目的：探讨慢性充血性心力衰竭与低钠血症的临床治疗方法及其临床治疗效果。方法：选自2013年2月-2014年5月本院收治的慢性充血性心力衰竭与低钠血症患者120例，将其按随机数字表法分成观察组和对照组，每组60例。两组患者均采用常规强心利尿扩血管进行治疗，观察组患者同时采用高渗盐水联合多巴胺进行治疗，对比两组的临床治疗效果。结果：治疗前，两组患者尿量、血钾、血钠、血肌酐等指标比较差异无统计学意义；治疗后，观察组患者的尿量、血钾、血钠水平上升的幅度大于对照组，且观察组患者血肌酐下降的程度大于对照组，比较差异均有统计学意义（P<0.05）。观察组患者临床治疗的总有效率为98.3%，对照组为91.7%；观察组患者不良反应发生率为5.1%，对照组为8.3%，观察组患者治疗的有效率高于对照组患者，且不良反应发生率低于对照组患者，比较差异均有统计学意义（P<0.05）。结论：在对患者进行常规治疗的基础上，应用高渗盐水联合多巴胺进行治疗，能够实现良好的治疗效果，该种治疗方法值得在临床上推广。%Objective:To investigate treatment method for chronic congestive heart failure with hyponatremia and its clinical therapeutic effect. Method:120 patients with chronic congestive heart failure and hyponatremia from February 2013 to May 2014 in our hospital were randomly divided into 2 groups,each group contained 60 patients. The two groups were treated with conventional strong heart diuresis vasodilator,the observation group at the same time was given hypertonic saline combined with dopamine. To compare clinical efficacy of the two groups. Result:Before treatment,the two groups had no significant difference in urine volume,blood potassium,sodium,blood creatinine. After treatment,urine volume,blood potassium,sodium values of the observation group rose more than that of the control group,and serum creatinine decreased greater. The clinical treatment efficiency of the observation group was 98.3%,that of the control group was 91.7%;the adverse reaction incidence of the observation group was 5.1%,and that of the control group was 8.3%. The effective rate of the observation group was higher than that of the control group,but adverse reaction rate was lower,with significant difference(P<0.05). Conclusion:On the basis of conventional treatment,application of hypertonic saline combined with dopamine for treatment,can achieve good treatment effect, this therapy is worthy of clinical popularization.
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