引用本文:陈 英,段小嬿,张树锋,关浩增,吴相慰.短期大剂量普伐他汀对急性心肌梗死患者CRP和MMP-9的影响[J].中国临床新医学,2012,5(3):198-200.
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短期大剂量普伐他汀对急性心肌梗死患者CRP和MMP-9的影响
陈 英,段小嬿,张树锋,关浩增,吴相慰
530021 南宁,广西壮族自治区江滨医院心血管三科
摘要:
[摘要] 目的 观察较大剂量普伐他汀治疗心肌梗死患者3 d后C反应蛋白(CRP)、基质金属蛋白酶-9(MMP-9)的变化。方法 72例急性心肌梗死患者分为A、B两组,每组36例,A组口服普伐他汀片40 mg/d,B组口服普伐他汀片20 mg/d,治疗前及治疗3 d后分别测定CRP和MMP-9。结果 两组患者血清CRP和MMP-9在治疗后3 d均有明显下降(P<0.05),但以40 mg普伐他汀组更明显(P<0.01)。结论 急性心肌梗死早期使用普伐他汀可抑制患者炎性反应,且较大剂量效果更好。
关键词:  心肌梗死  普伐他汀  炎性因子
DOI:10.3969/j.issn.1674-3806.2012.03.04
分类号:R 542.2+2
基金项目:广西自然科学基金资助项目(编号:桂科自0542060)
Effect of large dose of pravastatin on serum CRP and MMP-9 level in patients of acute myocardial infarction
CHEN Ying, DUAN Xiao-yan, ZHANG Shu-feng, et al.
Department of Cardiovasoloy,Guangxi Jiangbin Hospital, Nanning 530021, China
Abstract:
[Abstract] Objective To observe the effects of large does of pravastatin on the charnge of C reactive protein (CRP),Matrix metalloproteinase-9(MMP-9) in acute myocardial infarction patients.Methods 72 patients with acute myocardial infaction were divided into two groups: the group A were administered orally pravastatin 40 mg/d and the group B were administered orally pravastatin 20 mg/d. The serum levels of CRP, MMP-9 were measured at the end of the treatment.Results The two groups serum levels of CRP、MMP-9 were significantly decreased at the end of the 3th day(P<0.05),and the group A was superior to group B.Conclusion The inflammatory reaction could be inhibited in acute myocardial infarction patients treated with pravastatin.
Key words:  Myocardial infarction  Pravastatin  Inflammatory makers