联合硝普钠、多巴胺微量泵治疗肺结核肺心病心衰疗效观察

目的联合硝普钠、多巴胺微量泵治疗肺结核肺心病患者慢性心力衰竭（CHF）疗效观察。方法 71例CHF患者随机分为36例硝普钠、多巴胺微量泵治疗组和35例常规治疗对照组。治疗组在对照组的基础上用NS50ML,硝普钠20mg,多巴胺200mg,微量泵恒速注射,平均剂量1h 5mL,每天1次。结果治疗组中有29例心衰症状改善,总有效率91.67%,心衰症状改善平均5.8d。血压无明显变化,心率减慢;对照组有25例心衰症状改善,总有效率71.43%,心衰症状改善平均10.4d,两者比较差异显著（P〈0.05）。结论联合硝普钠、多巴胺微量泵治疗肺结核肺心病心力衰竭有明显疗效,且能控制输液量,使用方便,经济、安全。

Curative effect observation of combination of sodium nitroprusside and dopamine with Microinfusion pump in treatment chronic heart failure of Corpulmonale in pulmonary tuberculosis

OBJECTIVE To observe the effects of combination of sodium nitroprusside and dopamine with Microinfusion pump in treatment chronic heart failure of Corpulmonale in pulmonary tuberculosis.METHODS 71 patients with CHF were randomed into 36 cases sodium nitroprusside 20mg and dopamine 200mg qd with Microinfusion pump treatment group and 35 cases control treatment group.RESLUTS 33 patients had obvious improved condition of heart failure;total efficiency rate 91.67%,average improvement 5.8 days,blood pressure had no change,heart rate decreased in treatment group;25 patients had obvious improved condition of heart failure,total efficiency rate 71.43%,average improvement 10.4 days in control treatment group.compared with them showed difference（P〈0.05）.CONCLUSION To observe the effects of combination of sodium nitroprusside and dopamine with Microinfusion pump in treatment chronic heart failure of Corpulmonale;in pulmonary tuberculosis and can control injection liquid.used convenience,economy ,safety.