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左西孟旦治疗脓毒症休克并心肌抑制的临床疗效观察

黄河 孙小聪 麦晓勤 佟琳 胡桂芳

四川医学Issue(6):831-834,4.
四川医学Issue(6):831-834,4.DOI:10.16252/j.cnki.issn1004-0501-2015.06.020

左西孟旦治疗脓毒症休克并心肌抑制的临床疗效观察

The Clinical Effects of Levosimendan in Treatment of Septic Shock and Cardiac Depression

黄河 1孙小聪 1麦晓勤 1佟琳 1胡桂芳1

作者信息

  • 1. 广东医学院附属医院,广东 湛江524000
  • 折叠

摘要

Abstract

Objective To investigate the clinical effect of levosimendan on septic shock and myocardial depression. Methods 51 cases of septic shock with myocardial depression patients were randomly divided into treatment group and control group. The control group received Milrinone treatment on the basis of the treatment. Treatment group received levosimendan treat-ment on the basis of the treatment. To observe the therapeutic effect of two groups of patients. Results Compared with the control group,after the treatment in the treatment group,SVI,CI,LVSWI were significantly increased(P<0. 05),HR,Lac,NT-proBNP, EVLWI were significantly decreased(P<0. 05). Compared with the treatment group,after the treatment in the control group,SVRI was significantly increased(P<0. 05). Compared with the control group,in the treatment group,the mechanical ventilation time and the length of stay in ICU,were significantly shorter(P<0. 05),the two groups showed no significant difference in hospital mor-tality(P>0. 05). Conclusion levosimendan can improve heart function,reduce extravascular lung water,improve tissue perfu-sion and oxygen metabolism,reduce mechanical ventilation time,shorten the length of stay in ICU of patients with septic shock and cardiac depression.

关键词

左西孟旦/脓毒症休克/心肌抑制/脉波指示剂连续心排血量监测

Key words

levosimendan/septic shock/myocardial depression/pulse indicating continuous cardiac output monitoring

分类

医药卫生

引用本文复制引用

黄河,孙小聪,麦晓勤,佟琳,胡桂芳..左西孟旦治疗脓毒症休克并心肌抑制的临床疗效观察[J].四川医学,2015,(6):831-834,4.

四川医学

OACSTPCD

1004-0501

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