医学临床研究
  2025年4月3日 星期四           首 页    |    期刊简介    |    编委会    |    投稿指南    |    期刊订阅    |    广告合作    |    留言板    |    联系我们    |    English
医学临床研究  2022, Vol. 39 Issue (10): 1550-1552    DOI: 10.3969/j.issn.1671-7171.2022.10.030
  论著 本期目录 | 过刊浏览 | 高级检索 |
重组人脑利钠肽联合比索洛尔治疗缺血性心肌病患者的临床疗效及对CITED2、miR-182、HIF-1水平的影响
周方舟1, 赵庆燕1, 王爱红2*
1.山东省立第三医院,山东 济南 250031;
2.山东省立医院,山东 济南 250000
Clinical Efficacy of Recombinant Human Brain Natriuretic Peptide Combined with Bisoprolol in the Treatment of Patients with Ischemic Cardiomyopathy and its Effect on CITED2, miR-182 and HIF-1
ZHOU Fang-zhou, ZHAO Qing-yan, WANG Ai-hong
Shandong Provincial Third Hospital,Jinan Shandong 250031
全文: PDF (1101 KB)   HTML (1 KB) 
输出: BibTeX | EndNote (RIS)      
摘要 【目的】探讨重组人脑利钠肽联合比索洛尔治疗缺血性心肌病(ICM)患者的临床疗效及对microRNA-182(miR-182)、蛋白反式作用因子(CITED2)、低氧诱导因子-1(HIF-1)水平的影响。【方法】前瞻性选取2018年10月至2020年10月山东省立第三医院收治的128例ICM患者,根据随机数字表法将其分为观察组和对照组,每组64例。常规治疗基础上,对照组给予比索洛尔,观察组在对照组的基础上给予重组人脑利钠肽治疗。比较两组临床疗效、不良反应发生情况,并比较治疗前后血清心肌细胞凋亡指标[可溶性凋亡相关因子(sFas)、可溶性凋亡相关因子配体(sFasL)],心肌缺血损伤标志物[肌钙蛋白T(cTnT)、肌红蛋白(Mb)、肌酸激酶同工酶(CK-MB)]及CITED2、miR-182、HIF-1水平。【结果】治疗1个月后,观察组总有效率高于对照组(P<0.05);观察组血清sFas、sFasL、cTnT、Mb、CK-MB水平均低于对照组,且观察组低于对照组,差异均有统计学意义(P<0.05);两组患者血清CITED2水平高于治疗前,miR-182、HIF-1水平低于治疗前,且两组间比较差异均有统计学意义(P<0.05)。观察组不良反应发生率高于对照组,但差异无统计学意义(P>0.05)。【结论】重组人脑利钠肽联合比索洛尔治疗ICM患者临床疗效好,可增强心肌抗缺氧、缺血能力,抑制心肌细胞凋亡,且安全性较好。
服务
把本文推荐给朋友
加入我的书架
加入引用管理器
E-mail Alert
RSS
作者相关文章
周方舟
赵庆燕
王爱红
关键词 心肌疾病利钠肽,脑/药理学比索洛尔/药理学循环微RNA缺氧诱导因子1    
Abstract:【Objective】To investigate the clinical efficacy of recombinant human brain natriuretic peptide combined with bisoprolol in the treatment of patients with ischemic cardiomyopathy (ICM) and its effect on the levels of microRNA-182 (miR-182), protein trans acting factor (CITED2) and hypoxia inducible factor-1 (HIF-1). 【Methods】A total of 128 ICM patients treated in the Third Hospital of Shandong Province from October 2018 to October 2020 were prospectively selected and divided into observation group and control group according to the random number table method, with 64 cases in each group. On the basis of routine treatment, the control group was treated with bisoprolol, and the observation group was treated with recombinant human brain natriuretic peptide on the basis of the control group. The clinical efficacy and adverse reactions of the two groups were compared, and the levels of serum cardiomyocyte apoptosis index [soluble apoptosis related factor (sFas), soluble apoptosis related factor ligand (sFasL)], markers of myocardial ischemia injury[troponin T (cTnT), myoglobin (Mb), creatine kinase isoenzyme (CK-MB)] and CITED2, miR-182 and HIF-1 were compared before and after treatment.【Results】After one month of treatment, the total effective rate in the observation group was higher than that in the control group (P<0.05); The levels of serum sFas, sFasL, cTnT, Mb and CK-MB in the observation group were lower than those in the control group, and the difference was statistically significant (P<0.05); The levels of serum CITED2 in the two groups were higher than those before treatment, and the levels of miR-182 and HIF-1 were lower than those before treatment, and the difference between the two groups was statistically significant (P<0.05). The incidence of adverse reactions in the observation group was higher than that in the control group, but the difference was not statistically significant (P>0.05). 【Conclusion】Recombinant human brain natriuretic peptide combined with bisoprolol is effective in the treatment of ICM patients. It can enhance the ability of myocardial anti hypoxia and ischemia, inhibit cardiomyocyte apoptosis, and has good safety.
Key wordsCardiomyopathies    Natriuretic Peptide, Brain/PD    Bisoprolol/PD    Circulating MicroRNA    Hypoxia-Inducible Factor 1
收稿日期: 2021-04-12     
中图分类号:  R541.61  
通讯作者: *E-mail:wah2905@163.com   
引用本文:   
周方舟, 赵庆燕, 王爱红. 重组人脑利钠肽联合比索洛尔治疗缺血性心肌病患者的临床疗效及对CITED2、miR-182、HIF-1水平的影响[J]. 医学临床研究, 2022, 39(10): 1550-1552.
ZHOU Fang-zhou, ZHAO Qing-yan, WANG Ai-hong. Clinical Efficacy of Recombinant Human Brain Natriuretic Peptide Combined with Bisoprolol in the Treatment of Patients with Ischemic Cardiomyopathy and its Effect on CITED2, miR-182 and HIF-1. JOURNAL OF CLINICAL RESEARCH, 2022, 39(10): 1550-1552.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2022.10.030     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2022/V39/I10/1550
版权所有 © 2013 医学临床研究杂志社  湘ICP备13012052号-1
办公地址:湖南省长沙市芙蓉区新军路43号煤炭大院主办公楼6楼621、623、632、636室 邮编:410011 电话(传真):0731-84824007 E-mail:jcr_cs.hn@vip.163.com
技术支持:北京玛格泰克科技发展有限公司 技术支持:support@magtech.com.cn