多巴胺和多巴酚丁胺对婴幼儿重症肺炎的心血管功能支持作用

目的探讨多巴胺、多巴酚丁胺在重症婴幼儿肺炎时对心血管功能支持的早期干预作用和意义。方法将婴幼儿重症肺炎惠儿随机分为治疗组和对照组,对照组进行常规治疗,治疗组在常规治疗基础上加用多巴胺、多巴酚丁胺,比较两组住院、临床症状缓解时间,动态观察两组患儿收缩压和心率变化。结果治疗组较对照组住院、临床症状缓解时间明显缩短,差异有统计学意义（P〈0．01）,两组12h收缩压和心率监测差异无统计学意义（P〉0．05）。结论早期给予婴幼儿重症肺炎惠儿多巴胺、多巴酚丁胺心血管功能支持可提高疗效,缩短病程。

Supoort of cardiovascular function with dopamine and dopamine in infant severe pneumonia

Objective To study the early interventional effects of in support of cardiovascular function through intravenous drip of dopamine and dobutamine in treating infant severe pneumonia. Methods The infant severe pneumonias were randomly divided into tow groups. The treatment group was treated with intravenous drip of dopamine and dohutamine（5 μg/kg · rain） on the basis of combined treatment until the complications of pneumonia were cured. The control group was treated with combined treatment. Two groups were compared in the time of their clinical symptoms alleviated and the change of their systolic pressures and heart rates was dynamically observrd. Results Compared with the control group, the time of their clinical symptoms alleviated in treatment group was obviously. shortened（P〈0.01）, however, there were no significant change in their systolic pressures and heart rates in 12 hours between two groups（P〉0.05）. Conclusion The remedial effect of infant severe pneumonia can be improved through the early interventional measure with intravenous drip of dopamine and dobutamine for support of cardiovascular function.