首页|血脂康联合阿利西尤单抗对他汀类药物不耐受动脉粥样硬化性心血管疾病患者LDL-C达标率和其他血脂指标影响

血脂康联合阿利西尤单抗对他汀类药物不耐受动脉粥样硬化性心血管疾病患者LDL-C达标率和其他血脂指标影响

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目的 探讨对他汀类药物不耐受动脉粥样硬化性心血管疾病患者应用血脂康联合阿利西尤单抗的价值.方法 选取2022 年6 月—2023 年9 月收治的对他汀类药物不耐受的动脉粥样硬化性心血管疾病 80 例,根据治疗方法不同将其分为研究组和对照组2 组各40 例.研究组给予血脂康联合阿利西尤单抗治疗,对照组给予阿利西尤单抗治疗.比较2 组治疗前和治疗4、8、12 周后低密度脂蛋白胆固醇(LDL-C)、其他血脂指标[总胆固醇、高密度脂蛋白胆固醇(HDL-C)和三酰甘油],治疗4 周后LDL-C达标率和降低>50%达标率,以及治疗期间不良反应发生情况.结果 与治疗前比较,治疗4、8 和12 周后2 组LDL-C均降低,且治疗4、8 和12 周后研究组LDL-C低于对照组(P<0.05).与治疗前比较,治疗4、8 和12 周后2 组总胆固醇和三酰甘油均降低,HDL-C升高(P<0.05).治疗4、8 和12周后,研究组总胆固醇较对照组降低(P<0.05).治疗4 周后,研究组LDL-C达标率和降低>50%达标率高于对照组(P<0.05).治疗期间,2 组不良反应总发生率比较差异无统计学意义(P>0.05).结论 血脂康联合阿利西尤单抗应用于他汀类药物不耐受动脉粥样硬化性心血管疾病患者利于改善血脂水平,提高LDL-C达标率,且安全性较高.
Effect of Xuezhikang Combined with Aliciumab on the LDL-C Attainment Rate and Other Blood Lipid Indicators of Statin-Intolerant Patients with ASCVD
Objective To investigate the value of Xuezhikang combined with Aliciumab in statin-intolerant patients with atherosclerotic cardiovascular disease(ASCVD).Methods From June 2022 to September 2023,80 patients with ASCVD who were intolerant to statins were selected and divided into the research group(n =40)and the control group(n = 40)according to different treatment methods.The research group was treated with Xuezhikang combined with Aliciumab,while the control group was treated with Aliciumab.Low-density lipoprotein cholesterol(LDL-C)and other blood lipid indica-tors[total cholesterol(TC),high-density lipoprotein cholesterol(HDL-C),and triglycerides]before treatment and at 4,8,and 12 weeks after treatment,as well as the LDL-C attainment rate and a reduction of>50%attainment rate at 4 weeks after treatment and the occurrence of adverse reactions during treatment were compared between the two groups.Results Com-pared with that before treatment,the LDL-C level at 4,8 and 12 weeks after treatment decreased in both groups,which was lower in the research group than in the control group(P<0.05).Compared with those before treatment,at 4,8,and 12 weeks after treatment,TC and triglyceride in both groups decreased,HDL-C in both groups increased(P<0.05).At 4,8,and 12 weeks after treatment,TC of the research group was lower than that of the control group(P<0.05).At 4 weeks after treatment,the LDL-C attainment rate and a reduction of>50%attainment rate in the research group were higher than those in the control group(P<0.05).During the treatment period,there was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion In patients with ASCVD who are intolerant to statins,the combi-nation of Xuezhikang and Aliciumab can improve the level of blood lipids and increase LDL-C attainment rate,with high safety and favorable prognosis.

Cardiovascular diseasesAtherosclerosisStatinsIntolerantXuezhikangAliciumabLow-density lip-oprotein cholesterolTotal cholesterol

王佳星、吴洁琼、李红月

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073000 河北 定州,河北省第七人民医院检验科

073000 河北 定州,河北省第七人民医院心血管内科

073000 河北 定州,河北省第七人民医院体检科

心血管疾病 动脉粥样硬化 他汀类药物 不耐受 血脂康 阿利西尤单抗 低密度脂蛋白胆固醇 总胆固醇

河北省中医药局项目

2023306

2024

转化医学杂志
海军总医院

转化医学杂志

CSTPCD
影响因子:0.671
ISSN:2095-3097
年,卷(期):2024.13(1)
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