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编号:12137367
早期瑞舒伐他汀干预对不稳定型心绞痛支架术后血清妊娠相关蛋白A和高敏C反应蛋白的影响(1)
http://www.100md.com 2011年7月1日 翁建新 刘强 左辉华 王丽丽 张敏州 魏熠 陈绮映
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     摘要:目的 探讨瑞舒伐他汀对血脂水平正常的不稳定型心绞痛患者行PCI术后妊娠相关蛋白A(PAPP-A)及高敏C反应蛋白(hs-CRP)的影响。方法 56例血脂水平正常的不稳定型心绞痛患者,随机分为瑞舒伐他汀组和常规治疗组,两组患者分别于PCI术前、术后24 h、术后1个月检测血清PAPP-A 和hs-CRP水平。结果 两组患者术后24 h与术前比较,血清PAPP-A和hs-CRP浓度均有明显升高,但两组间比较,无明显差异;术后1个月,两组血清PAPP-A 和hs-CRP水平与术后24 h比较,均有回降,但瑞舒伐他汀组较常规治疗组回降更为明显,两者存在统计学意义(P<0.05)。结论 早期使用瑞舒伐他汀能更有效降低不稳定型心绞痛患者PCI术后PAPP-A和hs-CRP水平。

    关键词:瑞舒伐他汀;不稳定型心绞痛;妊娠相关蛋白A;高敏C反应蛋白;经皮冠脉介入治疗

    中图分类号:R541.4 R256.2 文献标识码:B 文章编号:1672-1349(2011)07-0781-03

    Influence of Rosuvastatain on Plasma PAPP-A and hs-CRP after PCI in Unstable Angina Pectoris

    Weng Jianxin,Liu Qiang,Zou Huihua,et al

    Sun Yatsen Cardiovascular Hospital,Shenzhen(Shenzhen 518102)

    Abstract:Objective To investigate the effects of rosuvastatain on the pregnancy-associated plasma protein-A(PAPP-A) and high sensitivity C-reactive protein(hs-CRP) afterpercutaneous coronary intervention(PCI) in patients(pts) with unstable angina pectoris(UAP).Methods Fifty-six pts with UAP were randomly divided into two groups:Rosuvastatain group(n30) treated with rosuvastatain and control group(n26) treated with routine treatment.The levels of PAPP-A and hs-CRP were detected before PCI and at 24 hours,1 month after PCI.ResultsThe levels of PAPP-A and hs-CRP were increased at the 24 hours after PCI in two groups(P<0.05).The levels of PAPP-A and hs-CRP were decreased at 1 month after PCI in two groups(P<0.05).The levels of PAPP-A and hs-CRP were obviously lower than that in control group(P<0.05).Conclusion Rosuvastatain could decrease the level of PAPP-A and hs-CRP significantly in pts with UAP after PCI.

    Key words:Rosuvastatain;unstable angina pectoris;pregnancy-associated plasma protein-A;high sensitivity C-reactive protein;percutaneous coronary intervention

    不稳定型心绞痛(UAP)是一种严重的心血管疾病 ......

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