Knopp R H
Department of Medicine, University of Washington School of Medicine, Seattle.
Obstet Gynecol. 1988 Nov;72(5 Suppl):23S-30S.
Recent studies show that arteriosclerotic cardiovascular disease is associated with high low-density lipoprotein and low high-density lipoprotein cholesterol concentrations and, further, that reversal of these abnormalities can prevent cardiovascular disease. As postmenopausal estrogen therapy favorably changes low-density lipoprotein and high-density lipoprotein cholesterol concentrations, it is hypothesized that reductions in cardiovascular disease will be observed in postmenopausal women so treated. The majority of at least 23 studies support this view.
近期研究表明,动脉粥样硬化性心血管疾病与低密度脂蛋白水平升高及高密度脂蛋白胆固醇水平降低有关,而且,这些异常情况的逆转可预防心血管疾病。由于绝经后雌激素疗法可有利地改变低密度脂蛋白和高密度脂蛋白胆固醇水平,因此推测接受此治疗的绝经后女性心血管疾病发生率会降低。至少23项研究中的大多数都支持这一观点。