辽宁医学杂志2024,Vol.38Issue(1) :23-26.

赖诺普利与沙库巴曲缬沙坦对射血分数保留心衰患者的疗效对比

Comparison of Lisinopril and Sacubitril-Valsartan in Heart Failure Patients with Preserved Ejec-tion Fraction

王占永
辽宁医学杂志2024,Vol.38Issue(1) :23-26.

赖诺普利与沙库巴曲缬沙坦对射血分数保留心衰患者的疗效对比

Comparison of Lisinopril and Sacubitril-Valsartan in Heart Failure Patients with Preserved Ejec-tion Fraction

王占永1
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作者信息

  • 1. 新野县人民医院(河南 南阳 473500)
  • 折叠

摘要

目的 探讨赖诺普利与沙库巴曲缬沙坦对射血分数保留心衰患者的疗效.方法 选取我院2020年1月~2022年2月82例接受诊治并确诊为射血分数保留心衰患者作为研究对象,随机分为观察和对照两组,两组均为41例.观察组给予沙库巴曲缬沙坦,对照组患者给予赖诺普利治疗.通过不同药物治疗来比对术前后心脏超声情况指标、治疗后临床疗效及不良反应.结果 两组患者治疗后心功能指标均有所改善,观察组改善更明显(P<0.05);观察组患者治疗后临床总有效率为90.24%高于对照组70.73%(P<0.05);观察组不良反应总发生率为7.32%低于对照组26.83%(P<0.05).结论 射血分数保留心衰患者采用沙库巴曲缬沙坦治疗心脏功能、临床疗效、不良反应方面,其效果均优于赖诺普利,具有推广价值.

Abstract

Objective To compare the efficacy of lisinopril and sacubitril-valsartan in patients with heart failure with preserved ejection fraction.Methods From January 2020 to February 2022,82 patients with heart failure with preserved e-jection fraction who were diagnosed and treated in our hospital were randomly divided into observation and control groups.There were 41 patients in both groups.The patients in the observation group were treated with sacubatrovalsartan,and the patients in the control group were treated with lisinopril.Through different drug treatments,the indexes of cardiac ultrasound before and after operation,clinical efficacy and adverse reactions after treatment were compared.Results After treatment,the indexes of cardiac function in both groups were improved,especially in the observation group(P<0.05);The total clini-cal effective rate in the observation group was 90.24%higher than that in the control group(70.73%,P<0.05);The total incidence of adverse reactions in the observation group was 7.32%lower than that in the control group(26.83%,P<0.05).Conclusion In the treatment of heart failure patients with preserved ejection fraction,the effect of sacubatrovalsartan is better than that of lisinopril in terms of cardiac function,clinical efficacy and adverse reactions,and it is worth popularizing.

关键词

赖诺普利/沙库巴曲缬沙坦/射血分数/心衰

Key words

Lisinopril/Sacubitril-Valsartan/Ejection fraction/Heart failure

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出版年

2024
辽宁医学杂志
辽宁省医学会

辽宁医学杂志

影响因子:0.339
ISSN:1001-1722
参考文献量12
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