瑞舒伐他汀联合尼可地尔治疗冠状动脉慢血流的临床疗效

    Clinical effect of the rosuvastatin combined with nicorandil in the treatment of coronary slow flow

    • 摘要: 目的:观察瑞舒伐他汀联合尼可地尔对冠状动脉慢血流(CSF)的疗效。方法:收集冠状动脉造影诊断为CSF患者64例,随机分为对照组和治疗组各32例。对照组予阿司匹林、瑞舒伐他汀,治疗组在对照组基础上加用尼可地尔,观察治疗4、12周后2组患者胸痛症状改善程度,并检测血浆脂联素(APN)、超敏C反应蛋白(hs-CRP)及肿瘤坏死因子-α(TNF-α)等指标。结果:治疗4周后2组患者胸痛症状均较用药前改善,血浆APN水平较用药前升高;治疗12周后升高更明显,且治疗组升高程度均大于对照组(P<0.01),2组患者治疗4周后hs-CRP及TNF-α水平较用药前降低,治疗12周后降低更明显(P<0.01),且治疗组下降程度均大于对照组(P<0.01)。结论:瑞舒伐他汀联合尼可地尔对缓解CSF患者的胸痛症状疗效显著,可显著提高CSF患者的血浆APN水平,降低血浆hs-CRP和TNF-α水平。

       

      Abstract: Objective:To observe the effects of the rosuvastatin combined with nicorandil in the treatment of coronary slow flow(CSF).Methods:Sixty-four patients with CSF diagnosed by coronary arteriography were randomly divided into the control group and treatment group(32 cases each group).The control group were treated with aspirin combined with rosuvastatin, the treatment group were additionally treated with nicorandil based on the control group.The improvement of chest pain and the levels of APN, TNF-α and hs-CRP in two groups after 4 and 12 weeks of treatment were measured and recorded.Results:After 4 weeks of treatment, the chest pain symptoms and levels of APN in two groups were significantly improved.The levels of APN in two groups increased significantly after 12 weeks of treatment, and the increasing degree of APN in treatment group was higher than that in control group(P<0.01).After 4 weeks of treatment, the levels of hs-CRP and TNF-α in two groups decreased.The levels of hs-CRP and TNF-α in two groups decreased significantly(P<0.01) after 12 weeks of treatment, and the decreasing degree of hs-CRP and TNF-α in treatment group was higher than those in control group(P<0.01).Conclusions:The treatment of coronary slow flow with rosuvastatin combined with nicorandil can ease the chest pain, significantly improve the level of APN and decreased the levels of hs-CRP and TNF-α of patients.

       

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