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心脉隆治疗慢性心力衰竭的临床疗效。

Clinical effects of Xinmailong therapy in patients with chronic heart failure.

机构信息

Cardiovascular Internal Department, Xiangya Hospital, Central South University, Changsha, Hunan, P.R. China, 410008.

出版信息

Int J Med Sci. 2013;10(5):624-33. doi: 10.7150/ijms.5779. Epub 2013 Mar 23.

Abstract

In the last 100 years, intensive studies have been done on the identification of the systematic approaches to find the cure for the chronic heart failure, however the mystery remains unresolved due to its complicated pathogenesis and ineffective early diagnosis. The present investigation was aimed to evaluate the potential effects of the traditional chinese medicine, Xinmailong, on the chronic heart failure (CHF) patients as compared to the standard western medical treatment available so far. In our study, we selected two groups of voluntary CHF patients at the Xiangya Hospital, which were allowed to administrate Xinmailong or standard treatments, respectively. Another group of voluntary healthy individuals were recruited as the control group. The treatment effectiveness was measured by five symptomatic factors, i.e. angiotensin II (Ang_II), high sensitivity C-reactive protein (hs_CRP), Left Ventricular End Systolic Volume Index (LVESVI), left ventricular ejection fraction (LVEF) and pro-B-type natriuretic peptide (NT_proBNP), between the control group and the CHF patients at different stages of drug administration and in different treatment groups. The timeline for the full dose administration was set to 15 days and five measurements as indicated above were taken on every 0, 7th and 15th day of the drug administration respectively. In the conducted study, similar symptomatic measurements were observed on day 0 in both treatment groups, and slight improvements were observed on 7th day. It was observed that after a full course of drug administration for 15 days, both of the treatment groups achieved statistically significant improvements in all the five measures, but Xinmailong was found to be more (almost double) statistically significant as compared with the available drug treatments for chronic heart failure.

摘要

在过去的 100 年中,人们对系统性方法的识别进行了深入研究,以期找到治疗慢性心力衰竭的方法,但由于其发病机制复杂且早期诊断效果不佳,该研究仍未得出明确结论。本研究旨在评估传统中药新药(Xinmailong)对慢性心力衰竭(CHF)患者的潜在疗效,并与目前可用的标准西医治疗进行比较。在我们的研究中,我们在湘雅医院选择了两组自愿接受 CHF 治疗的患者,分别允许他们服用 Xinmailong 或标准治疗。另一组自愿的健康个体被招募为对照组。通过五项症状因素(即血管紧张素 II(Ang_II)、高敏 C 反应蛋白(hs_CRP)、左心室收缩末期容积指数(LVESVI)、左心室射血分数(LVEF)和 pro-B 型利钠肽(NT_proBNP))来衡量治疗效果,分别在不同药物治疗阶段和不同治疗组的对照组和 CHF 患者之间进行比较。全剂量给药的时间线设定为 15 天,在给药的第 0、第 7 和第 15 天分别进行上述五项测量。在进行的研究中,在两个治疗组中,在第 0 天观察到相似的症状测量值,并且在第 7 天观察到轻微改善。观察到在 15 天的全疗程药物治疗后,两个治疗组在所有五个指标上均取得了统计学上的显著改善,但与慢性心力衰竭的现有药物治疗相比,Xinmailong 的改善更为显著(几乎是两倍)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c9d/3619101/0f843026bea7/ijmsv10p0624g01.jpg

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