Seth Loomba Rohit, Arora Rohit
VA Medical Center, North Chicago, Illinois, USA.
Ther Adv Cardiovasc Dis. 2009 Feb;3(1):91-6. doi: 10.1177/1753944708096281.
Cardiovascular disease remains a leading cause of mortality worldwide. As dyslipidemia increases cardiovascular disease risk, proper management of dyslipidemia is one means by which to decrease cardiovascular disease risk. This review focuses on dyslipidemia treatment utilizing fibrate therapy, which targets high trigylcerides, low HDL, and high small, dense LDL, while contrasting fibrate therapy with statin therapy and combined therapy. Studies were obtained using electronic search strategies, such as Medline and Cochrane Library. Sources selected were limited to those that discussed fibrates, statins, and combined therapy, with specific emphasis placed on sources that focused on fibrates. Selected studies were then assessed for quality via analysis of the study's methodology, results, and data.
of selected studies were then stratified using a rating system devised to determine the quality of results using the scientific evidence provided for them. Combination fibrate and statin therapy can be more effective in achieving optimal lipid levels than just fibrate or statin therapy alone without significant side effects as long as gemfibrozil is not used in therapy.
心血管疾病仍然是全球主要的死亡原因。由于血脂异常会增加心血管疾病风险,因此对血脂异常进行适当管理是降低心血管疾病风险的一种方式。本综述聚焦于使用贝特类药物疗法治疗血脂异常,该疗法针对高甘油三酯、低高密度脂蛋白以及高小而密低密度脂蛋白,同时将贝特类药物疗法与他汀类药物疗法及联合疗法进行对比。研究是通过电子检索策略获取的,如医学文献数据库(Medline)和考克兰图书馆(Cochrane Library)。所选来源仅限于那些讨论贝特类药物、他汀类药物和联合疗法的,特别强调聚焦于贝特类药物的来源。然后通过分析研究的方法、结果和数据来评估所选研究的质量。
然后使用一个评级系统对所选研究进行分层,该评级系统旨在根据为研究提供的科学证据来确定结果的质量。只要治疗中不使用吉非贝齐,联合使用贝特类药物和他汀类药物疗法在实现最佳血脂水平方面可能比单独使用贝特类药物或他汀类药物疗法更有效,且无明显副作用。