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依泽替米贝治疗餐后高脂血症效果的一项初步研究。

A pilot study of the effect of ezetimibe for postprandial hyperlipidemia.

作者信息

Xue En-Zhong, Zhang Ming-Hui, Liu Chun-Li

机构信息

Department of Cardiology.

Department of Endocrinology, The People's Hospital of Yan'an, Yan'an, China.

出版信息

Medicine (Baltimore). 2018 Nov;97(46):e12960. doi: 10.1097/MD.0000000000012960.

Abstract

This study aimed to explore the feasible effect of ezetimibe for postprandial hyperlipidemia (PPHP).Sixty participants were included in this study. Of these, 30 subjects in the intervention group received ezetimibe, while the remaining 30 participants in the control group did not undergo ezetimibe. All patients in intervention group were treated for a total of 2 weeks. Primary endpoints consisted of serum levels of total cholesterol (Total-C), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), and triglyceride (TG). Secondary endpoints included apoB-48, remnant lipoprotein cholesterol (RLP-C), blood glucose, insulin, hemoglobin A1c (HbA1c), and monocyte chemotactic protein (MCP). All outcomes were measured before and after 2-week treatment.After 2-week treatment, participants in the intervention group did not show better outcomes in primary endpoints of Total-C, LDL-C, HDL-C, and TG; and secondary endpoints of apoB-48, RLP-C, blood glucose, insulin, HbA1c, and MCP, compared with subjects in the control group.The results of this study showed that ezetimibe may be not efficacious for participants with PPHP after 2-week treatment.

摘要

本研究旨在探讨依折麦布对餐后高脂血症(PPHP)的可行疗效。本研究纳入了60名参与者。其中,干预组的30名受试者接受依折麦布治疗,而对照组的其余30名参与者未接受依折麦布治疗。干预组的所有患者共接受了2周的治疗。主要终点包括血清总胆固醇(Total-C)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)和甘油三酯(TG)水平。次要终点包括载脂蛋白B-48、残粒脂蛋白胆固醇(RLP-C)、血糖、胰岛素、糖化血红蛋白(HbA1c)和单核细胞趋化蛋白(MCP)。所有结局指标均在治疗2周前后进行测量。治疗2周后,与对照组受试者相比,干预组受试者在Total-C、LDL-C、HDL-C和TG的主要终点以及载脂蛋白B-48、RLP-C、血糖、胰岛素、HbA1c和MCP的次要终点方面均未表现出更好的结果。本研究结果表明,依折麦布在治疗2周后对PPHP参与者可能无效。

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