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联合调脂治疗对动脉粥样硬化的影响及其安全性分析

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摘要 目的探讨阿托伐他汀联合缓释烟酸对颈动脉粥样硬化斑块、臂踝脉搏波传导速度(baPWV)、踝臂指数(ABI)的影响及其安全性。方法将混合型高脂血症合并颈动脉斑块患者138例随机分为观察组及对照组,各69例。观察组口服阿托伐他汀,对照组服用同等剂量阿托伐他汀并加用缓释烟酸。疗程均为12个月,治疗前后分别测定baPWV、ABI、颈动脉内膜中层厚度(IMT)及斑块的大小。结果观察组baPWV、ABI、颈动脉内膜中层厚度及斑块大小较对照组有明显改善(P<0.05或P<0.01),且未发现严重不良反应。结论阿托伐他汀联合缓释烟酸能更好地抗动脉硬化,抑制斑块生长,甚至缩小斑块,改善动脉弹性,且具有良好安全性。
机构地区 湖北省中山医院
出处 《中西医结合心脑血管病杂志》 2014年第5期538-539,共2页 Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
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