[摘要] 目的 探讨左卡尼汀治疗心力衰竭合并糖尿病的效果。方法 选取该科2017年8月—2018年8月收治的心力衰竭合并糖尿病患者154例，随机分为两组各77例，对照组给予常规治疗，观察组在对照组的基础上给予左卡尼汀，比较两组疗效。结果 观察组有效率占总数90.9%，显著优于对照组75.3%(P<0.05);两组LVEF、FPG、LVESD比较差异有统计学意义(P<0.05)。 结论 左卡尼汀治疗心力衰竭合并糖尿病，能有效改善心肌细胞能量代谢，促进心功能恢复，控制血糖水平。

    [关键词] 左卡尼汀;心力衰竭;糖尿病

    [中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062(2019)01(b)-0102-02

    [Abstract] Objective To investigate the effect of L-carnitine in the treatment of heart failure with diabetes. Methods A total of 154 patients with heart failure and diabetes mellitus admitted to our department from August 2017 to August 2018 were randomly divided into two groups： 77 patients each. The control group received routine treatment. The observation group was given L-carnitine on the basis of the control group ......