瑞舒伐他汀剂量对心绞痛患者经皮冠状动脉介入围手术期炎性因子的影响
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Effects of Rosuvastatain Dose on Preoperative Inflammatory Factors of Angina Patients After Percutaneous Coronary Intervention
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    摘要:

    目的 探讨瑞舒伐他汀剂量对心绞痛患者经皮冠状动脉介入(PCI)围手术期炎性因子的影响。方法 从2013年2月至2014年10月收治的拟行PCI的心绞痛患者中选择150例,分别进行术前不同剂量瑞舒伐他汀治疗,即5 mg/d组、10 mg/d组、15 mg/d组、20 mg/d组和25 mg/d组,各组患者数均为30例。所有患者在术后均继续按照5 mg/d剂量服用瑞舒伐他汀。对患者PCI手术前以及手术后24 h分别检测血清炎性因子白细胞介素6(IL-6)、干扰素γ(IFN-γ)和肿瘤坏死因子α(TNF-α)水平和抗炎性因子白细胞介素10(IL-10)的水平。结果 瑞舒伐他汀5 mg/d组患者术后血清促炎性细胞因子IL-6、IFN-γ和TNF-α水平均显著提高(P<0.05);10 mg/d组患者术后血清IL-6和IFN-γ水平均显著提高(P<0.05);较高剂量(15 mg/d、20 mg/d和25 mg/d)组患者术后血清IL-6、IFN-γ和TNF-α水平与术前差异无统计学意义(P>0.05),而术后血清IL-10水平则明显高于5 mg/d组(P<0.05)。15 mg/d的较高剂量即可有效降低患者血清促炎性细胞因子、提高抗炎性细胞因子水平,进一步提高瑞舒伐他汀剂量并不能明显影响各炎性细胞因子水平。结论 术前15 mg/d剂量瑞舒伐他汀可有效减轻PCI手术对患者血清促炎性细胞因子的刺激,提高血清抗炎性细胞因子水平。

    Abstract:

    Aim To explore the clinical effects of high dose rosuvastatain on inflammatory factors of angina patients treated with percutaneous coronary intervention(PCI). Methods The study was carried out with 150 angina patients receiving PCI during February 2013 to October 2014. The patients were divided into five groups by preoperative rosuvastatain dose, namely low dose group(LD, 5 mg/d), moderate-low dose group(MLD, 10 mg/d), moderate dose group(MD, 15 mg/d), moderate-high dose group(MHD, 20 mg/d), and high dose group(HD, 25 mg/d). Each group consisted of 30 patients. All patients were treated with 5 mg/d rosuvastatain after PCI. The preoperative and postoperative (24 h) interleukin 6(IL-6), interleukin 10(IL-10), interferon γ(IFN-γ), and tumor necrosis factor α(TNF-α) were tested. Results The IL-6, IFN-γ and TNF-α levels in group LD were significantly higher during postoperative period than preoperative period(P<0.05) IL-6 and IFN-γ levels in group MLD were significantly greater during postoperative period than preoperative period(P<0.05) IL-6, IFN-γ and TNF-α levels in group MD, MHD, and HD during postoperative period had no significant difference compared with that in preoperative period(P>0.05), but IL-10 level was significantly greater during postoperative period than preoperative period(P<0.05). The 15 mg/d rosuvastatain dose could effectively reduce inflammatory factor levels and increase anti-inflammatory factor levels, and further increases in the rosuvastatain dose had no significant influences on inflammatory factor levels. Conclusions Relatively higher dose of rosuvastatain (15 mg/d) during preoperative period could reduce inflammatory factor levels and increase anti-inflammatory factor levels.

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申文宇.瑞舒伐他汀剂量对心绞痛患者经皮冠状动脉介入围手术期炎性因子的影响[J].中国动脉硬化杂志,2015,23(12):1263~1267.

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  • 收稿日期:2015-03-01
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  • 在线发布日期: 2015-12-26