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红景天对肝硬化性心肌病治疗作用的临床研究

王小红   

  1. 江苏省丹阳市人民医院
  • 收稿日期:2010-12-13 修回日期:2011-03-15 出版日期:2011-08-15 发布日期:2011-08-15
  • 通讯作者: 王小红

An clinical study on therapeutical effects of Rhodiola Rosae on cirrhotic cardiomyopathy.

WANG Xiao Hong   

  • Received:2010-12-13 Revised:2011-03-15 Published:2011-08-15 Online:2011-08-15
  • Contact: WANG Xiao Hong

摘要: [摘 要] 目的:观察红景天对肝硬化性心肌病(Crrhotic cardiomyopathy,CCM)的治疗作用。方法:将40例CCM患者随机分为A组(20例)和B组(20例),同时以健康志愿者20例作为正常对照组C组。A组采用常规治疗,B组采用常规治疗+红景天治疗,以硝酸还原酶法测定血清NO浓度,以电化学发光法测定血浆NT-proBNP浓度,以彩色多普勒超声测定LVEF及E/A比值。结果:A组及B组入院时LVEF及E/A比值显著低于C组(P<0.05),而血浆NT-proBNP及血清NO浓度则显著高于C组(P<0.05);B组治疗10d血清NO浓度与B组入院时比较差异则有统计学意义(P<0.05);LVEF、E/A比值、血浆NT-proBNP及血清NO浓度B组治疗30d与B组入院时、A组治疗30d比较,B组治疗90d与B组入院时、A组治疗90d比较,B组治疗90d与B组治疗30d比较差异均有统计学意义(P<0.05)。结论:红景天对CCM有较好的治疗作用。

关键词: 肝硬化, 肝硬化性心肌病, B型利钠肽, 一氧化氮, 心脏功能, 彩色多普勒超声心脏检查, 红景天

Abstract: 【Abstract】 Objective To explore the effects of Rhodiola Rosae in treatment of patients with cirrhotic cardiomyopathy (CCM). Methods A total of 40 patients with CCM was randomly divided into group A(n=20) and B(n=20),treated with routine method (group A) and Rhodiola Rosae capsule added routine method (group B),respectively. Another 20 normal individuals were used as normal controls. The levels of serum NO were measured by the method of nitric acid reductase. The levels of plasma NT-proBNP were measured by the method of electrogenerated chemiluminescence. LVEF and the ratio of E/A were measured by color Doppler. Results LVEF and the ratio of E/A were significantly lower while the levels of serum NO and plasma NT-proBNP were significantly higher in group A and group B on admission as compared with group C(P<0.05). The levels of serum NO were significantly lower in group B on the 10d after treatment as compared with group B on admission(P<0.05). LVEF and the ratio of E/A were significantly higher while the levels of serum NO and plasma NT-proBNP were significantly lower in group B on the 30d after treatment as compared with group B on admission and group A on the 30d after treatment,and in group B on the 90d after treatment as compared with group B on admission and group A on the 90d after treatment,and also in group B on the 90d after treatmentas compared with group B on the 30d after treatment (P<0.05). Conclusions It is clear that Rhodiola Rosae can play a therapeutic role in CCM.

Key words: Liver cirrhosis, Cirrhotic cardiomyopathy, B-type natriuretic peptide, Nitric oxide, Cardiac function, Colour Doppler Ultrasound check, Rhodiola Rosae