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沙库巴曲缬沙坦钠在急性心肌梗死介入术后的应用价值

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目的 探讨沙库巴曲缬沙坦钠在急性心肌梗死(AMI)介入术后的应用价值.方法 选取 2022 年 5 月至 2023 年 4 月本院收治的 70 例AMI患者,按照抽签法分为两组.观察组采用沙库巴曲缬沙坦钠治疗,对照组采用依那普利治疗.比较两组的心功能、血清指标及预后.结果 治疗后,两组LVESD、LVEDD降低,LVEF增加,且观察组LVESD、LVEDD低于对照组,LVEF高于对照组(P<0.05).治疗后,两组NT-proBNP、CK-MB水平降低,且观察组NT-proBNP、CK-MB水平低于对照组(P<0.05).观察组MACE发生率为 11.43%,低于对照组的 31.43%(P<0.05).结论 早期应用沙库巴曲缬沙坦钠可对抗AMI介入术后心肌重构,保护患者的心功能,改善预后.
Application Value of Sacubitril Valsartan Sodium in Patients after Acute Myocardial Infarction Intervention
Objective To explore the application value of sacubitril valsartan sodium in patients after acute myocardial infarction(AMI)intervention.Methods 70 AMI patients admitted to our hospital from May 2022 to April 2023 were divided into two groups according to lottery method.The observation group was treated with sacubitril valsartan sodium,and the control group was treated with enalapril.The cardiac function,serum indicators and prognosis were compared between the two groups.Results After treatment,the LVESD and LVEDD of the two groups decreased,the LVEF increased(P<0.05);The LVESD and LVEDD of the observation group were lower than those of the control group,and the LVEF was higher than that of the control group(P<0.05).After treatment,the NT-proBNP and CK-MB levels of the two groups decreased,and the NT-proBNP and CK-MB levels of the observation group were lower than those of the control group(P<0.05).The incidence of MACE in observation group was 11.43%,lower than 31.43%in the control group(P<0.05).Conclusions Early application of sacubitril valsartan sodium can prevent myocardial remodeling after AMI intervention,protect the cardiac function and improve prognosis.

Sacubitril valsartan sodiumAcute myocardial infarctionPercutaneous coronary intervention

宋晓雨、张铁锋

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许昌市人民医院心血管内科,河南许昌 461000

沙库巴曲缬沙坦钠 急性心肌梗死 介入术

河南省医学科技攻关计划联合共建项目

LHGJ20190919

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(1)
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