首页|应用美托洛尔与地尔硫卓治疗心肌反复梗塞的临床研究录

应用美托洛尔与地尔硫卓治疗心肌反复梗塞的临床研究录

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目的:探讨在治疗心肌梗死患者中出现反复梗塞情况时应用美托洛尔与地尔硫卓的临床疗效。方法对我院2012年2月至2013年1月收治的心肌反复梗塞患者临床治疗病例进行抽样,将40例心肌反复梗塞患者病例按照抽签法随机分为对照组与治疗组,每组20例。治疗组采用美托洛尔治疗,对照组采用地尔硫卓治疗。观察两组患者疗效。结果两组心肌反复梗塞患者经过治疗之后,治疗组治疗结束后24h内缓解11例(55.00%),1个月内疼痛复发4例(20.00%),1个月内出现心衰5例(25.00%),1个月内死亡数11例(55.00%);对照组治疗结束后24h内缓解4例(20.00%),1个月内疼痛复发12例(60.00%),1个月内出现心衰18例(90.00%),1个月内死亡数16例(80.00%)。两组心肌反复梗塞患者临床治疗效果具有显著差异性,具备统计学意义(P<0.05)。结论心肌反复梗塞患者采用美托洛尔治疗的临床疗效明显优于地尔硫卓治疗的临床疗效,能够避免患者心肌梗塞的面积扩大,降低心肌的耗氧量,缓解患者的疼痛感,值得进行临床推广应用。
Objective To investigate the clinical efficacy of metoprolol and diltiazem application appears repeatedly infarction in patients with acute myocardial in-farction.Methods Myocardial in our hospital from 2012 February to 2013 January were repeated clinical treatment in patients with infarction of sampling ,40 cases of my-ocardial infarction in patients with recurrent cases according to randomly divided into control group and treatment group ,20 patients in each group.Treatment group were treated with metoprolol treatment,the control group using diltiazem treatment.Observation of the efficacy of the two groups.Results The of two groups of patients with my-ocardial infarction repeatedly after treatment, the treatment group after treatment24 h remission in 11 cases(55%),4 cases of recurrence within 1 months of pain(20%), 1 months and 5 cases of congestive heart failure(25%),1 months,11 cases of deaths(55%);the control group treatment after 24h remission in 4 cases(20%),1 months of pain recurrence in 12 cases(60%),1 months and 18 cases of congestive heart failure(90%),1 months,16 cases of deaths(80%).Two groups of patients with myo-cardial infarction repeatedly clinical treatment effect is significant,statistically significant(P<0.05).Conclusion the clinical efficacy in patients with myocardial infarc-tion repeatedly clinical curative effect of metoprolol is better than that of diltiazem treatment ,can avoid myocardial infarction area expanded ,myocardial oxygen consump-tion,ease the pain of patients,is worthy of clinical application.

Myocardial infarction repeatedlyMei TORO MDiltiazem

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浏阳市人民医院,湖南 浏阳 410300

心肌反复梗塞 美托洛尔 地尔硫卓

2014

中国保健营养(下旬刊)
全国卫生产业企业管理协会

中国保健营养(下旬刊)

ISSN:1004-7484
年,卷(期):2014.(6)
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