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联合降脂治疗时出现意外且异常低的高密度脂蛋白胆固醇水平。

Unexpected and abnormally low HDL cholesterol levels on combination hypolipidemic therapy.

作者信息

Unnikrishnan R, Das R, Jaydip R, Sudhakaran C, Mohan V

机构信息

Dr. Mohan's Diabetes Specialities Centre, & Madras Diabetes Research Foundation, WHO Collaborating Centre for Noncommunicable Diseases Prevention and Control, Chennai.

出版信息

J Assoc Physicians India. 2009 Feb;57:180-1.

Abstract

In general, Indians have low HDL cholesterol levels. Fenofibrate, a drug widely used in the treatment of hypertriglyceridemia, usually also increases HDL cholesterol. There have been a few reports in the literature of a paradoxical decrease in serum HDL-cholesterol in patients treated with fenofibrate, either alone or in combination with a statin. We report three cases of paradoxical decrease in serum HDL-cholesterol in type 2 diabetic patients treated with a statin-fenofibrate combination.

摘要

一般来说,印度人的高密度脂蛋白胆固醇水平较低。非诺贝特是一种广泛用于治疗高甘油三酯血症的药物,通常也会增加高密度脂蛋白胆固醇。文献中已有几篇报道指出,单独使用或与他汀类药物联合使用非诺贝特治疗的患者,血清高密度脂蛋白胆固醇会出现反常降低的情况。我们报告了3例使用他汀类药物 - 非诺贝特联合治疗的2型糖尿病患者血清高密度脂蛋白胆固醇反常降低的病例。

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