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瑞舒伐他汀对血脂正常的2型糖尿病患者血清高敏C反应蛋白的作用 被引量:5

The effects of Rosuvastatin on serum high sensitivity C-reactive protein in patients of type 2 diabetes with normal blood lipids
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摘要 目的 探讨瑞舒伐他汀对血脂正常的2型糖尿病患者血清高敏C反应蛋白(hs-CRP)的影响.方法 选取2008年3月至2013年10月于我院诊治的血脂正常的2型糖尿病患者104例,按其就诊顺序进行编号并随机分为对照组(52例)和观察组(52例).对照组患者行常规降糖治疗;观察组患者在常规治疗基础上加用瑞舒伐他汀治疗,10 mg/次,1次/d.观察两组患者治疗前后血脂(HDL-C、LDL-C、TG、TC)及hs-CRP水平变化情况,采用统计学软件对两组患者观察指标进行对比分析.结果 观察组患者治疗后TC[(4.28±0.86)mmol/L]、TG[(3.25 ±0.89)mmol/L]、LDL-C[(2.09±0.57)mmol/L]、HDL-C[(1.38±0.43)mmol/L]水平均明显优于对照组患者相应指标[(5.33±1.00)mmol/L、(3.58±1.01)mmol/L、(3.18±0.74)mmol/L、(1.16±0.31)mmol/L],差异有统计学意义(P<0.05).观察组患者治疗后hs-CRP水平明显低于对照组,差异有统计学意义(P<0.05).结论 瑞舒伐他汀在进一步改善血脂正常的2型糖尿病患者血脂水平的同时,可有效降低患者hs-CRP水平,对于减轻患者动脉粥样硬化程度、减少心脑血管意外具有重要意义. Objective To investigate the effects of statin Rosuvastatin on serum high-sensitivity C-reactive protein (hs-CRP) in patients of type 2 diabetes with normal blood lipids.Methods Selected the diagnosis and treatment of abnormal blood lipids 2 of 104 cases of diabetes in our hospital from March 2008 to October 2013,under the consent of all the patients and their families agree,the order number and their treatment were randomly divided into control group(52 cases) and observation group(52 cases) and control group underwent conventional antidiabetic therapy,patients in the control group was observed patients treated with rosuvastatin plus statin therapy on the basis of observed before and after treatment lipids (HDL-C,LDL-C,TG,TC) and hs-CRP level changes,and the use of statistical software for the two groups were observed indicators were analyzed.Results After the observation group patients TC (4.28±0.86)mmol/L,TG (3.25 ±0.89)mmol/L,LDL-C (2.09±0.57)mmol/ L,HDL-C (1.38±0.43)mmol/L average water significantly better than the control group,the corresponding index patients (5.33±1.00)mmol/L,(3.58±1.01)mmol/L,(3.18±0.74)mmol/L,(1.16±0.31)mmol/L,in a statistically significant (P<0.05).Observed in patients after treatment hs-CRP levels were significantly lower than the control group,a statistically significant difference between the components (P<0.05).Conclusion Rosuvastatin further improve lipid normal lipid levels in patients with type 2 diabetes,while patients can effectively reduce hs-CRP levels,to alleviate the extent of atherosclerosis in patients to reduce cardiovascular and cerebrovascular accidents is important.
作者 梁文霞
出处 《中国心血管病研究》 CAS 2014年第7期644-646,共3页 Chinese Journal of Cardiovascular Research
关键词 瑞舒伐他汀 血脂 高敏C反应蛋白 2型糖尿病 Rosuvastatin Lipids High-sensitivity C-reactive protein Type 2 diabetes
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参考文献8

  • 1Patel A, MacMahon S, Chalmers J, et al. Intensive blood glu- cose control and vascular outcomes in patients with type 2 dia- betes. N Engl J Med, 2008,358 : 2560-2572.
  • 2Ridker PM, Morrow DA, Rose LM, et al. Relative efficacy of atorvastatin 80 mg and pravastatin 40 mg in achieving the dual goals of low-density lipoprotein cholesterol <70 mg/dl and C-re- active protein <2 mg/L: an analysis of the PROVE-IT TIMI-22 trial. J Am Coil Cardiol,2005,45:1644-1648.
  • 3Ismail-Beigi F, Craven T, Banerji MA, et al. Effect of intensive treatment of hyperglycaemia on mierovascular outcomes in type 2 diabetes: an analysis of the ACCORD randomised trial. Lancet, 2020,376 : 419-430.
  • 4Colhoun HM, Betteridge DJ, Durrington PN, et al. Primary pre- vention of cardiovascular disease with atorvastatin in type 2 dia- betes in the Collaborative AtorvastatinDiabetes Study (CARDS): multicentre randomised placebo -controlled trial. Lancet, 2004,364 : 685-696.
  • 5梁雪,高瑜,张佩生,李美兰.瑞舒伐他汀对血脂正常阻塞性睡眠呼吸暂停综合征合并高血压患者血栓前状态的影响[J].中国心血管病研究,2013,11(10):819-822. 被引量:2
  • 6谢文超,李平,陈坚,林智海.瑞舒伐他汀对老年原发性高血压患者超敏C反应蛋白和细胞间黏附分子-1的影响[J].中国心血管病研究,2013,11(4):268-270. 被引量:12
  • 7Betteridge DJ, Gibson JM, Sager PT. Comparison of effectiveness of Rosuvastatin versus atorvastatin on the achievement of com- bined C-reactive protein (<2 mg/L) and low-density lipoprotein cholesterol (<70 mg/dl) targets in patients with type 2 diabetes mellitus (from the ANDROMEDA Study). Am J Cardiol, 2007, 100 : 1245-1248.
  • 8李秋荣,王勤,曲环,张斌.瑞舒伐他汀对血脂正常的2型糖尿病患者血清高敏C反应蛋白的作用[J].中华高血压杂志,2011,19(3):280-282. 被引量:22

二级参考文献36

  • 1李建军.炎症可能是联接高血压和动脉粥样硬化的桥梁[J].中国分子心脏病学杂志,2005,5(1):385-388. 被引量:29
  • 2王继征,张国清,阚国庆,王凤,李广军.阿托伐他汀改善高血压合并2型糖尿病患者颈动脉粥样硬化[J].中华高血压杂志,2006,14(10):789-792. 被引量:10
  • 3李雷,夏勇,李东野,杨煜,张超群,潘德峰,张延斌.血浆血管性血友病因子水平与冠状动脉病变的关系[J].心血管康复医学杂志,2007,16(3):252-254. 被引量:3
  • 4Pearson TA, Mensah GA, Alexander RW, et al. Markers of inflammation and eardiovaseular disease: applieation to clinical and publie health lpraetice: a statement for healtheare professionals from the Centers for Disease Control and Prevention and the American Heart Association[J]. Cireulation, 2003,107(3):99-511.
  • 5Paul A, Ko KW, Li L, et al. C-reactive protein accelerates the progression of atheroselerosis in apolipoprotein E-deficient mice [J]. Circulation,2004,109(10) :647-655.
  • 6Albert MA, Danielson E, Rifai N, et al. Effect of statin therapy on C-reactive protein levels: the pravastatin inflammation/CRP evaluation (PRINCE): a randomized trial and cohort study[J]. JAMA,2001,286(1) :64-70.
  • 7Jialal I, Stein D, Balis D, et al. Effect of hydroxymethyl glutaryl coenzyme a reductase inhibitor therapy on high sensitive C-reactive protein levels[J]. Circulation,2001,103(15):1933-1935.
  • 8Nissen SE, Tuzcu EM, Schoenhagen P, et al. REVERSAL Investigators. Effect of intensive compared with moderate lipid-lowering therapy on progression of coronary atherosclerosis: a randomized controlled trial[J]. JAMA, 2004,291 (9) : 1071-1080.
  • 9Taylor AJ, Kent SM, Flaherty PJ, et al. ARBITER: Arterial Biology for the investigation of the treatment effects of reducing cholesterol: a randomized trial comparing the effects of atorvastatin and pravastatin on carotid intima medial thickness[J]. Circulation, 2002,106 (16) : 2055-2060.
  • 10van de Ree MA, Huisman MV, Princen HM, et al. Strong decrease of high sensitivity C-reactive protein with high-dose atorvastatin in patients with type 2 diabetes mellitus[J]. Atherosclerosis, 2003,166(1): 129-135.

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