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依折麦布联合低-中强度阿托伐他汀辅助阿司匹林治疗脑血管病的意义。

Implications of Ezetimibe in Combination with Low- to Moderate-Intensity Atorvastatin Adjuvant Aspirin Therapy for Cerebrovascular Disease.

机构信息

The People's Hospital of Suzhou New District, Department of Neurology, China.

出版信息

Comput Math Methods Med. 2022 Jul 18;2022:3369226. doi: 10.1155/2022/3369226. eCollection 2022.

Abstract

OBJECTIVE

To analyze the significance of ezetimibe in combination with low- to moderate-intensity atorvastatin adjuvant aspirin therapy for cerebrovascular disease.

METHODS

110 patients with cerebrovascular disease treated in our hospital from June 2020 to June 2021 were selected and divided into 55 patients in the control group and 55 patients in the study group according to the lottery method. After a comprehensive examination, patients in the two groups should be given aspirin for treatment; the control group was treated with conventional dose of atorvastatin on top of the above, and the study group was given ezetimibe and medium-low-dose atorvastatin on top of aspirin treatment, activities of daily living (ADL) score, carotid artery intima-media thickness, lipid level, coagulation level, clinical effect, and adverse rate of the two groups which were tested and compared.

RESULTS

After treatment, ADL score, high-density leptin cholesterol (HDL-C), and ATIII levels increased, while carotid artery media thickness, triglyceride (TG), total cholesterol (TC), low-density leptin cholesterol (LDL-C), DD, PC, and hs-CRP levels decreased ( < 0.05). After treatment, ADL score, HDL-C, and ATIII levels were higher in the study group. The levels of carotid media thickness, TG, TC, LDL-C, DD, PC, and hs-CRP were significantly lower ( < 0.05). The clinical effect of the study group was outstanding ( < 0.05). The defect rate of the study group was lower than that of the control group, but there was no difference ( < 0.05).

CONCLUSION

Ezetimibe combined with medium- and low-intensity atorvastatin with aspirin in the treatment of cerebrovascular diseases can effectively improve the coagulation function of patients, reduce the level of inflammatory factors in patients, and improve the level of blood lipids in patients, with high safety and worthy of clinical application.

摘要

目的

分析依折麦布联合低-中强度阿托伐他汀辅助阿司匹林治疗脑血管病的意义。

方法

选取 2020 年 6 月至 2021 年 6 月我院收治的 110 例脑血管病患者,采用抽签法分为对照组(55 例)和观察组(55 例)。两组患者均进行全面检查后,给予阿司匹林进行治疗;对照组在此基础上采用常规剂量阿托伐他汀治疗,观察组在阿司匹林治疗基础上加用依折麦布和中低剂量阿托伐他汀治疗,对比两组患者的日常生活活动(ADL)评分、颈动脉内膜中层厚度、血脂水平、凝血水平、临床疗效及不良反应发生率。

结果

治疗后,观察组 ADL 评分、高密度脂蛋白胆固醇(HDL-C)、抗凝血酶Ⅲ(ATⅢ)水平升高,颈动脉内膜中层厚度、三酰甘油(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、D 二聚体(DD)、血小板计数(PC)、超敏 C 反应蛋白(hs-CRP)水平降低,差异有统计学意义( < 0.05);观察组治疗后 ADL 评分、HDL-C、ATⅢ水平高于对照组,颈动脉内膜中层厚度、TG、TC、LDL-C、DD、PC、hs-CRP 水平均低于对照组,差异有统计学意义( < 0.05);观察组临床疗效显著,观察组不良反应发生率低于对照组,但差异无统计学意义( < 0.05)。

结论

依折麦布联合中低强度阿托伐他汀与阿司匹林治疗脑血管病可有效改善患者的凝血功能,降低患者炎症因子水平,改善患者的血脂水平,且安全性高,值得临床应用。

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