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阿利西尤单抗对急性冠脉综合征急诊PCI后患者的影响OA

Effect of Alirocumab on Patients with Acute Coronary Syndrome after Emergency PCI

中文摘要英文摘要

目的:探讨阿利西尤单抗对急性冠脉综合征急诊经皮冠状动脉介入术(PCI)后患者的影响.方法:选择 2022 年 5 月—2024 年 8 月景德镇市第二人民医院收治的 100 例急性冠脉综合征急诊 PCI 后患者.根据随机数字表法分为常规组(给予阿托伐他汀钙片)和单抗组(给予阿托伐他汀钙片+阿利西尤单抗注射液),各 50 例.对比两组血脂指标、炎症因子、心功能指标及随访期间的不良心血管事件发生率.结果:治疗 2 个月后,单抗组 TG、TC、LDL-C、脂蛋白(a)[Lp(a)]、载脂蛋白 B(ApoB)、hs-CRP、同型半胱氨酸(Hcy)、IL-6 低于常规组,左心室舒张末内径(LVEDD)小于常规组,HDL-C及左心室射血分数(LVEF)高于常规组(P<0.05).两组不良心血管事件发生率比较,差异无统计学意义(P>0.05).结论:阿利西尤单抗能够改善急性冠脉综合征急诊 PCI 后患者的血脂指标及炎症水平,改善心功能,且安全性较高.

Objective:To investigate the effects of Alirocumab on patients with acute coronary syndrome after emergency percutaneous coronary intervention(PCI).Method:A total of 100 patients with acute coronary syndrome after emergency PCI who were admitted to the Second People's Hospital of Jingdezhen from May 2022 to August 2024 were selected.According to the random number table method,they were divided into the conventional group(given Atorvastatin Calcium Tablets)and the monoclonal antibody group(given Atorvastatin Calcium Tablets+Alirocumab Injection),with 50 cases in each group.The lipid indicators,inflammatory factors,cardiac function indicators and the incidence of adverse cardiovascular events during the follow-up period between the two groups were compared.Result:After 2 months of treatment,the levels of TG,TC,LDL-C,lipoprotein(a)[Lp(a)],apolipoprotein B(ApoB),hs-CRP,homocysteine(Hcy),IL-6 in the monoclonal antibody group were lower than those in the conventional group,the left ventricular end-diastolic diameter(LVEDD)was smaller than that of the conventional group,HDL-C and left ventricular ejection fraction(LVEF)were higher than those in the conventional group(P<0.05).There was no statistically significant difference in the incidence of adverse cardiovascular events between the two groups(P>0.05).Conclusion:Alirocumab can improve the lipid indicators and inflammatory levels of patients with acute coronary syndrome after emergency PCI,enhance cardiac function,and has a relatively high safety.

蓝胜峰;赵辉婷;陈军华

景德镇市第二人民医院心血管内科 江西 景德镇 333000景德镇市第二人民医院心血管内科 江西 景德镇 333000景德镇市第二人民医院心血管内科 江西 景德镇 333000

急性冠脉综合征经皮冠状动脉介入术阿利西尤单抗血脂炎症因子

Acute coronary syndromePercutaneous coronary interventionAlirocumabLipidsInflammatory factors

《中国医学创新》 2026 (11)

5-9,5

景德镇市科技计划项目(20231SFZC041)

10.3969/j.issn.1674-4985.2026.11.002

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