期刊文献+

早期应用阿托伐他汀对急性冠脉综合征患者血浆IL-6和hs-CRP的影响 被引量:2

The influence of atorvastatin on IL-6 and hs-CRP in patients of early acute coronary syndrome
暂未订购
导出
摘要 目的 探讨早期应用阿托伐他汀对急性冠脉综合征患者血浆白介素-6、高敏C-反应蛋白(hs-CRP)的影响。方法 44例急性冠脉综合征患者随机分为阿托伐汀治疗组10 mg/d和常规治疗组(对照组)各22例。急性冠脉综合征患者在治疗1周前后分别测定血清白介素-6、高敏C-反应蛋白和血脂水平。结果阿托伐他汀组治疗1周后血清白介素-6及高敏C-反应蛋白均有明显下降(P<0.05)。结论 早期应用阿托伐他汀治疗可降低急性冠脉综合征患者的血清白介素-6和高敏C-反应蛋白水平;阿托伐他汀的抗炎作用独立于降脂作用以外,急性冠脉综合征患者早期应用他汀类治疗可能获益较大。 Objective To observe the influence of atorvastatin on plasma inflammation cytokines IL- 6 and high - sensitive C - reactive protein ( hs - CRP) level in patients of acute coronary syndrome(ACS). Methods Fifty - two patients of ACS were randomized to two groups : one group treated with atorvastatin ( n = 22) and the other group treated with routine therapy ( n = 22 ). Plasma IL - 6 and hs - CRP of the two groups were measured before and after therapy by enzyme linked - immuno - sorbent assay (ELISA). Results After using atorvastatin the concentration of IL - 6 and hs - CRP varied significant in statistics with P 〈 0.05. Conclusion After 7 days' hospitalization of early treatment for ACS with atorvastatin, the concentration of plasma inflammatory cytokines IL-6 and hs -CRP decreased remarkably without significantly change in plasma blood lipids. This study demonstrated that early treatment with statins could have an effect of suppressing inflammation. Early intensive atorvastatin treatment may yield more significant benefits in the patients of ACS.
作者 孙英杰
机构地区 青岛大学医学院
出处 《社区医学杂志》 2007年第03S期8-9,共2页 Journal Of Community Medicine
关键词 急性冠脉综合征 阿托伐他汀 白介素-6 高敏C反应蛋白 Acute coronary syndrome Atorvastatin IL-6 hs -CRP
  • 相关文献

参考文献2

二级参考文献28

  • 1Celermajer DS, Sorensen KE, Gooch VM, et al. Non-invasive detection of endothelial dysfunction in children and adults at risk of atherosclerosis. Lancet, 1992, 340: 1111-1115.
  • 2Anderson TJ,Meredith IT,Yeung AC,et al.The effect of cholesterol-lowering and antioxidant therapy on endothelium- dependent coronary vasomotion.N Engl J Med,1995,332:488-493.
  • 3Jarvisalo MJ,Toikka JO,Vasankari T,et al. HMG CoA reductase inhibitors are related to improved systemic endothelial function in coronary artery disease. Atherosclerosis, 1999,147:237-242.
  • 4Schwartz GG,Olsson AG,Ezekowitz MD,et al.MIRACL Study Investigators. Effects of atorvastatin on early recurrent ischemic events in acute coronary syndromes :the MIRACL study: a randomized controlled trial. JAMA,2001,285:1711-1718.
  • 5Arntz HR, Agrawal R, Wunderlich W,et al. Beneficial effects of pravastatin(+/-cholestiramine/ niacin)initiated immediately after a coronary event(the randomized Lipid-coronary artery disease[L-CAD]study).Am J Cardiol,2000,86:1293-1298.
  • 6Nissen SE, Tuzcu EM,Schoenhagen P, et al. Effect of intensive compared with moderate lipid-lowering therapy on progression of coronary atherosclerosis: a randomized controlled trial. JAMA,2004, 291:1071-1080.
  • 7Cannon CP, Braunwald E, McCabe CH, et al. Pravastatin or Atorvastatin Evaluation and Infection Therapy-Thrombolysis in Myocardial Infarction 22 Investigators. Intensive versus moderate lipid lowering with statins after acute coronary syndromes. N Engl J Med, 2004, 350:1495-1504.
  • 8Ley K,Huo Y.J Clin Invest,2001;107(10):1209-1210
  • 9Ikeda U, Shimpo M, Ohki R, et al. Hypertension, 2000; 36 (3) :325-329
  • 10Scalia R, Gooszen ME, Jones SP, et al. Circulation, 2001; 103 (21) :2598-2603

共引文献91

同被引文献58

引证文献2

二级引证文献18

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部