CRT联合β受体阻断剂治疗慢性心力衰竭的临床疗效及对患者心功能的影响

doi:10.3969/j.issn.1671-7171.2022.11.002

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Abstract 【Objective】 To investigate the clinical efficacy of cardiac resynchronization therapy (CRT) combined with β receptor blockers in the treatment of chronic heart failure (CHF) and its influence on cardiac function. 【Methods】 The clinical data of 76 patients with CHF admitted to our hospital from July 2017 to February 2020 were analyzed retrospectively, and they were divided into the observation group (CRT combined β receptor blocker treatment, n=36) and control group (β receptor blocker treatment, n=40). The left ventricular ejection fraction (LVEF), left ventricular end diastolic diameter (LVEDD) and left ventricular end systolic diameter (LVESD) were compared between the two groups before treatment and 1, 3 and 6 months after treatment.The levels of serum brain natriuretic peptide (BNP), cardiac troponin I (cTnI), C-reactive protein (CRP), inflammatory factors, tumor necrosis factor a (TNF-α) and interleukin-6 (IL-6) were compared, and the adverse reactions during treatment were recorded. 【Results】 After one month, three months and six months of treatment, LVEF in the observation group was higher than that before treatment, LVEDD and LVESD were lower than that before treatment (P<0.05); LVEF in the control group increased, LVEDD and LVESD decreased, but the difference was not statistically significant (P>0.05). After one month, three months and six months of treatment, the serum BNP, cTnI, CRP, TNF-α and IL-6 levels of patients in the observation group were lower than those before treatment, and those in the observation group were lower than those in the control group, with statistical significance (P<0.05); After 6 months of treatment, the levels of serum TNF-α and IL-6 in the control group were lower than those before treatment, and the difference was statistically significant (P<0.05). Both groups had symptoms of fatigue, limb cooling, bradycardia and gastrointestinal discomfort during treatment, but there was no significant difference between the two groups (P>0.05). 【Conclusion】 CRT combined with β receptor blocker can significantly improve the cardiac function of patients with chronic heart failure, reduce the level of inflammatory factors, and do not increase adverse reactions, which is worthy of clinical promotion.

Key words： Heart Failure Cardiac Resynchronization Therapy/MT Adrenergic beta-Antagonists/TU Heart Function Tests Treatment Outcome

Received: 05 July 2021

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R541.61

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	ZHU Guo-xing
	MA Wen-shuai

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ZHU Guo-xing,MA Wen-shuai. Clinical Analysis of CRT Combined with β Receptor Blocker in the Treatment of Chronic Heart Failure and its Influence on the Cardiac Function of Patients[J]. JOURNAL OF CLINICAL RESEARCH, 2022, 39(11): 1604-1607.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2022.11.002 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2022/V39/I11/1604

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