首页|达格列净联合β受体阻滞剂治疗EF<40%的心力衰竭合并室性心律失常的临床疗效观察

达格列净联合β受体阻滞剂治疗EF<40%的心力衰竭合并室性心律失常的临床疗效观察

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目的 研讨达格列净联合β受体阻滞剂治疗射血分数(EF)<40%的心力衰竭合并室性心律失常的临床疗效.方法 选择 60 例EF<40%的心力衰竭合并室性心律失常患者作为研究对象,以随机分组法分成对照组与实验组,各 30 例.对照组给予β受体阻滞剂治疗,实验组给予达格列净+β受体阻滞剂治疗.对比两组治疗效果、室性期前收缩次数及短阵室速次数、不良反应发生情况、再住院情况.结果 对照组的治疗总有效率为 66.67%,明显低于实验组的 96.67%(P<0.05).治疗后,两组室性期前收缩次数及短阵室速次数低于治疗前(P<0.05);治疗后实验组室性期前收缩次数(1877.66±272.23)次/24 h及短阵室速次数(2.30±1.66)次/24 h低于对照组的(2153.60±352.71)、(3.78±1.57)次/24 h(P<0.05).实验组不良反应发生率 6.67%低于对照组的 26.67%(P<0.05).实验组再住院率 10.00%低于对照组的 33.33%(P<0.05).结论 在EF<40%的心力衰竭合并室性心律失常患者的临床治疗中运用达格列净联合β受体阻滞剂治疗,效果良好.
Observation on clinical efficacy of dapagliflozin combined with β-blockers in the treatment of heart failure(EF<40%)complicated with ventricular arrhythmias
Objective To discuss the clinical effect of dagliflozin combined with β-blockers in heart failure with ventricular arrhythmia with ejection fraction(EF)<40%.Methods 60 patients with heart failure(EF<40%)and ventricular arrhythmias were selected as randomly subjects and randomly divided into a control group and an experimental group,each consisting of 30 patients.The control group was treated with β-blockers,and the experimental group was treated with dapagliflozin+β-blockers.The therapeutic effect,the number of ventricular premature beat,the number of nonsustained ventricular tachycardia,the occurrence of adverse reactions and re-hospitalization were compared between the two groups.Results The total effective rate of the control group was 66.67%,which was significantly lower than 96.67%of the experimental group(P<0.05).After treatment,the number of ventricular premature beat and nonsustained ventricular tachycardia in both groups were lower than that before treatment(P<0.05).After treatment,the number of ventricular premature beat and nonsustained ventricular tachycardia were(1877.66±272.23)and(2.30±1.66)time/24 h in the experimental group,which were lower than(2153.60±352.71)and(3.78±1.57)time/24 h in the control group(P<0.05).The incidence of adverse reactions of 6.67%in the experimental group was lower than 26.67%in the control group(P<0.05).The re-hospialization rate of 10.00%in the experimental group was lower than 33.33%in the control group(P<0.05).Conclusion Dapagliflozin combined with β-blockers shows good effect on patients with heart failure(EF<40%)and ventricular arrhythmias.

Dapagliflozinβ-blockersHeart failureVentricular arrhythmiasClinical effect

林柏青、刘军芬、刘洪清、马晓惠

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514699 梅州市平远县人民医院内一科

达格列净 β受体阻滞剂 心力衰竭 室性心律失常 临床效果

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(17)