首页|期刊导航|中国医学创新|维立西呱联合芪苈强心胶囊治疗射血分数降低型心力衰竭的临床效果

维立西呱联合芪苈强心胶囊治疗射血分数降低型心力衰竭的临床效果OA

Clinical Efficacy of Vericiguat Combined with Qili Qiangxin Capsules in the Treatment of Heart Failure with Reduced Ejection Fraction

中文摘要英文摘要

目的:探究维立西呱联合芪苈强心胶囊治疗射血分数降低型心力衰竭(HFrEF)的临床效果.方法:选取张掖市第二人民医院于 2024 年 6 月—2025 年 6 月收治的 200 例HFrEF患者,根据随机数字表法分为对照组和观察组,各 100 例.两组均进行标准四联药物治疗,对照组在标准治疗基础上采用维立西呱治疗,观察组则在对照组基础上联合芪苈强心胶囊治疗,疗程均为 12 周.比较两组的临床疗效、心功能指标、生活质量、运动耐力及不良反应发生率.结果:治疗后,观察组总有效率、左心室射血分数(LVEF)高于对照组,6 min步行距离长于对照组,左心室舒张末内径(LVEDD)小于对照组,N末端脑钠肽前体(NT-proBNP)、明尼苏达心衰生活质量问卷(MLHFQ)评分低于对照组(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:维立西呱联合芪苈强心胶囊治疗能进一步改善HFrEF患者的临床症状,改善心功能和生活质量,增强运动耐力,且安全性较好.

Objective:To investigate the clinical efficacy of Vericiguat combined with Qili Qiangxin Capsules in the treatment of heart failure with reduced ejection fraction(HFrEF).Method:A total of 200 patients with HFrEF admitted to the Second People's Hospital of Zhangye from June 2024 to June 2025 were selected and divided into control group and observation group according to the random number table method,with 100 cases in each group.Both groups received standard quadruple drug therapy.The control group was additionally treated with Vericiguat based on the standard treatment,while the observation group was treated with Qili Qiangxin Capsules on the basis of the control group.The treatment course for both groups was 12 weeks.The clinical efficacy,cardiac function indicators,quality of life,exercise tolerance,and incidence of adverse reactions between the two groups were compared.Result:After treatment,the total effective rate and left ventricular ejection fraction(LVEF)of the observation group were higher than those of the control group,the 6-minute walking distance was longer than that of the control group,the left ventricular end-diastolic dimension(LVEDD)was less than that of the control group,and the N-terminal pro-brain natriuretic peptide(NT-proBNP)and the score of the Minnesota living with heart failure questionnaire(MLHFQ)were lower than those of the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The combination of Vericiguat and Qili Qiangxin Capsules can further improve the clinical symptoms,cardiac function,and quality of life of patients with HFrEF,enhance exercise tolerance,and has a good safety profile.

王冠民;刘晓丽;杜伟伟

张掖市第二人民医院心内科 甘肃 张掖 734000张掖市第二人民医院心内科 甘肃 张掖 734000张掖市第二人民医院心内科 甘肃 张掖 734000

医药卫生

维立西呱芪苈强心胶囊射血分数降低型心力衰竭

VericiguatQili Qiangxin CapsulesHeart failure with reduced ejection fraction

《中国医学创新》 2026 (20)

6-10,5

2025年度张掖市市级科技计划项目(ZY2025BJ60)

10.3969/j.issn.1674-4985.2026.20.002

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