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阿托伐他汀钙治疗80岁以上抗磷脂综合征患者缺血事件的研究 |
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【摘要】 目的 观察>80岁患者抗磷脂综合征(APS)的临床特点,探讨他汀类药物防治APS患者反复发生心脑血管缺血事件的作用。 方法 回顾我院老年科收治的15例>80岁患者反复出现心脑血管缺血事件的临床资料,在常规抗血小板、抗凝治疗的基础上每晚加服阿托伐他汀钙20 mg,观察抗心磷脂抗体(aCL)滴度、氧化修饰型低密度脂蛋白(OxLDL)、血脂、血小板等指标的变化及随访心脑血管缺血事件发生率的情况。 结果 >80岁APS患者总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDLC)、高密度脂蛋白胆固醇(HDLC)正常或偏低;但OxLDL偏高;治疗后aCL滴度下降或降至阴性,OxLDL降至正常,颈部动脉斑块稳定。随访12月,心脑血管缺血事件发生显著降低(P=0.0001)。 结论 阿托伐他汀钙能通过降低aCL和OxLDL的表达,抑制氧化应激效应等,稳定了血管内皮功能及斑块而发挥心脑血管保护作用。
【关键词】 阿托伐他汀钙; 抗磷脂综合征; 反复心脑血管缺血事件; >80岁
Research of atorvastatin calcium in the treatment for antiphospholipid syndrome in patients aged over 80 HUANG Fang, ZHANG Yuan, LIU Yonghua, WAN Wenhui, QIAN Xiaoming. The First Department of Geriatrics, Nanjing General Hospital of Nanjing Military Command, PLA, Nanjing 210002, China
【Abstract】 Objective To observe the clinical features of antiphospholipid syndrome (APS) in patients aged over 80, and to approach the effects of statins on preventing and treating repeated relapse cardia and cerebral vessels ischemic events. Methods The clinical data of 15 patients with repeated relapse cardia and cerebral vessels ischemic events were retrospectively analyzed. The patients received atorvastatin calcium 20 mg per night on the basis of routine antiplatelet and anticoagulation treatment. The changes of the levels of antiphospholipid antibodys tite (aCL),oxidized low density lipoprotein (OxLDL), blood fat,blood plate, and the occurrance of cardia and cerebral vessels ischemic events were observed. Results The levels of total cholesterol (TC), triglyceride (TG), lowdensity lipoprotein cholesterol (LDLC), highdensity lipoprotein cholesterol (HDLC) of the patients aged over 80 were normal or partially low. But the levels of OxLDL were high. After treatment the aCL titer was decreased or descended to negative, and OxLDL descended to normal level. The cervical artery plaques were stable. After 12 months followup, the occurrence rate of cardia and cerebral vessels isch [1] [2] [3] [4] 下一页 上一个医学论文: 乌司他丁治疗危重症临床疗效观察 下一个医学论文: 磺胺嘧啶银联合局部氧疗治疗压疮的临床效果
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