卡维地洛治疗48例慢性充血性心力衰竭疗效观察.pdfVIP

实用医学进修杂志 2007年第35卷第4期 JOURNALOF PRACIIQ TRAININGOF MEDICINE VoL35 Nn4 De巴2OO7 · 224· 卡维地洛治疗48例慢性充血性 心力衰竭疗效观察 秦黎明 周延芬 秦光明 1 第四军医大学附属西京医院心脏内科 (西安710032) 2 延安大学附属医院心内科 3 陕西省成阳市第一人民医院内一科 摘 要 目的：探讨卡维地洛在慢性充血性心力衰竭(CHF)中的疗效。方法：将96 例病情稳定无明显液体潴留的CHF患者随机分为治疗组和对照组，各48例。对照组予 血管紧张索转移酶抑制剂(ACEI)、利尿剂和洋地黄制剂等常规治疗，治疗组在此基础上 加用卡维地洛，随访6个月。对照观察治疗前后超声心动图、静息时心率、6 min步行试 验等以判断疗效。结果：治疗后心功能各项指标治疗组均优于对照组(P0．05)。结 论：卡洛地洛治疗CHF有显著疗效。 关键词 卡维地洛；心力衰竭；充血性；疗效 The Carvedilol Treats 48 Example Chronic Congested Heart Failure the Curative Effect 0bservation Qin Liming Zhou Yan~n Qin Guangming Department of Heart Medicine Fourth Military Medical University Subsidiary Xijing Hospital，Xian 710032，China Abstract 0bjective：To evaluate the effect of earvedilol in chronic eonges— tive heart failure(CHF)patients．Methods：96 cases no significant fluid reten— tion medically stable CHF patients were randomly divided into treatment and con— trol group，cach 4 8 cases．To the control group of angiotensin—converting enzyme inhibitor(ACEI)，diuretics and digitalis and other conventional treatment．Treat— ment group based on the use of earvedilol，patients were followed up for 6 months． Contrast echocardiography before and after treatment，resting heart rate，the six— minute walk test，SO as to judge the effieney．Results：Indicators of cardiac rune— tion after treatment were superior to the control group(P0．O5)．Conclusions： Treatment with CHF Carvedilol lcads to significant effeets ． Key words carvedilol；heart failure；congestive；effieeney 作者简介：秦黎明(1972一)，男，主治医师。 实用医学进修杂志 2007年第35卷第4期 JOURNAL OF PRACnQ TRAINING OF MEDICqNE VoL 35 Nn 4 Dec．20o7