摘要
目的:观察生脉注射液联用多巴胺对急性心肌梗死性低血压的治疗效果。方法:4 0例急性心肌梗死性低血压患者随机分为两组。在常规治疗基础上,治疗组2 0例采用生脉注射液联用多巴胺静脉给药;对照组2 0例采用多巴胺静脉给药。动态对比观察两组患者用药前及用药后1、2、5和10 d的血压、心率变化,心功能改善情况以及多巴胺停药时间。结果:用药后治疗组患者血压回升(逐渐上升)及心功能改善情况均优于对照组(P均<0 .0 5 ) ;用药后治疗组患者平均多巴胺停药时间(5 1.34h)明显短于对照组(10 8.36 h,P<0 .0 1) ;两组患者用药前后心率变化差异无显著性(P均>0 .0 5 )。结论:生脉注射液联用多巴胺治疗急性心肌梗死性低血压疗效显著。
Objective: To observe the clinical therapeutic effect of Shengmai injection(生脉注射液) combined with dopamine in treatment of acute myocardial infarction(AMI) complicated with hypotension. Methods: Forty patients with AMI complicated with hypotension were randomly divided into treatment and control groups. In addition to routine treatment, the treatment group (n=20) was treated with Shengmai injection and dopamine, the control group (n=20) was treated with dopamine. Blood pressure, heart rate, cardiac function were observed and dopamine discontinuance was recorded before treatment and at 1, 5, 10 days after the treatment in the two groups. Results: Blood pressure increased gradually in the treatment group after treatment. The blood pressure and cardiac function improved significantly in the two groups after treatment, but more significantly in treatment group (all P<0.05). The mean time of dopamine discontinuance in treatment group (51.34 hours) was significantly shorter than that in the control group (108.36 hours, P<0.01). In the comparison of the two groups, there was no significant difference in changes of heart rate before and after treatment(all P>0.05). Conclusion: The therapeutic effect of Shengmai injection combined with dopamine in the treatment of AMI complicated with hypotension is prominent.
出处
《中国中西医结合急救杂志》
CAS
2005年第2期105-107,共3页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
关键词
心肌梗死
急性
低血压
生脉注射液
多巴胺
acute myocardial infarction
hypotension
Shengmai injection
dopamine
