作者
蒋 凯,江荣炎,栾 红
文章摘要
目的:探究华佗救心丸提高心衰患者射血分数,治疗心衰的临床效果。方法:本研究选取2022年3月至2023年10月收治的心力衰竭患者共124例,随机分成观察组和对照组,对照组给予心衰的常规西药治疗,观察组在对照组治疗基础上加服华佗救心丸。四周为1个疗程,对比研究治疗前后两组心衰患者的治疗效果、射血分数、脑钠肽水平(Brain natriuretic peptide, BNP)及安全性。结果:在疗效方面,治疗后对照组的总有效率显著低于观察组[54(87.10%)vs 59(95.16%),2=2.494,P=0.016];对照组心脏射血分数低于观察组[(0.42±0.32)vs(0.57±0.35),t=2.491,P=0.014];观察组BNP水平比对照组降幅更显著[(426.1±231.7)vs(536.25±235.4),t=2.626,P=0.010];在治疗安全性方面,对照组心慌、口干舌燥、红疹发痒、面色潮红的不良反应发生率显著高于观察组[19(30.65%)vs 7(11.29%),2=7.008,P=0.008]。结论:华佗救心丸治疗心衰疗效显著,安全性较好,在心衰患者临床诊治中值得进一步推广。
文章关键词
华佗救心丸;心衰;射血分数;疗效与安全性
参考文献
[1] 伍钊乾.不同射血分数类型心力衰竭患者临床特征分析[D].广州医科大学,2023.DOI:10.27043/d.cnki.ggzyc.2023.000047.
[2] YuanLong S ,YiLi Y ,MeiJun J , et al.Evaluation of the efficacy and safety of Suxiao Jiuxin Pill in the treatment of stable angina: A randomized, double-blind, placebo-controlled, multi-center clinical trial.[J].Journal of ethnopharmacology,2023,318(PA):116959-116959.
[3] 周文莉,钟勤霜,李龙飞,等.华佗救心丸抗心肌缺血及活血化瘀作用的初步药效研究[J].中南药学,2020,18(03):402-406.
[4] Xiaofen R ,Yiping L ,Yuanlong S , et al.Efficacy and safety of Suxiao Jiuxin Pill in the treatment of stable angina (Qi stagnation and blood stasis syndrome): study protocol of a randomized, double-blind, placebo-controlled, multi-center clinical trial.[J].Trials,2021,22(1):466-466.
[5] 王晓雯,骆晶,贾璞,等.HS-GC 联用法测定速效救心丸和华佗再造丸中冰片[J].中成药,2012,34(03):503-505.
[6] 陈振江,潘善美,麦志红,曾科学.麝香保心丸提高射血分数治疗心衰 106 例[J].内蒙古中医药,2014,33(7):2-3
[7] Jingyu L ,Yuhao Z ,Chi M , et al.Microbiome-metabolome reveals that the Suxiao Jiuxin pill attenuates acute myocardial infarction associated with fatty acid metabolism[J].Journal of Ethnopharmacology,2023,312116529-116529.
[8] Yulong Z ,Yaqin Z ,Shuyue T , et al.The Integrated Study on the Chemical Profiling to Explore the Constituents and Mechanism of Traditional Chinese Medicine Preparation Huatuo Jiuxin Pills Based on UPLC-Q-TOF/MSsupE/sup and Network Pharmacology[J].Frontiers in Molecular Biosciences,2022,9818285-818285.
[9] 许菲,王桐生,李龙飞,等.华佗救心丸对异丙肾上腺素诱导小鼠急性心肌缺血的作用[J].中成药,2023,45(07):2359-2363.
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