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纸质出版日期:2015
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曹珊, 王峰, 刘紫阳, 等. 丹蒌片抗动脉粥样硬化作用的临床研究[J]. 中国实验方剂学杂志, 2015,21(13):156-159.
CAO Shan, WANG Feng, LIU Zi-yang, et al. Clinical Study on Danlou Tablets in Anti-atherosclerosis[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(13): 156-159.
曹珊, 王峰, 刘紫阳, 等. 丹蒌片抗动脉粥样硬化作用的临床研究[J]. 中国实验方剂学杂志, 2015,21(13):156-159. DOI: 10.13422/j.cnki.syfjx.2015130156.
CAO Shan, WANG Feng, LIU Zi-yang, et al. Clinical Study on Danlou Tablets in Anti-atherosclerosis[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(13): 156-159. DOI: 10.13422/j.cnki.syfjx.2015130156.
目的: 观察丹蒌片对动脉粥样硬化(AS)患者血脂
外周血C-反应蛋白(CRP)
核转录因子-κB(NF-κB)水平及颈动脉病变的影响
探讨其抗动脉粥样硬化作用及相关机制。 方法: 符合入选标准的87例患者随机分为对照组和丹蒌片组(治疗组)
对照组给予瑞舒伐他汀治疗
治疗组在对照组治疗的基础上加用丹蒌片。12周后全自动生化仪检测血清总胆固醇(TC)
总甘油三酯(TG)
高密度脂蛋白(HDL)
低密度脂蛋白(LDL)
脂蛋白a(LPa)
载脂蛋白A(ApoA)
载脂蛋白B(ApoB);乳胶免疫比浊法
酶联免疫吸附法(ELISA)检测外周血CRP
NF-κB水平;飞利浦ie33超声机检测颈动脉内膜、中膜厚度(inteima-media thickness
IMT) 并进行颈动脉AS斑块积分。 结果: 与治疗前比较
两组血清TC
TG
LDL-C
LPa
ApoA
ApoB
CRP
NF-κB
CRP
IMT厚度及斑块积分水平均降低
血清ApoA
HDL水平升高(P<0.05
P<0.01)
但对照组HDL升高无统计学意义。治疗后与对照组比较
治疗组血清TC
LDL-C
LPa
ApoB降低更显著 (P<0.05);治疗组hs-CRP
NF-κB表达减少更明显(P<0.01);治疗组颈动脉IMT厚度及斑块积分下降优于对照组(P<0.05)。 结论: 丹蒌片联合瑞舒伐他汀能有效调节血脂水平
干预颈动脉AS斑块的发生发展
其抗AS的作用机制可能与下调CRP
NF-κB等炎症因子水平有关。
Objective: The aim of this study was to observe the influence of Danlou tablets on blood lipids
C-reactive protein(CRP)
nuclear factor-κB(NF-κB) in patients with athemsclerosis(AS)
and discuss the effect and mechanism involved in the process of anti-AS. Method: In this study
eighty-seven cases were divided into control group and Danlou group (treatment group) randomly
with control group treated with rosuvastatin merely
while treatment group by Danlou tablets and in the addition of rosuvastatin. After the treatment for 12 weeks
total cholesterol (TC)
triglyceride (TG)
high-density lipoprotein (HDL)
low density lipoprotein (LDL)
lipoprotein a (LPa)
apolipoprotein a (ApoA)
apolipoprotein B (ApoB) in plasma were detected by automatic biochemical analyzer;CRP
NF-κB in peripheral blood were detected by the way of latex-enhanced immunoturbidimetric test and ELISA;carotid artery intima-media thickness (IMT) was detected by Philips ie33 ultrasound machine and plaque score of the AS was collected. Result: After the treatment
the level of TC
TG
LDL-C
LPa
ApoB in blood decreased
HDL in plasma rised
with significant difference (P<0.05
P<0.01) before and after treatment. TC
LDL-C
ApoB in plasma of the treatment group dropped obliviously
and there was significant difference compared with control group (P<0.05).It can be induced that it was more effective to combine conventional treatment with Danlou tablets than conventional treatment alone. Expression of CRP
NF-κB in treatment group reduced significantly
and there was significant difference compared with control group(P<0.01). According to the carotid intima-media thickness and plaque score displayed
AS plaque in treatment group declined significantly with significant difference(P<0.05). Conclusion: DanLou tablets could regulate the blood lipid levels effectively
and intervene in the carotid plaque progression. And one of the mechanisms of anti-AS is to lower the levels of CRP
NF-κB and other inflammatory cytokine.
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