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左西孟旦对慢性心衰患者心功能及N端脑钠肽前体的影响

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目的::探讨左西孟旦对慢性心力衰竭(CHF)急性加重期患者心功能及 N端脑钠肽前体水平的影响。方法:CHF患者55例,随机分为常规治疗组(25例)及左西孟旦(30例,常规治疗基础上加用左西孟旦),比较治疗前后患者心功能变化及 N端脑钠肽前体(NT-pro-BNP)的差异。结果:左西孟旦组的总有效率明显高于常规治疗组(P<0.05),SV及 LVEF均较常规治疗组显著改善(P<0.05);NT-pro-BNP水平与常规治疗组比较有显著下降(P<0.05)。结论:左西孟旦可以明显改善 CHF患者的心功能,降低 NT-pro-BNP水平。
Effects of levosimendan on cardiac function and N terminal brain natriuretic peptide in patients with chronic heart failure
Objective:To study the ef ects of levosimendan on cardiac function and the levels of N terminal brain natriuretic peptide (NT-pro-BNP)in patients with chronic heatr failure(CHF)in acute aggravation status.Methods:55 patitents with CHF in acute aggravation status were randomly divided into routine treatment group(n=25),levosimendan group(n=30,received levosimendan based on rouG tine treatment),The cardiac function and the lvels of NT-pro-BNP wre observed in al groups before and after treatment.Result:The total ef ective rate in the levosimendan group was higher than the routine treatment groupl(P<0.05),and the SV and LVEF were significantly improved than routine treatment group (P<0.05);there were significant decreased in the levels of NT-pro-BNP in the levoG simendan group with the routine treatment group(P<0.05).Conclusion:Levosimendan can improve cardiac function CHF patients,and reduce the levels of NT-pro-BNP.

Chronic heatr failureLevosimendanN terminal brain natriuretic peptide

吴岩松、马丽娜、赵振梅

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辽宁省营口市中心医院 营口 115000

慢性心衰 左西孟旦 N端脑钠肽前体

2015

健康之路
广东省医学会 中国保健协会

健康之路

ISSN:1671-8801
年,卷(期):2015.(1)
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