真武汤对慢性心力衰竭患者血浆NT-proBNP的影响

CHINESE JOURNAL OF INTEGRATIVE MEDICINE ON CARDIO/CEREBROVASCULAR DISEASE(2014)

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Abstract
目的 探讨真武汤对慢性心力衰竭(CHF)患者血清血浆N末端脑钠肽体前体(NT-proBNP)水平的影响.方法 80例CHF患者,随机分为两组,每组40例.两组均接受常规西药治疗,治疗组在常规治疗基础上加用真武汤.对比分析治疗前后两组患者的血清NT-proBNP 水平、NYHA分级、超声心动图等指标.结果 治疗组较对照组左室舒张末期内径、左室收缩末期内径显著下降(P<0.05),左室射血分数显著升高(P<0.05),血浆NT-proBNP 显著降低(P<0.05).结论 真武汤与常规西药治疗CHF具有协同作用,改善心功能及降低血清NT-proBNP水平,同时能改善CHF的心室重构.真武汤对血清NT-proBNP水平的抑制可能是其发挥治疗作用的机制之一.
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