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机构地区:[1]武汉市中医医院老年病科,湖北 武汉
出 处:《临床医学进展》2024年第1期1135-1140,共6页Advances in Clinical Medicine
摘 要:目的:观察营心宁胶囊辅助治疗对冠心病心力衰竭患者血管紧张肽II (AngII)水平和心功能的影响。方法:将128例患者分为两组,对照组64例,治疗组64例。对照组予常规治疗,治疗组患者在此基础上加用营心宁胶囊治疗,每次4粒,每日3次。治疗前及治疗8周后检测血浆AngII、脑钠肽(BNP),并行心脏彩色多普勒超声心动图测定左室射血分数(LVEF)、左室舒张末期内径(LVEDD)和每搏输出量(SV)。结果:治疗组和对照组总有效率分别为92.2%和89.1% (P > 0.01);显效率分别为43.8%,32.8% (P < 0.01)。两组治疗后患者的AngII、BNP、LVEF、LVEDD和SV均较治疗前明显改善(P < 0.01或P < 0.05),且治疗组患者的改善水平优于对照组(P < 0.01)。结论:营心宁胶囊能有效降低患者AngII水平,并对心功能有改善作用。Objective: To observe the effects of Yingxinning capsule adjuvant therapy on AngII level and cardiac function in patients with coronary heart disease and heart failure. Methods: 128 patients were di-vided into two groups: control group 64 cases, treatment group 64 cases. The control group was given conventional treatment, and the treatment group was additionally given Yingxinning capsule, 4 capsules each time, 3 times a day. Plasma AngII and BNP values were measured before and 8 weeks after treatment, and LVEF, LVEDD and SV were measured by color doppler echocardiography. Results: The total effective rate of treatment group and control group was 92.2% and 89.1%, with significant difference(P > 0.01).The significant efficiencies were 43.8% and 32.8%, with significant difference(P < 0.01). AngII, BNP, LVEF, LVEDD and SV of the two groups after treatment were signif-icantly improved compared with before treatment (P < 0.01 or P < 0.05), and the improvement lev-el of the treatment group was better than the control group, with significant difference (P < 0.01). Conclusion: Yingxinning capsule can effectively reduce the level of AngII and improve the cardiac function.
关 键 词:营心宁 冠状动脉粥样硬化性心脏病心力衰竭 血管紧张肽II 心功能
分 类 号:R54[医药卫生—心血管疾病]
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