摘要
目的探讨婴幼儿重症肺炎心力衰竭前期接受小剂量西地兰治疗对心率及呼吸变化的影响。方法选取在南阳市中心医院就诊的重症肺炎心力衰竭患儿72例,根据随机数表法分为对照组(36例)和观察组(36例)。对照组采用常规综合治疗,观察组在常规综合治疗基础上加用小剂量西地兰治疗,对比两组心率、呼吸恢复正常和住院时间、疗效及不良反应情况等。结果观察组呼吸恢复正常时间及住院时间均短于对照组,心率低于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率明显高于对照组,差异有统计学意义(P<0.05)。两组治疗期间均未出现明显不良反应。结论小剂量西地兰治疗可降低婴幼儿重症肺炎心力衰竭前期患儿心率,缩短呼吸恢复正常时间,提高治疗效果,且安全性较好。
Objective To investigate the effects of low-dose cilidian therapy on heart rate and respiration in infants with severe pneumonia before heart failure.Methods 72 children with severe pneumonia and heart failure were randomly divided into control group(36 cases)and observation group(36 cases).The control group were treated with conventional comprehensive therapy,and the observation group were treated with small dose of cilidian on the basis of routine comprehensive treatment.The heart rate,respiratory recovery and hospitalization time,curative effect and adverse reaction were compared between the two groups.Results The heart rate,respiratory recovery time and hospital ization stay in the observation group were shorter than those in the control group(P<0.05).The total effective rate in the observation group was significantly higher than that in the control group(P<0.05).There was no adverse effect in two groups.Conclusion Low dose of cilidian can shorten heart rate,respiratory recovery time and improve the efficacy of treatment in infants with severe pneumonia before heart failure.
作者
曾苑
ZENG Yuan(The First Department of Pediatrics,Nanyang Central Hospital,Nanyang,Henan,473000,China)
出处
《黑龙江医学》
2019年第4期379-380,共2页
Heilongjiang Medical Journal
关键词
重症肺炎心力衰竭前期
婴幼儿
西地兰
心率
呼吸变化
Severe pneumonia precongestive heart failure
Infant
Cedilan
Heart rate
Respiratory changes
