首页|温阳利水方对慢性心力衰竭患者血小板活化及血管内皮损伤的影响

温阳利水方对慢性心力衰竭患者血小板活化及血管内皮损伤的影响

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目的:探究温阳利水方对慢性心力衰竭患者血小板活化及血管内皮损伤的影响.方法:将2019 年 5 月—2022 年 12 月承德市中医院收治的 300 例慢性心力衰竭患者根据随机数字表法分为对照组(n=150)和观察组(n=150).对照组进行常规慢性心力衰竭治疗,观察组则在对照组的基础上加用温阳利水方治疗.比较两组治疗总有效率、治疗前后的心功能指标[心排血量(CO)、心脏指数(CI)、左室射血分数(LVEF)]、血小板活化状态[血小板膜糖蛋白CD41、CD62p、CD63]及血管内皮损伤状态[血管性血友病因子(vWF)、内皮素(ET)及循环内皮细胞(CEC)].结果:观察组治疗总有效率显著高于对照组,差异有统计学意义(P<0.05).治疗前两组心功能、血小板活化及血管内皮损伤状态指标比较,差异均无统计学意义(P>0.05);治疗 2、4 周后观察组的心功能指标均显著高于对照组,血小板活动及血管内皮损伤状态指标均显著低于对照组,差异均有统计学意义(P<0.05).结论:温阳利水方在慢性心力衰竭患者中的应用效果较好,可显著改善患者的血小板活化及血管内皮损伤状态.
Effects of Wenyang Lishui Prescription on Platelet Activating and Vascular Endothelial Injury in Patients with Chronic Heart Failure
Objective:To investigate the effects of Wenyang Lishui Prescription on platelet activating and vascular endothelial injury in patients with chronic heart failure.Method:A total of 300 patients with chronic heart failure admitted to Chengde Hospital of Traditional Chinese Medicine from May 2019 to December 2022 were divided into control group(n=150)and observation group(n=150)according to random number table method.The control group received conventional chronic heart failure treatment,and the observation group was treated with Wenyang Lishui Prescription on the basis of the control group.The total effective rate,before and after treatment of cardiac function indexes[cardiac output(CO),cardiac index(CI),left ventricular ejection fraction(LVEF)],platelet activating status[glycoprotein CD41,CD62p,CD63],vascular endothelial injury status[von Willebrand factor(vWF),endothelin(ET)and circulation endothelial cell(CEC)]were compared between the two groups.Result:The total effective rate of the observation group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).There were no significant differences in cardiac function,platelet activating and vascular endothelial injury status indexes between the two groups before treatment(P>0.05).After 2 and 4 weeks of treatment,the cardiac function indexes of the observation group were significantly higher than those of the control group,and the platelet activating and vascular endothelial injury status indexes were significantly lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The application effect of Wenyang Lishui Prescription in patients with chronic heart failure is good,which can significantly improve the platelet activating and vascular endothelial injury.

Wenyang Lishui PrescriptionChronic heart failurePlatelet activatingVascular endothelial injury

范照亮、宋海玖、赵云平、杨威涛、王思博

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承德市中医院内一科 河北 承德 067000

温阳利水方 慢性心力衰竭 血小板活化 血管内皮损伤

承德市科技计划项目

202204A021

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(4)
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