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卡维地洛治疗慢性心力衰竭的随机对照研究 被引量:5

Effect of carvedilol on chronic heart failure:a randomized clinical trial
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摘要 目的评价卡维地洛对于慢性心力衰竭的治疗效果。方法59例慢性心力衰竭病人随机分为卡维地洛组(n=30)和对照组(n=29),对照组给予美托洛尔口服。比较两组病人在治疗前后的临床症状及心功能指标。结果卡维地洛可有效改善病人的临床症状和心功能指标(P<0.05)。与对照组相比,卡维地洛在减少左心室舒张末期内径(left ventricular end diastolic dimension,LVEDd)和提高心左心室射血分数(left ventricular ejection fraction,LVEF)方面较美托洛尔更有效(P<0.05)。结论卡维地洛可有效改善慢性心力衰竭病人心功能,并在减少LVEDd和提高LVEF方面优于美托洛尔。 Objectives To evaluate the effect of carvedilol on chronic heart failure (CHF). Methods Fiftynine in-patients diagnosed as CHF from between January 2005 to March 2006 were included and divided into carvedilol group (n=30) and controls (n=29) randomly. The patients in control were treated by metoprolol. The clinical symptoms and heart function parameters before and after treatment were collected. Results Carvedilol improved both clinical symptom and heart parameters significantly (P〈0.05). Carvedilol was more effective than metoprolol in both decreasing left ventricular end-diastolic dimension (LVEDd) and increasing left ventricular ejection fraction (LVEF). Conclusions Carvedilol can treat CHF effectively, and is superior to metoprolol in decreasing LVEDd and increasing LVEF.
出处 《岭南心血管病杂志》 2007年第2期115-117,共3页 South China Journal of Cardiovascular Diseases
关键词 卡维地洛 美托洛尔 慢性心力衰竭 Carvedilol Metoprolol Chronic heart failure
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  • 1胡大一主编..心血管疾病防治中国专家共识 2006荟萃版[M].北京:人民卫生出版社,2006:279.
  • 2PACKER M,COATS AJ,FOWLER MB,et al.Eeffect of carvedilol on survival in severe chronic heart failure[J].N Engl J Med,2001,344 (22):1651-1658. 被引量:1
  • 3鹿庆华,董兆强,郝林,蒋卫东,王欣,徐冬玲.卡维地洛预防冠状动脉介入治疗后再狭窄的观察[J].中华心血管病杂志,2005,33(2):157-157. 被引量:12
  • 4POOLE-WILSON PA,SWEDBERG K,CLDAND JG,et al.Comparison of carvedilol and metoprolol on clinical outcomes in patients with chronic heart failture in the Carvedilol or Metoprolol European Trial (COMET):randomized controlled trial[J].Lancet,2003,362 (2):7-13. 被引量:1

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