控制糖尿病患者心血管危险的干预治疗策略_33753.ppt

下载文档 降价啦

0
0
约8.26千字
约 30页
2017-11-01 发布于江苏
举报
版权申诉
保障服务

控制糖尿病患者心血管危险的干预治疗策略_33753.ppt

1、本文档共30页，可阅读全部内容。
2、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。
3、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。

控制糖尿病患者心血管危险的干预治疗策略_33753

控制糖尿病患者心血管危险的干预治疗策略糖尿病与心血管危险影响心血管危险的因素综合控制的理论与实践 Type 2 diabetes and CHD7-Year Incidence of Fatal/Nonfatal MI (East West Study) Type 2 diabetes and Stroke7-Year Incidence of Fatal/Nonfatal Stroke (East West Study) MetS和DM患者血脂异常特征游离脂肪酸? TG? HDL-C? VLDL-C ? 小而密LDL颗粒? 氧化LDL-C ? 餐后高脂血症 UKPDS Stepwise Selection of Risk Factors* in Patients with Type 2 Diabetes Good glycemic control is not enough 糖尿病患者降压治疗临床试验 ? SHEP ? ALLHAT SYST-EUR ? HOPE CAPPP ? HOT NORDIL ? RENAAL STOP-2 ? PRIME INSIGHT ? LIFE UKPDS CHD Prevention Trials with Statins in Diabetic Subjects Subgroup Analyses CARDS: 主要终点 Trials with Fibrates in Patients with Diabetes Countries With Highest Numbers of Estimated Cases of Diabetes for 2000 and 2030 Ranking Country People with diabetes (millions) Country People with diabetes (millions) 2000 2030 1 India 31.7 India 79.4 2 China 20.8 China 42.3 3 U.S. 17.7 U.S. 30.3 4 Indonesia 8.4 Indonesia 21.3 5 Japan 6.8 Pakistan 13.9 6 Pakistan 5.2 Brazil 11.3 7 Russian Federation 4.6 Bangladesh 11.1 8 Brazil 4.6 Japan 8.9 9 Italy 4.3 Pinecones 7.8 10 Bangladesh 3.2 Egypt1 6.7 Total: 177 million 366 MILLION BY 2030 Incidence During Follow-up (%) (n=69) Nondiabetics with prior MI Nondiabetics with no prior MI Diabetics with prior MI Diabetics with no prior MI 18.8 Haffner SM et al. N Engl J Med 1998;339:229-234. (n=1304) (n=169) (n=890) 3.0 0.5 7.8 3.2 3.5 45.0 20.2 Events per100 person-yr: P0.001 p0.001 Incidence During Follow-up (%) (n=69) Nondiabetics with prior MI Nondiabetics with no prior MI Diabetics with prior MI Diabetics with no prior MI 7.2 Haffner SM et al. N Engl J Med 1998;339:229-234. (n=1304) (n=169) (n=890) 1.2 0.3 3.4 1.6 1.9 19.5 10.3 Events per100 person-yr: P=0.01 p0.001 Prevalence of CHD by the Metabolic Syndrome and Diabetes in the NHANES Population Age 50+ Alexander C et al. Diabetes 2003