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阿托伐他汀对冠心病患者内皮舒张功能影响的研究

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目的 探讨阿托伐他汀对冠心病患者内皮舒张功能的影响.方法 选择2014年1月~2016年12月于青田县人民医院诊治的冠心病患者80例作为研究对象,将患者以其治疗方式分为2组(对照组、观察组)进行实验,为对照组40例患者用曲美他嗪治疗,而为观察组40例患者用曲美他嗪+阿托伐他汀治疗;比较2组患者各项实验数据.结果 观察组患者治疗后内皮舒张功能水平变化优于对照组,其中观察组血管内皮素-1(60.48±12.72)、一氧化氮(391.45±68.52)、外周血循环内皮微颗粒(849.13±115.49)等指标均优于对照组血管内皮素-1(70.47±15.52)、一氧化氮(328.15±56.74)、外周血循环内皮微颗粒(1019.67±127.52),组间比较差异有统计学意义(P<0.05);观察组患者临床治疗效果(95.0%)优于对照组(77.5%),组间比较差异有统计学意义(P<0.05);观察组患者不良反应发生率(5.0%)低于对照组(20.0%),组间比较差异有统计学意义(P<0.05).结论 用曲美他嗪+阿托伐他汀治疗冠心病患者的临床效果显著,可充分改善患者的内皮舒张功能.
Effect of atorvastatin on endothelium diastolic function in patients with coronary heart disease
Objective To investigate the effect of atorvastatin on endothelial diastolic function in patients with coronary artery disease.Methods he selected in January 2014 to December 2016 in our hospital make a diagnosis and give treatment of 80 patients with coronary heart disease(CHD)as the research object, the patients with its treatment is divided into two groups(control group and observation group)experiment, for the control group, 40 patients were treated with trimetazidine for observation group 40 cases of patients with trimetazidine+atorvastatin treatment;Compare the data of the two groups of patients.Results Observation group after treatment in patients with endothelial diastolic function level change is better than that of control group, the observation group vascular endothelin-1(60.48±12.72), nitric oxide(391.45±68.52), peripheral blood circulating endothelial microparticles(849.13±115.49), and other indicators are superior to control group vascular endothelin-1(70.47±15.52), nitric oxide(328.15±56.74), peripheral blood circulating endothelial microparticles(1019.67±127.52), compare the difference between groups was statistically significant(P< 0.05);The clinical therapeutic effect(95.0%)was superior to the control group(77.5%), and the difference in the group was statistically significant(P< 0.05).The incidence of adverse reactions(5.0%)was lower in the observed group(5.0%)than the control group(20.0%), and the difference in the group was statistically significant(P< 0.05).Conclusion Trimetazidine+atorvastatin therapy in patients with coronary heart disease in clinical effect is remarkable, can improve the endothelial diastolic function in patients with fully, is widely used in clinical treatment of coronary heart disease(CHD).

atorvastatincoronary heart disease(CHD)endothelial diastolic function

徐磊、李锋、程玲香

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青田县人民医院 内科,浙江 丽水 323900

青田县人民医院 中医科,浙江 丽水 323900

阿托伐他汀 冠心病 内皮舒张功能

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2014YWZC05

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.(7)
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