冠心病合并(hébìng)糖尿病的新调脂策略第一页,共四十三页。第一页,共四十三页。内容(nèiróng)介绍•冠心病合并(hébìng)糖尿病患者的心血管风险•2型糖尿病患者血脂特点及影响预后的因素•冠心病合并糖尿病患者调脂治疗证据•冠心病合并糖尿病患者的治疗策略第二页,共四十三页。第二页,共四十三页。23.0M23.0M36.2M36.2M↑↑57.057.0%%14.2M14.2M26.2M26.2M↑↑8585%%48.4M48.4M58.6M58.6M↑↑2121%%43.0M43.0M75.8M75.8M↑↑7979%%7.1M7.1M15.0M15.0M↑↑111111%%39.339.3MM81.681.6MM↑↑108108%%M=million,AFR=Africa,NA=NorthAmerica,EUR=Europe,M=million,AFR=Africa,NA=NorthAmerica,EUR=Europe,SACA=SouthandCentralAmerica,EMME=EasternMediterraneanandMiddleEast,SACA=SouthandCentralAmerica,EMME=EasternMediterraneanandMiddleEast,SEA=South-EastAsia,WP=WesternPacificSEA=South-EastAsia,WP=WesternPacificDiabetesAtlasCommittee.DiabetesAtlasCommittee.DiabetesAtlas2DiabetesAtlas2ndndEdition:Edition:IDF2003IDF2003..糖尿病全球流行状况(zhuàngkuàng)预测(2003-2025)WorldWorld2003=194M2003=194M2025=333M2025=333M↑↑72%72%AFRAFRNANASACASACAEUREURSEASEAWPWP19.2M19.2M39.4M39.4M↑↑105%105%EMMEEMME2003200320252025第三页,共四十三页。第三页,共四十三页。糖尿病在亚洲(yàzhōu)(2003-2025)01000020000300004000050000600007000080000AustraliaChinaIndonesiaJapanKoreaMalaysiaPhilippinesSingaporeTaiwanThailandIndia20252003NumberofPeoplewithDiabetes(000)NumberofPeoplewithDiabetes(000)Source:http://www.eatlas.idf.org/prevalence/index(accessed10/7/2005)Source:http://www.eatlas.idf.org/prevalence/index(accessed10/7/2005)第四页,共四十三页。第四页,共四十三页。糖尿病增加(zēngjiā)心脏病死亡率2-4倍CI=confidenceinterval.CI=confidenceinterval.††任何心脏疾病任何心脏疾病(jíbìng)(jíbìng),,包括缺血性心脏病包括缺血性心脏病,,作为死亡证明上的主要死亡原因作为死亡证明上的主要死亡原因..GuK,etal.GuK,etal.JAMA.JAMA.1999;281:1291-1297.1999;281:1291-1297.17.812.02.65.90510152025MenWomenMenWomen无糖尿病无糖尿病糖尿病糖尿病心脏病死亡率+心脏病死亡率+Rateper1000Person-YearsRateper1000Person-Years(95%CI)(95%CI)第五页,共四十三页。第五页,共...