首页|多巴胺联合多巴酚丁胺在重症肺炎患者中的疗效分析

多巴胺联合多巴酚丁胺在重症肺炎患者中的疗效分析

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目的 探讨多巴胺联合多巴酚丁胺在重症肺炎患者中的疗效.方法 选择 2021 年3 月—2023 年 4 月该院收治的 82 例重症肺炎患者为研究对象,按随机数字表法将其分为对照组和观察组,各41 例.对照组予以常规治疗,观察组在对照组基础上予以多巴胺联合多巴酚丁胺,两组均持续治疗 1 周.对比两组血气分析情况、炎性指标、临床症状缓解时间.结果 治疗后,观察组血氧饱和度、血氧分压分别为(93.96±6.82)%、(80.86±7.33)mmHg,均高于对照组的(90.96±6.26)%、(72.76±6.64)mmHg,组间差异有统计学意义(P<0.05).治疗后,观察组C反应蛋白、肿瘤坏死因子-α及白细胞介素-6 水平分别为(55.66±4.08)ng/mL、(167.11±14.28)pg/mL、(75.36±6.33)pg/mL,均低于对照组的(73.26±5.70)ng/mL、(225.26±15.33)pg/mL、(92.63±8.47)pg/mL,组间差异有统计学意义(P<0.05).观察组发热缓解、咳嗽消退及肺啰音消失时间分别为(4.49±0.85)d、(7.24±1.02)d、(7.72±1.36)d,均短于对照组的(6.67±1.02)d、(10.12±1.56)d、(10.19±1.50)d,组间差异有统计学意义(P<0.05).结论 多巴胺联合多巴酚丁胺在重症肺炎患者中具有较好的疗效,利于改善血气,减轻炎性反应,促进临床症状恢复,改善疾病预后.
Analysis of Therapeutic Effect of Dopamine Combined with Dobutamine in Patients with Severe Pneumonia
Objective To explore the analysis of therapeutic effect of dopamine combined with dobutamine in patients with severe pneumonia.Methods 82 patients with severe pneumonia admitted to the hospital from March 2021 to April 2023 were selected as the research objects,and randomly divided into a control group and an observation group,with 41 cases each group.The control group received routine treatment,while the observation group received dopamine combined withdobutamine on the basis of the control group.Both groups received continuous treatment for one week.The blood gas analysis,inflammatory indexs,and clinical symptom relief time between the two groups were compared.Results After treatment,the blood oxygen saturation and partial pressure of oxygen in the observation group were(93.96±6.82)%and(80.86±7.33)mmHg,respectively,which were higher than(90.96±6.26)%and(72.76±6.64)mmHg in the control group,with statistical significance between the two groups(P<0.05).After treatment,the C-reactive protein,tumor necrosis factor-α and interleukin-6 in the observation group were(55.66±4.08)ng/mL,(167.11±14.28)pg/mL,and(75.36±6.33)pg/mL,respectively,which were lower than(73.26±5.70)ng/mL,(225.26±15.33)pg/mL and(92.63±8.47)pg/mL in the control group,with statistical significance between the two groups(P<0.05).The time for fever relief,cough resolution,and lung rale disappearance in the observation group were(4.49±0.85)d,(7.24±1.02)d and(7.72±1.36)d,respectively,which were shorter than(6.67±1.02)d,(10.12±1.56)d and(10.19±1.50)d in the control group,with statistical significance between the two groups(P<0.05).Conclusion The combination of dopamine and dobutamine has a good curative effect in severe pneumonia patients,which is beneficial for improving blood gas,reducing inflammatory reactions,promoting clinical symptom recovery,and improving disease prognosis.

Severe pneumoniaDopamineDobutamineBlood gas analysisInflammatory reactionsClinical symptom relief time

邢剑、孙中芹、邢路路

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枣庄市峄城区人民医院重症医学二科,山东枣庄 277000

枣庄市峄城区中医院心脑血管科,山东枣庄 277000

枣庄市妇幼保健院内科,山东枣庄 277000

重症肺炎 多巴胺 多巴酚丁胺 血气分析 炎性反应 临床症状缓解时间

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(4)
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