左西孟旦对射血分数正常心力衰竭患者的临床疗效观察
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凌宏量,男,主治医师,主要研究方向是心血管、肿瘤。

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R 541.6

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Clinical Observation of Levosimendan in Patients with Heart Failure with Normal Ejection Fraction
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    摘要:

    摘 要目的:探讨左西孟旦对射血分数正常心力衰竭患者的临床疗效。 方法:选取解放军庐山康复疗养中心 2016 年 5 月至 2020 年 5 月收治的 120 例射血分数正常心力衰竭患者作为研究对象,分为观察组和对照组,每组 60 例。对照组采用 常规方案治疗,观察组采用常规方案加左西孟旦治疗。 结果:两组患者治疗后心功能指标左室舒张末期内径(LVEDD)、 左室短轴缩短率(LVFS)、左室射血分数(LVEF)、6 min 步行距离、氨基末端脑钠肽前体(NT–proBNP)均较治疗前显 著改善,且观察组改善幅度明显优于对照组,差异均具有统计学意义(P < 0.05)。观察组患者治疗总有效率(95.00 %) 高于对照组(81.67 %),差异具有统计学意义(P<0.05)。两组患者药物毒副反应发生率比较,差异无统计学意义(P>0.05)。 结论:左西孟旦能有效改善射血分数正常心力衰竭患者心功能,安全有效。

    Abstract:

    AbstractObjective To explore the clinical effect of levosimendan on patients with heart failure with normal ejection fraction. Methods A total of 120 patients with heart failure with normal ejection fraction admitted to the People's Liberation Army Lushan Rehabilitation Center from May 2016 to May 2020 were selected as the research subjects, and divided into observation group and control group, with 60 patients in each group. The control group was treated with routine regimen, and the observation group was treated with routine regimen plus levosimendan. Results After treatment, the cardiac function indexes such as left ventricular end diastolic diameter (LVEDD), left ventricular short axis shortening rate (LVFS), left ventricular ejection fraction (LVEF), 6 min walking distance, and N-terminal pro-brain natriuretic peptide (NT-proBNP) of the two groups were significantly improved compared to before treatment, and the improvement range of the observation group was significantly better than that of the control group, and the differences were statistically significant (P < 0.05). The total effective rate of treatment in the observation group (95.00%) was higher than that in the control group (81.67%), and the difference was statistically significant (P < 0.05). The incidence of drug toxicity between the two groups was not statistically significant (P > 0.05). Conclusion Levosimendan can effectively improve the cardiac function of patients with heart failure with normal ejection fraction, and it is safe and effective.

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  • 收稿日期:2021-08-08
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  • 在线发布日期: 2023-07-14
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