首页|冻干重组人脑利钠肽联合呋塞米注射液治疗心力衰竭的效果及对血清PCT、NT-proBNP水平的影响

冻干重组人脑利钠肽联合呋塞米注射液治疗心力衰竭的效果及对血清PCT、NT-proBNP水平的影响

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目的:探讨冻干重组人脑利钠肽联合呋塞米注射液治疗心力衰竭患者的效果及对其血清降钙素原(PCT)、N末端脑钠肽前体(NT-proBNP)水平的影响。方法:选取 2019 年 1 月—2022 年 12 月于泰州市第四人民医院接受救治的心力衰竭患者 86 例为研究对象,根据患者入院日期进行编号,其中 43 例奇数日期入院的患者纳入对照组,接受呋塞米注射液治疗,另外 43 例偶数日期入院的患者纳入试验组,接受冻干重组人脑利钠肽联合呋塞米注射液治疗。比较两组临床治疗总有效率、心功能指标[左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)及左心室射血分数(LVEF)]、血液指标(PCT、NT-proBNP)、生活质量。结果:试验组总有效率为95。35%,明显高于对照组的81。40%,差异有统计学意义(P<0。05)。治疗前,两组LVEDD、LVESD及LVEF水平比较,差异无统计学意义(P>0。05);治疗后,两组LVEDD、LVESD水平均较治疗前降低,LVEF水平较治疗前升高,且试验组LVEDD、LVESD水平低于对照组,LVEF水平高于对照组,差异有统计学意义(P<0。05)。治疗前,两组PCT、NT-proBNP水平比较,差异无统计学意义(P>0。05);治疗后,两组PCT、NT-proBNP水平均较治疗前降低,试验组均低于对照组,差异有统计学意义(P<0。05)。治疗前两组生理功能、健康状况、情感职能、社会功能、躯体疼痛、生理职能、精神健康、精力评分比较,差异无统计学意义(P>0。05);治疗后,两组上述各维度评分均较治疗前升高,且试验组均高于对照组,差异有统计学意义(P<0。05)。结论:冻干重组人脑利钠肽与呋塞米注射液联合治疗心力衰竭患者,其临床治疗总有效率明显提高,心功能明显提升,PCT、NT-proBNP指标水平明显改善,生活质量提高。
Effect of Freeze-dried Recombinant Human Brain Natriuretic Peptide Combined with Furosemide Injection in the Treatment of Heart Failure and Its Influence on Serum PCT and NT-proBNP Levels
Objective:To investigate the effect of Freeze-dried Recombinant Human Brain Natriuretic Peptide combined with Furosemide Injection in the treatment of heart failure patients and its influence on the levels of serum procalcitonin(PCT)and N-terminal brain natriuretic peptide precursor(NT-proBNP).Method:A total of 86 patients with heart failure who were treated in Taizhou Fourth People's Hospital from January 2019 to December 2022 were selected as the study objects.They were numbered according to their admission dates,among which 43 patients admitted on odd-numbered dates were included in the control group and received Furosemide Injection,while 43 patients admitted on even-numbered dates were included in the experimental group and received Freeze-dried Recombinant Human Brain Natriuretic Peptide combined with Furosemide Injection.The total effective rate,cardiac function indexes[left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD)and left ventricular ejection fraction(LVEF)],blood indexes(PCT,NT-proBNP)and quality of life of the two groups were compared.Result:The total effective rate of the experimental group was 95.35%,which was significantly higher than 81.40%of the control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in LVEDD,LVESD and LVEF levels between the two groups(P>0.05).After treatment,LVEDD and LVESD levels in both groups were lower than those before treatment,and LVEF levels were higher than those before treatment,and LVEDD and LVESD levels in the experimental group were lower than those in the control group,and LVEF level was higher than that in the control group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in PCT and NT-proBNP levels between the two groups(P>0.05).After treatment,the levels of PCT and NT-proBNP in both groups were lower than those before treatment,and the experimental group were lower than the control group,the differences were statistically significant(P<0.05).There were no significant differences in physiological function,health status,emotional function,social function,physical pain,role-phyical,mental health and energy scores between the two groups before treatment(P>0.05).After treatment,the scores of the above dimensions in both groups were higher than those before treatment,and the experimental group were higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Freeze-dried Recombinant Human Brain Natriuretic Peptide combined with Furosemide Injection in the treatment of patients with heart failure,the total effective rate of clinical treatment was significantly improved,the heart function was significantly improved,the level of PCT and NT-proBNP indexes was significantly improved,and the quality of life was improved.

Freeze-dried Recombinant Human Brain Natriuretic PeptideHeart failureCurative effectProcalcitoninN-terminal brain natriuretic peptide precursorQuality of life

陈礼斌

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泰州市第四人民医院 江苏 泰州 225300

冻干重组人脑利钠肽 心力衰竭 疗效 降钙素原 N末端脑钠肽前体 生活质量

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(2)
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