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重组脑利钠肽对急性心梗患者介入术后疗效的研究 被引量:4

The clinical treatment of rhBNP on patients with acute myocardial infarction(AMI) after percutaneous coronary intervention(PCI)
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摘要 目的探讨重组脑利钠肽对急性心梗患者介入术后疗效的临床研究。方法 60例急性心梗介入术后患者按随机数字表均分为两组,每组各30例。重组脑利钠肽组(研究组)于术后静脉应用重组脑利钠肽;硝酸甘油组(对照组)使用静脉持续滴注硝酸甘油。观察治疗前后生命体征、心功能分级、血清脑利钠肽、心梗指标和液体出入量。结果两组术后血浆BNP浓度、心肌酶谱、出入量均有明显差异。两组不良反应比较,差异有统计学意义(P<0.05)。结论重组脑利钠肽对急性心梗患者介入术后疗效较好,不良反应发生率较低。 Objective To investigate the effects of rhBNP on patients with AMI after PCI. Methods All of 60 patients with AMI after PCI were randomly divided into two groups (n = 30): the research group(rhBNP)and control group (nitroglycerin). Blood samples were collected at different time points to observe BNP. Acute Myocardial Infarction, heart failure within postoperative and 3 days. The volume of fluid intake and urine was recorded after drug administration. All patients re- ceived PCEA after surgery respectively. Results The counts of serum BNP, CK and CK-MB were significant different after PCI.The volume of fluid intake and urine and the side reactions were significant different (P 〈 0.05). Conclusion rhBNP would have better effects and less side reactions on patients with AMI after PCI.
出处 《中国现代医生》 2012年第10期58-59,共2页 China Modern Doctor
基金 浙江省中医药管理局科技计划项目(2011CB073) 浙江省温岭市科技计划项目(2011WLCB0053)
关键词 重组脑利钠肽 急性心肌梗死 介入 术后 rhBNP AMI PCI Postoperative
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  • 1陈科新.重组脑利钠肽应用于急性心梗介入术后的疗效分析[J].现代养生,2014,0(14):77-77. 被引量:2
  • 2李世强,傅向华,刘君,谷新顺,张晶,樊欣娜,姜云发,苗青.静脉注射重组人脑利钠肽对急性心肌梗死伴心力衰竭患者的急性血流动力学效应的研究[J].中华心血管病杂志,2006,34(1):23-27. 被引量:102
  • 3谢洪智,朱文玲.重组人脑利钠肽和硝酸甘油治疗急性失代偿性心力衰竭疗效和安全性的随机、开放、平行对照的多中心临床研究[J].中华心血管病杂志,2006,34(3):222-226. 被引量:228
  • 4Qiang Zhao,Tong-Guo Wu,Yi Lin,Biao Li,Jing-Yun Luo,Le-Xin Wang.Low-dose nesiritide improves renal function in heart failure patients following acute myocardial infarction[J]. Heart and Vessels . 2010 (2)
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  • 7William T. Abraham,Kirkwood F. Adams,Gregg C. Fonarow,Maria Rosa Costanzo,Robert L. Berkowitz,Thierry H. LeJemtel,Mei L. Cheng,Janet Wynne.??In-Hospital Mortality in Patients With Acute Decompensated Heart Failure Requiring Intravenous Vasoactive Medications(J)Journal of the American College of Cardiology . 2005 (1)
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  • 10Butler Javed,Emerman Charles,Peacock W Frank,Mathur Vandana S,Young James B.The efficacy and safety of B-type natriuretic peptide (nesiritide) in patients with renal insufficiency and acutely decompensated congestive heart failure. Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association . 2004

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