文档介绍:血脂分层治疗的意义和目标值
of rural drinking water sources, protection of drinking water sources in rural areas by the end o血脂水平化验结果并不能真实反映患者健康水平。因此,取消血脂水平分层,根据危险分层来决定血脂干预强度有着更积极的意义。
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities
 提高血脂达标率
 2006年第二次中国临床血脂控制状况多中心协作研究,对全国21家省部级医院和6家县级医院2237例正在服用调脂药物的患者进行的调查显示,按照《中国成人血脂异常防治指南(2007)》推荐的LDL-C目标值,总达标率为50%,低危、中危、高危和极高危组达标率分别为91%、77%、49%和38%。危险分层越高者,达标率越低。可见,临床医生对高危人群进行强化调脂的概念尚未充分贯彻到临床实践中。遵循指南,按照血脂分层,规范调脂治疗,对提高达标率至关重要。
 高危人群须重点关注降LDL-C达标
 《中国成人血脂异常防治指南(2007)》指出,在进行调脂治疗时,应将降低LDL-C作为首要目标。
 临床上在决定开始药物调脂治疗及制定达到的目标值时,需要考虑患者是否同时并存其他冠心病的主要危险因素。分析这些冠心病的主要危险因素将有助于判断罹患冠心病的危险程度,由此决定降低LDL-C的目标值。不同的危险人群,开始药物治疗的LDL-C水平及须达到的LDL-C目标值有很大的不同(表2)。
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitatio