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五、高脂血症的治疗 高胆固醇血症是冠心病的三个主要危险因素之一,甘油三脂对动脉粥样硬化产生的作用尚未肯定。有些早发的冠心病,特别是周围血管粥样硬化常有很高的甘油三脂血症。肥胖及酗酒也常伴血甘油三脂增高。对于高脂血症的治疗不能单纯强调药物,而应综合考虑。(1)首先改变饮食习惯。近年来,美国已注意降低饮食中的脂肪含量,特别是饱和脂肪酸的含量,所以,冠心病发病率有所下降。而日本近年饮食西方化,冠心病发病率上升。Baylor医学院教授Gotto主张对高脂血症的病人应先用饮食治疗3～6个月,然后再考虑用降血脂药。饮食中胆固醇含量每日须低于300mg,蛋黄含饱和脂肪酸及胆固
Fifth, the treatment of hyperlipidemia Hypercholesterolemia is one of the three major risk factors for coronary heart disease, triglyceride on atherosclerosis has not yet been affirmed. Some of the early coronary heart disease, especially peripheral vascular atherosclerosis often have high triglyceridemia. Obesity and alcoholism are also often accompanied by elevated triglycerides. For the treatment of hyperlipidemia can not simply emphasize the drug, but should be considered. (1) first change the diet. In recent years, the United States has paid attention to reducing the fat content of the diet, especially the content of saturated fatty acids, so the incidence of coronary heart disease has declined. In recent years, Japan’s western diet, the incidence of coronary heart disease increased. Gotto, a professor at Baylor College of Medicine, advocates that patients with hyperlipidemia should be treated with a diet for 3 to 6 months before considering lipid-lowering drugs. Cholesterol diet should be less than 300mg daily, egg yolk with saturated fatty acids and gallstones