期刊文献+

不同剂量阿托伐他汀对稳定性心绞痛患者TNF-α和LDL-C水平的影响 被引量:9

Effect of Different Dose Atorvastatin on Stable Angina Pectoris and on the Levels of TNF-α and LDL-C
原文传递
导出
摘要 目的:观察不同剂量阿托伐他汀对冠心病稳定性心绞痛患者血清肿瘤坏死因子a(TNF-α)和低密度脂蛋白胆固醇(LDL-C)水平的影响。方法:用酶联免疫吸附法和生化发光分析法测定40例正常对照组和40例阿托伐他汀10mg组及39例阿托伐他汀20mg组冠心病患者治疗前后血清TNF-α和LDL-C水平的变化。结果:阿托伐他汀10mg及20mg组患者治疗12周后血清TNF-α和LDL-C水平明显降低,并且阿托伐他汀20mg组比阿托伐他汀10mg组血清TNF-α下降更明显,差异有显著性(P<0.05),但两组间LDL-C水平降低无显著性差异(P>0.05)。结论:阿托伐他汀可以降低冠心病患者血清LDL-C和TNF-α水平,减轻冠心病的炎症反应,并且这种机制独立于降脂作用以外。 Objective: To investigate the influence of the different dose Atorvastatin on the levels of Tumor necrosis factor-a(TNF-α) and Low-density lipoprotein cholesterol(LDL-C) in patients with Stable angina pectoris(SAP).Methods: The levels of TNF-α and LDL-C were measured in 40 normal controls(NC group) and Atorvastatin 10mg group(n=40) and Atorvastatin 20mg group(n=39) before and after treatment in Stable angina pectoris(SAP).Results: After treatment of 12 weeks,serum level of TNF-α and LDL-C in pa-tients with Stable angina pectoris was significantly lower,and the level of serum TNF-α in Atorvastatin 20mg group was significantly lower than those in Atorvastatin 10mg group(P〈0.05),whereas there was no obvious difference about changes of the level of serum LDL-C between them(P〉0.05).Conclusions: The concentration of TNF-α and LDL-C decreased after treatment of Atorvastatin in SAP,which indicated that Atorvastatin was available to anti-inflammation in addition to lipid-lowing effects.
出处 《现代生物医学进展》 CAS 2012年第2期333-336,共4页 Progress in Modern Biomedicine
关键词 阿托伐他汀 稳定性心绞痛 血清肿瘤坏死因子a 低密度脂蛋白胆固醇 Atorvastatin Stable angina pectoris Tumor necrosis factor-a Low-density lipoprotein cholesterol
  • 相关文献

参考文献15

  • 1Libby P,Ridker PM,Maseri A.Inflammation and atherosclerosis[J].Circulation,2002,105:1135-1143.
  • 2Ross R.The Pathogenesis of atherosclerosis:a PersPective for the 1990s[J].Nature,1993,362:801-809.
  • 3Brueckmann M,Bertsch T,Lang S,et al.Time course of systemic mark-ers of inflammation in patients presenting with acute coronary syn-dromes[J].Clin Chem Lab Med,2004;42(10):1132-1139.
  • 4Kapadia S,Lee J,Torre-Amione G,et al.Tumor necrosis factor-alphagene and protein erpression in adult feling myocardium after endotoxinadministration[J].J Clin Invest,1995,96:1042-1052.
  • 5Barath P,Fishbein MC,Cao J,et al.Detection and localization of TNF inhuman atheroma[J].Am J Cardiol,1990,65:297-302.
  • 6梁卓燕,郭文怡,王海昌,李飞,秦涛,谢学建.CRP、TNF-α与冠脉病变的相关性研究[J].山西医科大学学报,2006,37(3):272-274. 被引量:8
  • 7Gotsman I,Stabholz A,Planer D,et al.Serum cytokine tumor necrosisfactor-alpha and interleukin-6 associated with the severity of coronaryartery disease:indicators of an active inflammatory burden?[J].IsrMed Assoc J,2008,10(7):494-498.
  • 8Mizia-Stec K,Gasior Z,Zahorska-Markiewicz B,et al.Serum tumournecrosis factor-alpha,interleukin-2 and interleukin-10 activation instable angina and acute coronary syndromes[J].Coron Artery Dis,2003,14(6):431-438.
  • 9Kaya EB,Ozer N,Deveci OS,et al.The early predictors of ventricularremodeling after myocardial infarction:the role of tumor necrosis fac-tor-alpha[J].Anadolu Kardiyol Derg,2009,9(2):84-90.
  • 10Singh RB,Pella D,Neki NS,et al.Mechanisms of acute myocardialinfarction study(MAMIS)[J].Biomed Pharmacother,2004,58 Suppl1:S111-115.

二级参考文献8

  • 1Califf RM,Phillips HR 3rd,Hindman MC.Prognostic value of a coronary artery jeopardy score[J].J Am Coll Cardiol,1985,5:1055-1063.
  • 2Alexander RW.Inflammation and coronary artery disease[J].N Engl J Med,1994,331(5):468-469.
  • 3Koenig W,Sund M,Frohlich M,et al.C reactive protein,a 文章编号:1007-6611(2006)03-0274-02 sensitive marker of Inflamation,predicts future risk of coronary heart disease in initially healthy middle aged men:results from the MONICA Augsburg cohort study (1984-1992)[J].Circulation,1999,19(1):237-242.
  • 4Jeffrey L,Anderson MD,Facc JF,et al.Evaluation of C-Reactive protein,an inflammatory marker,and infectious serology as risk factors for coronary artery disease and myocardial infarction[J].J Am Coll Cardiol,1998,32:35.
  • 5Barath P,Fishbein MC,Cao J,et al.Tumor necrosis factor gene expression in human vascular intimal smooth muscle cells detected by in situ hybridization[J].Am J Pathol,1990,137:503.
  • 6Barath P,Fishbein MC,Cao J,et al.Detection and localization of tumor necrosis factor in human atheroma[J].Am J Cardiol,1990,65:297.
  • 7Musial J,Pujak A,Unders A,et al.Thrombinogeneration markers and coronary heart disease risk factors in a Polish population sample[J].Thromb Haemost,1997,77(5):697.
  • 8刘东,刘增长,董军,邓昌明,黄晶,李增高.冠心病患者C反应蛋白的临床意义及阿司匹林的影响[J].临床心血管病杂志,2000,16(2):64-65. 被引量:28

共引文献7

同被引文献76

  • 1中华医学会心血管疾病学分会.不稳定性心绞痛诊断和治疗建议.中华心血管病杂志,2000,.
  • 2Correia LC,Sposito AC,Lima JC,et al.Anti-inflammatory effect ofatorvastatin(80 mg)in unstable angina pectoris and non-Q-wave ac-ute myocardial infarction[J].The American Journal of Cardiology,2003,57:92-99.
  • 3Zahn R,Gottwik M,Hochadel M,et al.Volume-outcome relation forcontem-porary percutaneous coronary interventions(PCI)in dailyclinical practiceris it limited to high-risk patienis[J].Heart,2008,188(11):3805-3812.
  • 4Chin J.The role of C-reaclion protein(CRP)and stain treatment in re-ducing cardiovascular risk[J].SD Med,2009,11(1):1-11.
  • 5Briguori C,Colombob A,Airoldi E,et al.Statin administration beforepercutaneous coronary intervention:impact on periprocedural myocar-dial infarction[J].European Heart Journal,2004,75(12):3972-3979.
  • 6Briguori C.NAPLES II.Novel approaches for preventing or limitingevent study:impact of single high loading dose of atorvastalin onperiprocedural myocardial infarction[J].Journal of the American Co-llege of Cardiology,2009,83(1):9-18.
  • 7Di Sciascio G,Patti G,Pasceri V,et al.Efficacy of atorvastatin reloadin patients on chronic statin therapy undergoing percutaneous corona-ry intervention:results of the ARMYDA-RECAPTURE Atorvastalinfor Reducation of Myocardial Damage During Angioplasty)randomi-zed trial[J].Journal of the American College of Cardiology,2009,7(4); 1-12.
  • 8O,Keefe JH,Carter MD,Lavie CJ,et al.The gravity of JUPI-TER(Justification for the Use of Statins in Primary Prevention:An Interve-ntion Trial Evaluating Rosuvastatin)[J].Postgraduate Medicine,2009,121(3):113-118.
  • 9Liu PYs Liu YW,Lin LJ,et al.Evidence for statin pleiotropy in hum-ans:differential effects of statins and ezetimibe on rho-associatedcoiled-coil containing protein kinase activity,endothelial function andinflammation[J].Circulation,2009,28(4):826-831.
  • 10Devaraj S,Singh U,Jialal I.The evolving role of C-reactive proteinin atherolhrombosis[J].Clinical Chemistry,2009,24(5):46-47.

引证文献9

二级引证文献32

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