阿托伐他汀钙治疗不稳定型心绞痛的效果及对炎症反应的影响

Effect of atorvastatin calcium in the treatment of unstable angina pectoris and its impact on inflammatory response

  • 摘要:
      目的  探讨阿托伐他汀钙治疗不稳定型心绞痛的效果及对炎症反应的影响。
      方法  将本院收治的70例不稳定型心绞痛患者根据治疗方案分成2组,对照组30例采取常规治疗,观察组40例在常规治疗基础上给予阿托伐他汀钙。比较2组临床疗效、心绞痛发作情况、血脂水平、血液流变学指标、炎症因子水平、不良反应发生率。
      结果  观察组临床总有效率为95.00%,对照组为76.67%,差异有统计学意义(P < 0.05); 观察组心绞痛发作次数少于对照组,心绞痛单次持续时间短于对照组,差异均有统计学意义(P < 0.05); 治疗后,观察组总胆固醇、甘油三酯水平、红细胞压积(HCT)、血细胞沉降率(ESR)、血浆黏度(PV)、C反应蛋白(CRP)、白细胞介素-6(IL-6)水平低于对照组(P < 0.05); 2组不良反应发生率比较差异无统计学意义(P>0.05)。
      结论  阿托伐他汀钙可有效控制心绞痛发作,降低血脂水平,改善血液流变学指标,减轻炎症反应,不增加不良反应,安全性良好。

     

    Abstract:
      Objective  To investigate the effect of atorvastatin calcium in the treatment of unstable angina pectoris and its effect on inflammation reaction.
      Methods  A total of 70 patients with unstable angina pectoris admitted to our hospital were selected and divided into two groups according to the treatment plan. Patients in the control group (n=30)were treated with routine treatment, while those in the observation group (n=40) were treated with atorvastatin calcium on the basis of routine treatment. The clinical efficacy, angina pectoris attack, blood lipid level, hemorheological index, inflammatory factor level and incidence of adverse reactions were compared between the two groups.
      Results  The total clinical effective rate was 95.00% in the observation group and 76.67% in the control group, there was a statistical significant difference (P < 0.05). The number of angina attacks in the observation group was less, and its duration in the observation group was shorter than that in the control group(P < 0.05). After treatment, the levels of total cholesterol, triglyceride, hematocrit (HCT), hematocyte sedimentation rate (ESR), plasma viscosity (PV), C reactive protein (CRP) and interleukin-6 (IL-6) levels in the observation group were lower than those in the control group (P < 0.05). The incidence of adverse reactions showed no significant difference in two groups (P>0.05).
      Conclusion  Atorvastatin calcium with higher safety for patients with unstable angina pectoris can effectively control the onset of angina pectoris, reduce blood lipid levels, improve hemorheological indicators, reduce inflammation reactions, and do not increase adverse reactions.

     

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