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\u9762\u5c0d\u574a\u9593\u773e\u591a\u8eab\u9ad4\u6aa2\u67e5\u7684\u9078\u64c7\uff0c\u4e00\u822c\u4eba\u96e3\u514d\u6703\u55ae\u7d14\u4ee5\u50f9\u9322\u4f5c\u6bd4\u8f03\u3002\u990a\u548c\u91ab\u9662\u5bb6\u5ead\u91ab\u5b78\u5c08\u79d1\u91ab\u751f\u5f35\u5b87\u91ab\u751f\u6307\uff0c\u5373\u4f7f\u662f\u540c\u4e00\u6aa2\u67e5\u9805\u76ee\uff0c\u4e0d\u540c\u6e2c\u8a66\u65b9\u6cd5\u7684\u6e96\u78ba\u5ea6\u3001\u9748\u654f\u5ea6\uff08Sensitivity\uff09\u3001\u7279\u7570\u5ea6\uff08Specificity\uff09\u548c\u9670\u6027\u9810\u6e2c\u503c\u4e5f\u6709\u5dee\u7570\u3002\u5f35\u91ab\u751f\u5efa\u8b70\u5e02\u6c11\u5728\u9032\u884c\u9ad4\u6aa2\u524d\u5148\u8aee\u8a62\u5c08\u696d\u7684\u610f\u898b\uff0c\u91ab\u751f\u6703\u5148\u4e86\u89e3\u6c42\u8a3a\u8005\u7684\u75c5\u6b77\u3001\u5bb6\u65cf\u75c5\u53f2\u53ca\u521d\u6b65\u81e8\u5e8a\u6aa2\u67e5\u7d50\u679c\uff0c\u4ee5\u53ca\u751f\u6d3b\u7fd2\u6163\u3001\u904e\u5f80\u9a57\u8eab\u5831\u544a\u3001\u5e73\u65e5\u670d\u7528\u85e5\u7269\u7b49\u8cc7\u8a0a\uff0c\u6309\u5be6\u969b\u9700\u8981\u4f86\u5ea6\u8eab\u8a02\u9020\u500b\u4eba\u5316\u7684\u9ad4\u6aa2\u9805\u76ee\u3002 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\u82e5\u6c42\u8a3a\u8005\u6709\u4ee5\u4e0b9\u500b\u9ad8\u98a8\u96aa\u56e0\u7d20\uff0c\u91ab\u751f\u6703\u9032\u4e00\u6b65\u5b89\u6392\u6aa2\u9a57\u7cd6\u5316\u8840\u7d05\u7d20\uff0c\u4ee5\u53ca75\u514b\u53e3\u670d\u8461\u8404\u7cd6\u8010\u7cd6\u6e2c\u8a66\uff1a \u5f35\u91ab\u751f\u63d0\u9192\uff0c\u4e00\u822c\u5316\u9a57\u5ba4\u7684\u300c\u6b63\u5e38\u53c3\u8003\u503c\u300d\uff0c\u901a\u5e38\u53ea\u5217\u51fa\u7cd6\u5c3f\u75c5\u6307\u6a19\uff0c\u672a\u6709\u8a73\u7d30\u5217\u660e\u7cd6\u5c3f\u524d\u671f\u6307\u6a19\uff0c\u6545\u4e0d\u8981\u4ee5\u70ba\u7a7a\u8179\u8840\u7cd6\u4f4e\u65bc7mmol\/L\u3001\u7cd6\u5316\u8840\u7d05\u7d20\u4f4e\u65bc6.5%\u4fbf\u5c6c\u6b63\u5e38\uff0c\u4e26\u5efa\u8b70\u8b39\u8a183\u9805\u6307\u6578\u7684\u6b63\u5e38\u503c\uff1a\u7a7a\u8179\u8840\u7cd6\u7684\u6b63\u5e38\u503c\u61c9\u662f5.5\u6216\u4ee5\u4e0b\ufe54\u7cd6\u5316\u8840\u7d05\u7d20\u6b63\u5e38\u503c\u70ba5.6%\u6216\u4ee5\u4e0b\ufe54\u5169\u5c0f\u664275\u514b\u53e3\u670d\u8461\u8404\u7cd6\u8010\u7cd6\u6e2c\u8a66\u7684\u6b63\u5e38\u503c\u61c9\u70ba7.7\u6216\u4ee5\u4e0b\u3002 \u7cd6\u5c3f\u75c5\u524d\u671f \u7cd6\u5c3f\u75c5 \u7cd6\u5316\u8840\u7d05\u7d20 5.7\u20136.4% (39\u201347mmol\/mol) \u22656.5% (48mmol\/mol) \u7a7a\u8179\u8840\u7cd6 100\u2013125mg\/dL (5.6\u20136.9mmol\/L) \u2265126mg\/dL (7.0mmol\/L) 75\u514b\u53e3\u670d\u8461\u8404\u7cd6\u8010\u7cd6\u6e2c\u8a66 140\u2013199mg\/dL (7.8\u201311.0mmol\/L) \u2265200mg\/dL (11.1mmol\/L) \u2022 \u8840\u58d3\uff1a\u9ad8\u8840\u58d3\u5fb5\u72c0\u4e0d\u660e\u986f \u6b63\u5e38\u8840\u58d3\u4f4e\u65bc120\/80mmHg \u9ad8\u8840\u58d3\u6c92\u6709\u660e\u986f\u5fb5\u72c0\uff0c\u82e5\u975e\u900f\u904e\u6046\u5e38\u91cf\u5ea6\u8840\u58d3\uff0c\u60a3\u8005\u672a\u5fc5\u610f\u8b58\u5230\u81ea\u5df1\u7684\u72c0\u51b5\u3002\u9ad8\u8840\u58d3\u60a3\u8005\u6709\u53ef\u80fd\u6703\u51fa\u73fe\u982d\u75db\u3001\u982d\u6688\u3001\u8996\u7dda\u6a21\u7cca\u3001\u8eab\u9ad4\u75b2\u52de\u7b49\u5fb5\u72c0\uff0c\u4ee4\u4eba\u5bb9\u6613\u5ffd\u8996\uff0c\u4ee5\u81f4\u51fa\u73fe\u4f75\u767c\u75c7\u6642\u65b9\u767c\u73fe\u60a3\u75c5\u3002 \u5f35\u91ab\u751f\u6307\u51fa\uff0c\u4e0d\u8ad6\u662f\u4e9e\u6d32\u6216\u897f\u65b9\u570b\u5bb6\uff0c\u90fd\u628a\u6b63\u5e38\u8840\u58d3\u5b9a\u7fa9\u70ba\u4f4e\u65bc120\/80mmHg\u3002\u4ed6\u5f15\u8ff0\u7f8e\u570b\u4e00\u9805\u300c\u6536\u7e2e\u58d3\u4ecb\u5165\u8a66\u9a57\u300d\uff08SPRINT\uff09\u7814\u7a76\u6307\u51fa\uff0c\u5982\u6210\u529f\u628a\u4e0a\u58d3\u964d\u81f3120 mmHg\u4ee5\u4e0b\uff0c\u80fd\u5920\u5206\u5225\u5c07\u5fc3\u8840\u7ba1\u767c\u75c5\u7387\u53ca\u6574\u9ad4\u6b7b\u4ea1\u98a8\u96aa\u964d\u4f4e25%\u53ca27%\u3002\u53e6\u5916\uff0c\u6839\u64da2021\u5e74\u8001\u5e74\u4eba\u8840\u58d3\u5927\u578b\u7814\u7a76\uff08STEP Trial\uff09\uff0c60\u81f380\u6b72\u9577\u8005\u4ee5\u6536\u7e2e\u58d3\u9054110\u81f3130mmHg\u70ba\u6cbb\u7642\u76ee\u6a19\uff0c\u51fa\u73fe\u4e2d\u98a8\u7684\u6a5f\u6703\u7387\u8f03\u50b3\u7d71\u4ee5130\u81f3150mmHg\u70ba\u76ee\u6a19\u4f4e33%\uff0c\u9019\u6253\u7834\u4e86\u6191\u89c0\u5bdf\u9577\u8005\u6bd4\u8f03\u5e38\u60a3\u9ad8\u8840\u58d3\uff0c\u800c\u932f\u8aa4\u7d50\u8ad6\u70ba\u9577\u8005\u8981\u6709\u8f03\u9ad8\u8840\u58d3\u7684\u8aa4\u89e3\uff01 \u2022 \u8840\u8102\uff1a\u58de\u81bd\u56fa\u9187\u589e\u5fc3\u8840\u7ba1\u75c5\u98a8\u96aa \u53ef\u8003\u616e3\u9805\u6aa2\u67e5 \u9ad8\u8840\u8102\u662f\u6307\u8840\u7684\u4f4e\u5bc6\u5ea6\u81bd\u56fa\u9187\uff08LDL-C\uff09\u3001\u5373\u58de\u81bd\u56fa\u9187\uff0c\u4ee5\u53ca\u4e09\u9178\u7518\u6cb9\u8102\uff08Triglycerides\uff09\u904e\u9ad8\uff0c\u6216\u9ad8\u5bc6\u5ea6\u8102\u86cb\u767d\uff08High Density Lipoprotein\u00a0Cholesterol\uff0c\u7c21\u7a31HDL-C\uff09\u6fc3\u5ea6\u904e\u4f4e\uff1b\u7576\u591a\u9918\u7684\u8102\u80aa\u9577\u671f\u56e4\u7a4d\u5728\u8840\u7ba1\u5167\u58c1\u4e0a\uff0c\u6703\u9020\u6210\u52d5\u8108\u786c\u5316\uff0c\u5f15\u8d77\u8840\u7ba1\u963b\u585e\uff0c\u7e7c\u800c\u5c0e\u81f4\u5fc3\u81df\u75be\u75c5\u5982\u5fc3\u7d5e\u75db\u6216\u5fc3\u808c\u6897\u585e\uff0c\u6216\u8166\u8840\u7ba1\u75c5\u8b8a\u5982\u8166\u6897\u585e\u6216\u662f\u8166\u51fa\u8840\u3002 \u5c0d\u65bc\u6709\u9ad8\u81bd\u56fa\u9187\u8840\u75c7\u6216\u9ad8\u98a8\u96aa\u60a3\u4e0a\u52d5\u8108\u7ca5\u6a23\u786c\u5316\u5fc3\u8840\u7ba1\u75be\u75c5\u7684\u4eba\u58eb\u800c\u8a00\uff0c\u5f35\u91ab\u751f\u5efa\u8b70\u53ef\u8003\u616e\u63a5\u53d7\u4ee5\u4e0b3\u9805\u6aa2\u67e5\uff1a \u2022 \u591a\u666e\u52d2\uff08Doppler\uff09\u9838\u52d5\u8108\u8d85\u8072\u6ce2\u6aa2\u67e5\uff1a\u80fd\u5448\u73fe\u9838\u52d5\u8108\u4e2d\u7684\u8840\u584a\uff0c\u6709\u5426\u300c\u9838\u52d5\u8108\u72f9\u7a84\u300d\u7684\u60c5\u51b5\uff0c\u6709\u52a9\u63ea\u51fa\u77ed\u66ab\u6027\u8166\u7f3a\u8840\u767c\u4f5c\uff08\u53c8\u7a31\u300c\u5c0f\u4e2d\u98a8\u300d\uff09\u3001\u7cd6\u5c3f\u75c5\u53ca\u9ad8\u81bd\u56fa\u9187\u8840\u75c7\u60a3\u8005\u3002 \u2022 \u9ad8\u654f\u611f\u5ea6C-\u53cd\u61c9\u86cb\u767d\uff08hs-CRP\uff09\u6e2c\u8a66\uff1a\u80fd\u53cd\u6620\u767c\u708e\u7a0b\u5ea6\uff0c\u82e5\u6578\u503c\u9ad8\u65bc2mg\/L\uff0c\u4ee3\u8868\u5fc3\u81df\u75c5\u767c\u4f5c\u98a8\u96aa\u589e\u52a0\u3002 \u2022 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