|
|
Effect of ultrafiltration combined with Injection of Yiqi Fumai in the treatment of refractory heart failure |
WANG Jing1 PENG Bo1 WANG Haicun1 CUI Jing1 TAN Liye |
1.Department of Cardiology,the Second Affiliated Hospital of Mudanjiang Medical College,Heilongjiang Province,Mudanjiang 157011,China;
2.Department of Hepatobiliary Surgery,the Second Affiliated Hospital of Mudanjiang Medical College,Heilongjiang Province,Mudanjiang 157011,China |
|
|
Abstract Objective To analyze the effect of ultrafiltration combined with Injection of Yiqi Fumai in the treatment of refractory heart failure.Methods A total of 120 patients with refractory heart failure hospitalized in the Second Affiliated Hospital of Mudanjiang Medical College from June 2017 to May 2020 were selected as the research objects.According to the random number table method,they were divided into control group and study group,with 60 cases in each group.The control group was treated with Enalapril Tablets,Spironolactone Tablets and Metoprolol Succinate Sustained-Release Tablets,while the study group was treated with heart failure ultrafiltration combined with Injection of Yiqi Fumai.The 6-min walking distance,cardiac function improvement and treatment safety were compared between the two groups before and after treatment.Results After treatment,6 min walking distance of the two groups were longer than those before the treatment,left ventricular ejection fraction (LVEF),stroke volume (SV),cardiac output (CO)levels were higher than those before the treatment,and the 6 min walking distance of the study group was longer than that of the control group,LVEF,SV,CO levels were higher than those of the control group,the differences were statistically significant (P<0.05).There were no significant differences in systolic blood pressure,heart rate,sodium ion concentration,potassium ion concentration,bicarbonate,hemoglobin,platelet count,serum creatinine and blood urea nitrogen levels between the two groups before and after treatment (P>0.05).Conclusion Ultrafiltration combined with Injection of Yiqi Fumai has significant clinical effect and high safety in the treatment of refractory heart failure.
|
|
|
|
|
[1] |
李佳月,董蔚,戈程,等.心衰超滤脱水装置治疗急性失代偿性心力衰竭伴利尿剂抵抗患者的有效性及安全性评价[J].中华老年多器官疾病杂志,2017,16(9):649-653.
|
[2] |
刘振良,廖宪友,周杨杰,等.急性心力衰竭伴容量超负荷住院患者早期应用超滤治疗的有效性和安全性[J].中华临床医师杂志(电子版),2021,15(7):526-531.
|
[3] |
沈祥礼,李岚,马骏,等.超滤治疗心力衰竭伴利尿剂抵抗患者的疗效和安全性:一项单中心随机对照试验[J].中华心血管病杂志,2021,49(4):340-344.
|
[4] |
沈祥礼,祖丽比娅,李岚,等.心力衰竭专用超滤设备治疗心力衰竭有效性和安全性的随机对照研究[J].中华心血管病杂志,2017,45(7):608-612.
|
[5] |
Kabach M,Alkhawam H,Shah S,et al.Ultrafiltration versus intravenous loop diuretics in patients with acute decompensated heart failure:a meta-analysis of clinical trials[J].Acta Cardiol,2017,72(2):132-141.
|
[6] |
Pang PS,Cleland JG,Teerlink JR,et al.A proposal tostandardize dyspnoea measurement inclinical trailsof acuteheart failure syndromes:the need forauniform approach[J].Eur Heart J,2008,29(6):816-824.
|
[7] |
杨健,潘明康,孙莹莹.益气复脉注射液对冠心病合并慢性心力衰竭PCI 后hs-CRP、心功能的影响[J].中国循证心血管医学杂志,2021,13(12):1527-1529.
|
[8] |
荆峰.重组人脑利钠肽滴定给药方法治疗难治性急性失代偿心力衰竭的效果与安全性[J].中国当代医药,2021,28(22):24-27.
|
[9] |
李博,聂晓冬,陈鑫.益气复脉注射液联合美托洛尔治疗原发性高血压伴心力衰竭临床疗效及对心脏重构的影响[J].中西医结合心脑血管病杂志,2020,18(3):385-388.
|
[10] |
任万强,李雅彬.连续性血液净化与机械通气联合治疗顽固性心力衰竭合并呼吸衰竭对患者血流动力学及心功能指标的影响[J].中国医药科学,2021,11(11):235-238.
|
[11] |
王亮亮,卫海松,高海旺,等.注射用益气复脉治疗气阴两虚型糖尿病肾病合并慢性心力衰竭的临床效果[J].中西医结合心脑血管病杂志,2020,18(19):3250-3252.
|
[12] |
赵丽荣,何巴桑.多巴胺联合多巴酚酊胺在难治性心力衰竭患者住院期间症状转归情况分析[J].中国医药科学,2020,10(21):101-103,123.
|
[13] |
李建梅,吴红恩,高淑彩.益气复脉注射液联合传统西医治疗急性心力衰竭的效果观察[J].河北医药,2020,42(19):2978-2980.
|
[14] |
Kitai T,Grodin JL,Kim YH,et al.Impact of Ultrafiltration on Serum Sodium Homeostasis and its Clinical Implication in Patients With Acute Heart Failure,Congestion,and Worsening Renal Function[J].Circ Heart Fail,2017,10(2):e003603.
|
[15] |
王银燕,孔京晶,袁良,等.益气复脉注射液治疗气阴两虚证急性心力衰竭的临床研究[J].中西医结合心脑血管病杂志,2021,19(13):2142-2145.
|
[16] |
万千里,胡静轶,周军,等.早期超滤对急性失代偿性心力衰竭伴容量超负荷的疗效[J].上海交通大学学报(医学版),2021,41(3):344-349.
|
[17] |
包玲,栗正,黎英.慢性阻塞性肺疾病合并心力衰竭患者血清超敏C 反应蛋白、脑自然肽氨基端前体蛋白及肾小球滤过率变化及意义[J].实用临床医药杂志,2020,24(1):78-81,87.
|
[18] |
万苗苗,胡柳,吴克梅,等.慢性心力衰竭患者经外周静脉和经中心静脉入路行单纯超滤治疗的效果比较[J].广西医学,2021,43(5):628-631.
|
|
|
|