摘要
目的探讨体外反搏技术在慢性心力衰竭患者中的应用效果。方法抽取平顶山市第一人民医院2019年10月至2020年10月收治的慢性心力衰竭患者98例,按随机数字表法分为A组与B组,每组49例。B组采用常规药物治疗,A组在B组的基础上采用体外反搏技术。对比两组临床效果、心功能水平[左心室舒张末期内径(LVDD)、左心室射血分数(LVEF)]、6 min步行距离、血清肌酐(sCr)、胱抑素C(Cys-C)水平及安全性。结果A组总有效率(95.92%,47/49)高于B组(81.63%,40/49),P<0.05;治疗后,A组LVDD小于B组,LVEF水平高于B组(P<0.05);治疗后,A组6 min步行距离长于B组(P<0.05);治疗后,A组sCr、Cys-C水平低于B组(P<0.05)。A组不良反应发生率(6.12%,3/49)与B组(12.25%,6/49)比较差异未见统计学意义(P>0.05)。结论体外反搏技术可提高慢性心力衰竭患者的治疗效果,改善心、肾功能,增加6 min步行距离,且具有安全性。
Objective To investigate the application effect of external counterpulsation technique on patients with chronic heart failure.Methods A total of 98 patients with chronic heart failure treated in the Pingdingshan First People’s Hospital from October 2019 to October 2020 were selected,and they were divided into group A and group B according to random number table method,with 49 cases in each group.The group B was treated with conventional drugs,and the group A was treated by extracorporeal counterpulsation technology based on the treatment of the group B.The clinical effects,cardiac function assessed by left ventricular end-diastolic diameter(LVDD)and left ventricular ejection fraction(LVEF),6-min walking distance,serum creatinine(sCr)level,cystatin C(Cys-C)level and safety were compared between the two groups.Results The total effective rate of the group A(95.92%,47/49)was higher than that of group B(81.63%,40/49),P<0.05.After treatment,the LVDD of the group A was smaller than that of the group B,and the level of LVEF was higher than that of the group B(P<0.05).After treatment,the 6-min walking distance in the group A was longer than that in the group B(P<0.05).After treatment,the levels of sCr and Cys-C in the group A were lower than those in the group B(P<0.05).There was no significant difference in the incidence of adverse reactions between the group A(6.12%,3/49)and the group B(12.25%,6/49),P>0.05.Conclusions External counterpulsation technology in patients with chronic heart failure can improve clinical effect,improve cardiac and renal function,increase 6-min walking distance,with good safety.
作者
谢鹏飞
张铁须
牛津津
Xie Pengfei;Zhang Tiexu;Niu Jinjin(Department of Cardiology,Pingdingshan First People’s Hospital,Pingdingshan 467000,China)
出处
《中国实用医刊》
2022年第23期42-45,共4页
Chinese Journal of Practical Medicine
关键词
慢性心力衰竭
体外反搏技术
心功能水平
临床效果
Chronic heart failure
External counterpulsation technique
Cardiac function level
Clinical effect
