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通心络对冠心病患者血清脂联素及血脂的影响
引用本文:蒋芳勇,卓柳安,张林潮,孙立平,韦红卫.通心络对冠心病患者血清脂联素及血脂的影响[J].疑难病杂志,2011,10(1):10-12.
作者姓名:蒋芳勇  卓柳安  张林潮  孙立平  韦红卫
作者单位:柳州市人民医院/广西医科大学第五附属医院心内科,545006
摘    要:目的探讨通心络对冠心病患者血清脂联素、血脂的影响及安全性。方法选取在我院确诊的85例冠心病合并高脂血症患者,随机分为通心络组45例(通心络0.79 g,每日3次,辛伐他汀20 mg,每晚1次口服),对照组40例(仅给予辛伐他汀20 mg,每晚1次口服),其他治疗2组无差异,观察治疗前后血脂及血清脂联素水平,并检测患者肝肾功能变化。结果 (1)治疗4周后2组血清脂联素水平均较治疗前升高,通心络组升高更为明显(P<0.05);总胆固醇(TC)及低密度脂蛋白胆固醇(LDL-C)水平均下降,通心络组下降更为明显(P<0.05);(2)血清脂联素变化与LDL-C变化呈负相关(通心络组:r=0.719,P<0.01,对照组:r=0.668,P<0.05)。(3)2组不良反应情况差异无统计学意义(P>0.05)。结论辛伐他汀可升高血清脂联素水平,降低TC及LDL-C浓度,加用通心络后效果更加明显,且药物安全性好;LDL-C与脂联素的变化呈负相关。

关 键 词:通心络  冠心病  脂联素

Effects of Tongxinluo on serum level of adiponectin and blood lipid in patients with coronary heart disease
JIANG Fang-yong,ZHUO Liu-an,ZHANG Lin-chao,et al..Effects of Tongxinluo on serum level of adiponectin and blood lipid in patients with coronary heart disease[J].Journal of Difficult and Complicated Cases,2011,10(1):10-12.
Authors:JIANG Fang-yong  ZHUO Liu-an  ZHANG Lin-chao  
Institution:JIANG Fang-yong,ZHUO Liu-an,ZHANG Lin-chao,et al.Department of Cardiology,People's Hospital of Liuzhou/the Fifth Affiliated Hospital to Guangxi Medical University,Liuzhou 545006,China
Abstract:Objective To analyze the effects of Tongxinluo on serum level of adiponectin(APN) and blood lipid in patients with coronary heart disease(CHD).Methods Eighty-five patients with CHD and higher blood total cholesterol were randomly divided into treatment group(n = 45) and control group(n = 40).The treatment group received simvastatin(20 mg,qn)and Tongxinluo(0.79 g,tid),while the control group received simvastitin(20 mg,qn) only.The level of APN and blood lipids were monitored before and after treatment.Beside...
Keywords:Tongxinluo  Coronary heart disease  Adiponectin  
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