心理干预联合米力农治疗小儿先天性心脏病并发重症肺炎及心力衰竭的临床探讨

摘要

目的 研究分析心理干预联合米力农治疗小儿先天性心脏病并发重症肺炎及心力衰竭的临床疗效.方法 选取济宁市第一人民医院2015年2月～2016年12月收治的100例小儿先天性心脏病并发重症肺炎及心力衰竭患者为研究对象,随机分为对照组和试验组,每组50例.对照组患者给予常规治疗,包括心电监护以及抗感染和吸氧治疗,并给予米力农治疗.试验组患者给予米力农治疗,进行心理干预,关注患者心理健康.比较分析试验组与对照组患者的治疗效果.结果 试验组患者与对照组患者均未出现严重不良反应,2组不良反应发生率差异无统计学意义.试验组患者呼吸稳定时间为(1.76±0.32)天,烦躁消除时间为(7.12±1.12)小时,心率恢复时间为(1.82±0.74)天,肺罗音消失时间为(8.12±1.41)天.试验组相关症状消失时间显著少于对照组(P<0.05).结论 心理干预联合米力农治疗小儿先天性心脏病并发重症肺炎及心力衰竭临床效果较好,治疗有效率较高,值得临床应用.%Objective To investigate the clinical effect of psychological intervention combined with milrinone on the treatment of the children with congenital heart disease complicated with severe pneumonia and heart failure. Methods In the First People's Hospital in Jining City from February 2015 to December 2016, 100 children with congenital heart disease complicated with severe pneumonia and heart failure as the research object, randomly divided into the control group and the experimental group, 50 cases in each group. The control group were received routine treatment, including ECG monitoring, anti infection and oxygen therapy,and the treatment of rice farmers. The experimental group was treated with milrinone treatment, psychological intervention, pay attention to the mental health of patients. The therapeutic effects of the experimental group and the control group were compared and analyzed. Results after the corresponding treatment, the patients in the experimental group and the control group were mild and no serious adverse reactions occurred. There was no significant difference in the incidence of adverse reactions between the two groups, and there was no statistical significance. The experimental group of patients with respiratory stabilization time is (1.76±0.32) days, to eliminate irritability (7.12±1.12) hours, heart rate recovery time (1.82±0.74) days, pulmonary rales disappeared time was (8.12±1.41) days. The clinical symptoms of the patients in the control group were significantly longer than those in the experimental group, with statistical difference (P<0.05). Conclusion The effective rate about psychological intervention combined with milrinone on the treatment of the children with congenital heart disease complicated with severe pneumonia and heart failure is high, which is worthy of clinical application.