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沙库巴曲缬沙坦钠片治疗慢性心力衰竭的效果

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目的 分析沙库巴曲缬沙坦钠片治疗慢性心力衰竭的临床效果。方法 选择 2021 年 12 月—2022 年 12 月六盘水市人民医院收治的 186 例慢性心力衰竭患者纳入研究。按照随机数字表法分为新式组和传统组,各 93 例。传统组使用马来酸依那普利片治疗,新式组使用沙库巴曲缬沙坦钠片治疗。比较 2 组心功能指标[左心室射血分数(left ventricular ejection fraction,LVEF)、左 心 室 收 缩 末 期 内 径(left ventricular end-systolic diameter,LVESD)、左心室舒张末期内径(left ventricular end-diastolic diameter,LVEDD)及血浆脑钠肽(brain natriuretic peptide,BNP)]、治疗效果、预后情况。结果 干预后,新式组LVEF水平[(48。36±5。29)%]高于传统组[(46。29±5。26)%],LVESD、LVEDD、BNP水平[(38。63±4。25)mm、(50。26±4。93)mm、(133。36±12。25)ng/L]低于传统组[(41。26±2。25)mm、(54。26±4。29)mm、(159。63±20。36)ng/L],差异有统计学意义(P<0。05)。新式组治疗总有效率(97。85%)高于传统组(82。80%),差异有统计学意义(P<0。05)。新式组再入院率、不良心血管事件发生率(11。83%、16。13%)低于传统组(32。26%、37。63%),差异有统计学意义(P<0。05)。结论 沙库巴曲缬沙坦钠片治疗慢性心力衰竭可达到良好的治疗效果,同时可改善心功能,降低再入院率、不良心血管事件发生率。
Effect of Sacubactril Valsartan Sodium Tablets in the Treatment of Chronic Heart Failure
Objective To analyze the effect of sacubactril valsartan sodium tablets in the treatment of chronic heart failure.Methods A total of 186 patients with chronic heart failure admitted to the People's Hospital of Liupanshui City from December 2021 to December 2022 were included in the study.They were divided into new group and traditional group with random number table method,93 cases in each group.The traditional group was treated with enalapril,while the new group was treated with sacubactril valsartan sodium tablets.The cardiac function index[left ventricular ejection fraction(LVEF),left ventricular end-systolic diameter(LVESD),left ventricular end-diastolic diameter(LVEDD)and brain natriuretic peptide(BNP)],treatment effect and prognosis of the two groups were compared.Results After intervention,LVEF level[(48.36±5.29)%]in the new group was higher than that in the traditional group[(46.29±5.26)%],the levels of LVESD,LVEDD and BNP[(38.63±4.25)mm,(50.26±4.93)mm,(133.36±12.25)ng/L]were lower than those of the traditional group[(41.26±2.25)mm,(54.26±4.29)mm,(159.63±20.36)ng/L],the difference was statistically significant(P<0.05).The total effective rate of the new group(97.85%)was higher than that of the traditional group(82.80%),and the difference was statistically significant(P<0.05).The rates of readmitted hospital admission and adverse cardiovascular events(11.83%,16.13%)in the new group were lower than those in the traditional group(32.26%,37.63%),and the differences were statistically significant(P<0.05).Conclusion Sacubactril valsartan sodium tablets is effective in the treatment of chronic heart failure,which can improve cardiac function,reduce readmission rate and the incidence of adverse cardiovascular events.

sacubactril valsartan sodium tabletschronic heart failurebrain natriuretic peptidecardiac functionadverse cardiovascular eventsenalapril

娄伦生、娄飞拿、向万发

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六盘水市人民医院全科医学科,贵州六盘水 553000

六盘水市钟山区人民医院儿科,贵州 六盘水 553000

沙库巴曲缬沙坦钠片 慢性心力衰竭 脑钠肽 心功能 不良心血管事件 依那普利

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(13)