小剂量多巴胺联合速尿治疗顽固性心衰的护理效果.docx

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小剂量多巴胺联合速尿治疗顽固性心衰的护理效果

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【摘要】目的：探讨小剂量多巴胺联合速尿治疗顽固性心衰的护理方法及效果。方法：以2015年1月至2017年1月期间本院收治的顽固性心衰患者108例，给予小剂量多巴胺联合速尿治疗，随机分为观察组和对照组，对照组给予心内科一般护理常规，观察组在一般护理常规的基础上给予针对性的综合护理措施，观察两组患者的心功能评级、临床症状、体征的改善情况及不良反应发生率，并观察两组的护理满意度之间的差别。结果：观察组患者的显效率、治疗总有效率均显著高于对照组，无效率及不良反应发生率显著低于对照组，观察组患者的护理满意度调查评分显著高于对照组，p0.05，差异具有统计学意义。结论：小剂量多巴胺联合速尿是治疗顽固性心衰的有效方法，两者具有协同作用，但其较强的扩张血管及兴奋心脏作用容易导致低血压、脏器灌注不足、心动过速等副作用，实施针对性的综合护理措施有利于提高疗效，减少不良反应的发生，同时提高患者的护理满意度，提高护理质量。

【关键词】小剂量；多巴胺；联合；速尿；顽固性心衰；护理

[abstract]objective：toexplorethenursingmethodsandeffectsoflowdosedopaminecombinedwithfurosemideinthetreatmentofrefractoryheartfailure.Methods：108patientswithrefractoryheartfailureadmittedtoourhospitalfromJanuary2015toJanuary2017wererandomlypidedintoobservationgroupandcontrolgroup.Thecontrolgroupwasgivengeneralnursingroutineincardiologydepartment.Theobservationgroupwasgivencomprehensivenursingmeasuresbasedongeneralnursingroutine.Theimprovementofcardiacfunction，clinicalsymptomsandsignsandtheincidenceofadversereactionsinthetwogroupswereobserved，andthedifferenceofnursingsatisfactionbetweenthetwogroupswasalsoobserved.Results：Themarkedefficiencyandtotaleffectiverateoftheobservationgroupweresignificantlyhigherthanthoseofthecontrolgroup，andtheincidenceofinefficiencyandadversereactionswassignificantlylowerthanthatofthecontrolgroup.Thenursingsatisfactionsurveyscoreoftheobservationgroupwassignificantlyhigherthanthatofthecontrolgroup，P0.05，withstatisticalsignificance.Conclusion：Low-dosedopaminecombinedwithfurosemideisaneffectivemethodforthetreatmentofrefractoryheartfailure.Bothofthemhavesynergisticeffects，buttheirstrongvasodilatorandexcitatorycardiaceffectseasilyleadtosideeffectssuchashypotension，insufficientorganperfusionandtachycardia.Theimplementationoftargetedcomprehensivenursingmeasuresisconducivetoimprovingcurativeeffectandreducingadverseeffects.Theoccurrenceofresponse，whileimprovingpatientssatisfactionwithnursing，improvethequalityofnursing.

Keywords：lowdose；dopamine；combination；furosemide；refractoryheartfailure