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高危冠心病患者长期强化降脂治疗对颈动脉内膜中层厚度的影响
引用本文:韩雅君,张园,刘小平,鄂路莎,梁戎. 高危冠心病患者长期强化降脂治疗对颈动脉内膜中层厚度的影响[J]. 内蒙古医学杂志, 2011, 43(9): 1025-1027
作者姓名:韩雅君  张园  刘小平  鄂路莎  梁戎
作者单位:1. 内蒙古自治区人民医院心内科,内蒙古呼和浩特,010017
2. 内蒙古自治区人民医院超声科,内蒙古呼和浩特,010017
3. 内蒙古自治区干部保健所,内蒙古呼和浩特,010017
基金项目:内蒙古自治区科技厅人口健康科技支撑项目(20080502)
摘    要:目的:观察长期降脂治疗的安全性以及对颈动脉中层内膜厚度的影响。方法:我院门诊长期服用辛伐他汀2年的冠心病心肌梗死或冠心病合并糖尿病患者56例,给予辛伐他汀40 mg/d 1年,观察治疗前后颈动脉中层内膜厚度、胆固醇、丙氨酸转氨酶、血肌酐变化。并随访1年的不良反应以及心血管事件。结果:胆固醇水平治疗前(3.86±1.34)mmol/L,治疗后(3.00±0.91)mmol/L,P=0.000;颈动脉中层内膜厚度治疗前(1.28±0.16)mm,治疗后(1.14±0.17)mm,P=0.000;治疗前后丙氨酸转氨酶和血肌酐无明显变化。结论:①长期服用辛伐他汀可以进一步降低胆固醇水平;②长期服用辛伐他汀40 mg/d可以减少颈动脉中层内膜厚度,逆转动脉粥样硬化;③长期服用辛伐他汀40 mg/d安全。

关 键 词:他汀  冠心病  颈动脉内膜中层厚度

Effect of Long Term Lowing Lipid on Carotid Arteries Intima-media Thickness in High Risk Patients with Coronary Heart Disease
HAN Ya-jun,ZHANG Yuan,LIU Xiao-ping,E Lu-sha,LIANG Rong. Effect of Long Term Lowing Lipid on Carotid Arteries Intima-media Thickness in High Risk Patients with Coronary Heart Disease[J]. Inner Mongolia Medical Journal, 2011, 43(9): 1025-1027
Authors:HAN Ya-jun  ZHANG Yuan  LIU Xiao-ping  E Lu-sha  LIANG Rong
Affiliation:HAN Ya-jun1,ZHANG Yuan1,LIU Xiao-ping2,E Lu-sha1,LIANG Rong3(1.Department of Cardiology,Inner Mongolia Autonomous Region people's Hospital,Huhhot 010017 China,2.Department of Ultratment,3.Inner Mongolia Autonomous Region People's Hospital Cadre Health-Care Station,Huhhot 010017 China)
Abstract:Objective:To observe the safety and effect of long term lowing lipid on carotid arteries intima-media thickness(IMT).Method:56 cases of outpatient with myocardial infarction or coronary heart disease with diabetes in our hospital were taking simvastatin for 2 years.Simvastatin(40 mg/d) should been given for 1year.The change before and after treatment of IMT,level of cholesterol(CHO),alanine aminotransferase(ALT),creatinine(Cr) were observed.The side effect and event of cardiovascular were followed up.Result...
Keywords:Statin  Coronary heart disease  Carotid arteries intima-media thickness  
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