广州医药 ›› 2024, Vol. 55 ›› Issue (6): 648-652.DOI: 10.3969/j.issn.1000-8535.2024.06.012

• 论著 • 上一篇    下一篇

恩格列净对2型心肾综合征患者的治疗效果分析

李攀, 柴方云, 梁洪涛, 蒋明美, 安雄, 周孝贤   

  1. 中国贵航集团三零二医院心血管内科(贵州安顺 561000)
  • 收稿日期:2024-01-18 出版日期:2024-06-20 发布日期:2024-07-31

Analysis of treatment of empagliflozin for patients with type 2 cardio-renal syndrome

LI Pan, CHAI Fangyun, LIANG Hongtao, JIANG Mingmei, AN Xiong, ZHOU Xiaoxian   

  1. Cardiovascular Medicine Department,China Guizhou Aviation Industry Group 302 Hospital,Anshun 561000,China
  • Received:2024-01-18 Online:2024-06-20 Published:2024-07-31

摘要: 目的 分析恩格列净对2型心肾综合征(CRS)患者的治疗效果。方法 研究于2021年10月—2023年10月进行,随机抽取88例2型CRS患者,经计算机程序随机分成对照组(44例,给予常规治疗)、实验组(44例,在常规治疗的同时加用恩格列净),通过对比两组患者心、肾功能指标来评估疗效,并记录两组患者治疗过程中发生的不良反应。结果 治疗后,实验组LAD、LVED低于对照组,而LVEF高于对照组;实验组血清肌酐、尿酸等肾功能指标水平均低于对照组(均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 对于2型CRS患者,恩格列净可促进其心、肾功能的改善,且无过多不良反应,安全性理想,治疗效果可观,值得推广。

关键词: 恩格列净, 2型心肾综合征, 心功能, 肾功能, 不良反应

Abstract: Objective To analyze the therapeutic effect of empagliflozin on patients with type 2 cardiorenal syndrome(CRS).Methods The study was conducted from October 2021 to October 2023,and 88 patients with type 2 CRS were randomly selected and divided into control group(44 cases,receiving conventional treatment)and experimental group(44 cases,receiving conventional treatment combined with englaglitzin)by computer program.The efficacy was evaluated by comparing cardiac and renal function indexes and adverse reactions.Results After treatment,the LAD and LVED of the experimental group were lower than those of the control group,while LVEF was higher than that of the control group.The levels of serum creatinine,uric acid and other renal function indexes in the experimental group were lower than those in the control group after treatment(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions For patients with type 2 CRS,empagliflozin can promote the improvement of cardiac and renal function without many side effects,with ideal safety and considerable therapeutic effect,which is worthy of promotion.

Key words: empagliflozin, type 2 cardio-renal syndrome, heart function, kidney function, adverse reaction