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大剂量他汀药物调整血脂是有害无利吗? 被引量:1

Is a Large Does of Statins Adjusting Blood Lipid Harmful?
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摘要 随着他汀类药物的广泛应用,作为降低低密度脂蛋白及总胆固醇水平的药物,已成为预防和治疗动脉粥样硬化心血管事件风险最有效的干预手段之一。今年各项临床试验和医学循证证明他汀强化降脂治疗较之常规降脂治疗具有更显著的临床获益,并且强化降脂治疗能够延缓动脉粥样硬化斑块进展,甚至逆转斑块。另一方面,提高他汀依从性也是降脂治疗成功与否的关键。本文探讨并囊括了近年来有关他汀强化降脂更多获益及逆转斑块的证据,以及提高依从性获益更佳的几项重要试验。 Statins are the most widely prescribed drug available pharmacotherapy for the management of high blood cholesterol levels virtually since their development. Many studies have investigated the efficacy and safety of statin therapy with more aggressive lipid lowering. These studies have confirmed that there are clinical benefits and plaque regression. This review is a brief overview of recent,large-scale,randomized,placebo and active controlled trials of statin therapy with more aggressive lipid lowering.
作者 张明
机构地区 辽宁省金秋医院
出处 《医学与哲学(B)》 2017年第9期12-15,87,共5页 Medicine & Philosophy(B)
关键词 强化降脂 依从性 他汀 斑块逆转 aggressive lowering of LDL compliance statin plaque regression
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  • 1许聿新,赵翠红,侯为开.脂肪细胞因子与乳腺癌[J].国际肿瘤学杂志,2006,33(8):594-597. 被引量:3
  • 2李建军.如何认识调脂药物的调脂外作用[J].中国医学前沿杂志(电子版),2012,4(8):11-13. 被引量:6
  • 3中国成人血脂异常防治指南[J].中华心血管病杂志,2007,35(5):390-419. 被引量:5223
  • 4Aspelin P.Nephrotoxicity and the role of contrast media.Radiat Med,2004,22:377-378.
  • 5Nash K,Hafeez A,Hou S.Hospital-acquired renal insufficiency.Am J Kidney Dis,2002,39:930-936.
  • 6Taylor AJ,Hotehkiss D,Morse RW,et al.PREPARED:Preparation for Angiography in Renal Dysfunction:a randomized trial of inpatient vs outpatient hydration protocols for cardiac catheterization in mild-to-moderate renal dysfunction.Chest,1998,114:1570-1574.
  • 7Mueller C,Buerkle G,Buettner HJ,et al.Prevention of contrast media-associated nephropathy:randomized comparison of 2 hydration regimens in 1620 patients undergoing coronary angioplasty.Arch Intern Med,2002,162:329-336.
  • 8Shepherd J,Kastelein JJ,Bittner V,et al.Effect of intensive lipid lowering with atorvastatin on renal function in patients with coronary heart disease:the Treating to New Targets (TNT) study.Clin J Am Soc Nephrol,2007,2:1131-1139.
  • 9王笑云.肾小球功能检查//陈文彬,潘祥林.诊断学.6版.北京:人民卫生出版社,2004:379
  • 10Chello M,Goffredo C,Patti G,Effects of atorvestatin on arterial endothelial function in coronary bypass surgery.Eur J Cardiothorac Surg,2005,28:805-810.

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