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Clinical effect of Simvastatin combined with Ezetimibe in the regulate lipid of patients with coronary heart disease |
LI Minfeng LUO Qiulin TANG Qianmei▲ |
Department of Cardiology, the Third Branch of Chongqing People 's Hospital, Chongqing 400014, China |
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Abstract Objective To analyse the clinical effects of Simvastatin combined with Ezetimibe in the treatment of patients with coronary heart disease and its influence for TC, LDL-C, ApoB. Methods From October 2015 to October 2016, 96 patients with coronary heart disease in the Third Branch of Chongqing People's Hospital were selected and divided into control group (48 cases) and observation group (48 cases). The control group was treated by Simvastatin, while the observation group was treated by Simvastatin combined with Ezetimibe. Three months after treatment, the compliance rate and adverse drug reactions of two groups were compared, and the changes of serum cholesterol (TC), low density lipoprotein cholesterol (LDL-C) and apolipoprotein (ApoB) levels were measured before and after treatment between two groups. Results The levels of TC, LDL-C and ApoB in the observation group were lower than those in the control group (P < 0.05). The rate of blood lipid in the observation group was higher than that in the control group, with statistically significant difference (P < 0.05). The incidence of adverse reactions in the observation group was higher than that in the control group, but the difference was not statistically significant (P > 0.05). Conclusion Simvastatin combined with Ezetimibe for coronary heart disease has a good effect in the regulate lipid, which has a high achievement rate of serum lipid and safety of medication.
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[1] 陈红,任景怡,武蓓,等.停用辛伐他汀对冠心病及冠心病危险因素患者血管内皮功能的影响[J].中华心血管病杂志,2010,35(6):531-535.
[2] 徐全胜,张家明,李宾公,等.辛伐他汀对冠心病患者内皮祖细胞增殖的影响及其机制初步探讨[J].心血管康复医学杂志,2011,16(3):271-274.
[3] 李小华,黄康.瑞舒伐他汀与辛伐他汀治疗老年冠心病伴高胆固醇血症的临床对比[J].中国老年学杂志,2015, 35(22):6427-6428.
[4] 中国成人血脂异常防治指南修订联合委员会.中国成人血脂异常防治指南(2016年修订版)[J].中国循环杂志,2016,31(10):937-950.
[5] Ba?鬤?觭ift?觭i F, ?匏ncekara H. Web based medical decision support system application of Coronary Heart Disease diagnosis with Boolean functions minimization method [J]. Exp Syst Appl,2011,38(11):14037-14043.
[6] 张凯,胡文星,赵守城,等.依折麦布联合舒洛地特对高龄冠心病和糖尿病患者调脂、抗炎作用的临床观察[J].东南国防医药,2012,14(5):428-431.
[7] 曲哲,刘佩,姚园,等.依折麦布联合瑞舒伐他汀钙治疗老年冠心病合并高脂血症的疗效观察[J].中西医结合心脑血管病杂志,2014,15(8):937-938.
[8] 王师菡,王阶,李霁,等.丹蒌片治疗痰瘀互阻型冠心病心绞痛的疗效评价[J].中国中西医结合杂志,2012,32(8):1051-1055.
[9] Mahdi V,Ali Z,Saeed B,et al. Diagnosis of coronary heart disease based on 1H NMR spectra of human blood plasma using genetic algorithm-based feature selection [J]. J Chemometrics,2013,27(10):318-322.
[10] 刘立志,曹桂秋,刘振国,等.依折麦布辛伐他汀片对冠心病患者颈动脉粥样硬化干预作用的疗效观察[J].吉林医学,2017,38(1):23-25.
[11] 孟昭斌.辛伐他汀和阿托伐他汀对冠心病患者的降血脂作用研究[J].中国生化药物杂志,2014,18(4):151-152.
[12] 陈裕,范晓飞,郑忠清,等.肝X受体在胆固醇代谢过程中的作用机制[J].临床肝胆病杂志,2016,32(5):1013-1017.
[13] 汤庆军.依折麦布联合辛伐他汀对慢性肾炎伴高血压患者心肾的保护效果[J].医学临床研究,2016,33(4):686-689.
[14] 吕荣,李道鸿,张国栋,等.依折麦布联合辛伐他汀对冠心病及糖尿病患者的血LDL-C达标和安全性观察[J].中国循证心血管医学杂志,2012,4(2):152-154.
[15] 黄珊,李天发,李巍景,等.辛伐他汀联合依折麦布对冠心病患者的作用机制研究[J].中国临床药理学杂志,2015, 31(19):1901-1903.
[16] 左国兴,王蹿蹿,杜新平,等.依折麦布联合辛伐他汀在冠心病调脂治疗未达标患者中的效果观察[J].中国医院药学杂志,2014,34(16):1385-1388.
[17] 梁伟,杨晖,吴春芳,等.不同调脂治疗方案对冠心病患者血脂和IL-6、TNF-α水平的影响[J].检验医学,2011, 26(3):193-197.
[18] 魏贵红,林邹琼.阿托伐他汀与辛伐他汀在治疗冠心病心绞痛患者中的疗效与安全性比较[J].实用临床医药杂志,2013,17(16):70-72.
[19] 赵美丽,刘大钧,刘敏,等.辛伐他汀联合依折麦布调脂作用临床观察[J].实用心脑肺血管病杂志,2010,18(1):16-17.
[20] 袁义丽,智永超.依折麦布联合辛伐他汀对冠心病患者的调脂作用[J].中国实用医药,2016,11(28):134-136. |
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