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Clinical significance and efficacy analysis of atorvastatin in the treatment of patients with cerebral infarction and aspiration pneumonia

机译:阿托伐他汀治疗脑梗死和吸入性肺炎的临床意义及疗效分析

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摘要

Therapeutic efficacy of the use of oral atorvastatin in the treatment of patients with aspiration pneumonia complicated with cerebral infarction was investigated. Three hundred and fourteen cerebral infarction patients complicated with aspiration pneumonia who were admitted to the emergency department of Beijing Chaoyang Hospital Jingxi Branch from May 2015 to July 2017 were retrospectively analyzed. Among them, 160 patients who took atorvastatin were treated as observation group, and the remaining 154 patients were the control group. Patients were given basic treatment after diagnosis, and atorvastatin was also used for patients in the observation group. Venous blood was extracted to detect blood lipids and inflammatory cytokines. Patients were followed up for a period of six months, and the mortality was recorded. After treatment, blood lipid function and inflammatory factors in both groups were significantly improved (P<0.05). Hospital stay in the observation group (86.88%) was significantly shorter than that in the control group (76.33%) (P<0.01). After treatment, levels of TC, LDL, TG and CRP in the observation group (86.25%) were significantly lower than those in the control group (76.32%) (P=0.01). However, after treatment, level of HDL-C in the observation group (11.88%) was significantly higher than that in the control group (23.38%) (P=0.01). After treatment, levels of IL-6, IL-8 and TNF-α in the observation group were significantly lower than those in the control group (P<0.01). Total effective rate in the observation group was significantly higher than that of the control group (P=0.01). Total death rate in the observation group was significantly lower than that in the control group (P=0.02). In conclusion, atorvastatin is effective in the treatment of cerebral infarction patients complicated with aspiration pneumonia.
机译:研究了口服阿托伐他汀治疗吸入性肺炎并发脑梗死的疗效。回顾性分析2015年5月至2017年7月北京朝阳医院靖西分院急诊科收治的并发吸入性肺炎的脑梗死患者314例。其中,服用阿托伐他汀的16​​0例患者作为观察组,其余154例为对照组。诊断后对患者进行基本治疗,观察组患者也使用阿托伐他汀。提取静脉血以检测血脂和炎性细胞因子。对患者进行了六个月的随访,并记录了死亡率。治疗后,两组的血脂功能和炎性因子均明显改善(P <0.05)。观察组住院时间(86.88%)明显短于对照组(76.33%)(P <0.01)。治疗后,观察组的TC,LDL,TG和CRP水平(86.25%)明显低于对照组(76.32%)(P = 0.01)。然而,治疗后,观察组的HDL-C水平(11.88%)显着高于对照组(23.38%)(P = 0.01)。治疗后,观察组IL-6,IL-8和TNF-α水平明显低于对照组(P <0.01)。观察组总有效率明显高于对照组(P = 0.01)。观察组总死亡率明显低于对照组(P = 0.02)。总之,阿托伐他汀可有效治疗并发吸入性肺炎的脑梗死患者。

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