Fenofibrate and Diabetic Retinopathy.

Fenofibrate and Diabetic Retinopathy.
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DOI:
10.1007/s11892-016-0786-7
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发表时间:
2016-10
影响因子:
4.2
通讯作者:
Chew EY
Chew EY
中科院分区:
医学2区
文献类型:
--
作者:
Knickelbein JE;Abbott AB;Chew EY

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糖尿病视网膜病变是糖尿病的一种常见且威胁视力的微血管并发症,是导致工作年龄成人失明的主要原因。包括强化控制高血糖和高血压在内的药物治疗已被证明可以减少糖尿病视网膜病变的发病率和进展。流行病学研究表明,血脂异常与他汀类药物治疗与糖尿病视网膜病变之间的关系并不一致。然而,最近的两项随机临床试验表明,全身非诺贝特治疗在减少糖尿病视网膜病变进展方面具有有益作用,与血清脂质水平无关。这些发现表明,非诺贝特可能是减少糖尿病视网膜病变进展的有效策略,从而减轻治疗糖尿病视网膜病变威胁视力的并发症所带来的巨大且不断增长的公共卫生负担。
Diabetic retinopathy, a common and sight-threatening microvascular complication of diabetes mellitus, is a leading cause of blindness among working-aged adults. Medical therapies including intensive control of hyperglycemia and hypertension have been shown to reduce the incidence and progression of diabetic retinopathy. The association of dyslipidemia and treatment with statins with diabetic retinopathy is inconsistent in epidemiologic studies. However, two recent randomized clinical trials have demonstrated beneficial effects of systemic fenofibrate therapy in reducing the progression of diabetic retinopathy independently of serum lipid levels. These findings suggest that fenofibrate may be an effective strategy for reducing the progression of diabetic retinopathy, thus reducing the large and growing public health burden of treating the sight-threatening complications of diabetic retinopathy.
DOI: 10.1016/j.diabres.2013.11.002
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