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| Meta-analysis of Pitavastatin in the treatment of hyperlipemia mixed with type 2 diabetes mellitus |
| PAN Dan1 CHEN Kuixia1 LI Li1 SU Weiwei2 WANG Qian1 LU Shan1 YUAN Ying3 ZHAO Kexin1 |
1.Department of Pharmacy, Hebei Petro China Central Hospital, Hebei Province, Langfang 065000, China;
2.Department of Neurology, Hebei Petro China Central Hospital, Hebei Province, Langfang 065000, China;
3.Department of Respiratory Medicine, the Third People′s Hospital of Langfang, Hebei Province, Langfang 065000, China |
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Abstract Objective To systematically evaluate the effect and safety of Pitavastatin in the treatment of hyperlipemia mixed with type 2 diabetes mellitus. Methods CNKI database, VIP database, Wanfang database, Cochoran Library, EMbase database and PubMed database were searched, and the search time was from November 1999 to June 2018. Randomized controlled tirals comparing Pitvastatin with Atorvastatin in the treatment of hyperlipemia mixed with type 2 diabetes mellitus were collected. The literatures were read and the information was extracted independently by two reviewers, a third party was requested to assist in case of disagreement. RevMan 5.0 statistical software was used to conduct a meta-analysis on the changes of fasting plasma glucose, glycosylated hemoglobin, total cholesterol and low density lipoprotein cholesterol and the occurrence of adverse reactions in the two groups. Results A total of 13 studies involving 1472 patients were included. Fasting plasma glucose levels of the test group were lower than those of the control group, with statistically significant differences (MD = -0.81, 95%CI: -1.20, -0.41, P < 0.0001). Glycosylated hemoglobin levels of the test group were lower than those of the control group, with statistically significant differences (MD = -0.37, 95%CI:-0.53, -0.21, P ＜ 0.000 01). There was no significant difference in total cholesterol levels between the two groups （MD = -0.01，95%CI:-0.06, 0.04，P > 0.05）. There was no significant difference in low density lipoprotein cholesterol levels between the two groups（MD = -0.00，95%CI:-0.06, 0.06，P > 0.05）. There was no significant difference in the incidence of adverse reaction between two groups(OR = 0.48, 95%CI:0.19, 1.20，P > 0.05). Conclution Pitavastatin is better Atorvastatin of lowering blood glucose in patients with dyslipidemia and diabetes inellitus, and the safety of the two drugs is similar.
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