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羟氯喹对系统性红斑狼疮患者血脂代谢及左心室结构和功能的长期影响

[Long-term effects of hydroxychloroquine on metabolism of serum lipids and left ventricular structure and function in patients of systemic lupus erythematosus].

作者信息

Meng Juan, Lu Yuewu, Dong Xin, Liu Hongyan

机构信息

Department of Rheumatology & Immunology, Affiliated Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.

Department of Rheumatology & Immunology, Affiliated Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China. Email:

出版信息

Zhonghua Yi Xue Za Zhi. 2014 Apr 8;94(13):965-8.

PMID:24851679
Abstract

OBJECTIVE

To observe the long-term effects of hydroxychloroquine treatment on blood lipids and left ventricular function of systemic lupus erythematosus (SLE) patients.

METHODS

A total of 72 SLE patients were randomly divided into 2 groups of hydroxychloroquine treatment (n = 36) and non-hydroxychloroquine (n = 36). The serum level of lipids, left ventricular end-diastolic diameter (LVEDD), left ventricular end-systolic diameter (LVESD), interventricular septum thickness (IVST), left ventricular posterior wall thickness (LVPWT), fractional shortening rate (FS), left ventricular ejection fraction (LVEF) and E/A ratio were measured before, 6 month, 12 month and 2 years after treatment.

RESULTS

After long-term use of hydroxychloroquine, there were statistically differences in the levels of total cholesterol (TC), triglyceride (TG), low-density lipoprotein (LDL) and high-density lipoprotein (HDL). And LVEDD, LVWPT and E/A were statistically different (P < 0.05) before and after hydroxychloroquine dosing.

CONCLUSION

The long-term use of hydroxychloroquine may improve lipid metabolism and left ventricular function in SLE patients.

摘要

目的

观察羟氯喹治疗对系统性红斑狼疮(SLE)患者血脂及左心室功能的长期影响。

方法

将72例SLE患者随机分为羟氯喹治疗组(n = 36)和非羟氯喹组(n = 36)。于治疗前、治疗后6个月、12个月及2年测定血脂水平、左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)、室间隔厚度(IVST)、左心室后壁厚度(LVPWT)、缩短分数(FS)、左心室射血分数(LVEF)及E/A比值。

结果

长期使用羟氯喹后,总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL)及高密度脂蛋白(HDL)水平有统计学差异。羟氯喹给药前后LVEDD、LVPWT及E/A有统计学差异(P < 0.05)。

结论

长期使用羟氯喹可能改善SLE患者的脂质代谢及左心室功能。

相似文献

1
[Long-term effects of hydroxychloroquine on metabolism of serum lipids and left ventricular structure and function in patients of systemic lupus erythematosus].羟氯喹对系统性红斑狼疮患者血脂代谢及左心室结构和功能的长期影响
Zhonghua Yi Xue Za Zhi. 2014 Apr 8;94(13):965-8.
2
The lipid, lipoprotein, and apolipoprotein effects of hydroxychloroquine in patients with systemic lupus erythematosus.羟氯喹对系统性红斑狼疮患者脂质、脂蛋白及载脂蛋白的影响
J Rheumatol. 1993 Apr;20(4):661-5.
3
Hydroxychloroquine reduces low-density lipoprotein cholesterol levels in systemic lupus erythematosus: a longitudinal evaluation of the lipid-lowering effect.羟氯喹可降低红斑狼疮患者的低密度脂蛋白胆固醇水平:降脂作用的纵向评估。
Lupus. 2012 Oct;21(11):1178-82. doi: 10.1177/0961203312450084. Epub 2012 May 28.
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Hydroxychloroquine has no significant effect on lipids and apolipoproteins in Chinese systemic lupus erythematosus patients with mild or inactive disease.羟氯喹对病情轻度或非活动期的中国系统性红斑狼疮患者的血脂和载脂蛋白无显著影响。
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Serum soluble toll-like receptor 2: a novel biomarker for systemic lupus erythematosus disease activity and lupus-related cardiovascular dysfunction.血清可溶性Toll样受体2:系统性红斑狼疮疾病活动度及狼疮相关心血管功能障碍的新型生物标志物。
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Subclinical deterioration of left ventricular function in patients with juvenile-onset systemic lupus erythematosus.青少年型系统性红斑狼疮患者左心室功能的亚临床恶化
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Hydroxychloroquine use in the Baltimore Lupus Cohort: effects on lipids, glucose and thrombosis.羟氯喹在巴尔的摩狼疮队列中的应用:对脂质、血糖和血栓形成的影响。
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Effect of hydroxychloroquine on the lipid profile of patients with Sjögren syndrome.羟氯喹对干燥综合征患者血脂谱的影响。
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Favorable effects of hydroxychloroquine on serum low density lipid in patients with systemic lupus erythematosus: A systematic review and meta-analysis.羟氯喹对系统性红斑狼疮患者血清低密度脂蛋白的有益作用:一项系统评价和荟萃分析
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Longitudinal examination of lipid profiles in pediatric systemic lupus erythematosus.儿童系统性红斑狼疮血脂谱的纵向研究。
Arthritis Rheum. 2007 Feb;56(2):631-8. doi: 10.1002/art.22332.

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Systemic lupus erythematosus aggravates atherosclerosis by promoting IgG deposition and inflammatory cell imbalance.系统性红斑狼疮通过促进 IgG 沉积和炎症细胞失衡加重动脉粥样硬化。
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