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王强, 张红艳, 胡玉霞, 谢晓辉, 荆瑞娟, 朱仁英. 急性冠脉综合征患者术后不同剂量瑞舒伐他汀治疗效果分析[J]. 中国公共卫生, 2015, 31(7): 959-962. DOI: 10.11847/zgggws2015-31-07-30
引用本文: 王强, 张红艳, 胡玉霞, 谢晓辉, 荆瑞娟, 朱仁英. 急性冠脉综合征患者术后不同剂量瑞舒伐他汀治疗效果分析[J]. 中国公共卫生, 2015, 31(7): 959-962. DOI: 10.11847/zgggws2015-31-07-30
WANG Qiang, ZHANG Hong-yan, HU Yu-xia.et al, . Treatment outcome of different doses of rosuvastatin on PCI patients with acute coronary syndrome[J]. Chinese Journal of Public Health, 2015, 31(7): 959-962. DOI: 10.11847/zgggws2015-31-07-30
Citation: WANG Qiang, ZHANG Hong-yan, HU Yu-xia.et al, . Treatment outcome of different doses of rosuvastatin on PCI patients with acute coronary syndrome[J]. Chinese Journal of Public Health, 2015, 31(7): 959-962. DOI: 10.11847/zgggws2015-31-07-30

急性冠脉综合征患者术后不同剂量瑞舒伐他汀治疗效果分析

Treatment outcome of different doses of rosuvastatin on PCI patients with acute coronary syndrome

  • 摘要: 目的 探讨不同剂量瑞舒伐他汀治疗方案在急性冠脉综合征(ACS)患者经皮冠状动脉介入治疗(PCI)术后的临床治疗效果,为ACS的治疗提供参考依据。方法 抽取2013年12月—2014年12月牡丹江医学院第二附属医院心血管内科收治的150例拟行PCI术治疗的ACS患者随机分为A、B、C 3组,每组各50例,3组分别接受瑞舒伐他汀5、10、20 mg/d治疗方案,均治疗3个月;比较3组患者治疗前后相关指标、不良反应和主要心血管事件发生率。结果 A、B、C 3组患者治疗后血清高敏C反应蛋白(hs-CRP)分别为(3.85±0.39)、(3.68±0.41)、(2.52±0.32)mg/L,脑尿钠肽(BNP)分别为(341.54±72.17)、(325.15±80.52)、(264.26±56.49) pg/mL,3组患者治疗后血清hs-CRP和BNP均低于治疗前(均P<0.05),治疗后C组患者hs-CRP和BNP均低于A组和B组患者(均P<0.05); C组患者治疗后总胆固醇(TC)、甘油三酯(TG)、和低密度脂蛋白胆固醇(LDL-C)分别为3.30±0.48、1.23±0.34和1.83±0.20 mmol/L,均低于A组和B组患者(均P<0.05);A、B、C 3组患者不良反应发生率分别为2.0%、4.0%、8.0%,主要心血管事件发生率分别为16.0%、14.0%、6.0%,3组患者不良反应和主要心血管事件发生率差异均无统计学意义(均P>0.05)。结论 大剂量瑞舒伐他汀能明显降低ACS患者炎性状态和BNP水平,可有效发挥调脂功效且安全性较好,值得临床推荐。

     

    Abstract: Objective To explore therapeutic effect of different doses of rosuvastatin in the treatment of percutaneous transluminal coronary intervention(PCI)patients with acute coronary syndrome(ACS)and to provide evidences for ACS treatment.Methods Totally 150 ACS patients receiving PCI in a hospital from December 2013 through December 2014 were randomly divided into A,B,and C group(50 in each group)and administrated with rosuvastatin at the doses of 5,10,and 20 mg/d,respectively,for 3 months;related indicators were compared among the three groups before and after the treatment and major cardiovascular events(MACE)and adverse reactions were observed.Results After the treatment,serum levels of hypersensitive C-reactive protein(hs-CRP)were 3.85±0.39,3.68±0.41,and 2.52±0.32 mg/L and those of brain natriuretic peptide(BNP)were 341.54±72.17,325.15±80.52,and 264.26±56.49 pg/ml for the patients in group A,B,and C,with significant differences compared to those of before the treatment(all P<0.05);the contents of hs-CRP and BNP of the patients of group C were significantly lower than those of group A and B(both P<0.05).Serum levels of total cholesterol(TC),triglyceride(TG),and low-density lipoprotein(LDL-C)in the patients of group C were 3.30±0.48,1.23±0.34,and 1.83±0.20 mmol/L,all lower than those before the treatment(all P<0.05)and lower than those of group A and B(all P<0.05).No significant statistical differences in serum alanine aminotransferase(ALT)and creatine kinase(CK)were observed among the three groups before and after treatment(all P>0.05).The incidence of MACE in group C was lower than that in A and B group,but MACE incidence of the three groups showed no significant statistical difference after the treatment(χ2=4.113,P=0.128);the incidence of adverse reactions in group C also was not significantly different from that of in group A and B(Fisher's exact P=0.504).Conclusion High-dose rosuvastatin can significantly decrease inflammation and serum BNP level in ACS patients,with effective and safety regulation of serum lipids,and could be applied in the treatment of ACS patients with PCI.

     

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