Patients who have already developed arteriosclerosis should be actively treated to prevent the progression of the disease and reverse it. Patients who have developed complications should be treated promptly to prevent their worsening. The main methods of drug treatment include:
1. Expand blood vessels and relieve vasomotor disorders.
① Isosorbide mononitrate, 20 mg each time, 2-3 times a day; sustained-release capsules, 40 mg each time, once a day;
② Nitropine Sustained-release tablets (Baixintong), 30 mg, once a day;
③Diltiazem (Hexinshuang Sustained-release Tablets), 60 mg, once a day.
2. Regulate blood lipids. On the basis of a reasonable diet and moderate exercise, if blood lipids are still higher than normal, lipid-lowering drugs can be used.
① Drugs that lower triglycerides include: fenofibrate, atorvastatin, gemfibrozil;
② Drugs that lower cholesterol include: simvastatin, fluvastatin Statins and pravastatin can improve the pulse;
③ Traditional Chinese medicines such as Xuezhikang, Zhibituo, etc. also have certain lipid-regulating effects.
3. Anti-platelet adhesion and aggregation drugs can prevent thrombosis and prevent the occurrence and development of vascular obstructive diseases. Commonly used drugs include: enteric-coated aspirin, ticlopidine, etc.
4. Thrombolytic drugs and anticoagulants. For those with lumen stenosis or obstruction caused by intra-arterial thrombus, thrombolytic drugs and anticoagulants can be used, such as urokinase, recombinant tissue fibrinolytic zymogen activator, heparin, etc.
In addition, interventional treatment can also be used, including surgical procedures such as recanalization, recanalization or bypass transplantation of stenotic or occluded blood vessels, especially coronary arteries, renal arteries and limb arteries, to restore arterial blood supply.