他汀类药物与新发糖尿病
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Statins and new-onset diabetes mellitus
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    【摘要】大量临床试验表明他汀类药物使心血管疾病患者临床明显获益。近期临床研究提示他汀增加新发糖尿病风险,他汀与新发糖尿病的关系引起广泛关注。现有临床证据显示,尽管他汀增加新发糖尿病的风险,但他汀治疗明显降低心血管事件,新增糖尿病的风险远低于其心血管获益。由于老年人使用他汀类药物新发糖尿病的风险高于年轻人群,特别是使用大剂量他汀类药物时,需监测血糖。目前,尚无证据表明他汀相关的新发糖尿病会增加心血管风险。

    基金项目:国家科技支撑计划课题(2012BAI37B05)

    【Abstract】A series of large-scale clinical trials have shown that statin therapy has definite clinical benefit in patients with cardiovascular diseases. However, some recent clinical researches indicate that statins increase the risk of developing diabetes mellitus. Therefore, the relationship between diabetes mellitus and statin has raise concerns. Some clinical evidence shows although the patients receiving statins have higher risk of diabetes mellitus, they also gain significant benefit from statin therapy by decreasing cardiovascular events, and the harms of new-onset diabetes are outweighed by reductions in cardiovascular benefit. As the risk of increasing new-onset diabetes is higher in the elderly than in the young, it is needed to monitor blood glucose for the elderly, especially for those using high-dose statins. At present, there is no evidence demonstrating that the development of statin-associated diabetes will result in increased risk of major cardiovascular events.

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王爱民, 刘梅林*.他汀类药物与新发糖尿病[J].中华老年多器官疾病杂志,2013,12(04):275-278

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  • 在线发布日期: 2013-05-08
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