ZOU Fan-wen,LU Li,ZHOU Jian-zhong,WANG Li.Interventional effects of natural or chemosynthesis statin on serum NO, ET, hs-CRP, IL-1 and TNF-α in simple essential hypertensive patients[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(24):2478-2481.
ZOU Fan-wen,LU Li,ZHOU Jian-zhong,WANG Li.Interventional effects of natural or chemosynthesis statin on serum NO, ET, hs-CRP, IL-1 and TNF-α in simple essential hypertensive patients[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(24):2478-2481.DOI:
Interventional effects of natural or chemosynthesis statin on serum NO, ET, hs-CRP, IL-1 and TNF-α in simple essential hypertensive patients
Objective To investigate effect of Xuezhikang capsule (a statin product from Chinese Herbs)or pravastatin (a chemosynthesis statin) combined with antihypertensive drugs on the serum levels of NO
ET
hs-CRP
IL-1 and TNF-α in essential hypertensive (EH) patients. Methods Thirty healthy individuals were enrolled as normal control. One hundred and fifty EH patients admitted in our departments from Dec. 2006 to Jun. 2008 were enrolled and randomly divided into 3 groups
the antihypertensive drugs treatment group (ATH group
n=50)
the pravastatin treatment group (PRA group
n=50) and the Xuezhikang treatment group (XZK group
n=50). Patients in the 3 groups were treated with routine antihypertensive drugs
in addition
pravastatin (20 mg every night) and Xuezhikang (0.6 g/time
twice a day) were given to PRA group and XZK group respectively. Serum NO
ET
hs-CRP
IL-1 and TNF-α were detected before and after eight-week treatment. Results Compared with healthy individuals
serum NO was decreased (P0.01)
and ET
hs-CRP
IL-1 and TNF-α were increased significantly in EH patients (P0.01). There were only 130 EH patients who finished this study
including 42 cases in ATH group
43 cases in PRA group and 45 cases in XZK group. After the treatment
serum NO in PRA group and XZK group was significantly higher than in the ATH group (P0.01). Serum ET
hs-CRP
IL-1 and TNF-α in PRA group and XZK group were obviously superior to that in the ATH group (P0.01). No significant difference was found between the pravastatin group and the XZK group. Conclusion Xuezhikang or pravastatin combined with the blood pressure controlled by antihypertensive drugs can improve endothelial function and inhibit inflammatory response in EH patients.