硝普钠联合多巴胺治疗急性左心衰竭的疗效观察

J4 ›› 2016, Vol. 15 ›› Issue (2): 27-29.

硝普钠联合多巴胺治疗急性左心衰竭的疗效观察

（大理大学附属医院，云南大理671000）

收稿日期:2015-03-25 出版日期:2016-02-15 发布日期:2016-02-15
作者简介:副主任医师，主要从事心血管内科研究.

Curative Effect of Sodium Nitroprusside Combined with Dopamine in the Treatment of Acute Left Heart
Failure

（Affiliated Hospital of Dali University, Dali, Yunnan 671000, China）

Received:2015-03-25 Online:2016-02-15 Published:2016-02-15

摘要/Abstract

摘要：

目的：观察硝普钠联合多巴胺治疗急性左心衰的临床疗效。方法：将急性左心衰患者116例，随机分为治疗组、对照组
各58例。治疗组予硝普钠联合多巴胺治疗，对照组予单硝酸异山梨酯治疗。结果：治疗组、对照组总有效率各为89.7%，50%，
治疗组显著高于对照组（P<0.01）。治疗组、对照组治疗后左心室射血分数（LVEF）均较治疗前增大（P<0.05），且以治疗组增大
显著（P<0.05）。结论：硝普钠联合多巴胺治疗急性左心衰疗效确切，优于单用单硝酸异山梨酯治疗。

关键词: 硝普钠, 多巴胺, 急性左心衰

Abstract:

Objective: To observe the clinical curative effect of sodium nitroprusside combined with dopamine in the treatment of
acute left heart failure. Methods: Patients with acute left heart failure in 116 cases were randomly divided into the treatment group, the
control group with 58 cases in each group. The treatment group was given sodium nitroprusside combined with dopamine for treatment,
the control group was treated with isosorbide mononitrate therapy. Results: The total efficiency of the treatment group and the control
group were respectively 89.7% and 50%. The treatment group was significantly higher than the control group（P<0.01）. The left
ventricular ejection fraction（LVEF）after treatment was higher than that before the treatment（P<0.05）in both groups, with the
treatment group being significantly increased（P<0.05）. Conclusion: Sodium nitroprusside combined with dopamine is safe and
effective in treating acute left heart failure, isosorbide mononitrate therapy is better than single use.

Key words: sodium nitroprusside, dopamine, acute left heart failure

中图分类号:

R541.6

董榆. 硝普钠联合多巴胺治疗急性左心衰竭的疗效观察[J]. J4, 2016, 15(2): 27-29.

Dong Yu. Curative Effect of Sodium Nitroprusside Combined with Dopamine in the Treatment of Acute Left Heart
Failure[J]. J4, 2016, 15(2): 27-29.