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普伐他汀对糖尿病伴高脂血症患者血脂、血小板活化功能及血液流变学的影响
引用本文:吴志坚,林扬闯.普伐他汀对糖尿病伴高脂血症患者血脂、血小板活化功能及血液流变学的影响[J].江西医药,2008,43(10).
作者姓名:吴志坚  林扬闯
作者单位:1. 浙江省台州医院路桥院区心内科
2. 浙江省台州市立医院心内科,台州,318000
摘    要:目的探讨普伐他汀对2型糖尿病伴高脂血症患者血脂、血小板膜糖蛋白和血液流变学的影响。方法选择80例2型糖尿病伴高脂血症患者,予以普伐他汀片10mgqd口服,12周为1个疗程。测定治疗前和治疗4、12周后患者血脂、血小板活化指标CD62p和CD63及血液流变学指标的变化。结果治疗4、12周后患者血脂TC、TG、LDL-C和血小板膜糖蛋白CD62p、CD63水平均较治疗前明显降低(P<0.05或P<0.01),且血液流变学指标均有不同程度的改善。结论普伐他汀对2型糖尿病伴高脂血症患者具有降脂和抑制血小板活化作用,能明显改善血液流变学指标,临床应用疗效确切,不良反应少。

关 键 词:2型糖尿病  高脂血症  普伐他汀  血脂  血小板活化  血液流变学

The effects of Pravastatin on blood lipids,platelet activity and hemorheology in diabetic patients with hyperlipidaemia
Wu Zhijian,Lin Yangchuang.The effects of Pravastatin on blood lipids,platelet activity and hemorheology in diabetic patients with hyperlipidaemia[J].Jiangxi Medical Journal,2008,43(10).
Authors:Wu Zhijian  Lin Yangchuang
Institution:Wu Zhijian1,Lin Yangchuang2
Abstract:Objective To study the effects of pravastatin on blood lipids,platelet activity and hemorheology in type 2 diabetic patients with hyperlipidaemia.Methods Eighty patients with type 2 diabete complicated hyperlipidaemia had been treated with 10mg pravas-tatin per day for 12 weeks.The levels of blood lipids,platelet activity and hemorheology were measured before and after 4 and 12 weeks treatment.Results The levels of TC,TG,LDL-C,CD62p and CD63 significantly decreased and hemorheology were improved ob-viously when treated with pravastatin for 4 and 12 weeks.Conclusion Pravastatin can not only significantly reduce blood lipids and platelet activity but also obviously improve hemorheology in diabetic patients with hyperlipidaemia.
Keywords:type 2 diabetic  hyperlipidaemia  Pravastatin  blood lipids  platelet activity  hemorheology
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