小剂量洛伐他汀和辛伐他汀的调脂作用
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Lipid-Regulating Effects of Low Dose of Lovastatin and Simvastatin
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    本文观察小剂量3-羟-3-甲戊二酰辅酶还原酶抑制剂-lovastatin(洛伐他汀10mg/天)和simvasatin(辛伐他汀5mg/天)对28例原发性高胆固醇血症患者的血脂影响。结果发现:服药后血清总胆固醇水平分别下降21.4%(2周)和30.4%(4周),低密度脂蛋白胆固醇分别下降36.3%和52.9%,高密度脂蛋白胆固醇分别升高15.5%和28.3%,这三项均有统计学差异。血清甘油三酯浓度依次下降21.2%和26.7%,但无统计学意义。仅1例诉消化道不适。资料表明:小剂量他汀类药物在短期内可明显降低总胆固醇,升高高密度脂蛋白胆固醇。副作用发生率低。

    Abstract:

    Low dose of the statin lipid regulating drugs,namely 10 mg daily dose of lovastatin of 5 daily dose of simvastatin was given to 28 cases with primary hypercholesterolmia.The results showed after 2 weeks and 4 weeks of treatment the levels of serum total cholesterol(TC) decreased 21.4%(P< 0.05) and 30.4%(P< 05),respectively; and the levels of lowdensi ty lipoprotein cholesterol (LDLC) decreased 36.3% (P< 0.05) and 52.9% (P<0. 05) respectively,and high-den sity lipoprotein cholesterol (HDLC) increased 15.5%(P <0. 05) and 28.3%(P<0. 05) ,respectively. Although the levels of triglyceride (TG) also decreased greatly after treatment but didn’t differ from the basic value significantly,only epigastric distress occured in one patient. The data demonstrated the low dose of statin lipid regulating drugs could decrease TC concentration and increase HDLC concentration remarkably within a period of short time and the incidence of side effects was very low. It is worthwhile to recommend spread use clinically.

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黄全跃,王世强,赵水平,刘元德,王钟林.小剂量洛伐他汀和辛伐他汀的调脂作用[J].中国动脉硬化杂志,1996,4(2):131~133.

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  • 收稿日期:1995-11-13
  • 最后修改日期:1996-04-21
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