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高脂蛋白血症的危险在于引起动脉粥样硬化及其并发症,这多见于Ⅱ、Ⅲ、Ⅳ、Ⅴ型,而不发生于Ⅰ型。治疗应针对降低血浆胆固醇及甘油三酯,以防止或延缓心血管并发症发生。首先根据各型血脂变化的特点,采用各种饮食治疗,如后者无效或患者不能接受,可选用降血脂药物。如血胆固醇增高,宜低胆固醇饮食,少食或不食动物性脂防。药物可选用亚油酸制剂、降脂树脂、谷固醇、新霉素等。如血甘油三酯增高,对乳糜微粒血症采用低脂饮食即可;对内源性甘油三酯增高采用低糖饮食,减轻体重至标准体重,药物可选用安妥明、烟酸等。祖国医药宝库中有许多能降低血脂的中草药,值得进一步研究,大力推广应用。
The danger of hyperlipoproteinemia is atherosclerosis and its complications, which are more common in types II, III, IV and V, but not in type I. Treatment should be aimed at lowering plasma cholesterol and triglycerides to prevent or delay the occurrence of cardiovascular complications. First of all, according to the characteristics of various types of blood lipid changes, the use of a variety of dietary treatments, such as the latter is invalid or patients can not accept the choice of lipid-lowering drugs. Such as increased blood cholesterol, should be low cholesterol diet, eat less or not animal fat prevention. Drugs can be used linoleic acid formulations, lipid-lowering resin, sitosterol, neomycin and so on. Such as increased blood triglyceride, chylomicronemia low-fat diet can be; increased endogenous triglycerides using low-sugar diet, weight loss to standard weight, the drug can be used clinoply, niacin and so on. There are many herbal medicine in the motherland can reduce blood lipid of Chinese herbal medicine, it is worth further study, to promote the application.