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Diabetes Care：老年糖尿病患者动脉粥样硬化性心血管疾病危险因素的管理

2017-03-25 MedSci MedSci原创

老年糖尿病动脉粥样硬化
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与糖尿病的年轻患者及没有糖尿病的老年人相比，老年糖尿病患者动脉粥样硬化性心脏病（ASCVD）的发生风险更高。在老年糖尿病患者中实施降低ASCVD风险疗法的理由令人信服。生活方式改变、进行降脂治疗、血压管理、血糖控制和阿司匹林治疗的建议通常是基于在年轻人群中显示出其功效的研究。然而，与这些干预措施相关的风险也随着年龄的增长而增加，而在年龄较大的人群中，年轻糖尿病患者中的风险利益比率较差。与健康状况复

与糖尿病的年轻患者及没有糖尿病的老年人相比，老年糖尿病患者动脉粥样硬化性心脏病（ASCVD）的发生风险更高。在老年糖尿病患者中实施降低ASCVD风险疗法的理由令人信服。

生活方式改变、进行降脂治疗、血压管理、血糖控制和阿司匹林治疗的建议通常是基于在年轻人群中显示出其功效的研究。

然而，与这些干预措施相关的风险也随着年龄的增长而增加，而在年龄较大的人群中，年轻糖尿病患者中的风险利益比率较差。

与健康状况复杂，身体虚弱的患者相比，身体健康状况好的老年人可以从许多疗法中获益。年龄和/或脆弱分层的数据有助于澄清这些关系。

目前也需要提出一种用于治疗糖尿病老年人ASCVD危险因素的务实方法。

原始出处：
Korytkowski MT, Forman DE. Management of Atherosclerotic Cardiovascular Disease Risk Factors in the Older Adult Patient With Diabetes. Diabetes Care. 2017 Apr;40(4):476-484. doi: 10.2337/dc16-0815.

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    2017-05-26 huangshifeng

    #粥样硬化#

    0

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    2017-08-02 liubm555

    #粥样硬化性#

    0

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    2017-08-15 柳叶一刀

    #DIA#

    0

  4. 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    2017-10-12 habb

    #心血管疾病危险因素#

    0

  5. 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attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5bf97540688, createdName=ms3323097325231039, createdTime=Mon Mar 27 07:39:00 CST 2017, time=2017-03-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1496287, encodeId=8a8a149628e6d, content=<a href='/topic/show?id=43b6e358710' target=_blank style='color:#2F92EE;'>#硬化性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73587, encryptionId=43b6e358710, topicName=硬化性)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d8119265602, createdName=Smile2683, createdTime=Mon Mar 27 07:39:00 CST 2017, time=2017-03-27, status=1, ipAttribution=)]
    2017-03-28 ms5439512287675881

    #BET#

    0

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    2017-11-24 木头人513

    #Diabetes#

    0

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    2017-03-27 tulenzi

    #动脉粥样硬化性心血管疾病#

    0

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    2017-03-27 zhouqu_8

    #糖尿病患者#

    0

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    2017-03-27 ms3323097325231039

    #老年糖尿病#

    0

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attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5bf97540688, createdName=ms3323097325231039, createdTime=Mon Mar 27 07:39:00 CST 2017, time=2017-03-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1496287, encodeId=8a8a149628e6d, content=<a href='/topic/show?id=43b6e358710' target=_blank style='color:#2F92EE;'>#硬化性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73587, encryptionId=43b6e358710, topicName=硬化性)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d8119265602, createdName=Smile2683, createdTime=Mon Mar 27 07:39:00 CST 2017, time=2017-03-27, status=1, ipAttribution=)]
    2017-03-27 Smile2683

    #硬化性#

    0

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