EPISODE · May 31, 2026 · 7 MIN
肝病课堂：肝功能不全如何选降脂药
from 消化肝病前沿资讯
本期播客聚焦肝功能不全患者如何科学选择降脂药，解析Child-Pugh分级对他汀使用的影响，区分亲水性与亲脂性他汀的代谢特点及安全性差异，并介绍胆固醇吸收抑制剂、PCSK9抑制剂等替代方案。同时探讨转氨酶升高的处理原则与合并用药风险，强调个体化评估与专科医师指导的重要性，帮助听众在安全与疗效间找到平衡。00:06肝功能不全降脂难题引入00:38Child-Pugh分级与选药关系01:29亲水亲脂他汀特性解析02:18CYP3A4与药物相互作用03:06替代方案与转氨酶升高03:50转氨酶升高处理标准04:22瑞舒伐他汀获指南推荐05:15失代偿肝硬化他汀禁忌05:54活动性肝病用药注意06:28个体化选药与复查提醒
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肝病课堂：肝功能不全如何选降脂药
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