多巴胺治疗慢性心力衰竭的疗效观察[J].中西医结合心血管病电子杂志，2015，3（21）：62-63.
|
| [10] |
车晓晴.纳洛酮联合多巴胺治疗中重度新生儿缺氧缺血性脑病的疗效分析[J].中国医药指南，2015，13（17）：140-141.
|
| [11] |
苏素缺，赵淑静，李伟刚.硝普钠与多巴胺微泵治疗顽固性心衰的疗效观察[J].中国医学装备，2015，12（4）：77-79.
|
| [12] |
陈芳，宋春兰，顾雪.比较多巴胺与去甲肾上腺素治疗感染性休克的疗效分析[J].中国现代药物应用，2015，9（2）：107-108.
|
| [13] |
刘新学.小剂量多巴胺治疗新生儿窒息后肾损害中的疗效观察[J].中国实用医药，2013，8（6）：125-126.
|
| [14] |
黄冬冬，吴亚军.前列腺素E1联合多巴胺治疗充血性心力衰竭的疗效观察（附45例报告）[J].中国医学工程，2012，20（10）：154-157.
|
| [15] |
王丽芳.CCU患者持续微量泵注射硝普钠、多巴胺治疗心力衰竭的护理[J].求医问药，2011，9（12）：550-551.
|
|
|
|
