目的观察美托洛尔治疗心力衰竭的临床疗效。方法选择我院心力衰竭患者50例,随机分为治疗组和对照组各25例。治疗组在对照组常规治疗的基础上加用小剂量美托洛尔,根据患者身体情况逐步加大用量,总量控制在50 mg/d之内。结果治疗组总有效率84.0%,对照组60.0%,两组比较差异有统计学意义(P<0.05)。治疗后两组观察指标比较差异均有统计学意义(P<0.05)。结论美托洛尔治疗心力衰竭效果明显,安全可靠,值得在临床推广应用。 Objective To observe the clinical efficacy of metoprolol in the treatment of heart failure. Methods Fifty patients with heart failure in our hospital were randomly divided into treatment group (n = 25) and control group (n = 25). The treatment group in the control group based on the conventional treatment plus a small dose of metoprolol, according to the patient’s body gradually increase the dosage, the total control within 50 mg / d. Results The total effective rate was 84.0% in the treatment group and 60.0% in the control group, with significant difference between the two groups (P <0.05). After treatment, there were significant differences between the two groups (P <0.05). Conclusion Metoprolol has obvious effect on heart failure and is safe and reliable, which is worthy of clinical application.