Shi Jinzheng, Wang Rui, Qin Shaoqiang, Zhang Zhanshuai, Li Huixian
Department of Cardiology, The First Affiliated Hospital of Hebei North University, Zhangjiakou 075000, China.
Evid Based Complement Alternat Med. 2022 Aug 18;2022:1055160. doi: 10.1155/2022/1055160. eCollection 2022.
To observe the efficacy and safety of dopamine plus furosemide in treating patients with heart failure.
This research included 150 patients with heart failure who were diagnosed and treated at our hospital between March 2018 and November 2020. The patients were randomly assigned to a study group or a reference group according to the data of admission (the cut-off date was June 2019). Patients in the reference group were given furosemide, whereas those in the study group were given dopamine plus furosemide intravenous pumping. Outcome measures included clinical effectiveness, heart function changes, and adverse responses.
Dopamine plus furosemide resulted in higher treatment efficiency (96.00%) versus furosemide (74.67%) study group ( < 0.05). Before therapy, there was no significant change in the scores of cardiac function indices between the two groups ( > 0.05). The cardiac function of the two groups of patients was improved after treatment, and the left ventricular ejection fraction (LVEF) of the study group (44.85 ± 4.12) was higher than that of the reference group (38.45 ± 4.36), and the left ventricular end-systolic diameter (LVESD), left ventricular end-diastolic diameter (LVESD), and plasma N-terminal pro-B-type natriuretic peptide (NT-proBNP) (43.17 ± 3.98, 51.32 ± 4.25, 3045.56 ± 365.48) were lower than the reference group (47.56 ± 4.65, 56.28 ± 4.85, 4856.48 ± 395.46) ( < 0.05). There was no significant difference in the total incidence of adverse reactions between the two groups ( > 0.05).
Dopamine plus intravenous furosemide infusion treatment has an obvious therapeutic benefit in treating patients with heart failure and dramatically enhances cardiac function without noteworthy adverse responses. It demonstrated great potential for clinical promotion.
观察多巴胺联合呋塞米治疗心力衰竭患者的疗效及安全性。
本研究纳入了2018年3月至2020年11月在我院诊断并治疗的150例心力衰竭患者。根据入院数据(截止日期为2019年6月)将患者随机分为研究组和参照组。参照组患者给予呋塞米,而研究组患者给予多巴胺联合呋塞米静脉泵入。观察指标包括临床疗效、心功能变化及不良反应。
多巴胺联合呋塞米的治疗有效率(96.00%)高于呋塞米组(74.67%)(P<0.05)。治疗前,两组心功能指标评分无显著变化(P>0.05)。两组患者治疗后心功能均得到改善,研究组左心室射血分数(LVEF)(44.85±4.12)高于参照组(38.45±4.36),左心室收缩末期内径(LVESD)、左心室舒张末期内径(LVEDD)及血浆N末端B型脑钠肽原(NT-proBNP)(43.17±3.98、51.32±4.25、3045.56±365.48)低于参照组(47.56±4.65、56.28±4.85、4856.48±395.46)(P<0.05)。两组不良反应总发生率无显著差异(P>0.05)。
多巴胺联合静脉注射呋塞米治疗心力衰竭患者具有明显的治疗效果,能显著改善心功能且无明显不良反应。具有很大的临床推广潜力。