他汀类药对脑梗死的临床疗效和作用机制

被引:34
作者
张利军
白宇
机构
[1] 上海中医药大学附属普陀医院神经内科
关键词
缺血性脑卒中; 他汀类药; 治疗;
D O I
暂无
中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
1002 ;
摘要
多项研究已经提示他汀类药可以降低缺血性脑卒中发生率,具有神经保护作用。他汀类药除降血脂作用外,还有改善血管内皮功能,减少氧化应激,抑制炎性反应等作用。缺血性脑卒中患者使用他汀类药治疗后恢复较好,这不仅归因于他汀类药的调脂作用,其还有各种非降脂作用,称他汀类药具有多效性。本文总结了有关他汀类药多效性作用的实验研究,以及他汀类药预防缺血性脑卒中的临床试验研究。
引用
收藏
页码:217 / 221
页数:5
相关论文
共 19 条
[11]  
Statins and stroke prevention .2 Amarenco P,Lavallee P,Touboul PJ. Cerebrovasc Dis . 2004
[12]   Simvastatin reduced ischemic brain injury and perfusion deficits in an embolic model of stroke [J].
Shabanzadeh, AP ;
Shuaib, A ;
Wang, CX .
BRAIN RESEARCH, 2005, 1042 (01) :1-5
[13]   Post-ischemic delivery of the 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitor rosuvastatin protects against focal cerebral ischemia in mice via inhibition of extracellular-regulated kinase-1/-2 [J].
Kilic, Ü ;
Bassetti, CL ;
Kilic, E ;
Xing, H ;
Wang, Z ;
Hermann, DM .
NEUROSCIENCE, 2005, 134 (03) :901-906
[14]   Effect of pravastatin on cerebral infarcts and white matter lesions [J].
ten Dam, VH ;
van den Heuvel, DMJ ;
van Buchem, MA ;
Westendorp, RGJ ;
Bollen, ELEM ;
Ford, I ;
de Craen, AJM ;
Blauw, GJ .
NEUROLOGY, 2005, 64 (10) :1807-1809
[15]   Statin reduce the platelet P-selectin expression in atherosclerotic ischemic stroke [J].
Cha, JK ;
Jeong, MH ;
Kim, JW .
JOURNAL OF THROMBOSIS AND THROMBOLYSIS, 2004, 18 (01) :39-42
[16]  
Statins in Stroke Prevention and Carotid Atherosclerosis: Systematic Review and Up-to-Date Meta-Analysis[J] . Pierre Amarenco,Julien Labreuche,Philippa Lavallée,Pierre-Jean Touboul.Stroke . 2004 (12)
[17]  
Effect of pretreatment with statins on the severity of acute ischemic cerebrovascular events[J] . S Greisenegger,M Müllner,S Tentschert,W Lang,W Lalouschek.Journal of the Neurological Sciences . 2004 (1)
[18]   Effects of cholesterol-lowering with simvastatin on stroke and other major vascular events in 20 536 people with cerebrovascular disease or other high-risk conditions [J].
Collins, R ;
Armitage, J ;
Parish, S ;
Sleight, P ;
Peto, R .
LANCET, 2004, 363 (9411) :757-767
[19]  
Statin use and stroke outcomes in the Heart and Estrogen–Progestin Replacement Study (HERS)[J] . C.D. Bushnell,L.K. Newby,L.B. Goldstein,F. Lin,K. Yaffe,J.A. Simon.Neurology . 2004 (6)