海南医学2025,Vol.36Issue(1) :148-152.DOI:10.3969/j.issn.1003-6350.2025.01.030

残余胆固醇在2型糖尿病合并冠心病患者中的研究进展

Research progress of residual cholesterol in diabetic patients with coronary heart disease

丁花瑞 张小龙 武金娥
海南医学2025,Vol.36Issue(1) :148-152.DOI:10.3969/j.issn.1003-6350.2025.01.030

残余胆固醇在2型糖尿病合并冠心病患者中的研究进展

Research progress of residual cholesterol in diabetic patients with coronary heart disease

丁花瑞 1张小龙 1武金娥2
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作者信息

  • 1. 长治医学院,山西 长治 046000
  • 2. 运城市中心医院(山西医科大学附属运城市中心医院),山西 运城 044000;肿瘤心脏学运城市重点实验室,山西 运城 044000
  • 折叠

摘要

冠心病作为心血管疾病的重要组成部分,是糖尿病患者发病和死亡的主要原因.根据既往的流行病学和遗传学研究,2型糖尿病患者发生心血管疾病的风险显著升高,血脂代谢紊乱被认为是其中公认的主要原因之一.目前,大多数血脂管理指南都建议将低密度脂蛋白胆固醇(LDL-C)作为首要干预靶点.然而,即使经过他汀类药物治疗,2型糖尿病患者仍然面临显著的残余心血管风险.近年来,有关残余胆固醇的研究为解释这一现象提供了新的见解.因此,阐明残余胆固醇在2型糖尿病合并冠心病患者中的作用,有助于更准确地评估残余风险和预后,并为患者制定更优化的预防和治疗策略.

Abstract

Cardiovascular disease is the leading cause of morbidity and mortality among patients with diabetes.Epidemiological and genetic studies have consistently shown that individuals with type 2 diabetes have a significantly higher risk of cardiovascular disease,primarily due to lipid metabolism disorders.Current lipid management guidelines predominantly recommend targeting low-density lipoprotein cholesterol(LDL-C)as the primary intervention.However,even with statin therapy,many type 2 diabetes patients continue to experience considerable residual cardiovascular risk.Recent research on residual cholesterol has provided insights that may help explain this phenomenon.This review ex-plores the role of residual cholesterol in patients with type 2 diabetes and coronary heart disease,aiming to enhance the prediction of residual risk and offer improved prevention and treatment strategies for these patients.

关键词

残余胆固醇/2型糖尿病/冠状动脉粥样硬化/血脂异常

Key words

Remnant cholesterol/Type 2 diabetes mellitus/Coronary atherosclerosis/Dyslipidemia

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出版年

2025
海南医学
海南省医学会

海南医学

影响因子:1.158
ISSN:1003-6350
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