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目的:分析小剂量多巴胺、多巴酚丁胺对婴幼儿重症肺炎的治疗效果。方法:对我院30例重症肺炎婴幼儿随机分成治疗组和对照组,均进行控制感染、鼻导管吸氧、解痉平喘、早期应用糖皮质激素、纠正酸碱和电解质紊乱等对症常规治疗;治疗组给予少量多巴胺和多巴酚丁胺加10%浓度的葡萄糖溶液泵维12-24小时,待患儿肺炎及并发症症状好转,且经皮血氧饱和度超过90%时结束,比较两组的疗效。结果:治疗组总有效率为93%,明显高于对照组的73%(P<0.05)。两组在治疗过程中均未出现明显的不良反应。结论:小剂量多巴胺、多巴酚丁胺能够提高对婴幼儿重症肺炎的疗效并使病程缩短。
Objective: To analyze the therapeutic effect of low-dose dopamine and dobutamine on severe pneumonia in infants and children. Methods: 30 cases of severe pneumonia in our hospital infants and young children were randomly divided into treatment group and control group, were controlled infection, nasal catheter oxygen, spasm and asthma, early application of glucocorticoid, correct acid-base and electrolyte disorders and other symptomatic treatment; treatment Groups were given a small amount of dopamine and dobutamine plus 10% glucose solution pump for 12-24 hours, until the children with pneumonia and complications improved, and the end of dermal oxygen saturation over 90%, compared two groups Efficacy. Results: The total effective rate was 93% in the treatment group, which was significantly higher than 73% in the control group (P <0.05). No significant adverse reactions occurred in both groups during the course of treatment. Conclusions: Low-dose dopamine and dobutamine can improve the efficacy and shorten the course of severe pneumonia in infants and children.