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除了降低胆固醇的作用外,他汀类药物还有哪些适应症?

[Which indications for statins besides their cholesterol-lowering effect?].

作者信息

Scheen A J, Sadzot B

机构信息

Service de diabétologie, nutrition et maladies métaboliques, Département de médecine, CHU Sart Tilman, 4000 Liege I, Belgique.

出版信息

Rev Med Suisse. 2005 Aug 24;1(30):1954, 1956-9.

Abstract

Statins are essential drugs for the prevention of coronary and cerebral vascular complications. Besides their specific cholesterol-lowering effect, these agents exert various pleiotropic effects, which probably contribute to the cardiovascular protection, but may also play a favourable effect in various other pathologies. Some recent data suggested that statins may play a positive effect in the prevention of Alzheimer disease and colorectal cancer. In contrast, after some initial hope, recent observations in the field of osteoporosis prevention provided discordant and finally rather disappointing results. New prospective studies are mandatory before accepting such new potential indications of statins.

摘要

他汀类药物是预防冠状动脉和脑血管并发症的重要药物。除了其特定的降胆固醇作用外,这些药物还具有多种多效性作用,这可能有助于心血管保护,但也可能在其他各种病理状况中发挥有益作用。最近的一些数据表明,他汀类药物可能在预防阿尔茨海默病和结直肠癌方面发挥积极作用。相比之下,在经历了一些最初的希望之后,骨质疏松症预防领域最近的观察结果却不一致,最终相当令人失望。在接受他汀类药物这些新的潜在适应证之前,必须进行新的前瞻性研究。

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