Statin therapy does not improve lung function in asthma: A meta-analysis of randomized controlled trials

被引:17
|
作者
Si, Xiao-bei [1 ]
Zhang, Shuo [2 ]
Huo, Lin-yu [3 ]
Dai, Wen-li [4 ]
Wang, Hai-long [5 ]
机构
[1] Minist Publ Hlth, Dept Cardiol, Beijing Hosp, Beijing, Peoples R China
[2] Cent South Univ, Xiangya Hosp, Dept Cardiol, Changsha, Hunan, Peoples R China
[3] China Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing, Peoples R China
[4] Peking Union Med Coll Hosp, Dept Internal Med, Beijing, Peoples R China
[5] China Med Univ, Affiliated Hosp 1, Dept Epidemiol & Evidence Based Med, Shenyang 110001, Liaoning Provin, Peoples R China
关键词
Asthma; lung function; meta-analysis; statins; INHALED CORTICOSTEROIDS; MOUSE MODEL; SIMVASTATIN; ATORVASTATIN; INDUCTION; MORTALITY; DISEASE; CELLS;
D O I
10.1177/0300060513477005
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Objective: To assess the efficacy of statins in the treatment of asthma. Methods: Electronic databases were searched to identify randomized controlled trials that measured the efficacy of statins in the treatment of asthma, and a meta-analysis of the pooled data was performed. Results: Five trials were identified; four met the inclusion criteria (total number of patients 200). Compared with controls, patients in the statin groups had higher forced expiratory volume in 1 s (FEV1) values before inhaled corticosteroids (0.09 l, 95% confidence interval [CI] -0.06, 0.23), higher FEV1 values after inhaled corticosteroids (0.06 l, 95% CI -0.09, 0.22), and higher morning peak expiratory flow rates (9.87 l, 95% CI -15.66, 35.40). These results were not statistically significant and, furthermore, publication bias was detected. Conclusion: In conclusion, there is currently insufficient evidence to show that statins improve lung function in patients with asthma.
引用
收藏
页码:276 / 283
页数:8
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