《最新卒中护理不》ppt课件.pptVIP

* The structure of each type of blood vessel is modified according to its function and location. One common structural characteristic of all the vessels is the smooth endothelial lining known as the intima. All arteries and veins are constructed of three layers. The walls of the venules and veins are much thinner and less elastic than the arteries and arterioles. The veins and venules also contain blood under much lower pressures and many of the veins have valves. * * The structure of each type of blood vessel is modified according to its function and location. One common structural characteristic of all the vessels is the smooth endothelial lining known as the intima. All arteries and veins are constructed of three layers. The walls of the venules and veins are much thinner and less elastic than the arteries and arterioles. The veins and venules also contain blood under much lower pressures and many of the veins have valves. * The structure of each type of blood vessel is modified according to its function and location. One common structural characteristic of all the vessels is the smooth endothelial lining known as the intima. All arteries and veins are constructed of three layers. The walls of the venules and veins are much thinner and less elastic than the arteries and arterioles. The veins and venules also contain blood under much lower pressures and many of the veins have valves. * * * 降压治疗能够带来明显的临床获益，这是经2004年的一项大型荟萃分析结果而证实的，这项分析表明： SBP每降低10–12mmHg或DBP每降低5-6mmHg能够显著降低心衰、致死/非致死性卒中、心血管死亡以及致死/非致死性心血管事件的发生率。 * 他汀试验荟萃分析结果同样证明了卒中同胆固醇水平的相关性 ：降低LDL-C水平，卒中风险降低。 图中曲线是对2003年8月之前发表的，能够在PubMed上检索到的，共26项他汀类药物的随机试验进行荟萃分析的结果。该荟萃分析涵盖超过90,000人，主要观察他汀降LDL-C治疗对卒中和颈动脉内膜中膜厚度（IMT）的影响。结果显示，随着LDL-C降幅进行性的增加，卒中风险逐渐降低。他汀治疗每降低10%LDL-C水平，卒中的发生率降低15.6%， 卒中的减少与LDL-C降低幅度有关，与基线LDL-C水平无关。 Reference 1. Amarenco P, Labreuche J, Lavallée P, Touboul P-J. Statins in stroke prevention and carotid atherosclerosis: systematic review and up-to-date meta-analysi