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他汀类和烟酸类降脂药物联合应用治疗心血管疾病
引用本文:冉宇,刘君玲,张强. 他汀类和烟酸类降脂药物联合应用治疗心血管疾病[J]. 中国心血管杂志, 2007, 12(1): 78-80
作者姓名:冉宇  刘君玲  张强
作者单位:天津市第四中心医院ICU,天津,300140
摘    要:单独使用他汀类降脂药治疗时,许多患者的血浆脂蛋白达不到治疗目标,尤其是在多项血脂不正常的患者中,他汀类只能轻度的增高高密度脂蛋白(HDL-C):一种独立预测冠心病的因素和轻度的降低甘油三酯(TG)的作用。烟酸对增高HDL和降低TG有明显的药理作用。他汀类和烟酸类合用可以帮助患者控制低密度脂蛋白胆固醇(LDL-C)和升高HDL-C。

关 键 词:烟酸类  他汀类  冠心病  高密度脂蛋白  低密度脂蛋白胆固醇
文章编号:1007-5410(2007)01
修稿时间:2006-04-14

Combination niacin and statin therapy in primary and secondary prevention of cardiovascular disease
RAN Yu,LIU Jun-ling,ZHANG Qiang. Combination niacin and statin therapy in primary and secondary prevention of cardiovascular disease[J]. Chinese Journal of Cardiovascular Medicine, 2007, 12(1): 78-80
Authors:RAN Yu  LIU Jun-ling  ZHANG Qiang
Affiliation:Intensive Care Unit, Forth Central Hospital of Tianjin , Tianjin 300140, China
Abstract:Statin monotherapy may not be sufficient to reach serum lipid goals in many patients,especially in those with combined lipid abnormalities.Statins cause only a modest increase in high-density lipoprotein cholesterol(HDL)-an established independent protective factor for coronary heart disease(CHD) and a modest decrease in triglycerides(TG).Niacin is an effective pharmacologic agent for increasing HDL,as well as lowering TG.Used in combination with a statin,niacin provides an aption to help patients decrease HDL goals.
Keywords:Niacin  Statin  Coronary heart disease  High-density lipoprotein  Low-density lipoprotein cholesterol
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