Effect of atorvastatin in the treatment of coronary heart disease patients with different Gensini score and its ;influence on hs-CRP level
10.3760/cma.j.issn.1008-6706.2017.03.028
- VernacularTitle:阿托伐他汀对不同 Gensini 评分冠心病患者的治疗效果及其对C反应蛋白水平的影响
- Author:
Jun SUN
- Keywords:
Coronary disease;
Atorvastatin;
Gensini score;
C-reactive protein
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(3):431-434
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of atorvastatin on the levels of high sensitive C-reactive protein (hs-CRP)in coronary heart disease(CHD)patients with different Gensini score.Methods 120 cases of CHD from March 201 1 to September 2015 in our hospital were selected as the research subjects.According to the different Gensini scores,they were divided into group A (Gensini score <40 ),group B (Gensini score 40 -60 ),group C (Gensini score 60 -80 ),group D (Gensini score >80 ),with 30 patients in each group.All patients were given atorvastatin treatment,the therapeutic effect of the four groups,the total cholesterol(TC),three glycerol(TG),high density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL -C)and hs -CRP levels after treatment were compared.Results After treatment,the lower the Gensini score,the better curative effect,four groups had statistically significant difference in the therapeutic effects(P<0.05),and the total effective rates of group A,B, C and D were 96.7%,86.7%,76.6%,56.7%.After treatment,the TG,TC,HDL-C,LDL-C in four groups were improved,A group improved significantly better than the B group,B group improved better than those of C group,C group improved better than those of D group,the differences were statistically significant(F=6.253,6.258,5.856, 6.259,all P<0.05).After treatment,the levels of hs-CRP in group A,B,C and D were (8.2 ±3.9)mg/L,(11.9 ± 6.9)mg/L,(19.2 ±9.3)mg/L,(24.5 ±11.6)mg/L,the hs-CRP levels of four groups were lower,hs-CRP level after treatment in group A was lower than that of B,C,D groups;and hs-CRP level after treatment in group B was lower than that of group C,D;hs-CRP level of C group after treatment was lower than that of group D.The differ-ences were statistically significant(t=12.651,9.185,4.982,3.030,all P<0.05).Conclusion The level of serum hs-CRP in patients with CHD is higher,and the level of hs-CRP is positively correlated with the Gensini score.
