首页|振源胶囊联合沙库巴曲缬沙坦钠片对慢性心衰患者心功能及生活质量的影响

振源胶囊联合沙库巴曲缬沙坦钠片对慢性心衰患者心功能及生活质量的影响

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目的 探讨振源胶囊联合沙库巴曲缬沙坦钠片对慢性心衰患者心功能及生活质量的影响。方法 将2021年 12 月至 2023 年 10 月我院收治的 104 例慢性心衰患者随机分为对照组(52 例,沙库巴曲缬沙坦钠片)与研究组(52例,振源胶囊联合沙库巴曲缬沙坦钠片)。比较两组的临床效果、心功能指标、心衰标记物、生活能力、不良反应发生情况及生活质量。结果 研究组的治疗总有效率高于对照组(P<0。05)。治疗后,研究组的左心室舒张末期容积(LVEDV)、左心室收缩末期容积(LVESV)低于对照组,左心室射血分数(LVEF)高于对照组(P<0。05)。治疗后,研究组的B型利钠肽(BNP)、N末端B型利钠肽原(NT-proBNP)水平明显低于对照组(P<0。05)。治疗后,研究组的 6 min步行距离(6MWD)长于对照组,日常生活能力(ADL)评分高于对照组(P<0。05)。两组的不良反应总发生率比较,差异不具有统计学意义(P>0。05)。治疗后,研究组的明尼苏达心力衰竭生活质量问卷(MLHFQ)评分明显高于对照组(P<0。05)。结论 振源胶囊联合沙库巴曲缬沙坦钠片治疗慢性心衰的效果显著,可提高患者的心功能、生活能力及生活质量,降低心衰标记物水平,值得临床推广。
Effects of Zhenyuan capsules combined with sacubitril valsartan sodium tablets on cardiac function and quality of life in patients with chronic heart failure
Objective To investigate the effects of Zhenyuan capsules combined with sacubitril valsartan sodium tablets on cardiac function and quality of life in patients with chronic heart failure.Methods A total of 104 patients with chronic heart failure admitted in our hospital from December 2021 to October 2023 were randomly divided into control group(52 cases,sacubitril valsartan sodium tablets)and study group(52 cases,Zhenyuan capsules combined with sacubitril valsartan sodium tablets).The clinical effects,cardiac function indexes,heart failure markers,living ability,adverse reactions and quality of life were compared between the two groups.Results The total effective rate of treatment in the study group was higher than that in the control group(P<0.05).After treatment,the left ventricular end-diastolic volume(LVEDV)and left ventricular end-systolic volume(LVESV)in the study group were lower than those in the control group,and the left ventricular ejection fraction(LVEF)was higher than that in the control group(P<0.05).After treatment,the levels of brain natriuretic peptide(BNP)and N-terminal pro-B-type natriuretic peptide(NT-proBNP)in the study group were significantly lower than those in the control group(P<0.05).After treatment,the scores of 6 min walking distance(6MWD)in the study group was longer than that in the control group,and Activity of Daily Living(ADL)was higher than that in the control group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).After treatment,the Minnesota Living with Heart Failure Questionnaire(MLHFQ)score of the study group was significantly higher than that of the control group(P<0.05).Conclusion Zhenyuan capsules combined with sacubitril valsartan sodium tablets has a significant effect in the treatment of chronic heart failure,it can improve the cardiac function,living ability and quality of life of patients,and reduce the levels of heart failure markers,which is worthy of clinical promotion.

Zhenyuan capsulesacubitril valsartan sodium tabletchronic heart failurecardiac functionquality of life

吴强、贾文侠

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庆阳市人民医院,甘肃 庆阳,745000

振源胶囊 沙库巴曲缬沙坦钠片 慢性心衰 心功能 生活质量

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(27)