文章摘要
黄海芬,李韧,曹春辉,等.他汀+依折麦布二联调脂方案治疗急性脑梗死合并高血压及血脂异常65 例[J].安徽医药,2022,26(5):1044-1047.
他汀+依折麦布二联调脂方案治疗急性脑梗死合并高血压及血脂异常65 例
Influence of bigeminy combination lipid-lowering therapy on clinical efficacy and laboratory parameters of acute cerebral infarction patients complicated with hypertension and dyslipidemia
  
DOI:10.3969/j.issn.1009-6469.2022.05.046
中文关键词: 他汀  依折麦布  脑梗死  高血压  血脂异常  二联调脂方案
英文关键词: Statins  Ezetimibe  Acute cerebral infarction  Hypertension  Dyslipidemia  Bigeminy combination lipid-lower?ing therapy
基金项目:郴州市科技计划项目(jsyf2017041);郴州市技术创新引导项目(lcyl2021021)
作者单位E-mail
黄海芬 郴州市第一人民医院 健康管理中心湖南郴州 423000  
李韧 郴州市第一人民医院心血管内科湖南郴州 423000 1455698997@qq.com 
曹春辉 南方医科大学深圳医院心血管内科广东深圳518101  
张文龙 郴州市第一人民医院神经内科湖南郴州 423000  
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中文摘要:
      目的探讨二联调脂方案治疗伴高血压及血脂异常的急性脑梗死病人临床疗效。方法纳入2016年1月至2018年3月于郴州市第一人民医院就诊伴高血压及血脂异常的急性脑梗死病人130例,采用随机数字表法分为对照组(65例)和观察组(65例),在对症干预同时对照组单用他汀治疗,观察组采用他汀+依折麦布两药联合治疗,比较两组治疗前后预后相关评分、血压、血脂、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)及Vaspin水平。结果观察组治疗后美国国立卫生研究院卒中量表(NIHSS)评分、mRS评分、BARTHEL指数评分、收缩压(SBP)、舒张压(DBP)、总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、TNF-α、IL-6及Vaspin水平分别为(6.82±1.04)分,(1.87±0.32)分,(54.78±7.27)分,(131.04±12.10)mmHg,(83.15±4.70)mmHg,(3.92±0.71)mmol/L,(2.47±0.33)mmol/L,(1.17±0.31)mmol/L,(2.84±0.54)mmol/L,(25.91±4.67)μg/L,(139.41±25.68)ng/L,(12.95±1.45)mg/L,均显著优于对照组的(8.46±1.50)分,(2.45±0.49)分,(46.30±5.93)分,(139.55±18.56)mmHg,(88.46±6.09)mmHg,(4.63±0.84)mmol/L,(2.83±0.40)mmol/L,(0.97±0.23)mmol/L,(3.50±0.63)mmol/L,(39.43±6.80)μg/L,(172.24±32.95)ng/L,(10.87±1.27)mg/L、治疗前的(14.59±2.28)分,(3.79±0.78)分,(29.83±4.07)分,(148.74±22.70)mmHg,(94.26±7.28)mmHg,(5.25±1.17)mmol/L,(3.20±0.58)mmol/L,(0.79±0.13)mmol/L,(3.96±0.79)mmol/L,(81.93±14.03)μg/L,(262.72±46.54)ng/L,(9.23±1.04)mg/L(P<0.05)。结论二联调脂方案治疗伴高血压及血脂异常的急性脑梗死能够促进神经功能改善,提高生存质量,控制血压血脂,抑制炎性因子释放,且有助于上调Vaspin表达。
英文摘要:
      Objective To investigate the influence of bigeminy combination lipid-lowering therapy on clinical efficacy and laborato?ry parameters of acute cerebral infarction patients complicated with hypertension and dyslipidemia.Methods 130 acute cerebral in?farction patients complicated with hypertension and dyslipidemia were chosen in our hospital from January 2016 to March 2018 and randomly grouped into control group (65 patients) with statins and experiment group (65 patients) with statins + ezetimibe on the basis of systematic intervention; and the NIHSS score, mRS score, BARTHEL index score, the levels of SBP, DBP, TC, TG, HDL-C, LDL-C,TNF-α,IL-6 and vaspin before and after treatment of both groups were compared.Results The NIHSS score, mRS score, BARTHEL index score, the levels of SBP, DBP, TC, TG, HDL-C and LDL-C, TNF- α, IL-6 and vaspin of experiment group after treatment separate?ly for (6.82±1.04)points, (1.87±0.32)points, (54.78±7.27)points, (131.04±12.10)mmHg, (83.15±4.70)mmHg, (3.92±0.71)mmol/L, (2.47±0.33)mmol/L,(1.17±0.31)mmol/L,(2.84±0.54)mmol/L,(25.91±4.67)μg/L,(139.41±25.68)ng/L,(12.95±1.45)mg/L were significant better than control group for (8.46±1.50)points,(2.45±0.49)points,(46.30±5.93)points,(139.55±18.56)mmHg,(88.46±6.09)mmHg,(4.63±0.84)mmol/L,(2.83±0.40)mmol/L,(0.97±0.23)mmol/L,(3.50±0.63)mmol/L,(39.43±6.80)μg/L,(172.24±32.95)ng/L,(10.87±1.27)mg/L and be?fore treatment for (14.59±2.28)points, (3.79±0.78)points, (29.83±4.07)points, (148.74±22.70)mmHg, (94.26±7.28)mmHg, (5.25±1.17)mmol/L,(3.20±0.58)mmol/L,(0.79±0.13)mmol/L,(3.96±0.79)mmol/L,(81.93±14.03)μg/L,(262.72±46.54)ng/L,(9.23±1.04)mg/L(P<0.05).Conclusion Bigeminy combination lipid-lowering therapy in the treatment of acute cerebral infarction patients complicated with hy?pertension and dyslipidemia can efficiently promote the improvement of neurological function, higher the quality of life, control blood pressure and blood lipids, inhibit the release of inflammatory factors and be helpful to up regulate the expression of vaspin.
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