瑞舒伐他汀对高血压患者血糖、血脂及超敏C反应蛋白水平的影响

徐卫东, 闵兆晗

徐卫东, 闵兆晗. 瑞舒伐他汀对高血压患者血糖、血脂及超敏C反应蛋白水平的影响[J]. 实用临床医药杂志, 2013, (7): 27-28,32. DOI: 10.7619/jcmp.201307008
引用本文: 徐卫东, 闵兆晗. 瑞舒伐他汀对高血压患者血糖、血脂及超敏C反应蛋白水平的影响[J]. 实用临床医药杂志, 2013, (7): 27-28,32. DOI: 10.7619/jcmp.201307008
XU Weidong, MIN Zhaohan. Effects of rosuvastatin on the levels of blood glucose, blood lipid and hypersensitive C-reactive protein in patients with hypertension[J]. Journal of Clinical Medicine in Practice, 2013, (7): 27-28,32. DOI: 10.7619/jcmp.201307008
Citation: XU Weidong, MIN Zhaohan. Effects of rosuvastatin on the levels of blood glucose, blood lipid and hypersensitive C-reactive protein in patients with hypertension[J]. Journal of Clinical Medicine in Practice, 2013, (7): 27-28,32. DOI: 10.7619/jcmp.201307008

瑞舒伐他汀对高血压患者血糖、血脂及超敏C反应蛋白水平的影响

基金项目: 中国高校医学期刊临床专项资金
详细信息
  • 中图分类号: R544.1

Effects of rosuvastatin on the levels of blood glucose, blood lipid and hypersensitive C-reactive protein in patients with hypertension

  • 摘要: 目的 探讨瑞舒伐他汀对高血压患者血糖、血脂及超敏C反应蛋白(hs-CRP)水平的影响.方法 选择86例不伴有糖尿病的高血压患者,采用自身对照方法,在常规降压治疗的基础上加服瑞舒伐他汀.观察用药前及用药8周后空腹血糖(FBG)、糖化血红蛋白(HbA1c)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)及hs-CRP的变化.结果 本组患者治疗后TC、LDL-C及hs-CRP水平均较治疗前显著下降,而HDL-C水平却显著升高,治疗前后比较差异均有统计学意义(P<0.05或P<0.01);本组患者治疗后FBG及HbA1c水平较治疗前略有所上升,但治疗前后比较差异无统计学意义(P>0.05).结论 对高血压合并高脂血症及高hs-CRP水平者加用瑞舒伐他汀,可显著降低TC、LDL-C及hs-CRP水平,升高HDL-C水平,降低心血管临床终点.
  • Banerjee Y. Is prolong use of statins associated with increase in the risk of diabetes [J]. Journal of the American College of Cardiology, 2013(9):989.
    Sattar N. Revisiting the links between glycaemia, diabetes and cardiovascular disease [J]. Diabetologia, 2013(4):686.
    《中国高血压防治指南修订》委员会. 中国高血压防治指南(2010) [J]. 中华心血管病杂志, 2011(7):579.doi: 10.3760/cma.j.issn.0253-3758.2011.07.002.
    Selwyn A P. Antiatherosclerotic effects of stains:LDL versus non-LDL effects [J]. Cunt Atheroscler Rep, 2007(4):281.
    Libby P. Inflammatory mechanisms:the molecular basis of inflammation and disease [J]. Nutrition Reviews, 2007, (12):S140.
    Virdis A, Schiffrin E L. Vascular inflammation:a role in vascular disease in hypertension [J]. Curr Opin in Nephrol and Hypertens, 2003(2):181.
    Jones P H, Davidson M H, Stein E A. Comparison of the efficacy and safety of rosuvastatin versus atorvastatin, simvastatin, and pravastatin across doses [J]. American Journal of Cardiology, 2003(2):152.
    Ray K K, Cannon C P, Cairns R. Relationship between uncontrolled risk factors and C-reactive protein levels in patients receiving standard or intensive statin therapy for acute coronary syndromes in the PROVE IT-TIMI 22 trial [J]. Journal of the American College of Cardiology, 2005(8):1417.
    徐琴玉. 瑞舒伐他汀对高血压合并高脂血症患者超敏C反应蛋白及血脂的影响 [J]. 实用预防医学, 2010, (11):2264.doi: 10.3969/j.issn.1006-3110.2010.11.054.
    Sattar N, Preiss D, Murray H M. Statinsand risk of incident diabetes:a collaborative meta-analysis of randomized statin trials [J]. The Lancet, 2010, (9716):735.
    Preiss D, Seshasai S R, Welsh P. Risk of incident diabetes with intensive-dose compared with moderate-dose statin therapy:a meta-analysis [J]. Journal of the American Medical Association, 2011, (24):2556.
    Izzo R, de Simone G, Trimarco V. Primary prevention with statins and incident diabetes in hypertensive patients at high cardiovascular risk [J]. Nutrition Metabolism and Cardiovascular Diseases, 2013.S0939-4753(12)00258-X.
    Ridker P M, Danielson E, Fonseca F A. Rosuvastatin to prevent vascular events in men and women with elevated C reactive protein [J]. New England Journal of Medicine, 2008, (21):2195.
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出版历程
  • 发布日期:  2013-06-12

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