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大量阿伐他汀在急性心肌梗死溶栓治疗后心肌保护作用

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目的:探讨大量阿伐他汀在急性心肌梗死溶栓治疗后心肌保护作用。方法:选择我院在2010年2月至2012年5月收治的80例采用溶栓治疗的急性心肌梗死患者,分别给予大剂量阿伐他汀(观察组,n =40)或常规剂量阿伐他汀(对照组,n =40),然后分析两组患者的 CK-MB、cTnⅠ、sVCAM-1、sICAM-1以及 BNP 变化。结果:溶栓后24小时观察组患者的 CK-MB、cTnⅠ、sVCAM-1和 sICAM-1水平均显著地低于对照患者。溶栓治疗1个月后观察组患者的 cTnⅠ、sVCAM-1、sICAM-1以及 BNP 水平明显低于对照组患者。并且观察组患者的溶栓后2小时心律失常发生率以及治疗后6个月内的心血管事件发生率都显著小于对照组患者。结论:大量阿伐他汀在急性心肌梗死溶栓治疗后保护心肌作用更明显,有利于患者的预后,值得临床推广。
Objective: To explore the role of high dose of atorvastatin on myocardial preservation of acute myocardial infarction after thrombolysis treatment. Methods:Analyzed the CK-MB, cTnⅠ, sVCAM-1, sICAM-1 and BNP changes of the high dose of atorvastatin (Observation group, n = 40) or low dose of atorvastatin (Control group, n = 40) for treatment of 80 newborn patients with acute myocardial infarction after thrombolysis treatmentin our hospital from February 2010 to May 2012. Results: 24 hours after thrombolysis treatment the CK-MB, cTnⅠ, sVCAM-1, and sICAM-1 in the observation group were significantly lower than those in the control group. 1 month after thrombolysis treatment the cTnⅠ, sVCAM-1, sICAM-1, and BNP in the observation group were significantly lower than those in the control group. Moreover, the arrhythmia rate 2 hours after thrombolysis and cardiac events rate between 6 months after treatment in the observation group were significantly lower than those in the control group. Conclusions: High dose of atorvastatin on myocardial preservation acute myocardial infarction after thrombolysis treatment has more significant role. It is worthy to be popularized.

MyocardialAcute myocardial infarctionThrombolysisMyocardial preservation

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耒阳市人民医院 湖南 耒阳 421800

阿伐他汀 急性心肌梗死 溶栓 心肌保护

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(8)
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