中国伤残医学2024,Vol.32Issue(20) :30-33.DOI:10.13214/j.cnki.cjotadm.2024.020.008

不同剂量瑞舒伐他汀在行经皮冠状动脉介入治疗的急性心肌梗死患者中的效果对比

Clinical Effect of Medium-Dose Rosuvastatin on Patients with Acute Myocardial Infarction after Percutaneous Coronary Intervention

汤波 陈倩 王大鹏
中国伤残医学2024,Vol.32Issue(20) :30-33.DOI:10.13214/j.cnki.cjotadm.2024.020.008

不同剂量瑞舒伐他汀在行经皮冠状动脉介入治疗的急性心肌梗死患者中的效果对比

Clinical Effect of Medium-Dose Rosuvastatin on Patients with Acute Myocardial Infarction after Percutaneous Coronary Intervention

汤波 1陈倩 1王大鹏2
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作者信息

  • 1. 日照市中医医院心血管科,山东 日照 276800
  • 2. 山东省日照市中医医院急诊科,山东 日照 276800
  • 折叠

摘要

目的:分析不同剂量瑞舒伐他汀在行经皮冠状动脉介入(PCI)治疗的急性心肌梗死患者中的效果.方法:回顾性分析 2021年 8月—2022年 12月日照市中医医院收治的 120例急性心肌梗死患者的临床资料,均采用PCI治疗.按不同治药剂量将患者分为对照组和研究组,各 60例.对照组接受常规剂量(10 mg)瑞舒伐他汀治疗,研究组接受中等剂量(20 mg)瑞舒伐他汀治疗,两组均治疗 12周.比较两组临床疗效、脂代谢、基质金属蛋白酶-9(MMP-9)、心功能及不良反应发生情况.结果:研究组治疗总有效率 90.00%高于与对照组的 80.00%,差异有统计学意义(P<0.05).治疗后,研究组总胆固醇、三酰甘油、低密度脂蛋白胆固醇水平、MMP-9低于对照组,左室舒张期末内径、左室收缩期末内径短于对照组,左心室射血分数高于对照组,差异均有统计学意义(P<0.05).研究组不良反应发生率 5.00%低于对照组的 8.33%,但两组不良反应比较,差异无统计学意义(P>0.05).结论:与常规剂量瑞舒伐他汀治疗比较,中剂量瑞舒伐他汀治疗急性心肌梗死患者效果更佳,可有效减少患者心肌细胞损伤和心肌细胞重构,改善患者心功能,且安全可靠.

Abstract

Objective:To investigate the clinical efficacy of medium-dose rosuvastatin in patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Methods:The clinical data of 120 patients with acute myocardial infarction treated in Rizhao Hospital of Traditional Chinese Medicine from August 2021 to December 2022 were retrospectively analyzed.All patients were treated with PCI.They were divided into a control group and a study group of 60 patients each according to different dosing doses.The control group received conventional dose(10 mg)of rosuvastatin treatment,while the study group received medium-dose(20 mg)rosuvastatin intensified treatment for 12 weeks.The clinical efficacy,lipid metabolism,matrix metalloproteinase-9,cardiac function,and adverse reactions between two groups.Results:The total effective rate of the observation group was 90.00%,which was higher than 80.00%of the control group,the difference was statistically significant(P<0.05).After treatment,the levels of total cholesterol,triglycerides,and low-density lipoprotein cholesterol in the study group were lower than those in the control group,and MMP-9,the end diastolic and end systolic diameters of the left ventricle were shorter than those in the control group,and the left ventricular ejection fraction was higher than that in the control group,the differences were statistically significant(P<0.05).The incidence of adverse reactions in the study group was 5.00%lower than 8.33%in the control group,but there was no statistically significant difference in adverse reactions between the two groups(P>0.05).Conclusion:Compared with conventional dose rosuvastatin treatment,medium-dose rosuvastatin enhanced treatment has better efficacy in patients with acute myocardial infarction,effectively reducing myocardial cell damage and remodeling,improving cardiac function,and is safe and reliable.

关键词

急性心肌梗死/经皮冠状动脉介入术/瑞舒伐他汀/不同剂量/脂代谢/心室重构

Key words

Acute myocardial infarction/Percutaneous coronary intervention/Rosuvastatin/Different dosages/Lipid metabolism/Ventricular remodeling

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出版年

2024
中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
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