他汀类药物对三级医院血脂异常患者血清尿酸的影响

Anjan Palikhey , Anil Lodh , Jharana Shrestha , Manoj Karki , Amit Kumar Shrivastava
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引用次数: 0

摘要

背景血脂异常患者的高尿酸血症已被认为是心血管疾病的潜在危险因素,因为它与动脉粥样硬化和氧化应激升高有关。因此,本研究的主要目的是评估他汀类药物对在三级护理医院接受血脂异常治疗的患者血尿酸水平的影响。方法该研究包括120名血脂异常患者,他们在2022年12月至2023年5月的六个月内在UCMS-TH的门诊医学部接受治疗。符合这项介入性纵向研究纳入标准的参与者在研究开始时和他汀类药物治疗6周后再次测量了他们的血清尿酸和脂质参数。使用依赖性t检验,我们比较了他汀类药物对血清尿酸降低的影响。结果治疗6周后,他汀显著降低血清尿酸水平,从基线的6.36±1.02 mg/dL降至5.12±0.43 mg/dL(P<;0.001)。他汀类药物治疗6周后,脂质标志物LDL-C、TG、TC和VLDL均降低,而HDL水平升高(P<;0.05)。结论由于血清尿酸水平升高与心血管疾病风险增加之间存在关联,阿托伐他汀等他汀类药物可用于因高尿酸血症而导致心血管死亡的高风险血脂异常患者。
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An effect of statin on serum uric acid in patients with dyslipidemia at a tertiary care hospital

Background

Hyperuricemia in dyslipidemic patients has been addressed as a potential risk factor for cardiovascular disease, because of its association with atherosclerosis and elevated oxidative stress. Hence, the main objective of the present study was to evaluate the effect of statins on blood uric acid level in patients being treated for dyslipidemia at a tertiary care hospital.

Methods

The study comprised 120 patients with dyslipidemia who were treated at UCMS-TH's outpatient medicine department over a six-month period from December 2022 to May 2023. Participants who met the inclusion criteria for this interventional longitudinal study had their serum uric acid and lipid parameters measured at the start of the study and again after 6 weeks of statin therapy. Using a dependent t-test, we compared the effects of statin on uric acid reduction in the serum.

Results

Statin significantly reduced serum uric acid levels from 6.36 ± 1.02 mg/dL baseline to 5.12 ± 0.43 mg/dL (P < 0.001) after 6 weeks of treatment. The lipid markers LDL-C, TG, TC, and VLDL were all lowered, whereas the HDL level was raised (P < 0.05) after 6 weeks of statin medication.

Conclusion

Because of the association between elevated serum uric acid levels and an increased risk of cardiovascular disease, statins like atorvastatin may be prescribed to dyslipidemic individuals at high risk for cardiovascular mortality due to hyperuricemia.

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来源期刊
Endocrine and Metabolic Science
Endocrine and Metabolic Science Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
2.80
自引率
0.00%
发文量
4
审稿时长
84 days
期刊最新文献
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