中国疗养医学
中國療養醫學
중국요양의학
CHINESE JOURNAL OF CONVALESCENT MEDICINE
2015年
5期
548-549
,共2页
血脂异常%剩留风险%冠心病%疗养员
血脂異常%剩留風險%冠心病%療養員
혈지이상%잉류풍험%관심병%요양원
D yslipidem ia%R esidual risk%C oronary heart disease%C onvalescent
目的：了解老年冠心病疗养员降脂药物治疗现状及血脂参数水平，评估该人群血脂相关性心血管剩留风险。方法共入选老年冠心病疗养员362例，收集降脂药物治疗情况并测量血清总胆固醇( TC )、三酰甘油( TG )、低密度脂蛋白胆固醇( LDL-C )、高密度脂蛋白胆固醇( HDL-C )等血脂参数，计算脂代谢异常发生率。结果老年冠心病疗养员中，单独服用他汀类药物者345例，单独服用贝特类药物者0例，联合服用他汀类及贝特类药物者17例。高胆固醇血症、高三酰甘油血症、高低密度脂蛋白胆固醇血症、低高密度脂蛋白胆固醇血症的患病率分别是9.94％(36/362)、18.23％(66/362)、5.80％(21/362)、16.57％(60/362)。结论老年冠心病疗养员存在不同程度的脂代谢异常，在关注强化降脂治疗的同时，应加强心血管剩留风险评估并进行干预，尽早、全面地纠正血脂异常，从而最大程度地降低老年冠心病疗养员心血管剩留风险。
目的：瞭解老年冠心病療養員降脂藥物治療現狀及血脂參數水平，評估該人群血脂相關性心血管剩留風險。方法共入選老年冠心病療養員362例，收集降脂藥物治療情況併測量血清總膽固醇( TC )、三酰甘油( TG )、低密度脂蛋白膽固醇( LDL-C )、高密度脂蛋白膽固醇( HDL-C )等血脂參數，計算脂代謝異常髮生率。結果老年冠心病療養員中，單獨服用他汀類藥物者345例，單獨服用貝特類藥物者0例，聯閤服用他汀類及貝特類藥物者17例。高膽固醇血癥、高三酰甘油血癥、高低密度脂蛋白膽固醇血癥、低高密度脂蛋白膽固醇血癥的患病率分彆是9.94％(36/362)、18.23％(66/362)、5.80％(21/362)、16.57％(60/362)。結論老年冠心病療養員存在不同程度的脂代謝異常，在關註彊化降脂治療的同時，應加彊心血管剩留風險評估併進行榦預，儘早、全麵地糾正血脂異常，從而最大程度地降低老年冠心病療養員心血管剩留風險。
목적：료해노년관심병요양원강지약물치료현상급혈지삼수수평，평고해인군혈지상관성심혈관잉류풍험。방법공입선노년관심병요양원362례，수집강지약물치료정황병측량혈청총담고순( TC )、삼선감유( TG )、저밀도지단백담고순( LDL-C )、고밀도지단백담고순( HDL-C )등혈지삼수，계산지대사이상발생솔。결과노년관심병요양원중，단독복용타정류약물자345례，단독복용패특류약물자0례，연합복용타정류급패특류약물자17례。고담고순혈증、고삼선감유혈증、고저밀도지단백담고순혈증、저고밀도지단백담고순혈증적환병솔분별시9.94％(36/362)、18.23％(66/362)、5.80％(21/362)、16.57％(60/362)。결론노년관심병요양원존재불동정도적지대사이상，재관주강화강지치료적동시，응가강심혈관잉류풍험평고병진행간예，진조、전면지규정혈지이상，종이최대정도지강저노년관심병요양원심혈관잉류풍험。
Objective To study the lipid-low ering drug therapy status and the level of blood lipid param eters of aged convalescents with coronary heart disease and estim ate the blood lipid related residual cardiovascular risks of el-derly convalescents.Methods 362 aged convalescents with coronary heart disease w ere selected to collect lipid-low er-ing drug therapy status and m easure total cholesterol (TC ),triglyceride (TG ),low density lipoprotein cholesterol (LDL-C),high density lipoprotein cholesterol(HDL-C )and other lipid param eters,then to calculate the incidence of dys-lipidem ia.Results In aged convalescents with coronary heart disease,345 cases took statins alone,0case took fibrates alone,and 17 cases took statins and fibrates.The prevalence rates of hypercholesterolem ia,hypertriglyceridem ia,high LD L-C cholesterol,low HDL-C cholesterolw ere 9.94% (36/362),18.23% (66/362),5.80% (21/362),and 16.57% (60/362). Conclusion There are varying degrees of dyslipidem ia in aged convalescents with coronary heart disease.We should intensify lipid-low ering therapy and strengthen residual cardiovascular risk assessm ent and intervention,correct dyslipi-dem ia as early and com pletely as possible,so as to m inim ize the residual cardiovascular risks in aged convalescents with coronary heart disease.
