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目的观察分析风湿性心脏病急性心力衰竭(急性心衰)通过去乙酰毛花苷注射液联合镁离子极化液治疗的临床效果。方法风湿性心脏病急性心衰患者68例,随机分成对照组和观察组各34例,两组均接受吸氧、抗感染、改善水电解质与酸碱紊乱等基础治疗,同时对照组静脉注射去乙酰毛花苷注射液与生理盐水混合液,观察组静脉滴注去乙酰毛花苷+镁离子极化液+生理盐水混合液,在治疗期间观察患者的不良反应,治疗疗程结束后比较两组的治疗效果。结果观察组的治疗效果显著优于对照组,治疗总有效率分别为94.1%和79.4%,两组比较差异具有统计学意义(P<0.05),治疗期间部分患者出现轻微的头晕、发热等不良反应,停药后症状即消失。结论应用去乙酰毛花苷注射液联合镁离子极化液的治疗方法能够显著改善缓解风湿性心脏病急性心力衰竭的症状体征,促进心功能的恢复,且安全可靠,值得临床推广应用。
Objective To observe and analyze the clinical effect of rheumatic heart disease acute heart failure (acute heart failure) treated by combination of stilbene glycoside and magnesium ion. Methods Sixty-eight patients with acute heart failure with rheumatic heart disease were randomly divided into control group and observation group of 34 patients. Both groups received basic therapy such as oxygen and anti-infection, improvement of electrolytes and acid-base disorders, and intravenous injection of control group Acetylmalicoside injection and saline mixture, the observation group intravenous infusion of acetylglum glycosides + magnesium ion + saline solution, observed during the treatment of adverse reactions in patients with treatment after the end of the two groups were compared Therapeutic effect. Results The therapeutic effect of the observation group was significantly better than that of the control group. The total effective rates were 94.1% and 79.4% respectively. The difference between the two groups was statistically significant (P <0.05). Some patients had slight dizziness and fever in the treatment period Response, withdrawal symptoms disappear. Conclusion The application of combination of stilbene injection and magnesium ion polarization can significantly improve the symptoms and signs of acute heart failure of rheumatic heart disease and promote the recovery of cardiac function, which is safe and reliable and worthy of clinical application.