CAJ | 학술논문

目的：研究硝酸甘油治疗急性心肌梗死并发左心衰竭的临床疗效。方法选取2013年5月—2014年5月该院收治的急性心肌梗死并发左心衰竭的患者90例，在患者知情同意下，且符合医学伦理学标准，按照随机数字表法分为研究组和对照组，每组45例，对照组给予常规治疗，研究组在对照组的基础上给予硝酸甘油进行治疗，比较两组临床疗效、并发症发生率以及满意度。结果研究组总有效率84.4%（38/45）显著高于对照组总有效率51.1%（23/45），两组比较差异有统计学意义（P<0.05）；研究组治疗满意度93.3%显著高于对照组的64.4%，两组比较差异有统计学意义（P<0.05）；研究组并发症发生率为2.2%，对照组无并发症发生，两组比较差异无统计学意义（P>0.05）。结论应用硝酸甘油治疗急性心肌梗死并发左心衰竭具有较好的临床疗效。
목적：연구초산감유치료급성심기경사병발좌심쇠갈적림상료효。방법선취2013년5월—2014년5월해원수치적급성심기경사병발좌심쇠갈적환자90례，재환자지정동의하，차부합의학윤리학표준，안조수궤수자표법분위연구조화대조조，매조45례，대조조급여상규치료，연구조재대조조적기출상급여초산감유진행치료，비교량조림상료효、병발증발생솔이급만의도。결과연구조총유효솔84.4%（38/45）현저고우대조조총유효솔51.1%（23/45），량조비교차이유통계학의의（P<0.05）；연구조치료만의도93.3%현저고우대조조적64.4%，량조비교차이유통계학의의（P<0.05）；연구조병발증발생솔위2.2%，대조조무병발증발생，량조비교차이무통계학의의（P>0.05）。결론응용초산감유치료급성심기경사병발좌심쇠갈구유교호적림상료효。
Objective To study the clinical effects of nitroglycerin on acute myocardial infarction complicated with left heart fail-ure. Methods 90 cases of patients with acute myocardial infarction complicated with left heart failure admitted in our hospital from May 2013 to May 2014 were selected. With informed consent and in accordance with the medical ethics standard, the patients were randomly divided into the study group and the control group with 45 cases in each. The control group was given the conven-tional treatment while the study group was given nitroglycerin on the basis of the treatment given to the control group. The clinical efficacy, incidence of complications and the level of satisfaction were compared between the two groups. Results The total efficien-cy of the study group was 84.4% (38/45), significantly higher than 51.1% (23/45) of the control group, with statistically significant difference between the two groups (P<0.05). The level of satisfaction with the treatment of the study group was 93.3%, higher than 64.4%of the control group, the difference between the two groups was statistically significant (P<0.05). The incidence of complica-tions of the study group was 2.2%, while the control group had no complications with no statistical difference between the two groups (P>0.05). Conclusion Nitroglycerin has a better clinical curative effect on acute myocardial infarction complicated with left heart failure.