期刊文献+

强化他汀治疗急性冠状动脉综合征的疗效与不良反应观察

Efficacy and adverse reactions intensive statin therapy with acute coronary syndrome
原文传递
导出
摘要 目的观察强化他汀治疗急性冠状动脉综合征的的临床效果及不良反应。方法选择2012年11月—2013年12月来登封市人民医院治疗急性冠状动脉综合征的患者136例,随机将其分成对照组和治疗组,每组各68例。两组患者均采用对症方法治疗,治疗组患者同时采用强化他汀治疗,观察患者的疗效及用药安全性。结果治疗前,两组患者在丙氨酸转氨酶、肌酐、总胆固醇、甘油三酯、低密度脂蛋白胆固醇方面相比,差异无统计学意义(P>0.05);治疗后,两组患者在总胆固醇、甘油三酯、低密度脂蛋白胆固醇方面与治疗前相比,差异有统计学意义(P<0.05);治疗组患者的不良反应发生率明显低于对照组患者,差异有统计学意义(P<0.05)。结论对于急性冠状动脉综合征患者采用强化他汀治疗,能有效改善患者的生化指标,减少不良反应发生率,可推广应用。 Objective To observe the clinical efficacy and adverse reactions intensive statin therapy with acute coronary syndrome. Methods Totally 136 cases of patients with acute coronary syndrome,who were treated by our hospital from November 2012 to December 2013,were randomly divided into control group and treatment group,with 68 cases in each group. All patients were given symptomatic treatment,while patients of the control group were treated with intensive statin therapy,the patient’s efficacy and drug safety were observed. Results Before treatment,the two groups of patients were compared with each other in alanine aminotransferase,creatinine,total cholesterol,triglycerides,low- density,lipoprotein,cholesterol. And there were no significant difference( P 〉 0. 05); After treatment,total cholesterol,triglycerides,low- density lipoprotein cholesterol of the two groups of patients were compared with before treatment,and the difference was statistically significant( P 〈 0. 05); The incidence of adverse reactions of patients in treatment group was significantly lower than that of the control group,and the difference was statistically significant( P 〈 0. 05). Conclusion For patients with acute coronary syndromes,using intensive statin therapy can effectively improve the biochemical indexes of patients and reduce the incidence of adverse reactions. It can be widely applied.
出处 《医药论坛杂志》 2016年第2期62-64,共3页 Journal of Medical Forum
关键词 强化他汀 急性冠状动脉综合征 治疗效果 不良反应 Intensive statin Acute coronary syndrome Treatment Adverse reactions
  • 相关文献

参考文献8

二级参考文献96

  • 1中国成人血脂异常防治指南[J].中华心血管病杂志,2007,35(5):390-419. 被引量:5227
  • 2JUNG S M, MOROIM. Platelet glycoproteinVI [ J ]. Adv Exp Med Biol, 2008, 640:53 - 63.
  • 3SCHWARTZ G G, OLSSON A G, EZEKOWITZ M D, et al. Effects of atorvastatin on early recurrent ischemic events in acute coronary syndromes: the MIRACLE Study Arandomized controlled trial[J]. JAMA, 2001, 285(13): 1711 -1718.
  • 4CANNON C P, BRAUN WARD E, MCCABE C, et al. Intensive versus moderate lipid lowering with statins after acute coronary syndromes[J]. N Eng J Med, 2004, 350(15) : 1495 -1504.
  • 5DE LEMOS J A, BLAZING M A, WIVIOTY S D, et al. Early intensive vs a delayed conservative simvastatin strategy in patients with acute coronary syndromes [ J ]. JAMA, 2004, 292 ( 11 ) : 1307 - 1316.
  • 6PARADISO HARDY F L, GORDON W L, JACKEVICIUS C A, et al. The importance of in - hospital statin therapy for patients with acute coronary syndromes [ J ]. Pharmacotherapy, 2003, 23 (4) : 506 -513.
  • 7LAUPACIS A, MAMDANI M. Summaries for patients. Statin therapy and the outcomes during hospitalization for acute coronary syndromes[J]. Ann Int Medi, 2004, 140(11) : 129.
  • 8SAMAHA F F, HIBBARD C, SACKS J, et al. Density of platelet collagen receptors glycoprotein VI and alpha2 betal and prior myocardial infarction in human subjects - a pilot study [ J ]. Med Sci Monit, 2005, 11 (5) : 224 - 229.
  • 9BIGALKE B, GEISLER T, STELLOS K, et al. Platelet collagen receptor glycoprotein VI as a possible novel indicator for the acute coronary syndrome[J]. Am Heart J, 2008, 156(1) : 193 -200. BIGALKE B, STELLOS K, STAKOS D, et al. Influence of platelet count on the expression of platelet collagen receptor glycoprotein VI (GPVI) in patients with acute coronary syndrom[J]. Thromb Haemost, 2009, 101 (5) : 911 - 915.
  • 10BIGALKE B, STELLOS K, STAKOS D, et al. Influence of platelet count on the expression of platelet collagen receptor glycoprotein VI (GPVI) in patients with acute coronary syndrom[J]. Thromb Haemost, 2009, 101 (5) : 911 - 915.

共引文献113

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