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哈尔滨医药  2022, Vol. 42 Issue (3): 1-3    DOI: 10.3969/j.issn.1001-8131.2022.03.001
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替格瑞洛与匹伐他汀联合对急性心肌梗死经皮冠状动脉介入术后患者血清单核细胞趋化蛋白1、白细胞介素10水平的影响
张文雅
南阳市第一人民医院,河南 南阳 473000
Influence of Pitavastatin Combined With Ticagrelor on Serum Monocyte Chemoattractant Protein 1 and Interleukin 10 Levels in Patients With Acute Myocardial Infarction After Percutaneous Coronary Intervention
Zhang Wenya
Nanyang First People's Hospital,Nanyang 473000,China
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摘要 目的 探讨替格瑞洛与匹伐他汀联合对急性心肌梗死经皮冠状动脉介入(PCI)术后患者血清单核细胞趋化蛋白1(MCP-1)、白细胞介素10(IL-10)水平的影响。方法 选取PCI术的急性心肌梗死患者60例,随机分为对照组和观察组,其中对照组29例,观察组31例,在常规治疗的基础上,对照组给予替格瑞洛治疗,观察组在对照组的基础上联合匹伐他汀治疗,比较两组心功能指标、PCI术前后凝血状态、临床疗效以及炎性因子水平。结果 在PCI术前,两组患者左室舒张功能指标(E/A比值)和射血分数(EF)比较差异均无统计学意义(P>0.05),在PCI术后,两组E/A比值和EF明显高于PCI术前,并且观察组E/A比值和EF显著高于对照组,差异具有统计学意义(P<0.05);在PCI术前,两组患者纤维蛋白(Fg)和D-二聚体(DD)比较差异均无统计学意义(P>0.05),在PCI术后,两组Fg和DD明显低于术前,其中观察组Fg和DD显著低于对照组,差异具有统计学意义(P<0.05);观察组总有效为93.55%,高于对照组总有效72.41%(P>0.05);在PCI术前,两组患者IL-10、MCP-1和超敏C反应蛋白(hs-CRP)水平比较差异均无统计学意义(P>0.05),在PCI术后,两组患者IL-10、MCP-1和hs-CRP水平均高于术前,其中观察组除IL-10水平高于对照组外(P<0.05),MCP-1和hs-CRP水平均低于对照组(P<0.05)。结论 在PCI术后,替格瑞洛匹伐他汀联合治疗急性心肌梗死,可有效帮助患者改善心功能,提高PCI手术的疗效,同时降低炎性反应发生,提高IL-10水平和降低MCP-1水平。
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张文雅
关键词 匹伐他汀替格瑞洛急性心肌梗死MCP-1IL-10    
AbstractObjective This study was conducted to investigate the effect of pitavastatin combined with ticagrelor on serum monocyte chemoattractant protein 1(MCP-1)and interleukin 10(IL-10)levels in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods 60 patients with AMI who underwent PCI were enrolled in this study and randomly assigned to receive ticagrelor(control group,29 cases)or pitavastatin combined with ticagrelor(observation group,31 cases).Cardiac function indexes,coagulation states before and after PCI,clinical effects and inflammatory factor levels in the 2 groups were compared.Results Before PCI,no significant differences were found between the 2 groups in left ventricular diastolic function(E/A ratio)and ejection fraction(EF)(P>0.05).After PCI,the E/A ratio and EF increased significantly in the 2 groups,which were significantly higher in the observation group than in the control group(P<0.05).Before PCI,no significant differences were found between the 2 groups in fibrin(Fg)and D-dimer(DD)(P>0.05).After PCI,Fg and D-D decreased significantly in the 2 groups,which were significantly lower in the observation group than in the control group(P<0.05).The total response rate of the observation group was 93.55%,higher than 72.41% of the control group(P>0.05).Before PCI,no significant differences were found between the 2 groups in IL-10,MCP-1 and high-sensitivity C-reactive protein(hs-CRP)(P>0.05).After PCI,levels of IL-10,MCP-1 and hs-CRP in the 2 groups were higher than those before operation.Additionally,the observation group had IL-10 levels but lower MCP-1 and hs-CRP levels than the control group(P<0.05).Conclusion After PCI,using pitavastatin combined with ticagrelor in the treatment of AMI can effectively help improve cardiac function and curative effect of PCI while reducing the occurrence of inflammatory reactions,increasing IL-10 level and lowering MCP-1 level.
Key wordsPitavastatin    Ticagrelor    Acute myocardial infarction    MCP-1    IL-10
收稿日期: 2020-12-18     
PACS:  R457.2  
引用本文:   
张文雅. 替格瑞洛与匹伐他汀联合对急性心肌梗死经皮冠状动脉介入术后患者血清单核细胞趋化蛋白1、白细胞介素10水平的影响[J]. 哈尔滨医药, 2022, 42(3): 1-3.
Zhang Wenya. Influence of Pitavastatin Combined With Ticagrelor on Serum Monocyte Chemoattractant Protein 1 and Interleukin 10 Levels in Patients With Acute Myocardial Infarction After Percutaneous Coronary Intervention. journal1, 2022, 42(3): 1-3.
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