地尔硫卓静脉泵入对心血管疾病患者的心功能的影响

Influence of diltiazem intravenous infusion on the cardiac function of patients with cardiovascular disease

  • 摘要: 目的:探讨地尔硫卓持续静脉泵入对于心血管疾病患者(扩张型心肌病、冠心病、高血压病)的心功能的影响。方法分析2012年3月-2014年1月在本院心内科接受住院治疗的心血管疾病患者的临床资料。入组患者根据病情诊断分为A(扩张型心肌病)、B(冠心病)、C(高血压病)三组。比较三组患者的 SBP(收缩压)、HR(心率)、IVSd(室间隔舒张末期厚度)、LVED(左室最大舒张末期内径)、LVPWd(左室后壁舒张末期厚度)、DT(E 峰减速时间)及 BNP 水平。结果本研究共纳入研究对象60例,其中 A、B、C 组各20例。A 组患者用药后的 LVPWd(t =2.530,P =0.016)、DT(t =8.040,P <0.01)水平均高于用药前,而 BNP(t =4.437,P <0.01)水平显著低于用药前。B 组患者用药后的 SBP(t =12.68,P <0.01)、HR(t =4.077, P <0.01)、DT(t =8.131,P <0.01)、BNP(t =13.19,P <0.01)水平均显著低于用药前。C 组患者用药后的 SBP(t =7.832, P <0.01)、HR(t =10.04,P <0.01)、DT(t =9.653,P <0.01)水平均显著低于用药前。结论对于扩张型心肌病、冠心病、高血压病的患者,地尔硫卓的持续静脉泵入对患者心脏的收缩功能无显著影响,而能够降低血压、心率,改善心肌缺血状况、心脏舒张功能。

     

    Abstract: Objective To analyze the impact of diltiazem intravenous infusion on the cardiac function of patients with cardiovascular disease.Methods Clinical materials of patients with cardio-vascular disease were retrospectively analyzed,and they were divided into group A (dilated car-diomyopathy),group B (coronary heart disease)and group C (hypertensive disease)according to the treatment.The levels of SBP,HR,IVSd,LVED,LVPWd,DT and BNP were analyzed and compared among three groups.Results A total of 60 patients were retrospective analyzed,includ-ing 20 in each group.The levels of LVPWd and DT in group A before the treatment were signifi-cantly higher than that after the treatment.The level of BNP in group A before the treatment was significantly lower than that after the treatment.The levels of SBP,HR,BNP and DT in group B before the treatment were significantly lower than that after the treatment.The levels of SBP,BNP and DT in group C before the treatment were significantly lower than that after the treatment.Con-clusion For the patients with dilated cardiomyopathy,coronary heart disease or hypertension, continuous intravenous infusion with diltiazem can reduce blood pressure and heart rate,and im-prove the status of myocardial ischemia and cardiac diastolic function.

     

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