CSCIED

期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据:

Open Access Article

International Journal of Clinical Research. 2024; 8: (2) ; 53-55 ; DOI: 10.12208/j.ijcr.20240047.

Application study of early sustained low-dose dopamine pump infusion in the treatmentof critically ill newborns
早期持续小剂量多巴胺泵注在危重症新生儿治疗中的应用研究

作者: 叶茹意 *

皖南医学院弋矶山医院 安徽芜湖

*通讯作者: 叶茹意,单位:皖南医学院弋矶山医院 安徽芜湖;

发布时间: 2024-02-23 总浏览量: 276

摘要

目的 观察早期持续小剂量多巴胺泵注在危重症新生儿的治疗效果。方法 纳入2022年10月至2023年10月本院救治危重症新生儿,全部92例患儿随机分组,各组平均46例。对照组实施常规急救治疗,观察组在此基础上实施早期持续小剂量多巴胺泵注。评价危重症评分、并发症情况。结果 对比SNAP-Ⅱ、TRIPS评分,两组治疗后与同组治疗前对比均出现下降(P<0.05);同时观察指较对照组下降更明显(P<0.05)。对比低钙血症、多系统器官衰竭情况,观察组其发生率与对照组比较下降更明显(P<0.05)。结论 早期持续小剂量多巴胺泵注在危重症新生儿救治中能明显缓解病情,减少并发症出现。

关键词: 早期;小剂量多巴胺泵注;危重症新生儿

Abstract

Objective To observe the therapeutic effect of early sustained low dose dopamine pumping in critically ill neonates.
Methods All 92 critically ill newborns treated in our hospital from October 2022 to October 2023 were randomly grouped, with an average of 46 cases in each group. The control group received routine emergency treatment, and the observation group received early sustained low-dose dopamine pumping on this basis. The critical illness score and complications were evaluated.
Results Compared with SNAP-Ⅱ and TRIPS scores, the scores of two groups after treatment were decreased compared with those before treatment (P < 0.05). At the same time, the observed index decreased significantly compared with the control group (P < 0.05). Compared with the control group, the incidence of hypocalcemia and multi-system organ failure decreased more significantly in the observation group (P < 0.05).
Conclusion   Early sustained low dose of dopamine pumping can significantly alleviate the condition and reduce the occurrence of complications in the treatment of critically ill newborns.

Key words: Early stage; Low dose dopamine pump; Critically ill newborn

参考文献 References

[1] 郑壹林,宋金玲. 多巴酚丁胺联合小剂量多巴胺对小儿重症肺炎患儿肺功能及血清细胞因子水平变化的影响[J]. 中国现代药物应用,2020,14(21):4-6. 

[2] 宋坤蔚,马应祥.多巴酚丁胺与酚妥拉明联合小剂量多巴胺对小儿重症肺炎伴多器官功能衰竭的疗效分析[J].中国医学工程,2022,30(04):87-89.

[3] 蔡伟妮. 头孢曲松钠联合多巴胺治疗小儿肺炎的效果及对小儿T淋巴细胞亚群细胞因子的影响[J]. 中国妇幼保健,2020,35(5):870-873. 

[4] 刘菲,高治华. 多巴酚丁胺与酚妥拉明联合小剂量多巴胺治疗小儿重症肺炎临床研究[J]. 陕西医学杂志,2019, 48 (1): 89-91,95. 

[5] 蔡伟妮. 头孢曲松钠联合多巴胺治疗小儿肺炎的效果及对小儿T淋巴细胞亚群细胞因子的影响[J]. 中国妇幼保健,2020,35(5):870-873. 

[6] 王瑞娟,孟牛安,王宏磊,等.酚妥拉明联合多巴胺治疗小儿重症肺炎疗效及对相关血清指标的影响[J].首都食品与医药,2020,27(1):87.

[7] 钟俊炎,黄美. 早期持续小剂量多巴胺泵注用于新生儿危重症效果观察[J]. 中国民康医学,2019,31(10):65-67. 

[8] 郭斌能,梁世山. 多巴胺联合多巴酚丁胺治疗小儿心力衰竭的临床效果及有效率影响分析[J]. 心血管病防治知识,2020,10(2):42-44. 

[9] 张淼,王越,张鹏,等. 多巴酚丁胺与酚妥拉明联合小剂量多巴胺对小儿重症肺炎的临床疗效及安全性观察[J]. 中国合理用药探索,2020,17(12):70-73. 

[10] 常会娟,靳秀红. 酚妥拉明联合多巴胺治疗小儿重症肺炎疗效及对炎症因子、肺表面活性蛋白水平的影响[J]. 中国合理用药探索,2019,16(11):105-108.

引用本文

叶茹意, 早期持续小剂量多巴胺泵注在危重症新生儿治疗中的应用研究[J]. 国际临床研究杂志, 2024; 8: (2) : 53-55.