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目的分析白蛋白在辅助治疗慢性肺心病急性加重期的作用。方法76例患者随机分为白蛋白组及对照组。对照组采用常规治疗,白蛋白组在常规治疗的基础上,加强营养及补充白蛋白等。观察患者紫绀、呼吸困难、颈静脉怒张、肺部罗音、肝大、动脉血气分析指标及心功能等。结果治疗一疗程,白蛋白组39例中显效32例,显效率82.05%;对照组37例中显效14例,显效率37.83%;两组比较有非常显著差异性(P<0.01),两组总有效率分别为97.44%和81.08%,有显著差异性(P<0.05)。结论慢性肺心病治疗较复杂,在综合治疗的基础上,注意补充白蛋白及营养支持治疗,能提高肺心病急性加重期的抢救成功率,并缩短其疗程。
Objective To analyze the role of albumin in the treatment of acute exacerbation of chronic pulmonary heart disease. Methods 76 patients were randomly divided into albumin group and control group. The control group received routine treatment, albumin group on the basis of routine treatment, to enhance nutrition and albumin and so on. Patients were observed cyanosis, dyspnea, jugular vein engorgement, pulmonary rales, hepatomegaly, arterial blood gas analysis indicators and cardiac function. Results In the course of treatment for one course, 32 cases were markedly effective in albumin group (32 cases), the effective rate was 82.05%; in the control group, 37 cases were markedly effective in 14 cases, the effective rate was 37.83%. There was significant difference between the two groups (P <0.01) The total effective rate was 97.44% and 81.08% respectively, with significant difference (P <0.05). Conclusion The treatment of chronic pulmonary heart disease is more complicated. On the basis of comprehensive treatment, paying attention to albumin and nutritional support therapy can improve the rescue success rate and shorten the course of treatment for acute exacerbation of pulmonary heart disease.