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关于瑞舒伐他汀治疗的获益和风险的最新信息。

An update on the benefits and risks of rosuvastatin therapy.

机构信息

Director of Preventive Cardiology, CGH Medical Center, Sterling, IL; Professor of Clinical Family and Community Medicine, University of Illinois School of Medicine, Peoria, IL.

出版信息

Postgrad Med. 2014 Mar;126(2):7-17. doi: 10.3810/pgm.2014.03.2736.

Abstract

Rosuvastatin is a 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitor (statin) that reduces low-density lipoprotein cholesterol levels to the greatest extent of all currently marketed statins. Prospective, randomized studies demonstrate the ability of rosuvastatin to reduce the risk of cardiovascular events and stabilize atherosclerosis. However, the efficacy of rosuvastatin in patient subpopulations (eg, patients with chronic kidney disease, women, ethnic subgroups) is not well described in the literature. To provide an updated, comprehensive review of the efficacy and safety of rosuvastatin, a literature search of PubMed was conducted using statins as a major topic, MESH topic, or a word in the title (including rosuvastatin, fluvastatin, atorvastatin, pitavastatin, lovastatin, pravastatin, and simvastatin). Publications selected for inclusion in this review were published from January 1, 2010 to December 31, 2013, and provide new information pertaining to the efficacy and safety of rosuvastatin.

摘要

罗苏伐他汀是一种 3-羟基-3-甲基戊二酰辅酶 A 还原酶抑制剂(他汀类药物),可最大限度地降低所有目前市售的他汀类药物的低密度脂蛋白胆固醇水平。前瞻性、随机研究表明,罗苏伐他汀能够降低心血管事件的风险并稳定动脉粥样硬化。然而,罗苏伐他汀在患者亚群(例如,慢性肾脏病患者、女性、亚种族群体)中的疗效在文献中描述得并不充分。为了提供罗苏伐他汀疗效和安全性的最新、全面的综述,我们在 PubMed 上进行了一次文献检索,使用他汀类药物作为主要主题、MESH 主题或标题中的一个词(包括罗苏伐他汀、氟伐他汀、阿托伐他汀、匹伐他汀、洛伐他汀、普伐他汀和辛伐他汀)。选择纳入本综述的出版物发表于 2010 年 1 月 1 日至 2013 年 12 月 31 日,提供了与罗苏伐他汀疗效和安全性相关的新信息。

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