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复方丹参滴丸对痰瘀互结型高脂血症患者的影响

[Effection of compositie salviae dropping pill on hyperlipemia patients with phlegm and blood stasis syndrome].

作者信息

Zhang Shi-Jun, Cheng Ze-Xiong, Lin You-Wu, Qin Jian, Cheng Yong-Hua, Liu Su-Ling

机构信息

The First Affiliated Hospital of Sun Yat-Sen Universty, Guangzhou 510080, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2007 Mar;32(5):440-3.

Abstract

OBJECTIVE

To explore the effect of compositie salviae dropping pill (CSDP) on hyperlipemia patients with phlegm and blood stasis syndrome.

METHOD

Hyperlipemia patients were divided randomly into two groups. One group of 40 patients were treated by CSDP, another group of 41 patients were treated by simvastatin. The TC, TG, HDL-C, LDL-C, ApoA and ApoB levels, ALT, r-GT, IL-6, MDA level and SOD activity were determined before and after being treated.

RESULT

After 3 months treatment, the TC, TG and LDL-C levels were obviously decreased in two groups (P <0.01, P < 0.05), there is no significant difference between the effective rate of two groups. The ALT, r-GT, IL-8 and MDA levels of treatment group were obviously decreased (P < 0.01, P < 0.05), while the ApoA level and SOD activity increased obviously in those patients (P <0.05, P <0.01, respectively). However, the ALT, r-GT, IL-6, MDA, HDL-C, ApoA level and SOD activity had no significant difference after treatment in control group.

CONCLUSION

Our study suggest that CSDP have the function of falling serum lipid level without damaging liver function, its function of protecting liver function might related to its function of improving of anti-oxidation and decreasing of inflammation, the mechanism of CSDP disparting and removing phlem and blood stasis in the processes lipid metabolism need to be studied further.

摘要

目的

探讨复方丹参滴丸(CSDP)对痰瘀互结型高脂血症患者的影响。

方法

将高脂血症患者随机分为两组。一组40例患者接受CSDP治疗,另一组41例患者接受辛伐他汀治疗。测定治疗前后的总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、载脂蛋白A(ApoA)和载脂蛋白B(ApoB)水平、谷丙转氨酶(ALT)、γ-谷氨酰转肽酶(r-GT)、白细胞介素-6(IL-6)、丙二醛(MDA)水平和超氧化物歧化酶(SOD)活性。

结果

治疗3个月后,两组患者的TC、TG和LDL-C水平均明显降低(P<0.01,P<0.05),两组有效率无显著差异。治疗组的ALT、r-GT、IL-8和MDA水平明显降低(P<0.01,P<0.05),而这些患者的ApoA水平和SOD活性明显升高(分别为P<0.05,P<0.01)。然而,对照组治疗后ALT、r-GT、IL-6、MDA、HDL-C、ApoA水平和SOD活性无显著差异。

结论

我们的研究表明,CSDP具有降低血脂水平而不损害肝功能的作用,其保护肝功能的作用可能与其改善抗氧化和减轻炎症的作用有关,CSDP在脂质代谢过程中化痰祛瘀的机制有待进一步研究。

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