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1. 张家口市第一医院药剂科
2. 张家口市第一医院心内科
3. 通用环球中铁山桥医院内分泌科
纸质出版日期:2022,
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刘静雅, 吴泽阳, 朱佳, 等. 宁心宝胶囊联合达比加群酯治疗非瓣膜性心房颤动的治疗效果[J]. 中国医院用药评价与分析, 2022,22(8):964-968.
LIU Jingya, WU Zeyang, ZHU Jia, et al. Therapeutic Effects of Ningxinbao Capsules Combined with Dabigatran Etexilate in the Treatment of Non-Valvular Atrial Fibrillation[J]. 2022,22(8):964-968.
刘静雅, 吴泽阳, 朱佳, 等. 宁心宝胶囊联合达比加群酯治疗非瓣膜性心房颤动的治疗效果[J]. 中国医院用药评价与分析, 2022,22(8):964-968. DOI: 10.14009/j.issn.1672-2124.2022.08.015.
LIU Jingya, WU Zeyang, ZHU Jia, et al. Therapeutic Effects of Ningxinbao Capsules Combined with Dabigatran Etexilate in the Treatment of Non-Valvular Atrial Fibrillation[J]. 2022,22(8):964-968. DOI: 10.14009/j.issn.1672-2124.2022.08.015.
目的:探讨宁心宝胶囊联合达比加群酯治疗非瓣膜性心房颤动的效果。方法:纳入2019年8月至2020年9月张家口市第一医院心血管内科收治的非瓣膜性心房颤动患者130例作为研究对象,采用随机数字表法分为观察组(n=65)、对照组(n=65)。对照组患者采用达比加群酯治疗,观察组患者在对照组的基础上加用宁心宝胶囊。观察两组患者的临床疗效,治疗前后血管内皮功能[循环内皮细胞(CEC)、内皮素-1(ET-1)和血管性血友病因子(vWF)]、凝血状态[活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、纤维蛋白原(FIB)和凝血酶时间(TT)]、心功能指标[左心室射血分数(LVEF)、心输出量(CO)和心脏指数(CI)]水平,生活质量、栓塞和出血风险以及生存情况。结果:观察组患者的治疗总有效率为89.29%(50/56)
明显高于对照组的71.43%(40/56)
差异有统计学意义(P<0.05)。治疗后,观察组患者CEC、ET-1和vWF水平明显低于对照组,APTT、PT和TT较对照组明显延长,FIB水平明显高于对照组,LVEF、CO和CI水平明显高于对照组,差异均有统计学意义(P<0.05)。治疗后,观察组患者生活质量各项评分及总分明显高于对照组,差异均有统计学意义(P<0.05)。观察组患者治疗6个月、12个月的栓塞事件、出血事件发生率均低于对照组,差异均有统计学意义(P<0.05);两组患者12个月生存率的差异无统计学意义(P>0.05)。结论:宁心宝胶囊联合达比加群酯治疗非瓣膜性心房颤动的疗效较好,可保护心脏,减轻血管内皮功能、凝血功能损伤,提高生活质量,降低出血风险。
OBJECTIVE: To probe into the therapeutic effects of Ningxinbao capsules combined with dabigatran etexilate in the treatment of non-valvular atrial fibrillation. METHODS: A total of 130 patients with non-valvular atrial fibrillation admitted into the cardiovascular medicine department of Zhangjiakou the First Hospital from Aug. 2019 to Sept. 2020 were extracted to be divided into the observation group(n=65) and the control group(n=65) via the random number table. The control group was treated with dabigatran etexilate
while the observation group was additionally given Ningxinbao capsules based on the control group. The clinical efficacy
vascular endothelial function [circulating endothelial cell(CEC)
endothelin-1(ET-1) and von Willebrand factor(vWF)]
coagulation status [activated partial thromboplastin time(APTT)
prothrombin time(PT)
fibrinogen(FIB) and thrombin time(TT)]
cardiac function indicators [left ventricular ejection fraction(LVEF)
cardiac output(CO) and cardiac index(CI)]
quality of life
embolism and bleeding risk and survival status before and after treatment were compared between two groups. RESULTS: The total effective rate of the observation group was 89.29%(50/56)
significantly higher than that of the control group(71.43%
40/56)
the difference was statistically significant(P<0.05). The levels of CEC
ET-1 and vWF in the observation group after treatment were lower than those in the control group
the APTT
PT and TT in the observation group after treatment were significantly longer than those in the control group
yet the FIB was higher than that in the control group
LVEF
CO and CI were higher than those of the control group
the differences were statistically significant(P<0.05). After treatment
the scores and total scores of quality of life in the observation group were significantly higher than those in the control group
the difference was statistically significant(P<0.05). The incidence of embolism events and bleeding events in the observation group were lower than those in the control group after 6 months and 12 months of treatment
and the differences were statistically significant(P<0.05); there was no significant difference in 12-month survival rate between two groups(P>0.05). CONCLUSIONS: The efficacy of Ningxinbao capsules combined with dabigatran etexilate in the treatment of non-valvular atrial fibrillation is significant
which can protect the heart
reduce the damage of vascular endothelial function and coagulation function
improve the quality of life and reduce the risk of bleeding.
宁心宝胶囊达比加群酯非瓣膜性心房颤动出血风险
NingxinbaoDabigatran etexilateNon-valvular atrial fibrillationBleeding risk
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