雌激素和维生素E治疗在绝经后妇女的血管效应
1Cardiology Branch and Office of Biostatistics Research, National Heart, Lung, and Blood Institute, and Clinical Pathology Department, Clinical Center, National Institutes of Health, Bethesda, MD, USA.
Circulation
|November 5, 1999
概括
结合的马类雌激素 (CE) 和维生素E在绝经后妇女中改善了动脉功能. 只有CE降低了心血管疾病标志物,如脂蛋白和炎症,表明雌激素.
科学领域:
- 心血管科学 心血管科学
- 内分泌学 在内分泌学.
- 营养科学 营养科学
背景情况:
- 对绝经后妇女来说,心血管风险降低策略至关重要.
- 雌激素和维生素E疗法是个别建议的心血管益处.
- 对它们在绝经后妇女的血管效应进行直接比较是缺乏的.
研究的目的:
- 在绝经后的妇女中,比较结合性马类雌激素 (CE) 和维生素E对血管的影响.
- 研究这些疗法的潜在心血管益处背后的机制.
主要方法:
- 双盲,三期交叉研究,涉及28名健康的绝经后妇女.
- 治疗组:CE (0.625 mg/d),维生素E (800 IU/d) 和组合疗法.
- 测量包括脂质配置文件,脂蛋白,流媒体扩张和炎症标志物.
主要成果:
- 单独或组合的CE,改善脂质特征和减少脂蛋白.
- 单独维生素E就增加了异位性脂蛋白.
- 所有疗法都类似地改善了手臂动脉流介导扩张;CE减少了炎症标志物.
- CE显示了降低等离子体激活剂抑制剂-1型的趋势.
结论:
- 同样,雌激素和维生素E在绝经后妇女中增强内皮依赖的血管扩张,可能是通过氧化.
- 雌激素疗法有效地减少异位性脂蛋白和血管炎症标志物.
- 与单独的维生素E相比,雌激素在这个人群中显示出降低心血管风险的更大潜力.
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