首页|芪苈强心胶囊联合重组人脑利钠肽对急性心力衰竭的疗效分析

芪苈强心胶囊联合重组人脑利钠肽对急性心力衰竭的疗效分析

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目的 探讨重组人脑利钠肽(rhBNP)与芪苈强心胶囊联合治疗急性心力衰竭(AHF)患者的临床效果。方法 选取 2020 年 8 月至 2023 年 9 月遂平仁安医院收治的 86 例AHF患者,按照随机摸球法分成研究组(43 例)与对照组(43 例),对照组给予rhBNP治疗,研究组给予芪苈强心胶囊与rhBNP联合治疗,对两组临床疗效、心功能、中医证候积分、不良反应进行比较。结果 研究组治疗有效率(90。70%)高于对照组(74。42%),差异具有统计学意义(P<0。05);两组治疗后左室射血分数(LVEF)提高,左室舒张末期内径(LVEDD)、左室收缩末期内径(LVESD)降低,差异具有统计学意义(P<0。05),且研究组LVEF水平高于对照组,LVESD、LVEDD水平低于对照组,差异具有统计学意义(P<0。05);两组治疗后中医证候积分降低,差异具有统计学意义(P<0。05),研究组与对照组比较更低,差异具有统计学意义(P<0。05);研究组不良反应发生率(11。63%)与对照组(13。95%)比较差异无统计学意义(P>0。05)。结论 使用芪苈强心胶囊与rhBNP对AHF患者进行治疗,可提高疗效,有利于改善心功能,降低中医证候积分,安全性较高。
Analysis of the Efficacy of Qili Qiangxin Capsules Combined with Recombinant Human Brain Natriuretic Peptide in the Treatment of Acute Heart Failure
Objective To investigate the clinical effect of recombinant human brain natriuretic peptide(rhBNP)combined with Qili Qiangxin capsules in the treatment of patients with acute heart failure(AHF).Methods Eighty-six AHF patients admitted to Suiping Ren'an Hospital from August 2020 to September 2023 were selected and divided into a study group(43 cases)and a control group(43 cases)using a random ball-drawing method.The control group received rhBNP treatment,while the study group received Qili Qiangxin capsules combined with rhBNP treatment.The clinical efficacy,cardiac function,TCM syndrome scores,and adverse reactions were compared between the two groups.Results The treatment efficacy in the study group(90.70%)was higher than that in the control group(74.42%),with statistically significant differences(P<0.05).After treatment,the left ventricular ejection fraction(LVEF)increased,and the left ventricular end-diastolic diameter(LVEDD)and left ventricular end-systolic diameter(LVESD)decreased in both groups,with statistically significant differences(P<0.05).The LVEF level in the study group was higher than that in the control group,and the LVESD and LVEDD levels were lower than those in the control group,with statistically significant differences(P<0.05).After treatment,the TCM syndrome scores in both groups decreased,with statistically significant differences(P<0.05),and the scores in the study group were lower than those in the control group,with statistically significant differences(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the study group(11.63%)and the control group(13.95%)(P>0.05).Conclusion The combination of Qili Qiangxin capsules and rhBNP in the treatment of AHF patients can improve efficacy,enhance cardiac function,reduce TCM syndrome scores,and has high safety.

acute heart failureQili Qiangxin capsulesrecombinant human brain natriuretic peptideclinical efficacycardiac function

孙金坡、崔沛

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遂平仁安医院 心血管内科,河南 驻马店 463100

急性心力衰竭 芪苈强心胶囊 重组人脑利钠肽 临床疗效 心功能

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(9)