首页|注射用益气复脉联合沙库巴曲缬沙坦治疗慢性心力衰竭患者的效果

注射用益气复脉联合沙库巴曲缬沙坦治疗慢性心力衰竭患者的效果

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目的:观察注射用益气复脉联合沙库巴曲缬沙坦治疗慢性心力衰竭(CHF)患者的效果.方法:回顾性分析 2021 年 5 月至 2023 年 5 月该院收治的 86 例CHF患者的临床资料,按照治疗方法不同将其分为观察组与对照组各 43 例.对照组口服沙库巴曲缬沙坦钠片治疗,观察组在对照组基础上采用注射用益气复脉治疗.比较两组临床疗效,治疗前后心功能指标[左心室射血分数(LVEF)、左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)]、血清生化指标[N-末端脑钠肽前体(NT-proBNP)、肿瘤坏死因子-α(TNF-α)]水平,以及不良反应发生率.结果:观察组治疗总有效率为 93.02%(40/43),显著高于对照组的 72.09%(31/43),差异有统计学意义(P<0.05);治疗后,观察组LVEDD、LVESD、NT-proBNP、TNF-α水平低于对照组,LVEF水平高于对照组,差异均有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:注射用益气复脉联合沙库巴曲缬沙坦治疗CHF患者效果确切,能有效提高心功能,抑制炎性因子分泌,减轻心肌损伤程度,效果优于单用沙库巴曲缬沙坦治疗.
Effects of Yiqi Fumai injection combined with Sacubitril/Valsartan in treatment of patients with chronic heart failure
Objective:To observe effects of Yiqi Fumai injection combined with Sacubitril/Valsartan in treatment of patients with chronic heart failure(CHF).Methods:The clinical data of 86 patients with CHF admitted to this hospital from May 2021 to May 2023 were retrospectively analyzed.According to different treatment methods,they were divided into observation group and control group,43 cases in each group.The control group was treated with Sacubitril/Valsartan sodium tablets orally,while the observation group was treated with Yiqi Fumai injection on the basis of that of the control group.The clinical efficacy,the levels of cardiac function indexes[left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD)]and serum biochemical indexes[N-terminal pro-brain natriuretic peptide(NT-proBNP),tumor necrosis factor-α(TNF-α)]before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 93.02%(40/43),which was significantly higher than 72.09%(31/43)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of LVEDD,LVESD,NT-proBNP and TNF-α in the observation group were lower than those in the control group,the level of LVEF was higher than that in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Yiqi Fumai injection combined with Sacubitril/Valsartan is effective in the treatment of the CHF patients,which can effectively improve the cardiac function,inhibit the secretion of inflammatory factors and reduce the degree of myocardial injury.Moreover,it is superior to simple Sacubitril/Valsartan treatment.

Yiqi Fumai injectionSacubitril/ValsartanChronic heart failureCardiac functionVentricular remodeling

沈阳、赵银磊、刘学长

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河南中医药大学第五临床医学院 郑州人民医院,急诊科,河南 郑州 450000

河南中医药大学第五临床医学院 郑州人民医院,心内科,河南 郑州 450000

注射用益气复脉 沙库巴曲缬沙坦 慢性心力衰竭 心功能 心室重构

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(13)