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河北医学  2020, Vol. 26 Issue (4): 576-580    DOI: 10.3969/j.issn.1006-6233.2020.04.012
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法舒地尔对心衰患者心功能及BNP hs-CRP ET-1 ANP的影响
陈红梅, 李绍生
中国人民解放军联勤保障部队第九六六医院心血管内科, 辽宁 丹东 118000
Effects of Fasudil on Cardiac Function and BNP hs-CRP ET-1 and ANP in Patients with Heart Failure
CHEN Hongmei, LI Shaosheng
96th Hospital of the Joint Service Support Force of the PLA, Liaoning Dandong 118000, China
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摘要 目的:探究法舒地尔对心衰患者心功能及B型利尿钠肽(BNP)、高敏C反应蛋白(hs-CRP)、血浆内皮素-1(ET-1)、血浆心钠肽(ANP)的影响。方法:选取2018年9月至2019年9月于本院诊治的心衰患者78例为研究对象,按照随机数字表法分为研究组与对照组,各为39例,其中研究组患者使用法舒地尔进行治疗,对照组患者行常规治疗。比较两组患者治疗后的心功能(LVEF)及BNP、hs-CRP、ET-1、ANP差异。结果:两组患者治疗前NYHA分级均为Ⅲ、Ⅳ级,治疗后以Ⅰ、Ⅱ级为主。组间比较显示,组间差异无统计学意义(P>0.05)。重复测量时间比较显示,Wald χ2=64.894,P<0.001,治疗前后差异具有统计学意义(P<0.05)。重复测量方差显示,两组患者LVEF、LVEDd、LVESd、BNP、hs-CRP、ET-1、ANP的时点、组间、时点与组间的交互效应差异均具有统计学意义(P<0.05),且治疗后1、2、3个月,研究患者LVEF高于对照组(P<0.05),LVEDd、LVESd、BNP、hs-CRP、ET-1、ANP水平均低于对照组,差异具有统计学意义(P<0.05)。结论:法舒地尔用于心衰患者可有效改善患者的心功能,且对患者BNP、hs-CRP、ET-1、ANP水平的降低具有积极意义,值得在临床推广。
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陈红梅
李绍生
关键词 心力衰竭法舒地尔B型利尿钠肽高敏C反应蛋白血浆内皮素-1血浆心钠肽    
AbstractObjective: To explore the effects of fasudil on cardiac function and B-type diuretic natriuretic peptide (BNP), high-sensitivity c-reactive protein (hs-CRP), plasma endothelin-1 (ET-1) and plasma natriuretic peptide (ANP) in patients with heart failure. Methods: 78 patients with heart failure diagnosed and treated in our hospital from September 2018 to September 2019 were selected as the study objects. They were randomly divided into study group and control group, respectively, with 39 patients. In the study group, patients were treated with fasudil, and patients in the control group were treated with conventional treatment. The differences of cardiac function, BNP, hs-crp, et-1 and ANP between the two groups were compared. Results: The NYHA of the two groups were classified as grade III and grade IV before treatment, and grade I and grade II after treatment. There was no significant difference between the two groups (P>0.05). The time of repeated measurement showed the difference before and after treatment was statistically significant (P<0.05). Repeated measurement variance showed that the time point, inter group, and inter group interaction effects of LVEF, LVEDd, LVESd, BNP, hs-CRP, ET-1, ANP in the two groups were statistically significant (P<0.05), and 1, 2, and 3 months after treatment, the level of LVEF in the study patients was higher than that in the control group (P<0.05), and the levels of LVEDd, LVESd, BNP, hs-CRP, ET-1, and ANP were lower than those in the control group Significance (P<0.05). Conclusion: The application of fasudil in patients with heart failure can effectively improve the cardiac function of patients, and has positive significance in reducing the levels of BNP, hs-crp, et-1 and ANP in patients, which is worthy of clinical promotion.
Key wordsHeart failure    Fasudil    B type natriuretic peptide    High sensitivity c-reactive protein    Plasma endothelin-1    Plasma natriuretic peptide
    
基金资助:辽宁省科学技术计划项目,(编号:2017260029)
引用本文:   
陈红梅, 李绍生. 法舒地尔对心衰患者心功能及BNP hs-CRP ET-1 ANP的影响[J]. 河北医学, 2020, 26(4): 576-580.
CHEN Hongmei, LI Shaosheng. Effects of Fasudil on Cardiac Function and BNP hs-CRP ET-1 and ANP in Patients with Heart Failure. HeBei Med, 2020, 26(4): 576-580.
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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2020.04.012     或     http://www.hbyxzzs.cn/CN/Y2020/V26/I4/576
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