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他汀类降低心血管危险作用模式的探讨
引用本文:吴陈璐,赵水平.他汀类降低心血管危险作用模式的探讨[J].医学与哲学,2009(11):30-31,33.
作者姓名:吴陈璐  赵水平
作者单位:中南大学湘雅二医院心血管内科,湖南长沙410011
摘    要:大量临床实验结果及流行病学资料已证实3-羟基3-甲基戊二酰辅酶A(HMG-CoA)还原酶抑制剂(简称他汀类),在冠心病防治中能显著降低心血管危险。但他汀类是通过何种模式产生这一作用,至今仍未得出定论。四种模式可用来描述他汀类降低心血管危险可能的作用机制。通过对这四种模式的探讨,能使我们对他汀类的作用机理有更为全面的认识,也为临床工作者进一步研究及确定他汀类降低心血管危险的作用模式奠定基础。

关 键 词:他汀类,降脂作用,多效性,心血管风险降低

Discussion on the Model of Statins Reducing Cardiovascular Risk WU
Chen-lu,ZHAO Shui-ping.Discussion on the Model of Statins Reducing Cardiovascular Risk WU[J].Medicine & Philosophy:Humanistic & Social Medicine Edition,2009(11):30-31,33.
Authors:Chen-lu  ZHAO Shui-ping
Institution:.(Department of Cardiovascular Disease,Second Xiangya Hospital,Central South University, Changsha 410011,China)
Abstract:A large number of clinical trials and epidemiological data have confirmed the result of 3 - hydroxy- 3 - methyl - Coenzyme A ( HMG-CoA ) reductase inhibitors (the statins) can significantly reduce cardiovascular risk in the primary and secondary prevention of coronary heart disease . However, the model for describing how statin affects cardiovascular events has not yet come to a conclusion. Four models are proposed to describe the possible mechanism, which will enable us to get a more comprehensive understanding about statin and provide a foundation for further study.
Keywords:statins  lipid-lowering effect  pleiotropic effect  cardiovascular risk reduction
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