首页|参附注射液联合缬沙坦在慢性充血性心力衰竭患者中的应用研究

参附注射液联合缬沙坦在慢性充血性心力衰竭患者中的应用研究

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目的 探讨参附注射液联合缬沙坦在慢性充血性心力衰竭(CCHF)患者中的应用效果.方法 选取该院2020 年7 月—2023 年6月收治的 118 例CCHF患者为研究对象,按随机数字表法将其分为对照组与观察组,各 59 例.对照组采用缬沙坦治疗,观察组在对照组基础上加用参附注射液治疗.比较两组的临床疗效、心功能指标、血清学指标、不良反应发生情况.结果 治疗 4 周后,观察组治疗总有效率为 93.22%,高于对照组的 76.27%,差异有统计学意义(P<0.05).观察组左室舒张末期内径、左心室收缩末期内径均短于对照组,左室射血分数高于对照组,组间差异有统计学意义(P<0.05).观察组N末端脑钠肽前体、心肌钙蛋白Ⅰ水平均低于对照组,组间差异有统计学意义(P<0.05).两组不良反应发生情况比较,差异无统计学意义(P>0.05).结论 参附注射液联合缬沙坦治疗CCHF的效果显著,能够促进患者的心功能恢复,降低心力衰竭血清学指标的表达水平.
Application of Shenfu Injection Combined with Valsartan in Patients with Chronic Congestive Heart Failure
Objective To investigate the effect of Shenfu injection combined with valsartan in patients with chronic congestive heart failure(CCHF).Methods A total of 118 patients with CCHF admitted to the hospital from July 2020 to June 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 59 cases in each group.The control group was treated with valsartan,and the observation group was treated with Shenfu injection.The clinical efficacy,cardiac function index,serological index and occurrence of adverse reactions were compared between the two groups.Results After 4 weeks of treatment,the total effective rate of the observation group was 93.22%,which was higher than 76.27%of the control group,and the difference was statistically significant(P<0.05).Left ventricular end-diastolic diameter and left ventricular end-systolic diameter in observation group were shorter than those in control group,and left ventricular ejection fraction was higher than that in control group,and the differences between groups were statistically significant(P<0.05).The N-terminal brain natriuretic peptide precursors and cardiac calcium protein Ⅰ in observation group were lower than those of control group,and the differences between groups were statistically significant(P<0.05).There was no significant difference in the occurrence of adverse reactions between the two groups(P>0.05).Conclusion Shenfu injection combined with valsartan has a significant effect in the treatment of CCHF,which can promote the recovery of cardiac function and reduce the expression level of serological indicators of heart failure.

Chronic congestive heart failureValsartanShenfu injection

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商河县人民医院心内科,山东济南 251600

慢性充血性心力衰竭 缬沙坦 参附注射液

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(6)
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