不同剂量西地那非治疗新生儿持续性肺动脉高压对患者心功能及血清CRP和MMP-9水平的影响

doi:10.3969/j.issn.1006-6233.2022.05.035

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Abstract Objective: To investigate the effects of different doses of sildenafil on the cardiac function and serum CRP and MMP-9 levels in the treatment of neonatal persistent pulmonary hypertension. Methods: The clinical data of 125 neonates with persistent pulmonary hypertension were selected for retrospective analysis. The selection time was from February 2018 to April 2020, and they were divided according to the therapeutic dose of sildenafil into group A (0.5 mg, n= 42), group B (with 1.0 mg, n=42), group C (with 2.0 mg, n=41). The three groups were compared for C-reactive protein (CRP), matrix metalloproteinase-2 (MMP-9), N-terminal brain natriuretic peptide precursor (NT-pro BNP), right ventricular ejection fraction (RVEF), E value, A value, E/A, partial pressure of oxygen (PaO₂), partial pressure of carbon dioxide (PaCO₂), pulmonary artery systolic pressure (SPAP), and adverse events (nausea, vomiting, transient hypotension). Results: Repeated-measures ANOVA showed statistically significant (P<0.05) differences in time points, between-group differences and between-group interactions for CRP, NT-pro BNP, PaO₂, PaCO₂, SPAP, and E/A in the three groups; statistically significant (P<0.05) differences in time points and between-group interactions for MMP-9, RVEF, and E values in the three groups, while between-group differences were not statistically significant (P>0.05); the difference between time points of A values in the three groups was statistically significant (P<0.05), while the difference between groups and the interaction between time points and groups was not statistically significant (P>0.05). A two-by-two comparison showed that the differences in CRP, MMP-9, NT-pro BNP, RVEF, E, A, E/A, CRP, MMP-9 and NT-pro BNP were higher in groups B and C than in group A (P<0.05). Conclusion: Sildenafil at 1.0mg was effective in treating persistent pulmonary hypertension in neonates, improving cardiac function and reducing CRP and MMP-9 expression.

Key words： Sildenafil Neonatal persistent pulmonary hypertension Cardiac function CRP MMP-9

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2022.05.035 OR http://www.hbyxzzs.cn/EN/Y2022/V28/I5/867

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