血脂与ASCVD之间的相互作用增加了DKD的风险:非线性关系转化为线性关系,一个横截面研究
Huan Li1,2,3,4, Yulu Shi1,2,3, Hui Zhang2,3
1First Affiliated Hospital, Kunming Medical University, Kunming, China.
Frontiers in endocrinology
|September 5, 2025
概括
动脉样性心血管疾病增加了糖尿病患者高胆固醇和LDL- C的脏风险,消除了保护性脂质值. 根据ASCVD状态,应对糖尿病的脂质管理进行个性化.
科学领域:
- 心脏病学
- 肝脏病学
- 内分泌学
背景情况:
- 动脉样性心血管疾病 (ASCVD) 和糖尿病病 (DKD) 是相关的糖尿病并发症.
- 脱脂症是它们发展的关键因素.
- 在未经治疗的糖尿病患者中,ASCVD对脂质-DKD关系的影响尚不清楚.
研究的目的:
- 调查ASCVD对脂质和DKD风险之间的影响.
- 在有或没有ASCVD的糖尿病患者中分析DKD风险的脂质值.
主要方法:
- 在没有降脂治疗的26476名2型糖尿病患者的回顾性分析.
- 回归和限制立方脊柱 (RCS) 分析以评估脂质-DKD关联.
- 评估脂质和ASCVD之间的倍增和添加相互作用.
主要成果:
- 显示HDL-C与DKD的线性相关性.
- 仅在没有ASCVD的患者中发现了DKD风险的显著脂质值 (LDL- C,TC,TG,HDL- C).
- 随着TC和LDL- C,ASCVD患者的DKD风险持续增加,缺乏安全值.
- ASCVD和TC/LDL-C之间的协同作用增加了损伤的风险.
结论:
- 在糖尿病患者中,ASCVD会加剧TC和LDL-C的损伤.
- ASCVD消除了保护性脂质值,需要个性化脂质管理.
- 对于患有ASCVD的糖尿病患者,应优先进行严格的TC和LDL-C控制.
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