Arjuna与瑞舒伐他汀对甘油三酯和高密度脂蛋白-胆固醇降血脂作用的比较研究

V. Prakash
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引用次数: 0

摘要

引言:由于冠心病的大量增加,对高血压、糖尿病、吸烟、高脂血症等常规危险因素的识别和纠正的需求已经显现出来,因为控制这些危险因素不仅可以防止动脉粥样硬化斑块的形成,而且可以减缓其进展,甚至促进其消退。目的:比较阿终与瑞舒伐他汀对男女血脂异常患者甘油三酯和高密度脂蛋白胆固醇的影响。材料与方法:对60例血脂异常患者进行为期12周的开放前瞻性随机对照研究。患者分为两组,每组30人。A组患者给予瑞舒伐他汀(10mg)每日1次,B组患者给予终叶(500mg)每日2次。甘油三酯和HDL-C水平在基线和开始治疗后4,8和12周进行统计分析。结果:与瑞舒伐他汀相比,终末阿朱那在4周、8周和12周时平均甘油三酯水平的降低幅度更大(-35.23±37.59 vs -13.30±6.64),(-51.66±48.67 vs -25.23±11.29)和(-60.63±49.93 vs-35.16±14.76),两组之间的差异在4周时具有统计学意义(p2.37±2.20vs 1.97±1.40),但在8周和12周时差异略小(3.43±2.88 vs 3.53±2.31)和(4.37±2.76 vs 4.77±2.40)。经比较发现差异无统计学意义。结论:瑞舒伐他汀和终叶都是有效的降血脂药,可显著降低甘油三酯,升高高密度脂蛋白胆固醇。阿尔诸那终草显示出更大的甘油三酯降低,被发现是安全的。关键词:瑞舒伐他汀,终叶,高密度脂蛋白胆固醇,甘油三酯
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Study comparing the hypolipidemic effects of Terminalia Arjuna with Rosuvastatin on triglyceride and high density lipoprotein- cholesterol levels
Introduction: Due to substantial increase of coronary heart disease, a need for identifying and correcting the conventional risk factors like hypertension, diabetes mellitus, smoking and hyperlipidemia has been emerged, as controlling them not only prevents the formation of atheromatous plaque but also slows down its progression and even promotes regression. AIM: Comparing the effects of Terminalia arjuna with Rosuvastatin on triglycerides and high density lipoprotein cholesterol in dyslipidemic patients of either sex. Materials and Methods: A 12 weeks open prospective randomized controlled study, enrolling 60 patients of dyslipidemia was conducted. Patients were distributed in two groups of 30 each. Group A was given Rosuvastatin (10mg) once daily and group B was given Terminalia arjuna (500mg) twice daily. Triglyceride and HDL-C levels were done at baseline and after 4, 8 and 12 weeks of starting the treatment and data was statistically analyzed. Results: Greater reduction in mean Triglyceride level was demonstrared with Terminali arjuna as compared to Rosuvastatin (-35.23±37.59 vs -13.30±6.64), (-51.66±48.67 vs -25.23±11.29) and (-60.63±49.93 vs-35.16±14.76) at 4, 8 and 12 weeks respectively and the difference between both the groups was statistically significant (p2.37±2.20vs 1.97±1.40) at 4 weeks but was slightly less (3.43±2.88 vs 3.53±2.31) and (4.37±2.76 vs 4.77±2.40) at 8 and 12 weeks. On comparing difference was found to be statistically non-significant. Conclusion: Rosuvastatin and Terminalia arjuna both are effective hypolipidemic agents causing significant decrease in triglyceride and increase in high density lipoprotein cholesterol. Terminalia arjuna had showed greater reduction triglyceride and was found to be safe. Keywords: Rosuvastatin, Terminalia arjuna, High density lipoprotein cholesterol, Triglyceride.
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