硝普钠治疗重症手足口病合并高血压患儿疗效观察

    Effect of sodium nitroprusside in the treatment of severe hand, foot and mouth disease complicated with hypertension

    • 摘要: 目的:探讨硝普钠治疗重症手足口病合并高血压的临床疗效。方法:对30例重症手足口病合并高血压患儿,均采用抗病毒、静脉用丙种球蛋白、甲基泼尼松龙、甘露醇、甘油果糖等综合治疗。在此基础上加用硝普钠静脉滴注,起始剂量为0.5 μg·kg-1·min-1,严密监测血压,调整硝普钠剂量,观察治疗1 h、24 h后相关指标变化。结果:应用硝普钠治疗1 h和24 h后患儿高血压均较治疗前显著下降(P<0.01)。结论:硝普钠治疗伴有高血压的重症手足口病患儿,血压控制稳定,安全性好,临床疗效显著。

       

      Abstract: Objective: To explore the effects of sodium nitroprusside in the treatment of severe hand,foot and mouth disease(HFMD) complicated with hypertension.Methods: Thirty children with severe HFMD complicated with hypertension were treated with anti-virus,intravenous gamma globulin,methylprednisolone,mannitol and glycerol fructose.The sodium nitroprusside was additional used in all cases,the starting dose of which was 0.5 μg·kg-1·min-1.The dose of sodium nitroprusside was adjusted according to the blood pressure.The index changes were observed after 1 hour and 24 hours of treatment.Results: Compared before treatment,the hypertension in all cases after 1 hour and 24 hours of treatment were obviously decreased(P<0.01).Conclusions: Sodium nitroprusside can stabilize the blood pressure of the children with HFMD complicated with hypertension,which is effective and safe.

       

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