威布尔模型对他汀类药物治疗高脂血症患者甘油三酯的应用

IF 2.3 4区 医学 Q2 PHARMACOLOGY & PHARMACY
Natsuki Nakayama, Kuniharu Imai, Shiori Niwa, Yoshimi Moriwaki, Chika Oshima, Nozomi Furukawa, Makoto Hirai
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引用次数: 0

摘要

以血清胆固醇或甘油三酯(TG)浓度异常为特征的血脂异常在中老年人群中普遍存在,可导致动脉粥样硬化和心血管风险增加。尽管口服他汀类药物能有效降低低密度脂蛋白胆固醇,但高tg浓度的患者发生动脉粥样硬化性心血管疾病的风险仍然很高。威布尔分析是一种广泛应用于可靠性工程和医学的统计方法,适用于评估反映血管老化或恶化的动脉刚度。本研究在接受他汀类药物治疗(STG)和未接受他汀类药物治疗(No-STG)的患者中,通过Weibull分析探讨了TG浓度与动脉硬度之间的关系。STG组的Weibull分布模式(97.8 mg/dL)大于No-STG组(80.7 mg/dL)。值得注意的是,与No-STG患者相比,STG患者在TG浓度高达170 mg/dL时表现出更低的危险函数。但在170 mg/dL以上,STG的危害函数等于或略大于No-STG。这些发现表明,如果没有他汀类药物治疗,动脉粥样硬化可能会在低TG浓度下发展,而他汀类药物可以有效地延缓其发生。然而,数据也强调了他汀类药物在显著降低TG浓度方面的局限性。这一信息强调了患者教育在预防动脉粥样硬化进展中的重要性。鼓励生活方式的改变,包括改善运动和饮食习惯,可以补充他汀类药物治疗,以优化心血管健康。这些发现为提高患者意识和促进心血管危险因素的主动管理提供了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Application of the Weibull Model to Statins for Triglyceride Management in Patients With Hyperlipidaemia.

Application of the Weibull Model to Statins for Triglyceride Management in Patients With Hyperlipidaemia.

Application of the Weibull Model to Statins for Triglyceride Management in Patients With Hyperlipidaemia.

Application of the Weibull Model to Statins for Triglyceride Management in Patients With Hyperlipidaemia.

Dyslipidemia, characterized by abnormal serum cholesterol or triglyceride (TG) concentrations, is prevalent among middle-aged and older adults and contributes to atherosclerosis and increased cardiovascular risk. Although oral statins effectively decrease low-density lipoprotein cholesterol, patients with high-TG concentrations remain at significant risk for atherosclerotic cardiovascular disease. Weibull analysis, a statistical method widely applied in reliability engineering and medicine, is suitable for assessing arterial stiffness, which reflects vascular aging or deterioration. This study explored the relationship between TG concentrations and arterial stiffness via Weibull analysis in patients treated with statins (STG) and patients without statin treatment (No-STG). The mode of the Weibull distribution was greater for STG (97.8 mg/dL) than for No-STG (80.7 mg/dL). Notably, compared with No-STG patients, STG patients presented lower hazard functions for TG concentrations up to 170 mg/dL. However, above 170 mg/dL, the hazard function for STG was equal to or slightly greater than that for No-STG. These findings suggest that without statin therapy, atherosclerosis may develop at lower TG concentrations, whereas statins effectively delay its onset. However, the data also highlight the limitations of statins in significantly reducing TG concentrations. This information underscores the importance of patient education in preventing the progression of atherosclerosis. Encouraging lifestyle changes, including improved exercise and dietary habits, can complement statin therapy to optimize cardiovascular health. These findings provide a basis for promoting patient awareness and fostering the proactive management of cardiovascular risk factors.

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来源期刊
Pharmacology Research & Perspectives
Pharmacology Research & Perspectives Pharmacology, Toxicology and Pharmaceutics-General Pharmacology, Toxicology and Pharmaceutics
CiteScore
5.30
自引率
3.80%
发文量
120
审稿时长
20 weeks
期刊介绍: PR&P is jointly published by the American Society for Pharmacology and Experimental Therapeutics (ASPET), the British Pharmacological Society (BPS), and Wiley. PR&P is a bi-monthly open access journal that publishes a range of article types, including: target validation (preclinical papers that show a hypothesis is incorrect or papers on drugs that have failed in early clinical development); drug discovery reviews (strategy, hypotheses, and data resulting in a successful therapeutic drug); frontiers in translational medicine (drug and target validation for an unmet therapeutic need); pharmacological hypotheses (reviews that are oriented to inform a novel hypothesis); and replication studies (work that refutes key findings [failed replication] and work that validates key findings). PR&P publishes papers submitted directly to the journal and those referred from the journals of ASPET and the BPS
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