论文部分内容阅读
目的:探讨美托洛尔联用地高辛对慢性心力衰竭(CHF)合并快速心室率的房颤控制心室率及心功能改善作用。方法:选择余姚市马渚中心卫生院近一年收治的CHF并快速心室率房颤者34例,在常规治疗的基础上,予地高辛和美托洛尔治疗,观察记录入院时静息心率和运动心率以及入院1+周后心功能改善情况和静息心率以及运动心率。结果:34例患者心功能改善29例,总有效率83.5%。静息心率由治疗前平均122.5±12.8次/分降至治疗后76.4±8.2次/分,两者比较有统计学意义(P<0.001);运动心率由治疗前平均144.6±20.2次/分降至治疗后90.2±14.3次/分,两者比较有统计学意义。结论:对于CHF伴快速房颤者可采用美托洛尔加地高辛治疗,在控制心室率与心功能改善方面疗效确切。
Objective: To investigate the effect of metoprolol combined with digoxin in ameliorating ventricular rate and improving cardiac function in patients with chronic heart failure (CHF) complicated with rapid ventricular rate. Methods: 34 patients with CHF and fast ventricular rate of atrial fibrillation admitted to Mazhu Central Hospital of Yuyao City in recent one year were treated with digoxin and metoprolol on the basis of routine treatment. The resting heart rate And exercise heart rate and 1+ weeks after admission to improve cardiac function and resting heart rate and heart rate. Results: The cardiac function of 34 patients improved in 29 cases, the total effective rate was 83.5%. Resting heart rate decreased from 122.5 ± 12.8 beats / min before treatment to 76.4 ± 8.2 beats / min after treatment, both of which were statistically significant (P <0.001). The heart rate decreased from 144.6 ± 20.2 beats / min before treatment After treatment to 90.2 ± 14.3 beats / min, the two were statistically significant. Conclusion: Metoprolol plus digoxin can be used in patients with CHF and rapid atrial fibrillation, and it is effective in controlling ventricular rate and cardiac function.