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卡维地洛对慢性心力衰竭患者血浆脑钠肽及心功能的影响
引用本文:汪莲开.卡维地洛对慢性心力衰竭患者血浆脑钠肽及心功能的影响[J].湖北民族学院学报(医学版 ),2009,26(2):45-47.
作者姓名:汪莲开
作者单位:湖北民族学院附属医院心内科,湖北,恩施,445000
摘    要:目的探讨卡维地洛对慢性心力衰竭患者血浆脑钠肽水平及对左室功能的影响。方法将80例慢性心力衰竭患者随机分为卡维地洛组(40例)和对照组(40例)。对照组用血管紧张素转化酶抑制剂、利尿剂和地高辛,卡维地洛组在对照组药物治疗基础上加用卡维地洛,治疗12周后观察患者血浆脑钠肽和超声心动图的变化。结果与对照组比较,卡维地洛组血浆脑钠肽水平下降程度更明显(P〈0.05),左室舒张末内径减小程度更明显(P〈0.05),左心室射血分数(LVEF)增加更明显(P〈0.05)。结论卡维地洛治疗慢性心力衰竭效果显著,可更有效地降低血浆中BNP水平,增加LVEF、改善左室功能。

关 键 词:慢性心力衰竭  卡维地洛  脑钠肽

The Effects of Carvedilol on Plasma Level of Brain Natriuretic Peptide and Cardiac Function of Patients with Chronic Heart Failure
WANG Lian-kai.The Effects of Carvedilol on Plasma Level of Brain Natriuretic Peptide and Cardiac Function of Patients with Chronic Heart Failure[J].Journal of Hubei Institute For Nationalities(Medical Edition),2009,26(2):45-47.
Authors:WANG Lian-kai
Institution:WANG Lian-kai (Department of Cardiology,Affiliated Hospital of Hubei University for Nationalities,Enshi 445000,China)
Abstract:Objective To research the effect of carvedilol on the levels of plasma brain Natriuretic Peptide(BNP) and left ventricular function of patients with chronic heart failure(CHF).Methods Eighty patients with chronic heart failure were randomly divided into two groups: The control group(with digoxin,diuretic and ACEI,n=40) and the carvedilol group(with carvedilol in addition to control therapy,n=40).The effects were observed after 12 weeks treatment.The changes in levels of BNP and echocardiographic indices wer...
Keywords:Heart failure  Carvedilol  Brain natriuretic peptide  
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