鉴磊, 丛培玲, 孙晓斐, 张新岭. 非洛地平联合氟伐他汀对糖耐量减低的高血压病患者超敏C反应蛋白及内皮功能的影响[J]. 心脏杂志, 2010, 22(3): 369-372.
    引用本文: 鉴磊, 丛培玲, 孙晓斐, 张新岭. 非洛地平联合氟伐他汀对糖耐量减低的高血压病患者超敏C反应蛋白及内皮功能的影响[J]. 心脏杂志, 2010, 22(3): 369-372.
    Effect of combination of fuvastatin and felodipine on blood pressure, hs-CRP and vascular endothelial function in hypertensive patients with impaired glucose tolerance[J]. Chinese Heart Journal, 2010, 22(3): 369-372.
    Citation: Effect of combination of fuvastatin and felodipine on blood pressure, hs-CRP and vascular endothelial function in hypertensive patients with impaired glucose tolerance[J]. Chinese Heart Journal, 2010, 22(3): 369-372.

    非洛地平联合氟伐他汀对糖耐量减低的高血压病患者超敏C反应蛋白及内皮功能的影响

    Effect of combination of fuvastatin and felodipine on blood pressure, hs-CRP and vascular endothelial function in hypertensive patients with impaired glucose tolerance

    • 摘要: 目的:观察在应用非洛地平的基础上加用氟伐他汀对糖耐量减低的高血压病患者超敏C反应蛋白(hs-CRP)及内皮功能的影响。方法: 将符合纳入标准的高血压病并发糖耐量减低的患者127例随机分为2组:对照组(n=66)和氟伐他汀组(n=61),对照组服用非洛地平缓释片(10 mg,1次/d),氟伐他汀组在此基础上口服氟伐他汀(40 mg,1次/d),治疗12周。观察治疗前后患者hs-CRP和内皮功能等的变化。结果: 经12周治疗后,两组hs-CRP[对照组:(2.9±1.5)mg/L vs.(2.4±0.7)mg/L,P<0.05;氟伐他汀组:(2.9±1.5)mg/L vs.(1.3±0.4)mg/L,P<0.01]、可溶性细胞间黏附分子-1(sICAM-1)[对照组:(114±47)μg/L vs.(98±28)μg/L,P<0.05;氟伐他汀组:(118±46)μg/L vs.(78±24)μg/ml,P<0.01]及可溶性血管细胞黏附分子-1(sVCAM-1)[对照组:(2 265±99)μg/L vs.(190±56)μg/L,P<0.05;氟伐他汀组:(230±97)μg/L vs.(158±36)μg/L,P<0.01]水平明显下降,与对照组相比氟伐他汀组hs-CRP及SICAM-1、SVCAM-1有更明显的降低,比较差异有统计学意义(均P<0.01)。结论: 在应用非洛地平的基础上加用氟伐他汀能明显减低原发性高血压并发糖耐量减低患者hs-CRP的水平并改善患者的内皮功能。

       

      Abstract: AIM: To investigate the combined effects of fuvastatin and felodipine on blood pressure, hs-CRP and vascular endothelial function in hypertensive patients with impaired glucose tolerance (IGT). METHODS: One hundred and twenty seven patients with impaired glucose tolerance were randomized into two groups: treatment group and control group. Serum levels of soluble intercellular adhesion molecule-1 (sICAM-1), soluble vascular cell adhesion molecule-1 (sVCAM-1) and C-reactive protein (CRP) were measured before and after treatment. RESULTS: Twelve weeks after therapy, CRP levels [control group: (2.9±1.5) mg/L vs.(2.4±0.7) mg/L, P<0.05; treatment group: (2.9±1.5) mg/L vs.(1.3±0.4) mg/L, P<0.01], sICAM-1 [control group: (114 ± 47) μg/L vs.( 98±28) μg/L, P<0.05; treatment group: (118±46) μg/L vs.(78±24) μg/L, P<0.01] and sVCAM-1 [control group: (226±99) μg/L vs.(190±56) μg/L, P<0.05; treatment group: (230±97) μg/L vs.(158±36) μg/L, P<0.01] in the two groups significantly decreased. Compared with levels in the control group, the CRP levels [(2.4±0.7)mg/L vs.(1.3±0.4)mg/L, P<0.05]; sICAM-1 [(98±28)μg/L vs.(78±24)μg/L, P<0.05] and sVCAM-1 [(190±56)μg/L vs.(158±36)μg/L, P<0.05] in the treatment group significantly decreased. CONCLUSION: Combination of fuvastatin and felodipine improves vascular endothelial-dependent diastolic function in hypertensive patients with impaired glucose tolerance by reducing plasma hs-CRP and blood glucose.

       

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