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普罗布考联合瑞舒伐他汀治疗血管性痴呆的临床观察

张潇 曾鼎华

中国药房2017,Vol.28Issue(5):649-652,4.
中国药房2017,Vol.28Issue(5):649-652,4.DOI:10.6039/j.issn.1001-0408.2017.05.20

普罗布考联合瑞舒伐他汀治疗血管性痴呆的临床观察

Clinical Observation of Probucol Combined with Rosuvastatin in the Treatment of Vascular Dementia

张潇 1曾鼎华1

作者信息

  • 1. 四川省医学科学院/四川省人民医院神经内科,成都 610000
  • 折叠

摘要

Abstract

OBJECTIVE:To explore the effectiveness and safety of probucol combined with rosuvastatin in the treatment of vascu-lar dementia(VD). METHODS:In retrospective study,clinical information of 88 VD patients selected from neurology department of our hospital during May 2013-Feb. 2015 were divided into observation group and control group according to therapy plan,with 44 cas-es in each group. Both groups received conventional treatments such as controlling blood pressure and blood glucose,anticoagulation. Control group was additionally given Rosuvastatin calcium tablets orally 20 mg,at bedtime;observation group was additionally given Probucol tablet 0.5 g,bid,after meal,on the basis of control group. Both groups received treatment for consecutive 3 months. MMSE and ADL score were compared between 2 groups before and after treatment as well as the levels of TC,TG,LDL-C,HDL-C,CRP, TNF-α,IL-6,IL-1β,SOD and MDA. The occurrence of ADR was also observed. RESULTS:Before treatment,there was no statisti-cal significance in above indexes between 2 groups(P>0.05). Compared to before treatment,MMSE and ALD score,serum SOD lev-el of 2 groups were increased significantly,while serum levels of TC,TG,LDL-C,CRP,TNF-α,IL-6,IL-1βand MDA were de-creased significantly after treatment,with statistical significance(P<0.05). Above indexes of observation group were significantly bet-ter than those of control group,with statistical significance(P<0.05). There was no statistical significance in HDL-C level between 2 groups before and after treatment (P>0.05). There was no statistical significance in the incidence of ADR between 2 groups(P>0.05).CONCLUSIONS:Probucol combined with rosuvastatin is better than rosuvastatin alone in reducing blood lipid,serum inflamma-tory factors and oxidant stress indexes levels,improving cognitive function and quality of life with good safety.

关键词

普罗布考/瑞舒伐他汀/联合用药/血管性痴呆/血脂/炎症/氧化应激

Key words

Probucol/Rosuvastatin/Drug combination/Vascular dementia/Blood lipid/Inflammation/Oxidative stress

分类

医药卫生

引用本文复制引用

张潇,曾鼎华..普罗布考联合瑞舒伐他汀治疗血管性痴呆的临床观察[J].中国药房,2017,28(5):649-652,4.

中国药房

OA北大核心CSTPCD

1001-0408

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