首页|丹参多酚酸盐对射血分数中间值心力衰竭患者神经内分泌指标、超声心动图参数及sCD146的影响

丹参多酚酸盐对射血分数中间值心力衰竭患者神经内分泌指标、超声心动图参数及sCD146的影响

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目的:探究丹参多酚酸盐对射血分数中间值心力衰竭患者神经内分泌指标、超声心动图参数及可溶性CD146 分子(sCD146)的影响.方法:将 2021 年 10 月—2023 年 6 月牡丹江医学院附属红旗医院收治的 80 例射血分数中间值心力衰竭患者根据随机数字表法分为对照组和观察组.对照组的40 例患者进行常规心力衰竭治疗,观察组的 40 例患者则在常规治疗的基础上加用丹参多酚酸盐.比较两组的总有效率、治疗前后的心功能指标[心输出量(CO)、心脏指数(CI)及每搏输出量(SV)]、神经内分泌指标[醛固酮(ALD)、血管紧张素Ⅱ(AngⅡ)及脑钠肽(BNP)]、超声心动图参数[舒张早期E峰峰速/舒张晚期A峰峰速(E/A)、三尖瓣反流最大流速(TRmax)及舒张早期E峰峰速/左室舒张早期充盈速度(E/e')]及sCD146.结果:观察组的总有效率显著高于对照组,差异有统计学意义(P<0.05);治疗前两组的心功能指标、神经内分泌指标、超声心动图参数及sCD146 比较,差异均无统计学意义(P>0.05),治疗 1 个月及 2 个月后观察组的心功能指标及E/A均显著高于对照组,神经内分泌指标、TRmax、E/e'及sCD146 均显著低于对照组,差异均有统计学意义(P<0.05).结论:丹参多酚酸盐在射血分数中间值心力衰竭患者中的应用效果较好,且可显著改善神经内分泌指标、超声心动图参数及sCD146,因此在射血分数中间值心力衰竭患者中的应用价值较高.
Effects of Salvianolate on Neuroendocrine Indexes,Echocardiographic Parameters and sCD146 in Patients with Heart Failure with Mid-range Ejection Fraction
Objective:To investigate the influence of Salvianolate for neuroendocrine indexes,echocardiographic parameters and soluble CD146 molecule(sCD146)of patients with heart failure with mid-range ejection fraction.Method:A total of 80 patients with heart failure of mid-range ejection fraction in Hongqi Hospital Affiliated to Mudanjiang Medical University from October 2021 to June 2023 were divided into control group and observation group by the random number table.40 patients in the control group received conventional heart failure treatment,and 40 patients in the observation group were given Salvianolate in addition to conventional treatment.The total effective rates,cardiac function indexes[cardiac output(CO),cardiac index(CI)and stroke volume(SV)],neuroendocrine indexes[aldosterone(ALD),angiotensin Ⅱ(AngⅡ)and brain natriuretic peptide(BNP)],echocardiographic parameters[E peak velocity/late diastolic phase A-peak velocity(E/A),tricuspid regurgitationmax(TRmax)and E peak velocity/averaged e'velocity(E/e')]and sCD146 before and after the treatment of two groups were compared.Result:The total effective rate of observation group was significantly higher than that of control group,the difference was statistically significant(P<0.05);the cardiac function indexes,neuroendocrine indexes,echocardiographic parameters and sCD146 of two groups before the treatment were compared,the differences were not statistically significant(P>0.05),after 1 month and 2 months of treatment,the cardiac function indexes and E/A of the observation group were significantly higher than those of the control group,and the neuroendocrine indexes,TRmax,E/e'and sCD146 were significantly lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The application effect of Salvianolate in patients with heart failure with mid-range ejection fraction is better,and it can significantly improve the neuroendocrine indexes,echocardiographic parameters and sCD146 of patients,so its application value in atients with heart failure with mid-range ejection fraction is higher.

SalvianolateHeart failure with mid-range ejection fractionNeuroendocrineEchocardiographic parameterssCD146

曲治权、韩京亚、李悦、王晨彤

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牡丹江医学院附属红旗医院老年病科 黑龙江 牡丹江 157011

禹州市人民医院重症医学科 河南 禹州 461674

牡丹江医学院附属红旗医院肾脏内科 黑龙江 牡丹江 157011

丹参多酚酸盐 射血分数中间值心力衰竭 神经内分泌 超声心动图参数 sCD146

黑龙江省卫生健康委科研课题2023黑龙江省省属高等学校基本科研业务费科研项目

202103031002592023-KYYWF-0920

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(23)