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目的探讨急性冠脉综合征(ACS )患者早期应用瑞舒伐他汀对血脂及血清超敏C反应蛋白(hs‐CRP)、白介素‐6(IL‐6)的影响。方法采用随机分组病例对照研究,选择本院临床确诊为ACS的54例患者随机分为常规治疗组(A组,n=26)、瑞舒伐他汀治疗组(B组,n=28),另选20名同期本院体检中心体检正常者作为对照(C组,n=20),B组患者在ACS确诊的24~48 h内在常规治疗基础上给予瑞舒伐他汀5~10 mg ,每晚1次,治疗8周,采用双抗体夹心酶联吸附法(ELISA )测定两组患者治疗前后血清IL‐6,免疫散射比浊法检测hs‐CRP。结果治疗前ACS患者血脂、IL‐6、hs‐CRP水平较C组显著升高( P<0.01),A、B两组患者之间血脂、IL‐6、hs‐CRP无显著性差异( P >0.05);治疗后,B组患者低密度脂蛋白胆固醇(LDL‐C)、IL‐6、hs‐CRP显著下降( P<0.05),与A组比较,有显著性差异( P <0.05)。结论 ACS患者存在炎症反应,早期应用瑞舒伐他汀能够改善患者的炎症状态,减少心血管事件。“,”[Objective]To explore the effect of early use of rosuvastatin on blood lipids and inflammatory factors high sensitive C‐reactive protein(hs‐CRP) and interleukin‐6(IL‐6) in patients with acute coronary syndrome(ACS) .[Meth‐ods]A total of 54 patients confirmed as ACS by clinical diagnosis in our hospital were chosen and randomly divided into routine treatment group(group A ,n=26) and rosuvastatin treatment group(group B ,n =28) by using randomization case control method .Other 20 concurrent healthy subjects were chosen as the control group(group C ,n=20) .Patients in group B were given rosuvastatin(crestor produced by astrazeneca company) 5~10mg within 24~28h after the diagnosis of ACS once per night based on routine treatment .The course was 8 weeks .Double antibody sandwich enzyme‐linked im‐munosorbent assay(ELISA) was used to detect serum IL‐6 of patients in two groups before and after treatment ,and im‐muno‐turbidimetry was used to determine hs‐CRP .[Results]Compared with group C ,blood lipids ,IL‐6 and hs‐CRP in ACS patients before treatment increased significantly( P0 .05) .Low density lipoprotein cholesterol(LDL‐C) ,IL‐6 and hs‐CRP in group B after treatment de‐creased significantly( P<0 .05) ,and there was significant different between group B and group A( P<0 .05) .[Conclu‐sion]ACS patients have inflammatory response .Early use of rosuvastatin can improve inflammatory status and reduce car‐diovascular events of patients .