期刊文献+

曲美他嗪对慢性心力衰竭患者血清CA125、IL-6及BNP的作用 被引量:3

Effect of trimetazidine on levels of serum CA125, IL-6, and BNP in patients with chronic heart failure
在线阅读 下载PDF
导出
摘要 目的观察曲美他嗪对慢性心力衰竭(CHF)患者血清CAl25、IL-6及BNP的影响,探讨曲美他嗪治疗CHF的临床疗效。方法选取本院2012年9月至2015年9月收治的CHF患者160例,随机分为对照组及观察组,各80例。对照组予以标准的CHF药物治疗,观察组在标准CHF药物治疗基础上联合曲美他嗪治疗,疗程3个月。观察治疗前后症状的改善情况,根据纽约心功能(NYHA)分级进行疗效评价,并检测血清糖类抗原125(CA125)、白介素-6(IL-6)及B型钠尿肽(BNP)的表达变化。结果治疗前两组患者年龄、性别及心功能分级,差异无统计学意义(t=-0.272,P=0.786;x2=0.223,P=0.633;x2=0.503,P=0.778)。观察组临床疗效总有效率90.0%,明显优于对照组的81.3%(x2=7.047,P=0.030)。两组治疗后血清CA125、IL-6及BNP的表达均下调(P〈0.001),观察组血清CA125、IL-6及BNP表达较对照组明显下降(t=5.270、8.960、10.523,P〈0.001)。结论曲美他嗪治疗CHF疗效显著,可显著改善患者NYHA分级,并能降低血清CA125、IL-6及BNP的表达。
作者 刘悦香
出处 《国际医药卫生导报》 2016年第8期1106-1108,共3页 International Medicine and Health Guidance News
  • 相关文献

参考文献13

二级参考文献103

  • 1夏华玲,李迎春,黄中云.缬沙坦治疗慢性心力衰竭疗效观察[J].临床医学,2006,26(3):36-37. 被引量:13
  • 2陆弋,陈样新,方崇峰,江建军,唐礼江.血清糖类抗原125及血浆尿钠肽水平与充血性心力衰竭的关系[J].临床心血管病杂志,2007,23(8):582-584. 被引量:12
  • 3Witteles RM, Fowler MB. Insulin-resistant cardiomyopathy clinical evidence, mechanisms, and treatment options [J]. J Am Coll Cardiol, 2008,51 ( 2 ) : 93-102.
  • 4Kantor PF, Lucien A, Kozak R, et al. The antianginal drug Trimetazidine shifts cardiac energy metabolism from fatty acid oxidation to glucose oxidation by inhibiting mitochondrial longchain 3-ketoacyl coenzyme A thiolase [J]. Circ Res, 2000,86 (5) :580-588.
  • 5Lopaschuk GD, Barr R, Thomas PD, et al. Beneficial effects of Trimetazidine in ex vivo working ischemic heart are due to a stimulation of glucose oxidation secondary to inhibition of long-chain 3-ketoacyl coenzyme A thiolase [J]. Circ Res, 2003,93 (3) : e26-e32.
  • 6Maclnnes A, fairman DA, Binding P, et al. The antianginal Trimetazidine does not exert its functional benefit via inhibition of long-chain 3-ketoacyl coenzyme A thiolase [J]. Circ Res, 2003,93(3) :e33-e37.
  • 7Daniel G, Kramer MD, Thomas A, et al. Quantitive evaluation of drug or device effects on ventricular remodeling as predictors of therapeutic effects on mortality in patients with heart failure and reduced ejection fraction [J]. J Am Col Cardiol, 2010,56 ( 5 ) : 392-406.
  • 8Gunes Y, Guntekin U, Tuncer M, et al. Improved left and right ventricular functions with Trimetazidine in patients with heart failure: A tissue doppler study [J]. Heart Vessels, 2009,24(4) : 277-282.
  • 9Tuunanen H, Engblom E, Naum A, et al. Trimetazidine, a metabolic modulator, has cardiac and extracardiac benefits in idiopathic dilated cardiomyopathy [J]. Circulation, 2008,118 (12) : 1250-1258.
  • 10Fragasso G, Palloshi A, Puccetti P, et al. A randomized clinical trial of Trimetazidine, a partial free fatty acid oxidation inhibitor, in patients with heart failure [Jl. J Am Coil Cardiol, 2006,48 (5) : 992-998.

共引文献243

同被引文献25

二级引证文献18

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部