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纸质出版日期:2015
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陈小东, 周峻. 芪苈强心胶囊与曲美他嗪在缺血性心肌病心力衰竭患者中的联合应用[J]. 中国实验方剂学杂志, 2015,21(19):171-175.
CHEN Xiao-dong, ZHOU Jun. Qili Qiangxin Capsules Combined with Trimetazidine in Heart Failure Patients with Ischemic Cardiomyopathy[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(19): 171-175.
陈小东, 周峻. 芪苈强心胶囊与曲美他嗪在缺血性心肌病心力衰竭患者中的联合应用[J]. 中国实验方剂学杂志, 2015,21(19):171-175. DOI: 10.13422/j.cnki.syfjx.2015190171.
CHEN Xiao-dong, ZHOU Jun. Qili Qiangxin Capsules Combined with Trimetazidine in Heart Failure Patients with Ischemic Cardiomyopathy[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(19): 171-175. DOI: 10.13422/j.cnki.syfjx.2015190171.
目的:探讨芪苈强心胶囊与曲美他嗪在缺血性心肌病心力衰竭患者中的联合应用意义。方法:选取2013年1月-2013年12月期间本院所收治的缺血性心肌病心力衰竭患者110例
随机将其分为研究组和对照组。对照组采用曲美他嗪治疗
研究组在对照组治疗的基础上加用芪苈强心胶囊治疗
并分别对两组患者的临床治疗情况及左室舒张末期容积(LVEDV)
左室收缩末期容积(LVESV)
左室舒张末期内径(LVEDD)
左室收缩末期内径(LVESP)
左室射血分数(LVEF)
N末端B型脑钠肽原(NT-proBNP)
心肌肌钙蛋白I(cTnI)
超敏C反应蛋白(hs-CRP)等指标进行比较分析。结果:与对照组相比
研究组治疗后纽约心脏病协会(NYHA)分级为Ⅰ级和Ⅱ级的比率均显著提高
分别为21.82%和67.27%
为Ⅲ级和Ⅳ级的比率均显著降低
分别为10.91%和1.82%
差别均具有统计学意义(P<0.05);研究组临床治疗的有效率58.18%和总有效率92.73%均明显提升
而无效率7.27%则显著降低
差别均具有统计学意义(P<0.05);研究组治疗后的LVEDV(87.53±12.40) mL
LVESV(67.01±13.12) mL
LVEDD(18.32±2.78) mm
LVESP(33.54±5.16) mm水平均明显降低
LVEF(53.86±7.15)%水平显著提高
差别均具有统计学意义(P<0.05);研究治疗后的NT-proBNP(417.13±90.42) ng·L-1
cTnI(0.30±0.10) μg·L-1
hs-CRP(8.97±3.85) mg·L-1水平均显著降低
差别均具有统计学意义(P<0.05)。结论:芪苈强心胶囊联合曲美他嗪对于缺血性心肌病心力衰竭患者左室重构的逆转以及心功能和神经内分泌因子的改善均具有积极的促进作用
适宜临床应用和推广。
Objective: To probe into combined application value of Qili Qiangxin capsules combined with trimetazidine treatment on heart failure patients with ischemic cardiomyopathy. Method: From January 2013 to December 2013
110 heart failure patients with ischemic cardiomyopathy were selected in our hospital. The patients were divided into study group and control group randomly. The patients in control group were treated with trimetazidine as clinical medication. The patients in study group were treated with trimetazidine combined Qili Qiangxin capsules drug treatment. The clinical treatment of the patients in two groups were compared and analyzed. Result: Compared with control group
the patients in study group after treatment
New York Heart Association(NYHA) class for the ratios of gradeⅠ and gradeⅡ were increased significantly
up to 21.82% and 67.27%
the ratios of grade Ⅲ and grade Ⅳ were decreased significantly
only 10.91% and 1.82%
the difference were significant statistically(P<0.05). Compared with control group
the patients in study group the ratio of effective was 58.18% and the total efficiency was 92.73%
there were improved significantly
while the ratio of inefficient was 7.27%
there was decreased significantly
the difference were significant statistically(P<0.05).Compared with control group
the patients in study group after treatment
the left ventricular end-diastolic volume(LVEDV) was (87.53±12.40) mL
left ventricular end-systolic volume (LVESV)was (67.01±13.12) mL
left ventricular end-diastolic diameter (LVEDD) was (18.32±2.78) mm
left ventricular end systolic pressure(LV ESP)was (33.54±5.16) mm
there were decreased significantly
the level of left ventricular ejection fraction (LVEF) was (53.86±7.15)%
there was increased significantly
the difference were significant statistically(P<0.05). Compared with control group
the patients in study group after treatment the levels of N-terminal pro-B-type natricuretic prptide(NT-proBNP) was (417.13±90.42) ng·L-1
cordiac tioponin Ⅰ(cTnI) was (0.30±0.10) μg·L-1
hypersensitive C-reactive protein(hs-CRP) was (8.97±3.85) mg·L-1
there were reduced significantly
the difference were significant statistically(P<0.05). Conclusion: Qili Qiangxin capsules combined with trimetazidine have a positive role in promoting for reversal and improvement of cardiac function
left ventricular remodeling and neuroendocrine factors in heart failure patients with ischemic cardiomyopathy. It was suitable for clinical application and promotion.
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