Clinical effects of low molecular heparin calcium on N-terminal pro-brain natriuretic peptide and blood plasma D-dipolymer level in heart failure patients with pulmonary heart disease
	    		
		   		
		   			
		   		
	    	
    	 
    	10.7619/jcmp.201417003
   		
        
        	
        		- VernacularTitle:低分子肝素钙对肺源性心脏病心力衰竭患者临床疗效及血浆N-末端脑钠肽前体、D-二聚体水平的影响
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Zhengrong XI
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Xin HU
			        		
			        		;
		        		
		        		
		        		
			        		Wenbing LIU
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 江苏省南通市妇幼保健医院 呼吸内科
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		pulmonary heart disease;
			        		
			        		
			        		
				        		heart failure;
			        		
			        		
			        		
				        		low molecular heparin calcium;
			        		
			        		
			        		
				        		hemorheology;
			        		
			        		
			        		
				        		N-terminal pro-brain natriuretic peptide;
			        		
			        		
			        		
				        		blood plasma D-dipolymey;
			        		
			        		
			        		
				        		thrombus
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Journal of Clinical Medicine in Practice
	            		
	            		 2014;(17):8-11
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Obj ective To observe the clinical effects of low molecular heparin calcium on hemorheology,N-terminal pro-brain natriuretic peptide (NT-proBNP)and blood plasma D-dipoly-mer (D-D)level in heart failure patients with pulmonary heart disease.Methods 95 heart failure patients with pulmonary heart disease were randomly divided into observation (n= 45 )and control groups (n= 50),both treated with regular treatment.Extra hypodermic injection of low molecular heparin calcium was given to observation group.Clinical effects,adverse events,hemorheology,N-terminal pro-brain natriuretic peptide (NT-proBNP)and blood plasma D-dipolymer (D-D)level were observed.Results Effective rate in observation group (95 .56%)was significantly higher than in control group (82.00%)(P<0.05),and significant difference was found in adverse events. Hemorheology,N-terminal pro-brain natriuretic peptide (NT-proBNP)and blood plasma D-dipoly-mer (D-D)level were improved in both groups after treatment (P<0.05,P<0.01),and differ-ences between 2 groups were significant (P<0.05,P<0.01).Conclusion Low molecular hep-arin calcium combined with dobutamine and magnesium sulfate has the potential to improve the hemorheology,N-terminal pro-brain natriuretic peptide (NT-proBNP)and blood plasma D-dipoly-mer (D-D)level in heart failure patients with pulmonary heart disease.