新和成+沙库巴特缬沙坦治疗合并房颤的慢性心力衰竭患者的疗效及机制研究

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-08-01
Jiao Wang, Qingqing Zhang, Bo Miao, Jiangman Cui, Xuehong Du, Xin Li
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引用次数: 0

摘要

目的探索新霉素和沙库巴特缬沙坦治疗慢性心力衰竭(CHF)和心房颤动患者的临床疗效。本研究探讨了新霉素与缬沙坦(一种在心血管疾病中具有显著疗效的药物)联用的潜在益处,以应对慢性心力衰竭和心房颤动带来的复杂挑战:采用单中心临床随机试验,将2019年6月至2021年3月在邢台市第三医院心血管内科接受治疗的111例慢性心力衰竭合并房颤患者随机分为两组。对照组中,56名患者接受西医基础+夏枯草缬沙坦治疗。实验组由55名患者组成,治疗方法与对照组相同,但额外服用新霉素。连续治疗 12 周后,观察超声心动图、心电图参数、血清可溶性促生长基因 2 蛋白(sST2)和半乳糖凝集素 3(Gal-3)的变化差异、临床疗效和不良反应发生率:治疗前,实验组和对照组的 LVEF、LVEDV、FS 和 SV 无明显差异(P > .05)。同样,治疗前比较 Pd、sST2、Gal-3 和 NT-proBNP 发现两组间无明显差异(P > .05)。治疗后,两组患者的血糖值均有明显下降,实验组患者的血糖值更低(P < .05)。实验组的基本治愈率为 45.45%,显效率为 43.64%,有效率为 10.91%,而对照组的治愈率、显效率和有效率分别为 28.57%、48.21% 和 23.21%(P < .05)。治疗改善了心脏功能,减少了心房颤动的发生,通过提高患者的生活质量和减少心血管事件的发生,具有潜在的临床意义。这些结果凸显了这一治疗方法的临床意义,有助于提高患者的生活质量,减少心血管事件的发生:结论:对合并心房颤动的 CHF 患者采用新霉素联合沙库巴特缬沙坦治疗,能更有效地改善患者的心功能,缓解心房颤动的病情,值得临床推广和应用。在实际临床实践中,医生和医疗机构可以考虑将这种治疗方法纳入治疗方案,尤其是对于需要改善心脏功能、降低心房颤动风险的患者。此外,进一步的研究和临床试验可以进一步验证这些发现,以确保其有效性和安全性。这些见解将有助于医学界更好地了解如何将这种治疗方法应用于真正的患者,并最大限度地提高其临床疗效。
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The Efficacy and Mechanism of Xinhuosun + Shakubatra valsartan in the Treatment of CHF Patients with Atrial Fibrillation.

Objective: Exploring the clinical efficacy of neomycin and sakubactria valsartan in the treatment of patients with chronic heart failure (CHF) and atrial fibrillation. This study investigates the potential benefits of combining neomycin with sakubactria valsartan, a medication with a background of demonstrated efficacy in cardiovascular conditions, to address the complex challenges presented by chronic heart failure and atrial fibrillation.

Methods: Using a single-center clinical randomized trial, 111 patients with CHF complicated with atrial fibrillation who were treated in the cardiovascular department of Xingtai Third Hospital from June 2019 to March 2021 were randomly divided into two groups. In the control group, 56 patients received treatment with Western Medicine Foundation + Shakubatra valsartan. In the experimental group, consisting of 55 patients, the treatment was identical to the control group, with the additional administration of neomycin.. After 12 weeks of continuous treatment, the echocardiograms, electrocardiogram parameters, and Differences in changes in serum soluble growth stimulating gene 2 protein (sST2) and galactose agglutinin 3 (Gal-3), clinical efficacy, and incidence of adverse reactions.

Results: Before treatment, no significant differences existed in LVEF, LVEDV, FS, and SV between the experimental and control groups (P > .05). Post-treatment, both groups exhibited significant improvements in these parameters, with the experimental group showing statistically higher values (P < .05).Similarly, pre-treatment comparisons of Pd, sST2, Gal-3, and NT-proBNP revealed no significant differences between the groups (P > .05). After treatment, both groups showed significant reductions, with the experimental group demonstrating lower values (P < .05).Clinical efficacy assessment post-treatment showed significant differences. The experimental group had a basic cure rate of 45.45%, a significant effective rate of 43.64%, and an effective rate of 10.91%, while the control group had rates of 28.57%, 48.21%, and 23.21%, respectively (P < .05).Adverse reactions occurred in 9 and 4 patients in the experimental and control groups, respectively. The severity was not significant, and treatment was uninterrupted (P > 0.05).The treatment improved heart function and reduced atrial fibrillation occurrences, holding clinical significance by potentially enhancing patients' quality of life and decreasing cardiovascular events. These results highlight the clinical significance of this treatment, which may help improve patients' quality of life and reduce the occurrence of cardiovascular events.

Conclusion: The treatment of patients with CHF combined with atrial fibrillation using neomycin and sakubactria valsartan can more effectively improve their cardiac function and alleviate the condition of atrial fibrillation, which is worthy of clinical promotion and application. In actual clinical practice, physicians and healthcare providers may consider incorporating this treatment into their treatment regimens, especially for patients who need to improve heart function and reduce the risk of atrial fibrillation. Additionally, further research and clinical trials can further validate these findings to ensure their effectiveness and safety. These insights will help the medical community better understand how to apply this treatment to real patients and maximize its clinical effectiveness.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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