首页|盐酸曲美他嗪缓释片治疗扩张型心肌病的用药效果及用药安全性分析

盐酸曲美他嗪缓释片治疗扩张型心肌病的用药效果及用药安全性分析

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目的 探讨扩张型心肌病用药治疗期间应用盐酸曲美他嗪缓释片的总体效果.方法 目的选取2023年3月—2024年3月临朐县人民医院选取扩张型心肌病患者72例为研究对象.以具体治疗方式划分组别,每组均36例.患者均给予常规药物进行干预.参照组在常规治疗基础上,联合应用沙库巴曲缬沙坦钠片.研究组以参照组治疗方案为前提,结合盐酸曲美他嗪缓释片.对两组心功能、心率变异性、治疗效果、不良反应进行评定.结果 与参照组相比,研究组左室射血分数较高,左心室舒张末内径、左室收缩末期容积降低,差异有统计学意义(P均<0.05);对比两组不良反应发生率,差异无统计学意义(P>0.05);研究组治疗效果为94.4%(34/36),高于参照组的77.8%(28/36),差异有统计学意义(χ2=4.181,P=0.041);研究组相邻RR间期差值均方根、窦性RR间期总体标准差等心率变异性指标在治疗后高于参照组,差异有统计学意义(P均<0.05).结论 予以患者盐酸曲美他嗪缓释片,具有良好的用药效果,可改善患者心功能,降低心率变异风险,且用药安全性.
Analysis of the effect and safety of trimetazidine hydrochloride sustained-release tablets in the treatment of dilated cardiomyopathy
Objective To explore the overall effect of trimetazidine hydrochloride sustained-release tablets as a regi-men during the treatment of dilated cardiomyopathy.Methods 72 patients with dilated cardiomyopathy were objec-tively selected from March 2023 to March 2024 in Linqu County People's Hospital.The groups were divided into groups according to the specific treatment methods,36 cases in each group.All patients were given conventional drugs for intervention.On the basis of routine treatment,the reference group was combined with sacubitril valsartan sodium tablets.The study group was based on the treatment plan of the reference group,combined with trimetazidine hydro-chloride sustained-release tablets.The cardiac function,heart rate variability,therapeutic effect and adverse reactions of each group were evaluated.Results Compared with the reference group,the study group had higher left ventricular ejection fraction,lower left ventricular end-diastolic diameter and left ventricular end-systolic volume,and the differ-ences were statistically significant(all P<0.05).There was no significant difference in the incidence of adverse reac-tions between the groups(P>0.05);The therapeutic effect of the two groups was analyzed.The study group was 94.4%(34/36),which was higher than 77.8%(28/36)of the reference group,and the difference was statistically sig-nificant(χ2=4.181,P=0.041);In terms of heart rate variability indicators such as the root mean square of the differ-ence between adjacent RR intervals and the overall standard deviation of sinus RR intervals,the study group was higher than the reference group after the intervention,and the difference was statistically significant(P<0.05).Con-clusion Trimetazidine hydrochloride sustained-release tablets have good medication effect,which can improve the car-diac function of patients,reduce the risk of heart rate variability,and medication safety.

Dilated cardiomyopathyTrimetazidine hydrochloride sustained-release tabletsMedication effectSecurity

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临朐县人民医院,山东 潍坊 262600

扩张型心肌病 盐酸曲美他嗪缓释片 用药效果 安全性

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(14)