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目的观察小剂量多巴胺及黄芪注射液治疗顽固性心力衰竭的疗效。方法选择2007年11月至2008年11月各类心脏病伴难治性心力衰竭患者59例,随机分成治疗组30例和对照组29例,两组均给予常规的对症支持等治疗。治疗组在此基础上加用多巴胺7mg、黄芪注射液30ml于10%葡萄糖250ml中缓慢静脉滴注。结果治疗组有效率为90%,对照组62%,两组比较差异有统计学意义(P<0.05)。结论小剂量多巴胺加黄芪注射液治疗难治性心力衰竭疗效可靠,无明显不良反应。
Objective To observe the effect of small dose of dopamine and astragalus injection on refractory heart failure. Methods From November 2007 to November 2008, 59 patients with various types of heart disease and refractory heart failure were randomly divided into treatment group (n = 30) and control group (n = 29). Both groups were given conventional symptomatic treatment. On the basis of the treatment group, dopamine 7mg and astragalus injection 30ml were slowly dripped in 250ml of 10% glucose. Results The effective rate was 90% in the treatment group and 62% in the control group, with significant difference between the two groups (P <0.05). Conclusion Low-dose dopamine plus Astragalus injection in the treatment of refractory heart failure has reliable curative effect and no obvious adverse reactions.