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瑞舒伐他汀与阿托伐他汀对2型糖尿病患者实现联合C反应蛋白(<2 mg/L)和低密度脂蛋白胆固醇(<70 mg/dl)目标有效性的比较(来自ANDROMEDA研究)

Comparison of effectiveness of rosuvastatin versus atorvastatin on the achievement of combined C-reactive protein (<2 mg/L) and low-density lipoprotein cholesterol (< 70 mg/dl) targets in patients with type 2 diabetes mellitus (from the ANDROMEDA study).

作者信息

Betteridge D John, Gibson J Martin, Sager Philip T

机构信息

Department of Medicine, University College London, London, United Kingdom.

出版信息

Am J Cardiol. 2007 Oct 15;100(8):1245-8. doi: 10.1016/j.amjcard.2007.05.044. Epub 2007 Aug 2.

Abstract

Decreasing C-reactive protein (CRP) in addition to decreasing low-density lipoprotein (LDL) cholesterol may further decrease coronary heart disease risk. The effects of rosuvastatin compared with atorvastatin in achieving a combined target of LDL cholesterol <70 mg/dl and CRP <2 mg/L in 509 patients with type 2 diabetes mellitus was evaluated. CRP decreased significantly versus baseline in both treatment groups. Significantly more patients treated with rosuvastatin achieved the combined end point of LDL cholesterol <70 mg/dl and CRP <2 mg/L compared with atorvastatin by the end of the study period (58% vs 37%; p <0.001 vs atorvastatin). In conclusion, CRP was effectively decreased in patients with type 2 diabetes receiving rosuvastatin or atorvastatin, whereas rosuvastatin decreased LDL cholesterol significantly more than atorvastatin.

摘要

除降低低密度脂蛋白(LDL)胆固醇外,降低C反应蛋白(CRP)可能会进一步降低冠心病风险。我们评估了瑞舒伐他汀与阿托伐他汀在509例2型糖尿病患者中实现LDL胆固醇<70 mg/dl和CRP<2 mg/L联合目标的效果。两个治疗组的CRP均较基线水平显著降低。在研究期末,与阿托伐他汀相比,接受瑞舒伐他汀治疗的患者显著更多地达到了LDL胆固醇<70 mg/dl和CRP<2 mg/L的联合终点(58%对37%;与阿托伐他汀相比,p<0.001)。总之,接受瑞舒伐他汀或阿托伐他汀治疗的2型糖尿病患者的CRP均有效降低,而瑞舒伐他汀降低LDL胆固醇的幅度显著大于阿托伐他汀。

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