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口服抗糖尿病药物在改善心血管危险因素中的作用。

Role of oral anti-diabetic agents in modifying cardiovascular risk factors.

作者信息

Shin J J, Rothman J, Farag A, McFarlane S I, Sowers J R

机构信息

Division of Endocrinology, Diabetes, and Hypertension, Department of Medicine at SUNY Downstate Medical Center, and Veterans Adminsitration Medical Center of Brooklyn, New York 11203, USA.

出版信息

Minerva Med. 2003 Dec;94(6):401-8.

Abstract

Patients with type 2 diabetes have an increased risk for cardiovascular disease (CVD) and it accounts for up to 80% of excess deaths in these patients. It has been recognized that type 2 diabetes is associated with an increased prevalence of CVD risk factors, including hypertension, dyslipidemia, microalbuminuria, and altered hemostasis. The benefit of cardiovascular protection can only be partially explained by controlling hyperglycemia. Some of the oral agents used to treat hyperglycemia significantly modify other cardiovascular risk factors. This article will review oral agents used to treat type 2 diabetes and their effects on modifying CVD risk factors.

摘要

2型糖尿病患者患心血管疾病(CVD)的风险增加,且该疾病占这些患者额外死亡人数的80%。人们已经认识到,2型糖尿病与CVD危险因素的患病率增加有关,这些危险因素包括高血压、血脂异常、微量白蛋白尿和止血功能改变。心血管保护的益处只能通过控制高血糖得到部分解释。一些用于治疗高血糖的口服药物能显著改变其他心血管危险因素。本文将综述用于治疗2型糖尿病的口服药物及其对改变CVD危险因素的作用。

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