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Effect of the statins to the elder patients over 80 years old with dyslipidemia |
XU Wenxia1 GONG Yan1▲ YANG Chunhua1 LE Yan2 PANG Xiaofen1 |
1.Department of Geriatrics, Luwan Branch of Ruijin Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200020, China;
2.Radioimmunoassay Laboratory, Luwan Branch of Ruijin Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200020, China |
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Abstract Objective To investigate the benefit and safety situation of statins delivered to the elder people over 80 years old with dyslipidemia in clinical practice, and consequently provide guideline for the statins therapy applied to the elder people. Methods A total of 80 cases of the registered retired officers over 80 years old from August 2014 to Mag 2017 in Huangpu District, Shanghai, with dyslipidemia were selected. According to the random number table method, all the cases were divided into control group and study group, with 40 cases in each group. The control group was given blood lipid knowledge education, low fat diet and proper physical practice; the study group was given 40 mg/d Pravastatin po qn on the basis of the therapy of the control group. The two groups were followed up for 6 months about blood lipid, hepatorenal function, myocardial enzyme and inflammatory factor and analysis was performed. Results After treatment, the total cholesterol and uric acid level of the control group significantly reduced compared with those before treatment, and the difference was significant (P < 0.05). After treatment, the total cholesterol, low density lipoprotein-cholesterol, tumor necrosis factor and interleukins-6 levels significantly reduced compared with those before treatment, and the difference was significant (P < 0.05). After treatment, the total cholesterol level of the study group was significantly lower than the control group, and the difference was significant (P < 0.05). Conclusion Applying to elder people over 80 years old, Pravastatin can reduce blood lipid and inflammatory factor, meanwhile it has no obvious side effects on hepatorenal function, creatase and ventricular function.
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