他汀类药物对血清甘油三酯的作用
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Effect of Statins on Triglyceride in Patients with Hyperlipidemia
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    摘要:

    为观察他汀类药物对血清甘油三酯的作用以及治疗前基础血清甘油三酯水平对其治疗作用的影响,本文分析了1994 年~1998 年期间进行的辛伐他汀和洛伐他汀两项多中心临床药物试验。治疗前血清总胆固醇≥5 .98 mmol/ L,甘油三酯≤4 .52 mmol/ L,按治疗前基础血清甘油三酯水平分组:辛伐他汀试验者166 例,口服辛伐他汀10 mg/d ;洛伐他汀试验者146例,口服洛伐他汀20 mg/d ,疗程均为8 周。结果发现,治疗前基础血清甘油三酯水平愈高,他汀类药物降低血清甘油三酯的作用愈明显,辛伐他汀和洛伐他汀降低血清甘油三酯的幅度均与治疗前基础血清甘油三酯水平呈正相关( r= 0 .3155 和r= 0 .3341 , P 均< 0 .01) 。结果提示,他汀类药物能有效地降低高甘油三酯血症患者的血清甘油三酯水平,其降低幅度与治疗前的基础血清甘油三酯水平有关。

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    Aim To evaluate the effect of statins on serum triglyceride in patients with hyperlipidemia, and whether the effect is related to baseline triglyceride levels. Methods The data analysed were originated from 2 separate multicenter clinical trials with similar designs. Baseline total cholesterol lecels was more than 5.98 mmol/L, and baseline triglyceride lecels was less than 4.52 mmol/L. The patients were grouped by baseline triglyceride levels. 166 patients had participated in Simvastatin Clinical Trial with simvastatin 10 mg once daily for 8 weeks. 146 patients had participated in Lovastatin Clinical Trial with lovastatin 20 mg once daily for 8 weeks. Results It showed that the higher the baseline triglyceride levels were, the more effective the simvastatin or lovastatin was in reducing serum triglyceride lecels. A positive correlation was found between baseline triglyceride levels and effects of simvastatin (r=0.3155,P<0.01) and lovastatin (r=0.3341,P<0.01) in reducing serum triglyceride lecels . Conclusions statins was effective in decreasing triglyceride levels in patients with hypertriglyceridemia. The change of reduction on triglyceride was closely related to baseline triglyceride lecels.

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伍卫,张旭明,周淑娴,韦育林.他汀类药物对血清甘油三酯的作用[J].中国动脉硬化杂志,1999,7(3):241~242.

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  • 收稿日期:1998-12-07
  • 最后修改日期:1999-07-12
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