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2126806 2010 年 11 月 30 日 16:07 Reading (loading. ..) Comments (0) Category: Personal Diary
How to the blood down
Liyun Tian, MD, deputy director of the PLA 305 Hospital, director of cardiovascular intervention, clinical post-doctoral, and common diseases in the cardiovascular Diagnosis and treatment of difficult diseases has extensive clinical experience, participation in a number of National Natural Science Foundation of China, published 33 articles, two provincial and ministerial level scientific and technological progress awards. (Left)
Wang Xiaodong, deputy director of Physicians, 305 Hospital of PLA, has long been engaged in clinical and cardiovascular research in hypertension, coronary heart disease, high cholesterol, heart failure and other cardiac arrhythmias and cardiovascular disease diagnosis and treatment of other diseases, a unique combination of treatment methods and significant effect. More than 20 papers published, won five of military science and technology progress awards. (Right)
Moderator viewers Hello everybody! Here is the \To check, check blood is usually a must-projects. Check blood, we will see what the general has four roles, the first number I of total cholesterol, triglyceride second and third low-density lipoprotein cholesterol, and the fourth high-density lipoprotein cholesterol. I take it light enough to effortlessly read out, but we have to figure out their relationship seems more important, so can the blood down, today we asked the experts to help us interpret a single blood test to help us fat. The two experts arrived on the scene today, the PLA 305 Hospital, Liyun Tian Wang Xiaodong, deputy director, deputy director of physicians and physician.
Q: to determine high cholesterol criteria?
A: Our blood from the four, one is total cholesterol, one is triglyceride, a low-density lipoprotein cholesterol, a high-density lipoprotein cholesterol. Just short of patients from a single laboratory, it can be seen that the total cholesterol, triglyceride and low density lipoprotein three are high, so we can diagnose hyperlipidemia he is a patient in the course of three So long as any part of a high blood cholesterol are also high. The fourth is a small lipoprotein, which if there is high resistance to atherosclerosis effect.
Q: They were the four substances do? What is the relationship between it?
A: The blood is composed of multiple components, the material is to be human metabolism, but also metabolic activity of which operate in a component of the body, but the components have a certain degree there is not too much. When too many fatty deposits inside the body, it will cause a lot of harm, the most important hazards, the lower deposition in the vascular wall, is caused by atherosclerosis of the major factors, in turn damage many organs,
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Q: What are the dangers of high blood lipids do?
A: After the blood increased with age will lead to arteriosclerosis, atherosclerosis in different organs have different symptoms. High-density lipoprotein may play a decomposition, the role of metabolism in cholesterol, but too high there is a side effect of anti-atherosclerosis.
Q: patients with high cholesterol should be noted in their daily lives what?
A: patients with high cholesterol can pay attention to the following aspects, to lower blood lipids:
prescription for a lipid-lowering diet
light, eat less fat.
Second,
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,
Three lipid-lowering prescription
increased physical exercise.
Q: Specifically, patients with high blood fat in the diet, we should pay attention to?
A: Food is a non-drug treatment methods. First, in terms of patients with high cholesterol, should adhere to a reasonable diet, adhere to the nutritional balance of low cholesterol diet. Should eat some protein and rich in unsaturated fatty acids, such as lean meat, poultry, fish, shrimp,
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Q: When lowering, the drug should pay attention to?
A: After the required drug treatment, we recommend that physicians must actively cooperate with the treatment of drug interventions, clinical classification of many of the more common are the two categories, one is statins, such The drugs are mainly: Zocor, Lipitor, Xuezhikang, their main function is to lower cholesterol. There are fibrates, principally non-Norbert, Lipanthyl, their main role is to reduce triglycerides. They were part of lipid abnormalities, but also increase high density lipoprotein cholesterol.
Q: Some patients taking antihypertensive drugs at the time, there will be side effects such as liver and kidney damage, how should we treat it?
A: Many patients are worried about side effects of the problem, I think we should correctly deal with this problem. Lipid-lowering drugs is the most common side effects of gastrointestinal side effects, such as nausea, epigastric discomfort, in addition to also pay attention to two negative effects, one is elevated transaminase, and its incidence is about 1%. Performance will be some liver pain or nausea, this time to go to hospital for treatment, transaminase increased doses of the problem is. Another is muscle pain, fatigue, and some patients with mild pain, the pain was gradually increased, which we in medicine called myopathy. The incidence is 1 / 1000. If these symptoms occur during drug use, we must promptly to the hospital.
Q: lipid-lowering drugs and drug side effects are the two contradictory aspects, we should be how to balance them?
A: Do not have side effects, we stopped lipid-lowering therapy. Because of the dangers of high blood lipids is great, do not say because I have high blood lipids, but I have no symptoms do not rule, it is not right. Some side issues, such as elevated transaminases, we often find is a one process, through close monitoring of clinical generally not a particularly serious side effects. Therefore, we emphasize the importance of lipid-lowering is very useful on the human body, not because the health impact of these adverse events Treatment.
Q: Apart from lowering lipid drug therapy, but now there are many ways to lowering blood pressure, such as the method of washing the blood,
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A: The \a cure is no problem, but we do not advocate this method as the leading method of treatment. General For some familial hypercholesterolemia patients, patients with hereditary, after basic treatment, healthy lifestyle intervention and drug intervention can not be reduced to the desired level, this time to consider this treatment, but not as the dominant treatment of a regular .
Q: There are some health care products with the role of lowering it?
A: There are many on the market today that health care products, it has a certain lipid-lowering effect, we still recommend eating our medical staff have recommended these drugs, because the efficacy of these drugs is more accurately , lowering the rate of relatively large, is the result of a large number of clinical trials results,
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Q: In particular, patients with high cholesterol should be worthy of attention?
A: We advise patients must go to the treatment of high blood lipids, adverse reactions during treatment exists, but the incidence of adverse reactions is relatively low, with a doctor close to detect these adverse reactions , or can be prevented. We often see such a clinical or patient, he saw no symptoms, no treatment, and this is a misunderstanding. No symptoms is in need of treatment, there is not to take prescribed drugs, random drug withdrawal. There is no focus on efficacy, no review. After I opened the drug has to decide to eat or not eat, not referral is not good. There are not enough doses, is not compliance. We have a regular dose. There is also just said, the abuse of some of the drug efficacy are not plausible, that no matter what drugs you use, we give you must adhere to regular treatment. There is a fear of drug side effects, then there is the neglect based treatment is diet and exercise, this treatment is necessary, whether you do drugs.
Q: high blood lipids have to quit?
A: We recommend that patients should stop drinking, especially in patients with high blood lipids, general health of people, we call martial law, limit alcohol, for patients with high blood cholesterol, or alcohol either, because more than the amount of alcohol intake on serum lipids, or influential.
Q: How long will check for blood is appropriate?
A: When the detection of high blood cholesterol, we want a healthy lifestyle intervention in patients, we recommend four to six weeks to check the patient first, monitoring two to three months, if the lipids tends to normal, after a review can be three to six months, if not standard, need to add drug treatment, drug treatment after that we recommend that patients should be monitored four to six weeks, three months to six months after the compliance monitoring time.
two experts to help us host this joint analysis of how we look very complex lipid testing alone, we note that there are four indicators, three of which if exceeded, and on the human body we is negative, in which three of them exceeding the targets, we particularly pay attention to the question about low-density lipoprotein cholesterol, maybe we drugs or just the non-pharmaceutical interventions Ye Hao, his very effective. Towards the end of the show, I hope you look at our program guide for next week,
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