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本文对65例急性心肌梗塞(AMI)患者随机分为卡托普利组33例,服用卡托普利(12.5mg,tid);安慰剂组32例,服用安慰剂。两组均在服药后第1周和第1、2、3个月各做一次二维超声心动图检查。结果:卡托普利组左室收缩末期容积指数(LVESVI)降低(P<0.05),舒张末期容积指数(LVEDVI)无显著改变,每搏量指数(SVI)和射血分数(EF)增加(均P<0.05);安慰剂组LVEDVI和LVESVI增加,EF降低(均P<0.05)。两组比较,至服药后第3个月,上述各指标差异均显著(P<0.05)。
In this study, 65 patients with acute myocardial infarction (AMI) were randomly divided into captopril group of 33 patients, taking captopril (12.5mg, tid); placebo group of 32 patients taking placebo. Two groups were in the first week and 1, 2, 3 months after taking a two-dimensional echocardiography. Results: Left ventricular end - systolic volume index (LVESVI) and left ventricular end - diastolic volume index (LVEDVI) of captopril group were significantly decreased (P <0.05) (All P <0.05). LVEDVI and LVESVI increased, while EF decreased (all P <0.05) in placebo group. There was significant difference between the two groups (P <0.05) by the 3rd month after taking the medicine.