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他汀类药物在围手术期的多效性作用。

Pleiotropic effects of statins in the perioperative setting.

作者信息

Galyfos George, Sianou Argyri, Filis Konstantinos

机构信息

Department of Propaedeutic Surgery, Division of Vascular Surgery, University of Athens Medical School, Hippocration Hospital, Athens, Greece.

Department of Microbiology, University of Athens Medical School, Areteion Hospital, Athens, Greece.

出版信息

Ann Card Anaesth. 2017 Jan;20(Supplement):S43-S48. doi: 10.4103/0971-9784.197796.

DOI:10.4103/0971-9784.197796
PMID:28074822
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5299828/
Abstract

Statins belong to a specific group of drugs that have been described for their ability to control hyperlipidemia as well as for other pleiotropic effects such as improving vascular endothelial function, inhibition of oxidative stress pathways, and anti-inflammatory actions. Accumulating clinical evidence strongly suggests that statins also have a beneficial effect on perioperative morbidity and mortality. Therefore, this review aims to present all recent and pooled data on statin treatment in the perioperative setting as well as to highlight considerations regarding their indications and therapeutic application.

摘要

他汀类药物属于一类特定的药物,其已被描述具有控制高脂血症的能力以及其他多效性作用,如改善血管内皮功能、抑制氧化应激途径和抗炎作用。越来越多的临床证据强烈表明,他汀类药物对围手术期发病率和死亡率也有有益影响。因此,本综述旨在呈现围手术期他汀类药物治疗的所有最新和汇总数据,并强调有关其适应证和治疗应用的注意事项。

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Pleiotropic effects of statins in the perioperative setting.他汀类药物在围手术期的多效性作用。
Ann Card Anaesth. 2017 Jan;20(Supplement):S43-S48. doi: 10.4103/0971-9784.197796.
2
A review of perioperative statin therapy for noncardiac surgery.非心脏手术围手术期他汀类药物治疗的综述
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Progress in perioperative medicine: focus on statins.围手术期医学进展:聚焦他汀类药物。
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Are perioperative statins beneficial for cardiac surgery?围手术期使用他汀类药物对心脏手术有益吗?
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Pleiotropic vascular protective effects of statins in perioperative medicine.他汀类药物在围手术期医学中的多效性血管保护作用。
Acta Anaesthesiol Taiwan. 2013 Sep;51(3):120-6. doi: 10.1016/j.aat.2013.08.003. Epub 2013 Sep 13.
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Patient understanding of the importance of statin use in the perioperative period.患者对围手术期使用他汀类药物重要性的理解。
J Cardiothorac Vasc Anesth. 2015;29(3):670-7. doi: 10.1053/j.jvca.2014.10.021. Epub 2015 Feb 18.
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Beneficial effects of statins on perioperative cardiovascular outcome.他汀类药物对围手术期心血管结局的有益影响。
Curr Opin Anaesthesiol. 2006 Aug;19(4):418-22. doi: 10.1097/01.aco.0000236142.53969.7e.
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Perioperative statin use: an update.围手术期他汀类药物的使用:最新进展
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The effect of statins on perioperative events in patients undergoing vascular surgery.他汀类药物对接受血管手术患者围手术期事件的影响。
Acta Chir Belg. 2010 Jan-Feb;110(1):28-31. doi: 10.1080/00015458.2010.11680560.
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Perioperative Statin Therapy for Patients Undergoing Coronary Artery Bypass Grafting.冠状动脉旁路移植术患者的围手术期他汀类药物治疗
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Shrinking Weibel-Palade bodies prevents high platelet recruitment in assays using thrombotic thrombocytopenic purpura plasma.在使用血栓性血小板减少性紫癜血浆的检测中,缩小魏尔-帕拉德小体可防止大量血小板募集。
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Cardiac surgery-associated acute kidney injury: risk factors, pathophysiology and treatment.心脏手术相关急性肾损伤:危险因素、病理生理学和治疗。
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本文引用的文献

1
High-Dose Perioperative Atorvastatin and Acute Kidney Injury Following Cardiac Surgery: A Randomized Clinical Trial.高剂量围手术期阿托伐他汀与心脏手术后急性肾损伤:一项随机临床试验
JAMA. 2016 Mar 1;315(9):877-88. doi: 10.1001/jama.2016.0548.
2
Impact of statin therapy on coronary plaque composition: a systematic review and meta-analysis of virtual histology intravascular ultrasound studies.他汀类药物治疗对冠状动脉斑块成分的影响:虚拟组织学血管内超声研究的系统评价和荟萃分析
BMC Med. 2015 Sep 18;13:229. doi: 10.1186/s12916-015-0459-4.
3
Acute Kidney Injury After Major Surgery: A Retrospective Analysis of Veterans Health Administration Data.大手术后的急性肾损伤:对退伍军人健康管理局数据的回顾性分析
Am J Kidney Dis. 2016 Jun;67(6):872-80. doi: 10.1053/j.ajkd.2015.07.022. Epub 2015 Sep 1.
4
Statins, HMG-CoA Reductase Inhibitors, Improve Neovascularization by Increasing the Expression Density of CXCR4 in Endothelial Progenitor Cells.他汀类药物,即HMG-CoA还原酶抑制剂,通过增加内皮祖细胞中CXCR4的表达密度来改善血管新生。
PLoS One. 2015 Aug 26;10(8):e0136405. doi: 10.1371/journal.pone.0136405. eCollection 2015.
5
Ultrasound assessment of carotid plaque echogenicity response to statin therapy: a systematic review and meta-analysis.他汀类药物治疗对颈动脉斑块回声性影响的超声评估:一项系统评价和荟萃分析。
Int J Mol Sci. 2015 May 12;16(5):10734-47. doi: 10.3390/ijms160510734.
6
Preoperative rosuvastatin protects patients with coronary artery disease undergoing noncardiac surgery.术前服用瑞舒伐他汀可保护接受非心脏手术的冠心病患者。
Cardiology. 2015;131(1):30-7. doi: 10.1159/000371872. Epub 2015 Mar 27.
7
HMG CoA reductase inhibitors (statins) for preventing acute kidney injury after surgical procedures requiring cardiac bypass.用于预防心脏搭桥手术后急性肾损伤的HMG CoA还原酶抑制剂(他汀类药物)。
Cochrane Database Syst Rev. 2015 Mar 11;2015(3):CD010480. doi: 10.1002/14651858.CD010480.pub2.
8
Preoperative statin therapy decreases early mortality in patients undergoing isolated valve surgery: result from a meta-analysis.术前他汀类药物治疗可降低单纯瓣膜手术患者的早期死亡率:一项荟萃分析的结果。
J Cardiothorac Vasc Anesth. 2015 Feb;29(1):107-14. doi: 10.1053/j.jvca.2014.08.013.
9
Meta-analysis of the effects of statins on perioperative outcomes in vascular and endovascular surgery.他汀类药物对血管和血管内手术围手术期结局影响的荟萃分析。
J Vasc Surg. 2015 Feb;61(2):519-532.e1. doi: 10.1016/j.jvs.2014.10.021. Epub 2014 Dec 10.
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Statins reduce peri-procedural complications in carotid stenting.他汀类药物可降低颈动脉支架置入术围手术期并发症。
Eur J Vasc Endovasc Surg. 2014 Dec;48(6):626-32. doi: 10.1016/j.ejvs.2014.08.010. Epub 2014 Sep 16.