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瑞舒伐他汀对COPD稳定期患者肺功能及生活质量的影响
引用本文:何忠建. 瑞舒伐他汀对COPD稳定期患者肺功能及生活质量的影响[J]. 蚌埠医学院学报, 2016, 41(12): 1639-1641. DOI: 10.13898/j.cnki.issn.1000-2200.2016.12.032
作者姓名:何忠建
作者单位:江苏省钟山干部疗养院 内科, 江苏 南京 210014
摘    要:目的:探讨口服瑞舒伐他汀对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期患者肺功能及生活质量的影响。方法:选取88例COPD患者,随机分为观察组和对照组,各44例。对照组患者只进行常规治疗,观察组患者在常规治疗的基础上口服瑞舒伐他汀,每次20 mg,每天1次,治疗6个月。分别在治疗前及治疗1、6个月时测定患者的第1秒用力呼气容积(FEV1)、FEV1/用力肺活量(FVC)值,评估患者的肺功能,并用CAT量表评估患者的生活质量。结果:观察组患者治疗6个月FEV1和治疗1、6个月时2组患者FEV1/FVC值均高于治疗前(P<0.01),且治疗6个月时观察组患者FEV1/FVC值明显高于对照组(P<0.01)。观察组患者治疗1、6个月时和对照组治疗6个月CAT评分均明显低于治疗前(P<0.01),且治疗1个月和6个月时观察组患者的CAT评分均明显低于对照组(P<0.01)。结论:口服瑞舒伐他汀能有效改善COPD患者的肺功能及生活质量,临床疗效显著,值得推广应用。

关 键 词:肺疾病,阻塞性   瑞舒伐他汀   肺功能   生活质量
收稿时间:2016-09-29

Effect of rosuvastatin on the lung function and quality of life in stable COPD patients
Affiliation:Department of Internal Medicine, The Cadre Sanatorium of Zhongshan, Nanjing Jiangsu 210014, China
Abstract:Objective:To investigate the effects of oral administration of rosuvastain on the lung function and quality of life in stable chronic obstructive pulmonary disease ( COPD) patients. Methods:Eighty-eight patients with COPD were randomly divided into the observation group and the control group ( 44 cases each group ) . The control group were treated with conventional therapy, and the observation group were treated with 20 mg rosuvastain by oral,once a day for 6 months based on conventional therapy. The first second forced expiratory volume(FEV1) and ratio of FEV1 to forced vital capacity(FVC) in patients were determined before treatment and after 1 and 6 months of treatment,which was used to evaluate the lung function of patients. The quality of life of patients was evaluated using the CAT scale. Results:The FEV1 level after 6 months of treatment,and ratio of FEV1 to FVC after 1 and 6 months of treatment in two groups were higher than higher those before treatment(P<0. 01),and the ratio of FEV1 to FVC after 6 months of treatment in observation group was higher than that in control group. The CAT score in observation group after 1 and 6 months of treatment and score of CAT in control group after 1 mouth of 6 months were lower than those before treatment(P <0. 01),and the scores of CAT in observation group affter 1 and 6 months of treatment were lower than that in control group(P<0. 01). Conclusions:The rosuvastain can improve the lung function and quality of life in patients with COPD,the curative effect of which is distinct,and worthy of popularization and application.
Keywords:pulmonary disease  obstructive  rosuvastain  lung function  quality of life
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