文章摘要
赵刚 李四海 谭熙 匡红梅 徐华.不同剂量瑞舒伐他汀对急性冠脉综合征患者炎症反应及预后的影响[J].,2016,16(31):6114-6117
不同剂量瑞舒伐他汀对急性冠脉综合征患者炎症反应及预后的影响
The Influence Effect of Different Doses of Rosuvastatin on SerumInflammatory Cytokines Levels and Prognosis in Acute Coronary SyndromePatients
  
DOI:
中文关键词: 急性冠状动脉综合征  瑞舒伐他汀  普伐他汀  超敏C 反应蛋白  肿瘤坏死因子-  白介素-6
英文关键词: Acute Coronary Syndrome  Rosuvastatin  Pravastatin  Hypersensitive C-reactive protein  Tumor necrosis factor-alpha  Interleukin -6
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作者单位
赵刚 李四海 谭熙 匡红梅 徐华 凉山州第一人民医院心内科 
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中文摘要:
      目的:探讨不同剂量瑞舒伐他汀对急性冠脉综合征患者(ACS)炎症反应及预后的影响。方法:选择2014 年5 月至2015 年 10 月间收治的120 例ACS 患者为研究对象,随机分为A、B、C 三组,每组40 例。所有患者先给予常规治疗,A组患者给予20 mg/d 普伐他汀治疗;B组患者给予10 mg/d 瑞舒伐他汀;C 组患者给予20 mg/d 瑞舒伐他汀,3 组均持续治疗6个月。比较3 组患 者治疗前后血脂、超敏C反应蛋白(hs-CRP)、肿瘤坏死因子-alpha(TNF-alpha)、白介素-6(IL-6)的水平;随访6 个月心血管事件发生情 况。结果:3 组患者治疗后hs-CRP、TNF-alpha、IL-6 水平均明显下降,且C组下降最明显,其次为B 组,比较差异均有统计学意义 (P<0.05);治疗后血脂水平均的改善,且C 组改善最明显,其次是B 组,比较差异均有统计学意义(P<0.05);随访6 个月,C 组心 血管事件发生率为2.5%,远低于B 组(10.0%)及A 组(20.0%),差异具有显著性(P<0.05)。结论:大剂量(20 mg/d)瑞舒伐他汀治疗 ACS 降脂、抗炎效果明显,预后相对较好,值得临床推广使用。
英文摘要:
      Objective:To explore the Influence of different doses of rosuvastatin on serum inflammatory cytokines levels and prognosis in acute coronary syndrome (ACS) patients.Methods:120 cases of ACS from May 2014 to October 2015 were collected and randomly divided into A,B and C groups, each with 40 cases. Based on the treatments with oxygen inhalation,anticoagulation, and coronary vessels expansion treatments with each group, A group was given 20 mg/d of pravastatin through oral administration, B group given 10 mg/d of rosuvastatin, and C group given 20 mg/d of rosuvastatin, which each group was treated with 6 month. Serum lipid level, hypersensitive C-reactive protein (hs-CRP), tumor necrosis factor alpha(TNF-alpha) and interleukin-6 (IL-6) of the three groups were compared before and after treatment, meanwhile the major cardiovascular events (MACE) and adverse reactions were observed.Results:The hs-CRP, TNF-琢, IL-6 levels of three groups of patients after treatment were significantly lower, and group C had the greatest reduction, followed by group B patients, which comparative differences were statistically significant (P<0.05); Three groups after treatment in patients with blood lipid levels were improved, and improve the most obvious group C, followed by group B, which comparative differences were statistically significant (P<0.05); Followed up for 6 months,the incidence of cardiovascular events of group C was 2.5%, which was far lower than group B (10.0%) and group A (20.0%) with significant difference (P<0.05).Conclusion:High-dose(20mg/d)rosuvastatin can significantly decrease inflammation in ACS patients, with effective and safety regulation of serum lipids, which could be used in the treatment of ACS patients.
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