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首先,并非所有脂肪肝患者的血脂都高。脂肪肝一般分为两大类,一类是酒精性脂肪肝,这类患者中只有少部分人可能出现血脂升高;另一类是非酒精性脂肪肝,其原因比较复杂,包括肥胖、糖尿病、高血脂、药物及遗传因素等;另外还有40％左右原因不明的脂肪肝。也就是说,即使在非酒精性脂肪肝患者中,也只有一部分人的血脂升高。显而易见,血脂不高的脂肪肝患者服用降血脂药,对治疗脂肪肝没有任何意义。其次,脂肪肝患者即使伴有高血脂症,也不要轻易使用降血脂药。这是因为,多数降血脂药可促使血液中的脂质集中到肝脏进行代谢,患了脂肪肝的肝脏原本就存在脂肪代谢障碍,如果此时脂质增加,则会加重肝
First, not all fatty liver patients have high blood lipids. Fatty liver is generally divided into two categories, one is alcoholic fatty liver, only a small part of these patients may appear elevated blood lipids; the other is non-alcoholic fatty liver, the reasons are more complicated, including obesity, diabetes, High blood lipids, drugs and genetic factors; in addition there are about 40% of unknown causes of fatty liver. In other words, even in non-alcoholic fatty liver disease, only a few people have elevated blood lipids. Obviously, low blood lipids in patients with fatty liver lipid-lowering drugs, the treatment of fatty liver does not make any sense. Second, patients with fatty liver even with hyperlipidemia, do not easily use lipid-lowering drugs. This is because most hypolipidemic drugs can promote the concentration of lipids in the blood to the liver for metabolism. Fatty liver dysfunction is present in the fatty liver. If the lipid increases at this time, it will aggravate the liver