疑难病杂志
疑難病雜誌
의난병잡지
JOURNAL OF DIFFICULT AND COMPLICATED CASES
2014年
8期
831-834
,共4页
陈欣华%梁建英%孟文格%刘金波%冯燕光
陳訢華%樑建英%孟文格%劉金波%馮燕光
진흔화%량건영%맹문격%류금파%풍연광
心肌病,缺血性%心力衰竭%左室重构%心功能%N-末端脑钠肽前体%肌钙蛋白I%芪苈强心胶囊
心肌病,缺血性%心力衰竭%左室重構%心功能%N-末耑腦鈉肽前體%肌鈣蛋白I%芪藶彊心膠囊
심기병,결혈성%심력쇠갈%좌실중구%심공능%N-말단뇌납태전체%기개단백I%기력강심효낭
Cardiomyopathy,ischemic%Heart failure%Left ventricular remodeling%Cardiac function%N-terminal pro brain natriuretic peptide%Cardiac troponin I%Qiliqiangxin capsule
目的:观察芪苈强心胶囊对缺血性心肌病心力衰竭患者左室重构、心功能、N-末端脑钠肽前体( NT-proBNP)及肌钙蛋白I( cTnI)的影响。方法将60例心力衰竭患者随机分为治疗组与对照组各30例,均常规予以血管紧张素转换酶抑制剂或血管紧张素II受体拮抗剂、β受体阻滞剂、利尿剂等治疗,治疗组加用芪苈强心胶囊。治疗6个月后对比观察2组临床症状、左室舒张末期内径(LVEDD)、左室收缩末期内径(LVESD)、左室射血分数(LVEF)、每分钟输出量( CO)、NT-pro BNP、cTnI等的变化情况。结果治疗组临床总有效率明显高于对照组,差异有统计学意义(93 z.34%vs.80.00%,P<0.05)。与治疗前比较,2组治疗后NT-proBNP、cTnI、LVEDD均明显降低,LVEF、CO均明显增加,差异有统计学意义( P <0.05或P <0.01),而且治疗组治疗后6个月与对照组同期比较NT-proBNP、cTnI水平下降更明显,LVEDD、LVESD、LVEF、CO改善更明显,差异有统计学意义( P <0.05)。治疗组住院时间、再住院率均低于对照组( P <0.05)。结论在心力衰竭常规治疗的基础之上加用芪苈强心胶囊能够降低NT-proBNP、cTnI的水平,逆转左室重构,改善心功能,疗效明显。
目的:觀察芪藶彊心膠囊對缺血性心肌病心力衰竭患者左室重構、心功能、N-末耑腦鈉肽前體( NT-proBNP)及肌鈣蛋白I( cTnI)的影響。方法將60例心力衰竭患者隨機分為治療組與對照組各30例,均常規予以血管緊張素轉換酶抑製劑或血管緊張素II受體拮抗劑、β受體阻滯劑、利尿劑等治療,治療組加用芪藶彊心膠囊。治療6箇月後對比觀察2組臨床癥狀、左室舒張末期內徑(LVEDD)、左室收縮末期內徑(LVESD)、左室射血分數(LVEF)、每分鐘輸齣量( CO)、NT-pro BNP、cTnI等的變化情況。結果治療組臨床總有效率明顯高于對照組,差異有統計學意義(93 z.34%vs.80.00%,P<0.05)。與治療前比較,2組治療後NT-proBNP、cTnI、LVEDD均明顯降低,LVEF、CO均明顯增加,差異有統計學意義( P <0.05或P <0.01),而且治療組治療後6箇月與對照組同期比較NT-proBNP、cTnI水平下降更明顯,LVEDD、LVESD、LVEF、CO改善更明顯,差異有統計學意義( P <0.05)。治療組住院時間、再住院率均低于對照組( P <0.05)。結論在心力衰竭常規治療的基礎之上加用芪藶彊心膠囊能夠降低NT-proBNP、cTnI的水平,逆轉左室重構,改善心功能,療效明顯。
목적:관찰기력강심효낭대결혈성심기병심력쇠갈환자좌실중구、심공능、N-말단뇌납태전체( NT-proBNP)급기개단백I( cTnI)적영향。방법장60례심력쇠갈환자수궤분위치료조여대조조각30례,균상규여이혈관긴장소전환매억제제혹혈관긴장소II수체길항제、β수체조체제、이뇨제등치료,치료조가용기력강심효낭。치료6개월후대비관찰2조림상증상、좌실서장말기내경(LVEDD)、좌실수축말기내경(LVESD)、좌실사혈분수(LVEF)、매분종수출량( CO)、NT-pro BNP、cTnI등적변화정황。결과치료조림상총유효솔명현고우대조조,차이유통계학의의(93 z.34%vs.80.00%,P<0.05)。여치료전비교,2조치료후NT-proBNP、cTnI、LVEDD균명현강저,LVEF、CO균명현증가,차이유통계학의의( P <0.05혹P <0.01),이차치료조치료후6개월여대조조동기비교NT-proBNP、cTnI수평하강경명현,LVEDD、LVESD、LVEF、CO개선경명현,차이유통계학의의( P <0.05)。치료조주원시간、재주원솔균저우대조조( P <0.05)。결론재심력쇠갈상규치료적기출지상가용기력강심효낭능구강저NT-proBNP、cTnI적수평,역전좌실중구,개선심공능,료효명현。
Objective To investigate the effect of Qiliqiangxin capsules on left ventricular remodeling , cardiac func-tion, N-terminal pro brain natriuretic peptide (NT-proBNP) and cardiac troponin I (cTnI) in patients with ischemic cardio-myopathy and heart failure .Methods Sixty cases of heart failure patients were randomly divided into treatment group and control group with 30 cases in each group , they were given angiotensin converting enzyme inhibitors or angiotensin II receptor antagonists, beta blockers, diuretics, the treatment group added Qiliqiangxin capsules.6 months after treatment, clinical symptoms, left ventricular end-diastolic diameter (LVEDD),Left ventricular end-systolic diameter(LVESD),left ventricular ejection fraction (LVEF), output per minute (CO), changes of NT-proBNP, cTnI were observed and compared between the 2 groups.Results Total effective rate in the treatment group was significantly higher than the control group , the difference was statistically significant (93.33% vs.80.00%, P <0.05).Compared with before treatment , the 2 groups after treat-ment, NT-proBNP, cTnI, LVEDD were decreased , LVEF, CO were increased significantly , the difference was statistically significant ( P <0.05 or P <0.01), and 6 months after treatment, the treatment group's NT-proBNP, cTnI drop obviously, LVEDD, LVESD, LVEF, CO improved obviously compared to the same period in the control group , the difference was statis-tically significant ( P <0.05).The treatment group hospital stay , readmission rates were lower than the control group ( P <0.05).Conclusion For heart failure, on the basis of routine treatment , added Qiliqiangxin capsules could reduce the levels of cTnI, NT-proBNP, reverse left ventricular remodeling , and improve the heart function .