首页|通心络联合阿托伐他汀治疗H型高血压颈动脉粥样硬化的有效性

通心络联合阿托伐他汀治疗H型高血压颈动脉粥样硬化的有效性

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目的:观察通心络联合阿托伐他汀治疗H型高血压颈动脉粥样硬化的有效性.方法:将 100 例H型高血压颈动脉粥样硬化患者随机分为观察组(n = 50)和对照组(n = 50).2 组均口服氨氯地平片,对照组联合阿托伐他汀片治疗,观察组在对照组基础上联合通心络胶囊治疗.评价2 组血压、血脂、颈动脉内膜中层厚度(IMT)、颈动脉斑块Crouse 积分、血生化指标水平、临床疗效及治疗安全性.结果:观察组临床总有效率高于对照组(P<0.05).治疗后,观察组收缩压、舒张压、TG、TC、LDL-C、IMT、颈动脉斑块Crouse 积分、内脂素、Hcy、IL-1b、TNF-a、hs-CRP水平均低于对照组(P<0.05),HDL-C、L-PGDS水平均高于对照组(P<0.05).2 组均未发生严重不良反应.结论:通心络联合阿托伐他汀有助于维护H型高血压颈动脉粥样硬化患者颈动脉斑块稳定,治疗效果较好.
Effectiveness of Tongxinluo combined with atorvastatin in the treatment of carotid atherosclerosis in H-type hypertension
Objective:To observe the effectiveness of Tongxinluo combined with atorvastatin in the treatment of carotid atherosclerosis in H-type hypertension.Methods:One hundred patients with carotid artery atherosclerosis in H-type hypertension were randomly divided into an observation group(n=50)and a control group(n=50).Both groups were treated with oral amlodipine tablets,and then atorvastatin tablets were additionally given in the control group,while the observation group was treated with Tongxinluo capsule besides atorvastatin tablets.Blood pressure,blood lipids,carotid intima-media thickness(IMT),carotid plaque Crouse's score,blood biochemical indexes,clinical efficacy and treatment safety were evaluated in the two groups.Results:The total clinical efficacy rate of the observation group was higher than that of the control group(P<0.05).After treatment,the levels of systolic blood pressure,diastolic blood pressure,TG,TC,LDL-C,IMT,carotid plaque Crouse score,endolipids,Hcy,IL-1b,TNF-a,hs-CRP were lower and the levels of HDL-C,L-PGDS were higher in the observation group than the control group(all P<0.05).No serious adverse reactions occurred in both groups.Conclusion:Tongxinluo combined with atorvastatin can help to maintain the stability of carotid plaques in patients with carotid atherosclerosis of H-type hypertension,and the therapeutic effect is better.

KEY WRODS carotid atherosclerosis in H-type hypertensionTongxinluo capsuleatorvastatinblood pressure levelblood lipid level

王洋、刘富丽、黄婷

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郑州市第七人民医院 明湖社区卫生服务中心 郑州 450016

郑州市第七人民医院 内分泌科 郑州 450016

H型高血压颈动脉粥样硬化 通心络胶囊 阿托伐他汀 血压水平 血脂水平

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(5)
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