血脂康对急性冠状动脉综合征患者炎症因子和MMP的影响
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The Effect of Xue zhi kang on Inflammatory Factors and Matrix Metalloproteinase in Patients with Acute Coronary Syndromes
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    摘要:

    目的:通过观察急性冠状动脉综合征(ACS)患者炎性指标和基质金属蛋白酶(MMP)水平的变化,探讨高敏C反应蛋白(hs-CRP)和MMP与ACS的关系及血脂康对其的影响。方法:选择符合诊断的ACS患者54例,对照组10例。54例ACS患者随机分为2个治疗组:血脂康组和阿托伐他汀组。检测血脂康组和阿托伐他汀组(下称治疗组)与对照组治疗前后血清hs-CRP、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、基质金属蛋白酶-2(MMP-2)、基质金属蛋白酶-9(MMP-9)的改变,并进行临床疗效对比。结果:治疗1周后两治疗组血清TC、TG、LDL-C、MMP-2、MMP-9、hs-CRP水平均较对照组有明显降低(P<0.05),但两治疗组间无显著性差异(P>0.05)。结论: 1)MMP-2、MMP-9、hs-CRP可作为检测斑块不稳定的指标。 2)血脂康具有降低血脂水平、降低ACS炎性指标MMP-2、MMP-9、hs-CRP水平的作用,在短期内血脂康与阿托伐他汀具有相似的抗动脉粥样硬化、稳定斑块的作用。

    Abstract:

    To observe the effect of Xue zhi kang on serum levels of high-sensitivity C-reactive protein (hs-CRP)、matrix metalloprotease in patients with acute coronary syndromes (ACS), and discuss how those factors correlate with ACS.Methods:Fifty-four patients with ACS were randomly divided into two groups: Xue zhi kang group and atorvastatin group. At the same time,10 cases of age matched ACS were selected as a control. The serum level of hs-CRP, cholesterol (TC),triglyceride (TG),low-density lipoprotein cholesterol (LDL-C),MMP-2 and MMP-9 were measured before and after treatment.Results:After one week treatment, there were significant reduction of all above serum levels in Xue zhi kang group and atorvastatin group when each was compared with the control group (P<0.05). However, there was no significant difference between Xue zhi kang groups and atorvastatin groups (P>0.05).Conclusion:1) MMP-2 and MMP-9 hs-CRP can be used as diagnostic indicator of unstable plaque; 2) Xue zhi kang can relieve blood fat, lower the levels of such ACS inflammatory factors as hs-CRP, MMP-9 and MMP-2, and produce similar effect of anti- artherosclerosis and stabilizing plaque as atorvastatin.

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林静,徐尚华,熊尚全.血脂康对急性冠状动脉综合征患者炎症因子和MMP的影响[J].世界中医药,2009,4(2).

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  • 收稿日期:2008-04-17
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  • 在线发布日期: 2012-10-26
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