首页|强化阿托伐他汀钙辅助治疗老年冠心病伴心力衰竭的临床效果及对白介素-6、血清淀粉样蛋白A水平的影响

强化阿托伐他汀钙辅助治疗老年冠心病伴心力衰竭的临床效果及对白介素-6、血清淀粉样蛋白A水平的影响

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目的:研究老年冠心病伴心力衰竭患者应用强化阿托伐他汀辅助治疗的效果.方法:随机将鹰潭市人民医院 2021 年 1 月—2023 年 12 月收治的 110 例老年冠心病伴心力衰竭分为两组.对照组(n=55)采用常规剂量阿托伐他汀钙治疗,研究组(n=55)采取强化阿托伐他汀钙治疗.比较两组血脂水平、心功能、炎症反应、不良反应发生情况.结果:治疗后,研究组甘油三酯、总胆固醇、低密度脂蛋白胆固醇、N末端脑钠肽前体、白介素-6、肿瘤坏死因子-α、血清淀粉样蛋白A、超敏C反应蛋白水平均低于对照组,高密度脂蛋白胆固醇、左室射血分数、心脏指数及每搏输出量均高于对照组(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:强化阿托伐他汀钙辅助治疗能够有效降低老年冠心病伴心力衰竭患者血清淀粉样蛋白A、白介素-6等炎症因子水平,改善患者心功能,且安全性高.
Clinical Effect of Intensive Atorvastatin Calcium in the Adjuvant Treatment of Senile Coronary Heart Disease Complicated with Heart Failure and Its Influence on the Levels of Interleukin-6 and Serum Amyloid A Protein
Objective:To investigate the effect of intensive Atorvastatin Calcium in the adjuvant treatment of in elderly patients with coronary heart disease complicated with heart failure.Method:A total of 110 elderly patients with coronary heart disease complicated with heart failure admitted to Yingtan People's Hospital from January 2021 to December 2023 were randomly divided into two groups.The control group(n=55)was treated with conventional dose of Atorvastatin Calcium,and the study group(n=55)was treated with intensive Atorvastatin Calcium.Blood lipid levels,cardiac function,inflammatory reaction and adverse reactions were compared between the two groups.Result:After treatment,the levels of triglyceride,total cholesterol,low-density lipoprotein cholesterol,N-terminal pro-brain natriuretic peptide,interleukin-6,tumor necrosis factor-α,serum amyloid A protein and hypersensitive C reactive protein in the study group were lower than those in the control group,and the high-density lipoprotein cholesterol,left ventricular ejection fraction,heart index and stroke volume were higher than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Intensive Atorvastatin Calcium adjuvant treatment can effectively reduce the levels of inflammatory factors such as serum amyloid A protein and interleukin-6 in elderly patients with with coronary heart disease complicated with heart failure,and improve the cardiac function of patients,with high safety.

Coronary heart diseaseHeart failureAtorvastatin CalciumInterleukin-6Serum amyloid A protein

庄力钦、蔡安、童金英

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鹰潭市人民医院心血管内科 江西 鹰潭 335000

冠心病 心力衰竭 阿托伐他汀钙 白介素-6 血清淀粉样蛋白

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(22)