首页|琥珀酸美托洛尔缓释片治疗高血压合并心力衰竭患者的效果及对心功能的影响

琥珀酸美托洛尔缓释片治疗高血压合并心力衰竭患者的效果及对心功能的影响

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目的 分析琥珀酸美托洛尔缓释片治疗高血压合并心力衰竭患者的效果及对心功能的影响.方法 选取2020年1月至2022年12月收治的100例高血压合并心力衰竭患者为研究对象,以随机法将其分为对照组(50例,常规治疗)和试验组(50 例,常规治疗+琥珀酸美托洛尔缓释片治疗).比较两组的治疗效果.结果 试验组的治疗总有效率高于对照组(P<0.05).治疗后,试验组的左心室射血分数(LVEF)高于对照组,左心室收缩末期内径(LVESD)、左心室收缩末期容量(LVESV)、左心室舒张末期容量(LVEDV)、收缩压(SBP)及舒张压(DBP)低于对照组(P<0.05).治疗后,试验组的心肌肌钙蛋白T(cTnT)、可溶性生长刺激表达基因2 蛋白(sST2)、心型脂肪酸结合蛋白(H-FABP)、C-反应蛋白(CRP)及细胞间黏附分子-1(ICAM-1)水平均低于对照组(P<0.05).两组的不良反应总发生率无明显差异(P>0.05).结论 琥珀酸美托洛尔缓释片治疗高血压合并心力衰竭患者可取得理想效果.
Effect of metoprolol succinate sustained-release tablets in the treatment of patients with hypertension complicated with heart failure and its influence on cardiac function
Objective To analyze the effect of metoprolol succinate sustained-release tablets in the treatment of patients with hypertension complicated with heart failure and its influence on cardiac function.Methods A total of 100 patients with hypertension complicated with heart failure admitted from January 2020 to December 2022 were selected as the research objects,the patients were divided into control group(50 cases,routine treatment)and experimental group(50 cases,routine treatment+metoprolol succinate sustained-release tablets)by random method.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the experimental group was higher than that in the control group(P<0.05).After treatment,the left ventricular ejection fraction(LVEF)in the experimental group was higher than that in the control group,and the left ventricular end-systolic diameter(LVESD),left ventricular end-systolic volume(LVESV),left ventricular end-diastolic volume(LVEDV),systolic blood pressure(SBP)and diastolic blood pressure(DBP)were lower than those in the control group(P<0.05).After treatment,the levels of cardiac troponin T(cTnT),soluble growth stimulation expressed gene 2 protein(sST2),heart-type fatty acid-binding protein(H-FABP),C-reactive protein(CRP)and intercellular adhesion molecule-1(ICAM-1)in the experimental group were lower than those 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).Conclusion Metoprolol succinate sustained-release tablets can achieve ideal effect in the treatment of patients with hypertension complicated with heart failure.

hypertensionheart failuremetoprolol succinate sustained-release tabletcardiac function

张倩、罗俊妮

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宝鸡市第二人民医院心内科,陕西 宝鸡,721000

高血压 心力衰竭 琥珀酸美托洛尔缓释片 心功能

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)