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美托洛尔治疗慢性心力衰竭的观察

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摘要 目的 探讨 β-肾上腺素能受体阻滞剂美托洛尔在治疗心力衰竭中的作用。方法 选择无 β -肾上腺素能受体阻滞剂禁忌证各病因所至的心力衰竭患者 4 3例 ,心功能按NYHA分级分为Ⅱ级、Ⅲ级 ,在常规利尿、强心和ACEI治疗的基础上 ,加用美托洛尔 ,治疗 3个月后进行治疗前后自身观察指标的对照变化 ,以判断其疗效。结果 应用美托洛尔后心功能改善Ⅱ级者为显效 ,占 6 0 5 % ,心功能改善Ⅰ级者为有效 ,占 30 2 % ,总有效率为90 7%。结论 心力衰竭患者在常规治疗的基础上联用 β -肾上腺素能受体阻滞剂美托洛尔可明显改善心功能 ,提高左室射血分数。
作者 吕洁清
出处 《浙江医学情报》 2003年第2期88-88,104,共2页
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