首页|芪苈强心胶囊联合尼可地尔治疗心力衰竭的疗效及对血清NT-ProBNP和炎性因子的影响

芪苈强心胶囊联合尼可地尔治疗心力衰竭的疗效及对血清NT-ProBNP和炎性因子的影响

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目的:探讨芪苈强心胶囊联合尼可地尔治疗慢性心力衰竭(CHF)的效果.方法:选取CHF患者116 例为研究对象,随机分为对照组与观察组各 58 例,对照组予以尼可地尔治疗,观察组予以芪苈强心胶囊联合尼可地尔治疗,两组均治疗3 个月.评价两组治疗效果,对两组心功能[左心室射血分数(LVEF)、左心室舒张末期内径(LVEDD)]、6 min步行试验(6 MWT)和血清行N-末端脑利尿钠肽前体(NT-proBNP)、超敏C-反应蛋白(hs-CRP)、白细胞介素-6(IL-6)水平进行统计分析.结果:治疗后,观察组总有效率高于对照组,差异有统计学意义(P<0.05);观察组LVEF和 6 MWT水平高于对照组,差异有统计学意义(P<0.05),LVEDD低于对照组,差异有统计学意义(P<0.05);观察组NT-proBNP、hs-CRP、IL-6 水平显著低于对照组,差异有统计学意义(P<0.05).结论:芪苈强心胶囊联合尼可地尔治疗CHF疗效较好,能够减轻患者炎性反应,改善其心功能,提高运动耐量.
Efficacy of Qili Qiangxin Capsules combined with nicorandil in treatment of heart failure and its effect on serum NT-ProBNP and inflammatory factors
Objective To investigate the effect of Qiliqiangxin capsule combined with nicorandil in the treatment of patients with chronic heart failure(CHF).Method A total of 116 CHF patients were selected as research object and randomly divided into control group and observation group,with 58 cases in each group.The control group was treated with nicorandil,and the observation group was treated with Qiliqiangxin capsule combined with nicorandil.Both groups were treated for 3 months.The therapeutic effects of the two groups were evaluated.The cardiac function[left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD)],6 min walking test(6 MWT)and serum N-terminal pro-brain natriuretic peptide(NT-proBNP),high-sensitivity C-reac-tive protein(hs-CRP),interleukin-6(IL-6)levels were statistically analyzed.Results After treatment,the total effective rate of the observation group was higher than that of the control group(P<0.05).The levels of LVEF and 6 MWT in the observation group were higher than that of the control group(P<0.05),and LVEDD was lower than that of the control group(P<0.05).The levels of NT-proBNP,hs-CRP and IL-6 in the observation group were significantly lower than those in the control group(P<0.05).Conclusion Qi-li Qiangxin capsule combined with nicorandil has a good effect on CHF patients,which can reduce inflammation,improve cardiac func-tion and exercise tolerance.

Chronic heart failureQiliqiangxin capsuleNicorandilInflammatory factors

马兰、蒋文

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天津市滨海新区大港医院心血管内科,天津 300270

新疆自治区人民医院

慢性心力衰竭 芪苈强心胶囊 尼可地尔 炎性因子

新疆维吾尔自治区重大科技专项项目子课题

2022A03012-3

2024

吉林医学
吉林省人民医院

吉林医学

影响因子:0.926
ISSN:1004-0412
年,卷(期):2024.45(8)
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