Effects of rosuvastatin on high-sensitivity C-reactive protein and insulin resistance in patients with hypertension and hyperlipidemia
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摘要: 目的:探讨瑞舒伐他汀对高血压病并血脂异常患者高敏C-反应蛋白 (hs-CRP) 及胰岛素抵抗 (IR) 的影响。方法:选取高血压病并血脂异常患者100例, 随机分为试验组及对照组, 每组50例, 均予降压治疗, 试验组加用瑞舒伐他汀10mg/d, 治疗时间为8周。另选取年龄、性别等相匹配的50例正常体检者作为健康组。观察治疗前后血压、血脂、血糖、hs-CRP、胰岛素抵抗指数 (HOMA-IR) 等指标变化。结果:试验组及对照组治疗前血清hs-CRP、HOMA-IR、血压、总胆固醇 (TC)、三酰甘油 (TG)、低密度脂蛋白胆固醇 (LDL-C) 水平均高于健康组 (均P<0.05), 而高密度脂蛋白胆固醇 (HDL-C) 低于健康组 (P<0.05);相关分析示hs-CRP与HOMA-IR呈正相关 (r=0.527, P<0.05)。试验组治疗8周后, 与治疗前相比血压、血清hs-CRP、HOMA-IR、血压、TC、TG、LDL-C水平均明显下降 (均P<0.05), HDL-C水平升高 (P<0.05), BMI差异无统计学意义;对照组与治疗前相比, 血压明显下降 (P<0.01), 余指标治疗前后差异无统计学意义;两组治疗后TC、LDL-C、HDL-C、HOMA-IR及hs-CRP水平比较差异有统计学意义 (均P<0.05)。结论:瑞舒伐他汀治疗高血压病并血脂异常患者, 调脂同时降低HOMA-IR及血清hs-CRP水平, 有抗炎及改善IR的作用。Abstract: Objective: To study the effects of rosuvastatin on high-sensitivity C-reactive protein (hs-CRP) and insulin resistance (IR) in patients with hypertension and hyperlipidemia.Method: All 100patients with hypertension and hyperlipidemia were randomly divided into treatment group (n=50) and control group (n=50).Both groups were treated with antihypertensive treatment, and treatment group was additionally treated with rosuvastatin (10mg/d) for 8weeks.Other 50normal subjects whose age, gender were matched were selected as healthy group.The changes of blood pressure, blood lipids, FPG, hs-CRP and insulin resistance index (HOMA-IR) in all were measured before and after treatment.Result: Levels of serum hs-CRP, HOMA-IR, blood pressure, total cholesterol (TC), triglyeride (TG) and low density lipoprotein-cholesterol (LDL-C) were significantly higher in treatment group and control group than those in healthy group (all P<0.05), whereas high density lipoproteincholesterol (HDL-C) was lower (P<0.05).Pearson linear correlation analysis showed that hs-CRP was positively correlated with HOMA-IR (r=0.527, P<0.05).Levels of serum hs-CRP, HOMA-IR, blood pressure, TC, TG and LDL-C decreased significantly in treatment group after 8weeks of treatment (all P<0.05), Levels of HDL-C increased significangtly (P <0.05), BMI had no significant difference.While blood pressure was decreased (P<0.01) and other indexes were not found significant differenc in control group.The comparison of TC, LDL-C, HDL-C, HOMA-IR and hs-CRP between two groups were significantly different after the treatment (all P<0.05).Conclusion: The treatment of rosuvastatin in patients with hypertension and hyperlipidemia can not only regulate the levels of blood lipids, but also decrease the serum hs-CRP and HOMA-IR, acting as anti-inflammatory and improving IR.
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Key words:
- hypertension /
- hyperlipidemia /
- rosuvastatin /
- high-sensitivity c-reactive protein /
- insulin resistance
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