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脑钠肽在老年慢性心力衰竭的动态变化及应用效果

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目的探讨老年慢性心力衰竭患者脑钠肽的变化及冻干重组人脑钠肽治疗心衰的临床疗效.方法选取我院心内科住院治疗的老年慢性心力衰竭患者(干预组)和老年非慢性心力衰竭患者(对照组)各81例,在常规治疗的基础上,干预组使用冻干重组人BNP粉针进行治疗.结果干预组BNP和LVEF与对照组相比有显著差异,而且随着心功能分级的升高,BNP增加, LVEF下降;治疗前后干预组的BNP、LVEF和心率均有明显差异;随访中,干预组中治疗前BNP水平高于正常范围的患者与正常的患者相比,死亡率、年平均住院次数和年总住院时间均有差异;以上比较差异均有统计学意义(P <0.05).结论老年慢性心力衰竭患者脑钠肽的动态变化不仅可反应心功能分级情况,其增高的程度与心衰的严重程度呈正相关,是评定心衰的进程和判断预后的指标;且临床中冻干重组人脑钠肽治疗老年慢性心衰效果良好.
Brain natriuretic peptide in old age chronic heart failure and application of the dynamic change of brain natriuretic & nbsp;peptide the clinical effect of treatment
Objective To explore old age chronic heart failure patients with brain natriuretic peptide changes and lyophilization restructuring the human brain sodium peptide the clinical curative effect of the treatment of heart failure. Methods Select our heart hospitalized elderly chronic heart failure patients(intervention group) and older than chronic heart failure patients(control group) the 81 examples, in the conventional treatment on the basis of, intervention group the lyophilization recombinant human BNP plenty for treatment. Results The intervention group BNP and LVEF comparing with the control group there were significant differences, as the cardiac function classification increases, BNP increase, LVEF down; Before and after treatment of the intervention group BNP, LVEF and heart rate were significantly difference, During follow-up, the intervention group before treatment BNP level higher than the normal range of patients and normal compared to patients with mortality, annual average hospitalization number and the total length of hospital stay all have difference, Above comparative differences were statistically significant(P <0.05). Conclusion Old age chronic heart failure patients with brain natriuretic peptide can not only the dynamic change of reaction cardiac function classification situation, the higher level and the severity of the heart failure was positively related to the process of heart failure is evaluation and prognosis indicator; And the clinical lyophilized recombinant human brain peptide sodium treatment of senile chronic heart failure effect is good.

The oldChronic heart failureBrain natriuretic peptide

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417100 湖南省涟源市人民医院心内科

老年人 慢性心力衰竭 脑钠肽

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(1)
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