防治血管剩留风险的决策探讨

针对冠心病和（或）2型糖尿病患者，已有许多有效的防治措施。然而，尽管接受了当前的标准治疗，这类患者仍会反复发生许多大血管和微血管事件，这种现象称之为血管剩留风险。有许多因素影响血管剩留风险的存在，其中最为重要的是致动脉粥样硬化性血脂异常。因此，采取积极的全面干预措施如改善生活方式、联合降脂以改善所有的脂质异常指标，是最大程度降低血管剩留风险的动向。

Discussion on Decision-making in Reducing Residual Vascular Risk

Despite accepting the current standards of care, patients with coronary heart disease and/or type 2 diabetes mellitus remain at high risk of both macrovascular and microvascular events, including myocardial infarction, stroke, nephropathy, blindness, and non--traumatic amputation, which are termed as vascular residual risks. There are many factors responsible for residual risks of vascular events, atherogenic dyslipidemia is the most important factor. Comprehensive therapeutic interventions, including life modification, combination lipid--modifying therapy to achieve all lipid goals, represent a new direction for reducing the residual vascular risks to a maximal extent.