The Efficacy of Milrinone Combined with rhBNP in the Treatment of Chronic Heart Failure and its Impact on Heart and Lung Function of Patients
[Objective]To explore the therapeutic effect of milrinone combined with recombinant human brain natri-uretic peptide(rhBNP)in the treatment of chronic heart failure and its impact on the heart and lung function of patients.[Methods]A retrospective analysis was conducted on the clinical data of 120 patients with chronic heart failure admitted to our hospital from October 2021 to October 2022.According to the quality method,they were divided into the observation group(treated with milrinone combined with rhBNP)and the control group(treated with milrinone),with 60 cases in each group.We compared the treatment effects and adverse reactions between two groups,and also compared the heart function indicators[cardiac output(CO),stroke output(SV),left ventricular ejection fraction(LVEF)],lung function indicators[percentage of forced expiratory volume at 1 second to expected value(FEV1％),forced lung activity percent-age to expected value(FVC％),FEV1/FVC],as well as serum BNP and uric acid(UA)levels before and after treat-ment.[Results]The total effective rate of the observation group was significantly higher than that of the control group(P＜0.05).After treatment,the CO,SV,and LVEF of the two groups were higher than before treatment,and the obser-vation group was higher than the control group,with statistical significance(P＜0.05).After treatment,the FEV1％,FVC％,and FEV1/FVC of the two groups were higher than before treatment,and the observation group was higher than the control group,with statistical significance(P＜0.05).After treatment,the serum BNP and UA levels in both groups were lower than before treatment,and the observation group was lower than the control group(P＜0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups(P＞0.05).[Conclusion]The combination of milrinone and rhBNP is safe and effective in treating chronic heart failure,and can im-prove the heart and lung function of patients,which is worth clinical reference.
万方数据
维普
