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1. 河北中石油中心医院神经内科
2. 廊坊市第三人民医院呼吸内科
纸质出版日期:2020,
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[1]潘丹,苏微微,李立,陈魁霞,袁影,赵可新.匹伐他汀对脑梗死患者的多效性及安全性研究[J].中国医院用药评价与分析,2020,20(10):1200-1203.
PAN Dan, SU Weiwei, LI Li, et al. Study on Pleiotropy and Safety of Pitavastatin in Patients with Cerebral Infarction[J]. 2020,20(10):1200-1203.
[1]潘丹,苏微微,李立,陈魁霞,袁影,赵可新.匹伐他汀对脑梗死患者的多效性及安全性研究[J].中国医院用药评价与分析,2020,20(10):1200-1203. DOI: 10.14009/j.issn.1672-2124.2020.10.013.
PAN Dan, SU Weiwei, LI Li, et al. Study on Pleiotropy and Safety of Pitavastatin in Patients with Cerebral Infarction[J]. 2020,20(10):1200-1203. DOI: 10.14009/j.issn.1672-2124.2020.10.013.
目的:探讨匹伐他汀对脑梗死患者的多效性及安全性。方法:回顾性选取2018年2月至2019年4月河北中石油中心医院收治的脑梗死患者198例
按照治疗方法的不同分为匹伐他汀组(采用匹伐他汀钙片治疗
106例)和阿托伐他汀组(采用阿托伐他汀钙片治疗
92例)。比较两组患者治疗前和治疗后(6个月)的神经功能[美国国立卫生院卒中神经功能缺损评分量表(national institutes of health stroke scale
NIHSS)评分]、生活能力[日常生活活动(activity of daily living
ADL)评分]、血脂指标[总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)及高密度脂蛋白胆固醇(HDL-C)]和肝肾功能指标[肝功能包括天冬氨酸转氨酶(AST)、丙氨酸转氨酶(ALT);肾功能包括肌酐(Cr)、尿素氮(BUN)]水平的差异
观察两组患者的临床疗效和不良反应发生情况。结果:治疗后
两组患者NIHSS评分、ADL评分比较的差异均有统计学意义(P <0. 05)
其中
匹伐他汀组患者NIHSS评分明显低于阿托伐他汀组
而ADL评分则明显高于阿托伐他汀组。两组患者治疗后TG、TC及LDL-C水平比较
匹伐他汀组明显低于阿托伐他汀组
而HDL-C水平匹伐他汀组明显更高
差异均有统计学意义(P <0. 05)。治疗后
匹伐他汀组患者Cr、ALT及BUN水平明显低于阿托伐他汀组
差异均有统计学意义(P <0. 05)。匹伐他汀组患者的总有效率为94. 57%(87/92)
明显高于阿托伐他汀组的67. 92%(72/106)
差异有统计学意义(P <0. 05)。匹伐他汀组患者治疗过程中的不良反应发生率为6. 52%(6/92)
明显低于阿托伐他汀组的16. 98%(18/106)
差异有统计学意义(P <0. 05)。结论:与阿托伐他汀相比
匹伐他汀用于急性脑梗死患者的疗效、安全性更好
患者的神经功能、肝肾功能和生活质量均明显改善。
OBJECTIVE: To probe into the pleiotropy and safety of pitavastatin in patients with cerebral infarction.METHODS: Totally 198 patients with cerebral infarction admitted into Hebei Petrochina Central Hospital from Feb.2018 to Apr. 2019 were retrospectively selected and divided into pitavastatin group( treated with pitavastation
106 cases) and atorvastatin group( treated with atorvastatin calcium tablets
92 case) according to different therapeutic regimens. Differences in neurological function [score of national institutes of health stroke scale( NIHSS) ]
viability[score of activity of daily living( ADL) ]
blood lipid indicator [total cholesterol( TC)
triglyceride( TG)
low density lipoprotein cholesterin( LDL-C) and high density lipoprotein cholesterin( HDL-C) ]and hepatorenal function indicator [hepatic function including aspartate transaminase( AST)
alanine aminotransferase( ALT); renal function including creatinine( Cr)
blood urea nitrogen( BUN) ] were compared between two groups before and( 6 months)after treatment
the clinical efficacy and incidences of adverse drug reactions of both groups were observed. RESULTS:After treatment
differences in NIHSS and ADL scores between two groups were statistically significant( P < 0. 05)
of which the NIHSS score of pitavastatin group was significantly lower than that of the atorvastatin group
while the ADL score was significantly higher than that of the atorvastatin group. In the comparison of TG
TC and LDL-C levels between two groups after treatment
the pitavastatin group was significantly lower than those of the atorvastatin group
and HDL-C levels were significantly higher in the pitavastatin group
with statistically significant differences( P <0. 05). After treatment
the Cr
ALT and BUN levels of pitavastatin group were significantly lower than those of the atorvastatin group
with statistically significant differences( P < 0. 05). The total effective rate of pitavastatin group was 94. 57%( 87/92)
which was significantly higher than that of the atorvastatin group( 67. 92%
72/106)
with statistically significant differences( P < 0. 05). The incidence of adverse drug reactions of pitavastatin group was6. 52%( 6/92)
which was significantly lower than that of the atorvastatin group( 16. 98%
18/106)
withstatistically significant differences( P < 0. 05). CONCLUSIONS: Compared with atorvastatin
pitavastatin has better efficacy and safety in treatment of acute cerebral infarction
and the patients neurological function
liver and kidney function and quality of life are significantly improved.
匹伐他汀阿托伐他汀急性脑梗死神经功能生活能力血液指标临床疗效
PitavastatinAtorvastatiAcute cerebral infarctionNeurological functionViabilityBlood indicatorClinical efficacy
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