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目的:对比分析硝普钠与米力农治疗急性心力衰竭疗效。方法:将58例急性心力衰竭患者随机分为硝普钠组(n=29)与米力农组(n=29)。硝普钠组给予硝普钠治疗,米力农给予米力农治疗。结果:两组治疗前与治疗后24h收缩压、舒张压变化均无显著性差异(P>0.05);硝普钠组与米力农组治疗后24h心率明显低于治疗前,且有显著性差异(P<0.05);两组治疗后FS、LVIDd、LVEF与治疗前比较均有显著性差异(P<0.05)。结论:硝普钠与米力农治疗后对患者症状均有所改善,但两者临床上应用无明显的差异。
Objective: To compare the curative effect of sodium nitroprusside and milrinone in the treatment of acute heart failure. Methods: Fifty-eight patients with acute heart failure were randomly divided into sodium nitroprusside group (n = 29) and milrinone group (n = 29). Sodium nitroprusside sodium group was treated with sodium nitroprusside, milrinone was given milrinone treatment. Results: There was no significant difference in systolic blood pressure and diastolic blood pressure before and 24 h after treatment in both groups (P> 0.05). The heart rate of 24h after treatment in sodium nitroprusside group and milrinone group was significantly lower than that before treatment (P <0.05). The FS, LVIDd and LVEF of the two groups after treatment were significantly different from those before treatment (P <0.05). CONCLUSIONS: The symptoms of patients were improved after treatment with sodium nitroprusside and milrinone, but there was no significant difference between them in clinical application.