Meta-analysis for efficacy and safety of rosuvastatin and simvastatin in the treatment of hyperlipidemia
10.11958/20170615
- VernacularTitle:瑞舒伐他汀与辛伐他汀治疗高脂血症有效性的Meta分析
- Author:
yun Shao LIU
1
;
jia Xue YANG
;
cha Li KONG
;
ying Dong WANG
;
li Qiu DONG
;
ming Zhong WANG
;
Bin WANG
;
Song CUI
;
Jun MIAO
;
Tao TIAN
Author Information
1. 华北石油管理局总医院心内科 062552
- Keywords:
hyperlipidemias;
Meta-analysis;
Rosuvastatin;
Simvastatin;
systemic review
- From:
Tianjin Medical Journal
2017;45(12):1324-1329
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effectiveness and safety of rosuvastatin and simvastatin in the treatment of hyperlipidemia. Methods The database including CNKI, VIP, Wanfang data base and CBM were retrieved to search the clinical randomized controlled trials (RCT) of rosuvastatin and simvastatin in the treatment of hyperlipidemia, and the data were analyzed with Review Manager 5.2. Results Eighteen RCTs were included with a total sample size of 1819 cases with hyperlipidemia, in which there were 917 patients in rosuvastatin group and 902 in simvastatin group. The Meta-analysis results showed that there were significantly lower serum levels of total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), triglyceride (TG) and significantly higher level of high-density lipoprotein cholesterol (HDL-C) in rosuvastatin group compared with those of simvastatin group [(MD=-0.15, 95%CI:-0.22--0.09, P<0.01), (MD=-0.18, 95%CI:-0.25--0.11, P<0.01), (MD=-0.23, 95%CI:-0.28--0.19, P<0.01) and (MD=-0.11, 95%CI:-0.06--0.15, P<0.01)]. There was no significant difference in the incidence of gastrointestinal adverse reaction between the two groups. Conclusion The current clinical evidences show that rosuvastatin has a better effect on the treatment of hyperlipidemia, and has no adverse reactions.
