|
|
Effect of Atorvastatin in the treatment of X syndrome combined with hyperlipidemia |
ZHANG Di SONG Zhan-chun ZHAO Yue-chao TIAN Mi |
The First Department of Cardiovascular Medicine,Central Hospital of Fushun City,Liaoning Province,Fushun 113006,China |
|
|
Abstract Objective To investigate the effect of Atorvastatin in the treatment of X syndrome combined with hyperlipidemia.Methods A total of 94 patients with X syndrome and hyperlipidemia treated in our hospital from October 2016 to October 2017 were selected as subjects and were randomly divided into the control group (47 cases)and the observation group(47 cases).The control group was given routine treatment and the observation group was treated with Atorvastatin on the basis of the routine treatment.Biochemical indicators,cardiac anxiety scale (CAQ)score and cardiac evaluation indexs before and after treatment were compared between two groups,clinical effect and safety were also compared between two groups.Results The C-reactive protein (CRP),total cholesterol,triglyceride and low-density lipoprotein cholesterol in two groups after treatment were lower than those before treatment,the paraoxonase-1 and high-density lipoprotein cholesterol were higher than those before treatment,and the differences were statistically significant(P<0.05).The CRP,total cholesterol,triglyceride and low-density lipoprotein cholesterol in the observation group after treatment were lower than those in the control group,the paraoxonase-1 and high-density lipoprotein cholesterol were higher than those in the control group,and the differences were statistically significant(P<0.05).The score of CAQ and frequency of chest pain in two groups after treatment were lower than those before treatment,the time of exercise plate test and the maximum time of S segment depression were longer than those before treatment,and the differences were statistically significant(P<0.05).The score of CAQ and frequency of chest pain in the observation group after treatment were lower than those in the control group,the time of exercise plate test and the maximum time of S segment depression were longer than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of the observation group was 97.9%,which was higher than that of the control group(83.0%),and the difference was statistically significant(P<0.05).There was no statistically significant difference in the safety of medication between two groups (P>0.05).Conclusion Atorvastatin can effectively improve serum lipid level and cardiac function in patients with X syndrome and hyperlipidemia,which has significant effect.
|
|
|
|
|
[1] |
观云,毕颖斐,毛静远.心脏X综合征中医病机概述[J].医学综述,2016,22(5):957-960.
|
[2] |
张鹏,蒋锦琪.心脏X综合征发病机制的研究—内皮功能障碍[J].心血管康复医学杂志,2007,16(2):195-197.
|
[3] |
张武宁,胡著涛,高晓东,等.麝香保心丸对合并高脂血症心脏X综合征患者的临床疗效[J].中国循证心血管医学杂志,2013,5(3):285-287.
|
[4] |
邹振宇,周俏棋,吴丽娥,等.银杏叶胶囊联合消心痛对心脏X综合征患者血清肌钙蛋白、脑钠肽及血脂水平的影响[J].湖北中医药大学学报,2016,18(3):21-23.
|
[5] |
陈灏珠.心脏病学[M].北京:人民卫生出版社,2000:212-213.
|
[6] |
王洪礼,宁莉,门昆,等.老年高脂血症的临床诊断及其治疗进展[J].医学综述,2010,16(4):582-585.
|
[7] |
王勃,那威,韩赛男.温针灸联合阿托伐他汀对女性X综合征的影响[J].上海针灸杂志,2016,35(12):1432-1435.
|
[8] |
朱海,王志禄.心脏X综合征发病机制及治疗的研究进展[J].医学综述,2015,21(19):3561-3564.
|
[9] |
张乾坤.浅谈心脏X综合征的中医辨证与治疗[J].中医临床研究,2017,9(9):39-41.
|
[10] |
刘思浚,陆凤,胡志斌,等.常州市武进区老年人高脂血症流行病学调查[J].中华疾病控制杂志,2013,17(1):13-16.
|
[11] |
廖晓阳,许国藩,伍佳,等.城乡社区高脂血症伴心血管危险因素的流行病学现状研究[J].华西医学,2013,28(1):22-25.
|
[12] |
仲崇星.北京市丰台区社区居民2011年冠心病流行病学调查分析[J].心血管康复医学杂志,2013,22(4):348-350.
|
[13] |
国希云,李晓英,邓娴,等.瑞舒伐他汀与阿托伐他汀治疗老年高脂血症患者临床疗效的比较[J].中华老年心脑血管病杂志,2014,16(6):605-607.
|
[14] |
朱玲军,项美香.双歧杆菌三联活菌胶囊联合阿托伐他汀片对高脂血症患者血脂、载脂蛋白及肠道菌群水平的影响[J].中国微生态学杂志,2016,28(10):1175-1177,1184.
|
[15] |
田景平,温泽淮,郭新峰,等.脂必泰与阿托伐他汀比较治疗高脂血症疗效及安全性的系统评价[J].中国循证医学杂志,2013,13(9):1116-1122.
|
|
|
|