河北医科大学学报

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阿托伐他汀早期干预绝经后乳腺癌患者的临床研究

  

  1. 1.河北省衡水市人民医院普外一科,河北 衡水 053000;2.河北省衡水市第二人民医院放疗科,
    河北 衡水 053000;3.河北省武邑县人民医院心内科,河北 武邑 053400
  • 出版日期:2020-08-25 发布日期:2020-08-26
  • 作者简介:鲍双振(1985-),男,河北衡水人,河北省衡水市人民医院主治医师,医学硕士,从事普外科疾病诊治研究。
  • 基金资助:
    河北省医学科学研究重点课题(20181571)

Early intervention of atorvastatin postmenopausal women with breast cancer

  1. 1.Department of General Surgery, Hengshui People's Hospital, Hebei Province, Hengshui 053000,
    China; 2.Department of Radiotherapy, Hengshui Second People′s Hospital, Hebei Province,
    Hengshui 053000, China; 3.Department of Cardiology, Wuyi County People′s Hospital,
    Hebei Province, Wuji 053400, China
  • Online:2020-08-25 Published:2020-08-26

摘要: 目的  探讨阿托伐他汀早期干预绝经后乳腺癌患者的临床疗效。
方法  选取绝经后乳腺癌内分泌治疗患者200例,按随机数字表法分为对照组(100例)和研究组(100例)。对照组采取来曲唑治疗,研究组在此基础上加用阿托伐他汀钙治疗。两组患者均持续治疗2年。于治疗前,治疗12个月和24个月后比较两组血脂水平、心血管事件及乳腺癌复发转移情况。
结果  两组患者治疗后与治疗前比较,血脂水平均升高(P<0.01),但研究组患者治疗12和24个月后血脂水平均明显低于对照组P<0.05)。研究组患者心血管事件发生率较对照组明显降低(P<0.05)。研究组患者乳腺癌复发转移率较对照组显著减少(P<0.05)。
结论  阿托伐他汀不仅能有效调节来曲唑对绝经后乳腺癌患者所致的血脂代谢异常,有助于降低心血管事件发生率,且不影响乳腺癌疾病的治疗。

关键词: 乳腺肿瘤, 绝经后期, 阿托伐他汀钙

Abstract: Objective  To investigate the clinical efficacy of atorvastatin in early intervention of postmenopausal breast cancer patients.
Methods  A total of 200 cases of postmenopausal breast cancer were selected and divided into control group (100 cases) and research group (100 cases) according to random number table method. In control group, patients were given letrozole, while in study group, patients were given atorvastatin calcium on this basis. Both groups were treated for 2 years. The blood lipid levels, cardiovascular events, recurrence and metastasis of breast cancer before treatment, 12 months after treatment and 24 months after treatment were compared between two groups.
Results  The levels of blood lipid in two groups were higher after the treatment than before the treatment(P<0.01), but the level of blood lipid in the study group was significantly lower than that in the control group after 12 and 24 months of treatment(P<0.01). However, the blood lipid level of the study group was significantly lower than that of the control group after 12 months of treatment(P<0.05). The incidence of cardiovascular events(MACE) in the study group was significantly lower than that in control group(P<0.05). The recurrence and metastasis rate of breast cancer in the study group was significantly lower than that in the control group(P<0.05).
Conclusion  Atorvastatin can not only effectively regulate the dyslipidemia caused by letrozole in postmenopausal breast cancer patients, but also help to reduce the incidence of cardiovascular events and do not affect the treatment of breast cancer.

Key words: breast cancer, postmenopause, Atorvastatin calcium