首页|达格列净片联合沙库巴曲缬沙坦钠片治疗心力衰竭的临床效果

达格列净片联合沙库巴曲缬沙坦钠片治疗心力衰竭的临床效果

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目的:探究和分析心力衰竭患者采用达格列净片联合沙库巴曲缬沙坦钠片治疗的临床效果。方法:选择 2022 年3 月—2023 年 3 月重庆市酉阳县人民医院收治的 70 例心力衰竭患者开展此次临床实践研究,采用单双号法对其进行分组,将单号纳入对照组(予以沙库巴曲缬沙坦钠片治疗),双号纳入观察组(予以达格列净片联合沙库巴曲缬沙坦钠片治疗),各 35 例。比较两组治疗前后的心功能指标[脑钠肽(BNP)、左室舒张末内径(LVEDD)、左室收缩末期内径(LVESD)、左室射血分数(LVEF)]、神经内分泌激素[去甲肾上腺素(NE)、血管紧张素Ⅱ(AngⅡ)]水平及治疗总有效率。结果:治疗前,两组心功能指标、神经内分泌激素水平比较,差异无统计学意义(P>0。05)。治疗后,观察组BNP、LVEDD、LVESD、NE、AngⅡ低于对照组,LVEF高于对照组,差异有统计学意义(P<0。05)。观察组治疗总有效率为 97。14%,高于对照组的82。86%,差异有统计学意义(P<0。05)。结论:心力衰竭患者采用达格列净片联合沙库巴曲缬沙坦钠片治疗可获得良好的治疗效果。
Clinical Effect of Dapagliflozin Tablets Combined with Sacubitril Valsartan Sodium Tablets in the Treatment of Heart Failure
Objective:To explore and analyze the clinical effect of Dapagliflozin Tablets combined with Sacubitril Valsartan Sodium Tablets in patients with heart failure.Method:A total of 70 patients with heart failure admitted to the Youyang County People's Hospital of Chongqing from March 2022 to March 2023 were selected to carry out the clinical practice study.The patients were divided into odd-even groups by odd-even number method,and the single number was included in the control group(treated with Sacubitril Valsartan Sodium Tablets),and the even-number group was included in the observation group(treated with Dapagliflozin Tablets and Sacubitril Valsartan Sodium Tablets),with 35 cases in each group.The cardiac function indexes[brain natriuretic peptide(BNP),left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD),left ventricular ejection fraction(LVEF)],neuroendocrine hormones[noreadrenaline(NE),angiotensin Ⅱ(AngⅡ)]before and after treatment and the total effective rate of treatment were compared between the two groups.Result:Before treatment,there were no significant differences in cardiac function indexes and neuroendocrine hormone levels between the two groups(P>0.05).After treatment,BNP,LVEDD,LVESD,NE and AngⅡ in the observation group were lower than those in the control group,and LVEF was higher than that in the control group,the differences were statistically significant(P<0.05).The total effective rate of the observation group was 97.14%,higher than 82.86%of the control group,and the difference was statistically significant(P<0.05).Conclusion:Patients with heart failure were treated with Dagaglizin Tablets combined with Sacubitril Valsartan Sodium Tablets for good therapeutic effect.

Dapagliflozin TabletsSacubitril Valsartan Sodium TabletsHeart failure

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重庆市酉阳县人民医院 重庆 409800

达格列净片 沙库巴曲缬沙坦钠片 心力衰竭

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(19)