儿童青少年血脂异常的特点与治疗

Spectrum and management of dyslipidemia among children and adolescent

血脂异常是威胁儿童青少年健康的主要问题之一，除遗传基因所导致的原发性血脂异常外，继发于肥胖、代谢综合征等疾病及不良生活方式的血脂异常发病率在逐年增高。膳食干预、增加体力活动等生活方式的改善是儿童青少年时期血脂异常的首选治疗措施，无效时可考虑使用药物治疗，但要严格掌握年龄、疾病类型等适应证。

Dyslipidemia has emerged as a major health problem in children and adolescent. Except for primary familial dyslipidemia, secondary dyslipidemia caused by obesity, metabolic syndrome and unhealthy life-style is increa- singly prevalent in recent years. Life-style modification, such as dietary intervention and increasing physical activity, should be considered firstly for treating dyslipidemia in children and adolescent. Application of pharmacologic agents should follow strict indications including ages and types of dyslipidemia.