论文部分内容阅读
目的观察无创呼吸机辅助新活素联合小剂量呋塞米在治疗急性心肌梗死合并心力衰竭的临床疗效。方法将228例急性心肌梗死并心力衰竭患者随机分为观察组和对照组各114例。对照组患者给予新活素及小剂量呋塞米,在对照组的基础上给予观察组无创呼吸机治疗,检测治疗前后2组患者血清脑利钠肽(BNP),左心室舒张末直径(LVDD)及左心室射血分数(LVEF)。比较2组临床疗效。结果观察组患者治疗后血清BNP、LVDD均显著低于对照组,而LVEF显著高于对照组,差异均有统计学意义(P<0.05)。观察组总有效率为92.98%显著高于对照组的75.44%,差异均有统计学意义(P<0.05)。结论无创呼吸机辅助新活素联合小剂量呋塞米能显著改善急性心肌梗死合并心力衰竭患者的心功能,提高治疗效果。
Objective To observe the clinical effect of noninvasive ventilator-assisted neoactivity combined with small-dose furosemide in the treatment of acute myocardial infarction complicated with heart failure. Methods 228 patients with acute myocardial infarction and heart failure were randomly divided into observation group and control group of 114 cases. Patients in the control group were given intravenous and low-dose furosemide. Patients in the control group were given noninvasive ventilator treatment. The levels of serum brain natriuretic peptide (BNP), left ventricular end-diastolic diameter (LVDD) ) And left ventricular ejection fraction (LVEF). The clinical efficacy of two groups were compared. Results After treatment, the levels of serum BNP and LVDD in the observation group were significantly lower than those in the control group, while the LVEF in the observation group was significantly higher than that in the control group (P <0.05). The total effective rate in the observation group was 92.98%, which was significantly higher than that in the control group (75.44%), the differences were statistically significant (P <0.05). Conclusion Noninvasive ventilator-assisted intravenous injection combined with low-dose furosemide can significantly improve cardiac function in patients with acute myocardial infarction complicated with heart failure and improve the therapeutic effect.