首页|阿托伐他汀及瑞舒伐他汀治疗冠心病患者的早期临床效果研究

阿托伐他汀及瑞舒伐他汀治疗冠心病患者的早期临床效果研究

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目的 探讨阿托伐他汀及瑞舒伐他汀治疗冠状动脉粥样硬化性心脏病(Coronary Heart Disease,CHD)患者的早期临床效果的差异.方法 选取2021年6-12月沛县人民医院收治的74例CHD患者为研究对象.根据抛硬币法将其分为A、B两组,各37例.A、B两组的调脂药分别采用阿托伐他汀、瑞舒伐他汀治疗.对比两组患者治疗后血清超敏C反应蛋白、血脂水平、心功能及复发性心绞痛发生率.结果 两组患者治疗后血清中超敏C反应蛋白、总胆固醇、左室收缩末期内径、三酰甘油、左室舒张末期内径、低密度脂蛋白胆固醇均低于治疗前,且B组患者降低更明显,差异有统计学意义(P均<0.05).B组血清中高密度脂蛋白水平(1.12±0.22)mmol/L及左室射血分数(55.92±5.62)%均高于A组(1.02±0.14)mmol/L、(53.16±5.95)%,差异有统计学意义(t=-2.333,-2.051,P均<0.05).两组患者复发性心绞痛的发生率比较,差异无统计学意义(χ2=0.753,P>0.05).结论 阿托伐他汀及瑞舒伐他汀均可有效治疗CHD,但其中瑞舒伐他汀较阿托伐他汀治疗效果更佳.
Early Clinical Effect of Atorvastatin and Rosuvastatin in Patients with Coronary Heart Disease
Objective To investigate the difference of the early clinical effects of atorvastatin and rosuvastatin in the treatment of coronary heart disease(CHD).Methods A total of 74 CHD patients admitted to Peixian People's Hospital from June to December 2021 were selected as the study objects.They were divided into two groups,A and B,accord-ing to the coin toss,with 37 cases in each group.Group A and group B were treated with atorvastatin and rosuvastatin,respectively.Serum hypersensitive C-reactive protein,serum lipid levels,cardiac function and incidence of recurrent angina pectoris were compared between the two groups after treatment.Results After treatment,serum hypersensitive C-reactive protein,total cholesterol,left ventricular end-systolic diameter,triacylglycerol,left ventricular end-diastolic diameter and low density lipoprotein cholesterol in 2 groups were lower than before treatment,and the reduc-tion was more significant in group B,the differences were statistically significant(all P<0.05).Serum high density lipo-protein level(1.12±0.22)mmol/L and left ventricular ejection fraction(55.92±5.62)%in group B were higher than those in group A(1.02±0.14)mmol/L and(53.16±5.95)%,and the differences were statistically significant(t=-2.333,-2.051,both P<0.05).There was no significant difference in the incidence of recurrent angina pectoris between two groups(χ2=0.753,P>0.05).Conclusion Both atorvastatin and rosuvastatin are effective in the treatment of CHD,but rosuvastatin is more effective than atorvastatin.

AtorvastatinRosuvastatinCoronary heart diseaseHypersensitive C-reactive proteinBlood lipidCardiac function

卢玉玉、王存、胡光振

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沛县人民医院心血管内科,江苏沛县 221600

阿托伐他汀 瑞舒伐他汀 冠状动脉粥样硬化性心脏病 超敏C反应蛋白 血脂 心功能

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(7)
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