• 成都中醫(yī)藥大學附屬醫(yī)院腎內科,四川成都 610072;

目的:研究羥甲戊二酰輔酶A還原酶抑制劑辛伐他汀治療慢性腎功能不全的臨床療效。方法:選擇慢性腎功能衰竭患者共40例,隨機分成兩組,在原有基礎治療上治療組20例患者予以辛伐他汀治療,對照組20例單純以基礎治療,在24周時監(jiān)測TC、TG、24 h尿蛋白、Scr、BUN、C-反應蛋白的值。結果:與治療前相比,兩組TC、TG、24 h尿蛋白、Scr、BUN、C-反應蛋白均明顯下降,與對照組相比,治療組血脂有顯著下降(P<0.01)而且24h尿蛋白、Scr、BUN、C-反應蛋白均明顯下降(P<0.05)。結論:辛伐他汀能降低蛋白尿,延緩慢性腎功能不全的進展

引用本文: 牟虹,陳彤,何隆,舒惠荃. 辛伐他汀治療慢性腎功能不全療效觀察. 華西醫(yī)學, 2008, 23(1): 130-130. doi: 復制

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2. 李航,李學旺,段琳,等,洛伐他汀對系膜細胞核因子-kB活性及炎性細胞因子表達的影響[J].中華腎臟病雜志,2001,17(4);242-245..
3. 陳楠,李婭,王偉銘,等,辛伐他汀對大鼠腎間質成纖維細胞的影響[J].腎臟病與透析腎移植雜志,2000,9(5):411-415..
4. Danesh FR,Sadeghi M M,Amro N,et a1.3 Hydroxy-3-methyl-glutaryl CoA reductase inhibitors prevent high glucose-induced proliferation of mesangial cells via modulation of Rho GTPase/p21 signaling pathway:Implications for diabetic nephropathy[J].Proc Natl Acad Sci,2002,11,99:8301-8305..
5. Yokota N,O Donnell M,DanM s F,ct a1.Protective effect of HMG~CoA reductase inhibitor on experimental renal ischemia-reperfusion injury[J].Am J Nephrol,2003,23:13-17..
6. Fehr T,Kahlert C,Fierz W,et a1.Statin induced immunomodulatory effects on human T cells in vivo[J].Atherosclerosis,2004,175:83-90..
  1. 1. [1]Nakamura T,Ushiyama C,Hirokawa K,et a1.Effect of cerivastatin on proteinuria and urinary podocytes in patients with chronic glomlo nephritis[J].Nephrol Dial Transplant,2002,17(5):798-802..
  2. 2. 李航,李學旺,段琳,等,洛伐他汀對系膜細胞核因子-kB活性及炎性細胞因子表達的影響[J].中華腎臟病雜志,2001,17(4);242-245..
  3. 3. 陳楠,李婭,王偉銘,等,辛伐他汀對大鼠腎間質成纖維細胞的影響[J].腎臟病與透析腎移植雜志,2000,9(5):411-415..
  4. 4. Danesh FR,Sadeghi M M,Amro N,et a1.3 Hydroxy-3-methyl-glutaryl CoA reductase inhibitors prevent high glucose-induced proliferation of mesangial cells via modulation of Rho GTPase/p21 signaling pathway:Implications for diabetic nephropathy[J].Proc Natl Acad Sci,2002,11,99:8301-8305..
  5. 5. Yokota N,O Donnell M,DanM s F,ct a1.Protective effect of HMG~CoA reductase inhibitor on experimental renal ischemia-reperfusion injury[J].Am J Nephrol,2003,23:13-17..
  6. 6. Fehr T,Kahlert C,Fierz W,et a1.Statin induced immunomodulatory effects on human T cells in vivo[J].Atherosclerosis,2004,175:83-90..