阿托伐他汀治疗肥胖合并血脂异常患者的疗效

Wafa’ Mohamad AbuRoman, Ghada Fawzi Hardan, Hadeel Aref Elmomani, Afnan Adnan Almomani, Majedah Mustafa Jaradat, B. Abweny
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引用次数: 0

摘要

背景:许多合并症,如2型糖尿病、高血压、血脂异常和心血管(CV)疾病都更容易由肥胖引起。一般人群中较高的死亡率与较高的身体质量指数(BMI)密切相关。在经历动脉粥样硬化性心血管事件的高风险患者中,在广泛的胆固醇水平范围内,他汀类药物的使用可降低死亡率和复发性不良心脏事件。因此,建议他汀类药物治疗用于所有高危患者的二级预防,包括肥胖患者。目的:有证据支持使用他汀类药物进行脂质修饰对冠状动脉疾病、发病率和死亡率的一级预防。本研究的目的是确定阿托伐他汀对约旦肥胖患者血脂的直接影响。方法:根据NCEP ATP III标准,纳入200例超重、肥胖合并高胆固醇血症患者。根据阿托伐他汀剂量10、20、40 mg/d随机分为3组,治疗2个月。结果:在所有阿托伐他汀剂量下,高密度脂蛋白(HDL)显著增加,总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL)和极低密度脂蛋白(VLDL)显著降低。结论:在血脂异常的肥胖患者中,短期阿托伐他汀治疗可降低TC、TG、LDL和VLDL水平,并可显著提高HDL水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of Atorvastatin in Treatment of Obese Patients with Dyslipidaemia
Background: Numerous comorbidities, such as type 2 diabetes mellitus, hypertension, dyslipidemia, and cardiovascular (CV) disease are all made more likely by obesity. A higher mortality rate in the general population is strongly correlated with a high body mass index (BMI). In patients who are at high risk of experiencing an atherosclerotic CV event, the use of statins lowers mortality and recurrent adverse cardiac events across a broad range of cholesterol levels. Therefore, statin therapy is advised for secondary prevention in all high-risk patients, including those with obesity. Objectives: There is evidence to support the primary prevention of coronary artery disease, morbidity, and mortality using statins for lipid modifications. The purpose of this study is to ascertain the immediate impact of atorvastatin on the lipid profile in obese Jordanian patients. Methods: According to NCEP ATP III criteria, 200 overweight and obese patients with hypercholesterolemia were included. They received treatment for 2 months after being randomly divided into 3 groups based on the dosage of atorvastatin: 10, 20, and 40 mg/day. Results: With all atorvastatin doses, there was a significant desirable increase in high-density lipoprotein (HDL), and significant reduction in total cholesterol (TC), triglycerides (TG), low density lipoprotein (LDL), and very low-density lipoprotein (VLDL). Conclusion: In dyslipidemic obese patients, short-term atorvastatin therapy resulted in lower levels of TC, TG, LDL, and VLDL as well as a desirable increase in HDL.
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