达格列净辅助治疗对慢性心力衰竭的治疗效果研究
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河南省军区郑州第三离职干部休养所

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    摘要:

    目的:探讨达格列净辅助治疗慢性心力衰竭(CHF)的临床效果。方法:选取2022年6月至2024年5月期间于本休养所就诊的85例CHF患者作为研究对象。采用随机数字表法将患者分为对照组(n=42)和观察组(n=43)。检测比较两组的心功能指标[左室射血分数(Left ventricular ejection fraction, LVEF)、N-末端B型利钠肽原(N-terminal pro-B-type natriuretic peptide,NT-proBNP)]、炎症指标[白介素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(Tumor necrosis factor-α,TNF-α)]、不良反应、主要不良心血管事件(Major adverse cardiovascular events,MACE)发生率。结果:治疗6个月,两组的LVEF均比治疗前显著升高,NT-proBNP均比治疗前显著降低(P<0.05)。且观察组的LVEF显著高于对照组,NT-proBNP显著低于对照组(P<0.05)。治疗6个月,两组的血清IL-6、TNF-α均比治疗前显著降低(P<0.05),且观察组的血清IL-6、TNF-α显著低于对照组(P<0.05)。治疗期间,观察组的MACE发生率显著低于对照组(P<0.05)。两组的不良反应发生率无显著差异(P>0.05)。结论:达格列净辅助治疗CHF可减轻患者炎症反应,改善患者心功能,降低MACE发生风险,且安全性较好。

    Abstract:

    Objective: To investigate the clinical effect of dagaglizin in the adjuvant treatment of chronic heart failure (CHF). Methods: 85 patients with CHF who were admitted to our rest home from June 2022 to May 2024 were selected as the study objects. Patients were divided into control group (n=42) and observation group (n=43) by random number table method. The cardiac function indexes [Left ventricular ejection fraction (LVEF), N-terminal pro-B-type natriuretic peptide (NT-proBNP)], inflammatory indicators [interleukin-6 (IL-6), Tumor necrosis factor-α(TNF-α)], adverse reactions, and the incidence of Major adverse cardiovascular events (MACE) were detected and compared between the two groups. Results: After 6 months of treatment, LVEF and NT-proBNP in both groups were significantly higher than before treatment, and NT-PROBNP was significantly lower than before treatment (P < 0.05). The LVEF and NT-proBNP of the observation group were significantly higher than those of the control group (P < 0.05). After 6 months of treatment, serum IL-6 and TNF-α in both groups were significantly decreased compared with those before treatment (P < 0.05), and serum IL-6 and TNF-α in observation group were significantly lower than those in control group (P < 0.05). During treatment, the incidence of MACE in the observation group was significantly lower than that in the control group (P < 0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P > 0.05). Conclusion: Daglipzin adjuvant treatment of CHF can reduce inflammatory response, improve cardiac function, and reduce the risk of MACE, with good safety.

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苏瑞昌.达格列净辅助治疗对慢性心力衰竭的治疗效果研究[J].四川生理科学杂志,2025,47(11):

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  • 收稿日期:2025-03-04
  • 最后修改日期:2025-05-14
  • 录用日期:2025-05-16
  • 在线发布日期: 2025-11-18
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