首页|重组人脑利钠肽联合硝普钠对心力衰竭患者血清炎性因子及心功能的影响

重组人脑利钠肽联合硝普钠对心力衰竭患者血清炎性因子及心功能的影响

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目的 探讨重组人脑利钠肽联合硝普钠对心力衰竭患者血清炎性因子及心功能的影响.方法 选取 2021 年 5 月至2023 年 5 月我院收治 84 例心力衰竭患者,随机分为两组各 42 例.对照组给予硝普钠治疗,观察组在对照组基础上采用重组人脑利钠肽治疗,两组均连续治疗 72 h.对比两组的治疗效果和安全性.结果 观察组治疗总有效率高于对照组(P<0.05).治疗后,观察组C反应蛋白(CRP)、降钙素原(PCT)、脑钠肽(BNP)、左室收缩末期内径(LVESD)、左室舒张末期内径(LVEDD)低于对照组,左室射血分数(LVEF)高于对照组(P<0.05).两组的不良反应发生率比较无统计学差异(P>0.05).结论 重组人脑利钠肽联合硝普钠治疗心力衰竭患者的效果明显,能够控制机体炎性反应,促进心功能恢复,且无严重不良反应.
Impact of Recombinant Human Brain Natriuretic Peptide Combined with Sodium Nitroprusside on Serum Inflammatory Factors and Cardiac Function in Patients with Heart Failure
Objective To explore the impact of recombinant human brain natriuretic peptide combined with sodium nitroprusside on serum inflammatory factors and cardiac function in patients with heart failure.Methods 84 patients with heart failure admitted to our hospital from May 2021 to May 2023 were selected and randomly divided into two groups,with 42 cases in each group.The control group was treated with sodium nitroprusside,and the observation group was treated with recombinant human brain natriuretic peptide on the basis of the conrol group.Both groups were treated for 72 hours continuously.The clinical effect and safety were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the C-reactive protein(CRP),procalcitonin(PCT),brain natriuretic peptide(BNP),left ventricular end-systolic diameter(LVESD),and left ventricular end-diastolic diameter(LVEDD)of the observation group were lower than those of the control group,and the left ventricular ejection fraction(LVEF)was higher than that of the control group(P<0.05).No statistical difference was found in the incidence of adverse reactions between the two groups(P>0.05).Conclusions Recombinant human brain natriuretic peptide combined with sodium nitroprusside has significant effect in the treatment of patients with heart failure,which can control the body inflammatory response,and promote the cardiac function recovery,without serious adverse reactions.

Heart failureSodium nitroprussideRecombinant human brain natriuretic peptide

兰佳堃、余清贵、吴华锋

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南平市建阳第一医院心血管内科,福建南平 354200

心力衰竭 硝普钠 重组人脑利钠肽

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(7)