岭南心血管病杂志2024,Vol.30Issue(6) :629-633.DOI:10.3969/j.issn.1007-9688.2024.06.12

维立西呱治疗慢性心力衰竭患者的临床疗效及对其生存质量、血清脑钠肽浓度的影响

Clinical Efficacy of Vericiguat on The Treatment in Patients with Chronic Heart Failure and Its Influence on Quality of Life and Serum Concentration of Brain Natriuretic Peptide

黄添誉 徐冬梅
岭南心血管病杂志2024,Vol.30Issue(6) :629-633.DOI:10.3969/j.issn.1007-9688.2024.06.12

维立西呱治疗慢性心力衰竭患者的临床疗效及对其生存质量、血清脑钠肽浓度的影响

Clinical Efficacy of Vericiguat on The Treatment in Patients with Chronic Heart Failure and Its Influence on Quality of Life and Serum Concentration of Brain Natriuretic Peptide

黄添誉 1徐冬梅1
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作者信息

  • 1. 江苏省人民医院,南京 210000
  • 折叠

摘要

目的 探讨维立西呱治疗慢性心力衰竭患者的临床疗效及对患者生存质量和血清脑钠肽(brain natriuretic peptide,BNP)的影响.方法 按随机数字表法将江苏省人民医院2021年4月至2023年1月收治的126例慢性心力衰竭患者分为两组(各63例).对照组患者给予标准化慢性心力衰竭治疗,观察组患者在对照组的基础上加用维立西呱片治疗.对比分析两组患者的临床疗效、生存质量、心功能指标、血清BNP浓度、细胞间黏附分子-1(intercellular adhesion molecule-1,ICAM-1)浓度及不良反应.结果 观察组患者临床总有效率为96.83%(61/63)高于对照组的82.53%(52/63),差异有统计学意义(P<0.05);两组患者治疗后的心脏指数(CI)、左心室射血分数(LVEF)高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组患者治疗后的左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)低于治疗前,且观察组更低,差异有统计学意义(P<0.05);治疗后两组患者的生存质量得分均降低,且观察组显著低于对照组,差异有统计学意义(P<0.05);治疗后,两组患者的血清BNP和ICAM-1浓度都下降,并且观察组低于对照组,差异有统计学意义(P<0.05);两组患者在治疗过程中,生命体征平稳,均未出现不良反应.结论 维立西呱治疗慢性心力衰竭患者的疗效和安全性较高,能改善其生存质量和心功能水平,降低慢性心力衰竭患者血清BNP和ICAM-1浓度,值得临床推广.

Abstract

Objectives To explore the clinical efficacy of vericiquide on the treatment in patients with chronic heart failure and its effects on quality of life and serum concentration of brain natriuretic peptide(BNP).Methods By random number table method,126 patients with chronic heart failure admitted to Jiangsu Provincial People's Hospital from April 2021 to January 2023 were divided into two groups(63 cases each).Control group was given standardized chronic heart failure treatment,and observation group was treated with vericiguat tablets on the basis of control group.The clinical effi-cacy,quality of life,cardiac function index,adverse reactions,serum concentrations of BNP and intercellular adhesion molecule-1(ICAM-1)of the two groups were compared and analyzed.Results The total effective rate in observation group was 96.83%(61/63),which was significantly higher than that of control group which was 82.53%(52/63)(P<0.05).The cardiac index(CI)and left ventricular ejection fraction(LVEF)after treatment were higher than before treatment,and the indexes in observation group was significantly higher(P<0.05).Left ventricular end-diastolic diameter(LVEDD)and left ventricular end-systolic diameter(LVESD)after treatment in the two groups were lower than before treatment,and they in observation group were significantly lower(P<0.05).After treatment,the quality of life scores of both groups decreased,and the scoes in observation group were lower(P<0.05).After treatment,the serum concentrations of BNP and ICAM-1 in both groups decreased,and the serum concentrations of BNP and ICAM-1 in observation group were significantly lower(P<0.05).In the course of treatment,the vital signs were stable and no adverse reactions occurred in both groups.Conclusions Vericiguat has high efficacy and safety in the treatment of chronic heart failure patients,can improve their quality of life and cardiac function level,and reduce serum concentrations of BNP and ICAM-1,which is worthy of clinical promotion.

关键词

心力衰竭/维立西呱/生存质量/脑钠肽

Key words

heart failure/vericiguat/quality of life/brain natriuretic peptide

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出版年

2024
岭南心血管病杂志
广东省心血管病研究所

岭南心血管病杂志

CSTPCD
影响因子:0.872
ISSN:1007-9688
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