ObjectivesTo evaluate the effectiveness of long-term treatment of statins for chronic obstructive pulmonary disease (COPD), and to answer which one is better.MethodsGeneral meta-analysis was performed to produce polled estimates of the effect of mortality, inflammatory factors, and lung function index in COPD patients by the search of PubMed, Web of Science, Embase, and China National Knowledge Infrastructure for eligible studies. A network meta-analysis was performed to synthetically compare the effectiveness of using different statins in COPD patients.ResultsGeneral meta-analysis showed that using statins reduced the risk of all-cause mortality, heart disease-related mortality and COPD acute exacerbation (AECOPD) in COPD patients, the RR (95% CI) were 0.72 (0.63,0.84), 0.72 (0.53,0.98) and 0.84 (0.79,0.89), respectively. And using statins reduced C-reactive protein (CRP) and pulmonary hypertension (PH) in COPD patients, the SMD (95% CI) were − 0.62 (− 0.52,-0.72) and − 0.71 (− 0.85,-0.57), respectively. Network meta-analysis showed that Fluvastatin (97.7%), Atorvastatin (68.0%) and Rosuvastatin (49.3%) had higher cumulative probability than other statins in reducing CRP in COPD patients. Fluvastatin (76.0%) and Atorvastatin (75.4%) had higher cumulative probability than other satins in reducing PH in COPD patients.ConclusionsUsing statins can reduce the risk of mortality, the level of CRP and PH in COPD patients. In addition, Fluvastatin and Atorvastatin are more effective in reducing CRP and PH in COPD patients.Electronic supplementary materialThe online version of this article (10.1186/s12931-019-0984-3) contains supplementary material, which is available to authorized users.
Quinoline quaternary ammonium salts 1-benzylquinoline bromide (1) and 1-benzylquinoline chloride (2) have been synthesized and then developed as corrosion inhibitors in acidic HCl solution.Electrochemical impedance, potentiodynamic polarization and gravimetric measurements, as well as SEM, indicate that both can efficiently protect the mild steel from corrosion. The fact that 1 shows better performance than 2 under the same conditions could be attributed to the cooperative effect of counterions on the corrosion process. The results of thermodynamic and electrochemical studies were in agreement with the observed inhibition efficiency, indicating that counterions can affect the interactions between organic cations and the metal surface, and influence the stability of the protective film, which leads to the detected differences in their inhibition behavior.
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