Effect of simvastatin combined amlodipine besylate on blood rheology and platelet activation in elderly patients with hypertension complicated with hyperlipemia

摘要

Objective:To investigate the effect of simvastatin combined amlodipine besylate on blood rheology and platelet activation in elderly patients with hypertension complicated with hyperlipemia.Methods: A total of 200 elderly patients with hypertension complicated with hyperlipemia were divided into hypertension group (n=64), hyperlipemia group (n=71) and combined (hypertension complicated with hyperlipemia) group (n=65). And alternate period health check-up 100 cases were selected as control group. The hypertension group was treated with amlodipine besylate monotherapy, hyperlipidemia group with simvastatin monotherapy, combined group received simvastatin combined with amlodipine besylate treatment, patients of three groups were treated for 12 weeks. Blood rheology and platelet activation before and after treatment were compared.Results: After treatment, blood pressure was significantly lower than that before treatment in hypertension and combined group (P<0.05), and the combined group reduced more significantly (P<0.05), blood fat was significantly lower than that before treatment in hyperlipemia and combined group (P<0.05), and combined group reduced more significantly (P<0.05); Before treatment, indexes of blood rheology (high shear whole blood viscosity, low shear whole blood viscosity, plasma viscosity, fibrinogen and platelet activation index (CD62p and CD63) of three groups were significantly higher than those in control group (P<0.05), and the combined group was increased more significantly than hypertension and hyperlipidemia group (P<0.05); After treatment, blood rheology (high shear whole blood viscosity, low shear whole blood viscosity, plasma viscosity, fibrinogen) and platelet activation index (CD62p and CD63) of hyperlipidemia group and combined group were significantly lower than before treatment (P<0.05), and the reduction combined group were more significant in amplitude (P<0.05).Conclusions: Simvastatin combined amlodipine besylate therapy can obviously improve the blood pressure, blood fat, blood rheology and blood platelet abnormalities in elderly patients with hypertension complicated with hyperlipemia.