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目的探讨酚妥拉明联合多巴胺治疗老年患者典型左心衰竭的疗效评价。方法选取我院2015年12月至2016年12月期间我院收治的典型左心衰竭患者102例,随机将其分为联合组和对照组,对照组在常规治疗的基础上给予酚妥拉明治疗,联合组在对照组基础上加用多巴胺治疗。应用多普勒彩色超声诊断仪检测患者的心腧血量(CO)、每博量(SV)和左室射血分数(LVEF),并对患者的治疗效果进行评价。结果两组患者的心功能指标CO、SV和LVEF均明显改善(P<0.05),联合组治疗后心功能各项指标较对照组改善情况更加显著(P<0.05)。联合组总有效率88.2%,明显优于对照组总有效率66.7%,两组比较数据差异具有统计学意义(P<0.05)。结论酚妥拉明联合多巴胺能够明显改善患者的心功能,疗效显著,适用于老年患者。
Objective To evaluate the efficacy of phentolamine combined with dopamine in the treatment of typical left heart failure in elderly patients. Methods A total of 102 patients with typical left ventricular failure treated in our hospital from December 2015 to December 2016 were selected and randomly divided into the combined group and the control group. The control group was given phentolamine on a routine basis Treatment, combined group in the control group plus dopamine treatment. Doppler color Doppler sonography was used to detect cardiac output (CO), volume of each patient (SV) and left ventricular ejection fraction (LVEF), and the therapeutic effect was evaluated. Results The cardiac function indexes CO, SV and LVEF were significantly improved in both groups (P <0.05). The indexes of cardiac function in the combined group were more significant than those in the control group (P <0.05). The total effective rate was 88.2% in the combined group, which was significantly better than 66.7% in the control group. The difference between the two groups was statistically significant (P <0.05). Conclusion Phentolamine combined with dopamine can significantly improve cardiac function in patients with significant effect, suitable for elderly patients.