期刊文献+

两种药物对介入治疗的UAP患者炎症因子和血脂的影响 被引量:2

Effects of rosuvastatin and simvastatin on blood levels of inflammatory cytokines and lipid in patients with unstable angina underwent percutaneous coronary intervention
下载PDF
导出
摘要 目的:研究瑞舒伐他汀和辛伐他汀对不稳定型心绞痛行冠状动脉介入治疗术(PCI)的患者高敏C-反应蛋白(hs-CRP)、白细胞介素-6(IL-6)及血脂水平的影响。方法:将90例行PCI治疗的不稳定性心绞痛患者随机分为瑞舒伐他汀组和辛伐他汀组(每组45例),分别于给药前,PCI术前,PCI术后24h,PCI术后3周。测定血清hs-CRP和IL-6浓度及血脂水平。结果:PCI术后3周,两组血清hs-CRP和IL-6浓度明显降低(P<0.05)。TC和低密度脂蛋白(LDL-C)水平明显下降,高密度脂蛋白(HDL-C)明显上升(P<0.05),但瑞舒伐他汀组较辛伐他汀组TC和LDL-C水平下降及HDL-C水平上升更明显。结论:瑞舒伐他汀和辛伐他汀对行PCI术的不稳定型心绞痛患者具有明显的调脂及降低血清炎症因子的作用,其中瑞舒伐他汀调脂作用更强。 Objective:TTo investigate the effects of rosuvastatin and simvastatin on blood levels of high-sensitive c-reactive protein(hs-CRP),interleukin-6(IL-6) and lipid in patients with unstable angina underwent percutaneous coronary intervention(PCI).Methods: ninety patients who underwent PCI in our hospital were randomized into rosuvastatin group and simvastatin group.Serum levels of hs-CRP,IL-6 and lipid were measured before week medication,before PCI,24 hours and three weeks after PCI.Results: The serum levels of hs-CRP and IL-6 in both groups were distinctly lower than those before medicine treatment(P〈0.05).The serum levels of hs-CRP and IL-6 24h after PCI in both groups slightly increased than those before PCI,but there were no significant differences.The serum levels of hs-CRP and IL-6 three weeks after PCI in both groups significantly decreased than those in any others times(P〈0.05).Serum levers of TC and LDL-C in rosuvastatin group were significantly lower and high density lipoprotein HDL-C significantly higher than those in simvastatin group 3 weeks after PCI(P〈0.05).Conclusion: Both rosuvastatin and simvastatin could have significant anti-inflammation effect on patients with unstable angina before and after PCI;They both had lipid-lowing effect which was stronger in rosuvastatin group on patients with unstable angina,but onset of lipid-lowing effect was slower than that of anti-inflammation
作者 汪玉玲 李峰
出处 《安徽卫生职业技术学院学报》 2011年第6期51-52,共2页 Journal of Anhui Health Vocational & Technical College
关键词 不稳定型心绞痛 冠状动脉介入术 高敏C反应蛋白 白细胞介素-6 瑞舒伐他汀 辛伐他汀 unstable angina percutaneous coronary intervention high-sensitive c-reactive protein inter- leukin-6 rosuvastatin simvastatin
  • 相关文献

参考文献2

二级参考文献18

  • 1Prevention of cardiovascular events and death with Pravastatin in patients with coronary heart disease and a broad rang of initial cholesterol levels. The Long-term Intervention with Pravastatin in Ischemic Disease (LIPID) Study Group. N Engl J Med, 1998,339: 1349-1357.
  • 2Serruys PW, de Feyter P, Macaya C, et al. Fluvastatin for prevention of cardiac events following successful first percutaneous coronary intervention: a randomized controlled trial.JAMA, 2002 ,287:3215-3222.
  • 3Ruygrok PN, de Jaegere PT, van Domburg RT, et al. Clinical outcome 10 years after attempted percutaneous transluminal coronary angioplasty in 856 patients. J Am Coll Cardiol, 1996,27: 1669-1677.
  • 4Wilson SH, Berger PB, Mathew V, et al. Immediate and late outcomes after direct stent implantation without ballon predilation. J Am Coll Cardiol, 2000, 35: 937-943.
  • 5Ravkilde J, Nissen H, Mickley H, et al. Cardiac troponin T and CK-MB mass release after visually successful percutaneous transluminal coronary angioplasty in stable angina pectoris. Am Heart J, 1994,127: 13-20.
  • 6Harrington RA. Cardiac enzyme elevation after percutaneous coronary intervention:myonecrosis, the coronary microcirculation and mortality. J Am Coll Cardiol, 2000,35: 1142-1144.
  • 7Serruys PW, Foley DP, Jackson G, et al.A randomized placebo-controlled trial of fluvastatin for prevention of restenosis after successful coronary ballon angioplasty: final results of the fluvastatin angiographic restenosis (FLARE) trial. Eur Heart J, 1999,20: 58-69.
  • 8Mulder HJ, Bal ET, Jukema JW, et al. Pravastatin reduces restenosis two years after percutaneous transluminal coronary angioplasty (REGRESS trial). Am J Cardiol, 2000,86: 742-746.
  • 9GutsteinDE,FusterV.Pathophysiology and clinical significance of atherosclerotic plaque rupture[].Cardiovascular Research.1999
  • 10GalenS,WagnerCJ.Evaluation of aQRS ScoringSystem forEsti-matingMyocardialInfarctSize[].Circulation.1982

共引文献42

同被引文献19

  • 1宋少鹏.瑞舒伐他汀对不稳定型心绞痛患者血清细胞因子和心肌缺血的影响[J].临床合理用药杂志,2010,3(20):189-191.
  • 2魏静霞,杨涛.瑞舒伐他汀对不稳定型心绞痛患者疗效及血清IL-6和hs-CRP的影响[J].中山大学学报(医学科学版),2009,30(35):50-51,.
  • 3Ray KK, Cannon CP, Cairns R, et al. Relationship between un- controlled risk factors and C-reactive protein levels in patients re- ceiving standard or intensive statin therapy for acute coronary syn- dromes in the PROVE IT-TIMI 22 trial[ J]. J Am Coil Cmdiol, 2005,46 (8) : 1417-1424.
  • 4Ridker PM, Danielson E, Fonseca FA, et al. Rcsuvastatin to prevent vascular events in men and women with elevated C-reactive pmtein[J]. N Engl J Med, 2008,359(21 ) :2195-2207.
  • 5Tousoulis D, Antoniades C, Bosinakou E, et al. Differences in in- flammatory and thrombotic markers between unstable angina and a- cute myocardial infarction [ J ]. Int J Cardiol, 2007, 115 (2) : 203 -207.
  • 6Kablak-Ziembicka A, Tracz W, Przewlocki T, et al. Association of increased carotid intima-media thickness with the extent of coro- nary artery disease[ J]. Heart, 2004,90( 11 ) :1286-1290.
  • 7Barth JD. An update on carotid ultrasound measurement of intima- media thickness[ J ]. Am J Cardiol, 2002,89 (4A) : 32B-38B ; discussion 38B-39B.
  • 8Ridker PM, Danielson E, Fonseca FA, et al. Rosuvastatin to pre- vent vascular events in men and women with elevated C-reactive protein[J]. N Engl J Med, 2008,359(21 ) :2195-2207.
  • 9戴海鹰,陈春,石卓勋.不稳定型心绞痛患者血浆TXB2、6-Keto—PGFla检测的临床意义[J].中国医师杂志,2009,11(10):1405-1406. 被引量:2
  • 10陈旭明,宁观林,彭观娣.两种不同方法治疗不稳定型心绞痛的疗效观察[J].河北医学,2010,16(4):437-440. 被引量:12

二级引证文献23

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部