首页|沙库巴曲缬沙坦联合冻干重组人脑利钠肽在心力衰竭治疗中的应用效果探讨

沙库巴曲缬沙坦联合冻干重组人脑利钠肽在心力衰竭治疗中的应用效果探讨

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目的 探究在心力衰竭患者治疗中沙库巴曲缬沙坦与冻干重组人脑利钠肽联合应用的效果.方法 回顾性选取2021年10月—2023年11月尤溪县总医院治疗的120例心力衰竭患者临床资料,根据不同治疗方式分组,对照组(60例,沙库巴曲缬沙坦治疗),观察组(60例,沙库巴曲缬沙坦联合冻干重组人脑利钠肽治疗),比较两组患者治疗前后心功能水平、血清指标水平、疗效、不良反应发生率.结果 治疗前,两组心功能比较,差异无统计学意义(P>0.05);治疗后,观察组心功能改善效果优于对照组,差异有统计学意义(P<0.05).治疗前,两组血清指标比较,差异无统计学意义(P>0.05);治疗后,观察组血清指标优于对照组,差异有统计学意义(P<0.05).观察组治疗总有效率(98.33%)高于对照组(86.67%),差异有统计学意义(x2=5.886,P=0.015).两组不良反应发生率比较,差异无统计学意义(x2=0.697,P=0.404).结论 在心力衰竭患者治疗中,使用沙库巴曲缬沙坦联合冻干重组人脑利钠肽治疗,可改善其心功能、血清指标水平,取得显著疗效.
Exploration of the Effect of Sacubitril Valsartan Combined with Lyophi-lized Recombinant Human Cerebral Natriuretic Peptide in the Treatment of Heart Failure
Objective To explore the effect of the combined application of sacubitril valsartan and lyophilized recombi-nant human brain natriuretic peptide in the treatment of heart failure patients.Methods The clinical data of 120 heart failure patients treated in Youxi County General Hospital from October 2021 to November 2023 were retrospectively selected and grouped according to different treatment modalities.Control group(60 cases,sacubitril valsartan treat-ment),observation group(60 cases,sacubitril valsartan combined with lyophilized recombinant human cerebral natri-uretic peptide treatment).Comparison of cardiac function level,serum index level,therapeutic efficacy,and incidence of adverse reactions between the two groups before and after treatment.Results Before treatment,there was no statisti-cally significant difference in cardiac function between the two groups(P>0.05);after treatment,the observation group's cardiac function improvement effect was better than that of the control group,and the difference was statisti-cally significant(P<0.05).There was no statistically significant difference in the comparison of serum indexe between the groups before treatment(P>0.05);and after treatment,the serum indexe of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).The total effective rate of treatment in the observation group(98.33%)was higher than that in the control group(86.67%),and the difference was statistically sig-nificant(x2=5.886,P=0.015).The difference in the incidence of adverse reactions between the two groups was not sta-tistically significant(x2=0.697,P=0.404).Conclusion In the treatment of heart failure patients,the use of sacubitril valsartan combined with lyophilized recombinant human cerebral natriuretic peptide can improve their cardiac func-tion,serum index levels,and achieve significant efficacy.

Sacubitril valsartanLyophilized recombinant human brain natriuretic peptideHeart failureCombined therapyCardiac function

吴传洋

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尤溪县总医院心血管内科,福建尤溪 365100

沙库巴曲缬沙坦 冻干重组人脑利钠肽 心力衰竭 联合治疗 心功能

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(15)