美托洛尔治疗高血压并慢性心力衰竭疗效观察

目的：观察美托洛尔对高血压并慢性心衰（CHF）患者的心功能影响及临床疗效。方法：择高血压并高心病或冠心病60例,心功能Ⅱ～Ⅳ级的患者,随机分为两组,常规组（30例）,给与控制血压、利尿、转换酶抑制剂（ACEI）、洋地黄治疗。美托洛尔组（30例）,在常规治疗基础上加用美托洛尔。结果：美托洛尔组临床显效率（66.7%）,总有效率（93.4%）,较常规组显著提高（P〈0.05）。美托洛尔组与常规组治疗前后,心率、血压、左室舒张末期直径、左室收缩末期直径、左室射血分数、心输出量、E/A、等容舒张期时间均有显著改善（美托洛尔组P〈0.01,常规组P〈0.05）,且美托洛尔组上述指标改善更明显（P〈0.01或P〈0.05）。结论：美托洛尔显著改善高血压并慢性心力衰竭患者的心功能,是一种安全有效的治疗方法。

The Cure Hypertension and Chronic Beautiful Tuoluoer Cardiac Failure Curative Effect Is Observed

Objective：To observe US to hold Luo river to hypertension and the chronic heart failure（CHF） patient＇s heart function influence and the clinical curative effect.Methods：Selects hypertension and the high worry or the coronary disease 60 examples,the heart functionⅡ～ⅣThe level patient,divides into two groups stochastically, the conventional group（30 examples）,gives the control blood pressure,the diuresis,the transformation enzyme inhibitor （ACEI）,the digitalis treatment.US holds Luo river Zu（30 examples）,adds in the conventional treatment foundation with US holds Luo river.Results：US holds the Luo river group clinical obviously efficiency（66.7%）,the total effectiveness（93.4%）,compares the conventional group remarkable enhancement（P0.05）.Around US holds Luo river Zu and the conventional group treats,the heart rate,the blood pressure,the left room diastole last stage diameter, the left room contraction last stage diameter,the left room shoot the menstruation number,the cardiac output, E/A,the constant volume relaxing period time to have the remarkable improvement（US to hold Luo river ZuP0.01,conventional group P0.05）,and US holds the Luo river group above target improvement to be more obvious （P0.01 or P0.05）.Conclusion：US holds Luo river obviously to improve hypertension and the chronic heart failure patient＇s heart function,is one security effective method of treatment.