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3\uff09\u7684\u60a3\u8005\uff08\u5305\u62ec\u4e34\u7ec8\u524d\u72b6\u6001\u7684\u60a3\u8005\uff09\uff0c\u4e0d\u5efa\u8bae\u4f9d\u636e\u4e0a\u8ff0\u8def\u5f84\u8fdb\u884c\u65b9\u6848\u9009\u62e9\uff0c\u800c\u5e94\u57fa\u4e8e\u91cd\u8981\u810f\u5668\u529f\u80fd\u3001\u836f\u7269\u6cbb\u7597\u53cd\u5e94\u3001\u4f4e\u8840\u7cd6\u98ce\u9669\u7b49\uff0c\u5236\u5b9a\u76f8\u5bf9\u5bbd\u677e\u7684\u8840\u7cd6\u63a7\u5236\u76ee\u6807\uff0c\u4ee5\u4e0d\u53d1\u751f\u4f4e\u8840\u7cd6\u548c\u4e25\u91cd\u9ad8\u8840\u7cd6\u4e3a\u57fa\u672c\u539f\u5219\u3002<\/p>\n<p>3<\/p>\n<p>&nbsp;\u964d\u7cd6\u836f\u7269<\/p>\n<p>2024\u7248\u6307\u5357\u7ee7\u7eed\u5c06MET\u3001DPP-4i\u3001SGLT2i\u63a8\u8350\u4e3a\u8001\u5e74T2DM\u60a3\u8005\u7684\u4e00\u7ea7\u63a8\u8350\u964d\u7cd6\u836f\u7269\uff0c\u5c06GLP-1RA\u63a8\u8350\u4e3a\u5bf9\u5408\u5e76ASCVD\u6216\u9ad8\u5371\u56e0\u7d20\u60a3\u8005\u4e00\u7ea7\u63a8\u8350\u964d\u7cd6\u836f\u7269\uff08\u5bf9\u4e00\u822c\u8001\u5e74T2DM\u60a3\u8005\u662f\u4e8c\u7ea7\u63a8\u8350\u964d\u7cd6\u836f\u7269\uff09\u3002<\/p>\n<p>\u672c\u7248\u6307\u5357\u7ed3\u5408\u4e86\u8fd1\u4e09\u5e74\u6765\u65b0\u7684\u836f\u7269\u3001\u65b0\u7684\u5faa\u8bc1\u533b\u5b66\u8bc1\u636e\uff0c\u4e3b\u8981\u56f4\u7ed5DPP-4i\u3001SGLT2i\u3001GLP-1RA\u7b49\u51e0\u7c7b\u4e34\u5e8a\u4e2d\u5e38\u7528\u7684\u65b0\u578b\u964d\u7cd6\u836f\u7269\u8fdb\u884c\u4e86\u66f4\u65b0\uff0c\u90e8\u5206\u66f4\u65b0\u5185\u5bb9\u5982\u4e0b\u3002<\/p>\n<p>DPP-4i<\/p>\n<p>\u76ee\u524d\u5728\u56fd\u5185\u4e0a\u5e02\u7684DPP-4i\u6709\u897f\u683c\u5217\u6c40\u3001\u7ef4\u683c\u5217\u6c40\u3001\u6c99\u683c\u5217\u6c40\u3001\u963f\u683c\u5217\u6c40\u3001\u5229\u683c\u5217\u6c40\u3001\u66f2\u683c\u5217\u6c40\u3001\u745e\u683c\u5217\u6c40\u548c\u66ff\u683c\u5217\u6c40\uff0c\u5176\u4e2d\u591a\u6570DPP\u20114i\u4e3a\u65e5\u5236\u5242\uff08\u7ef4\u683c\u5217\u6c40\u6bcf\u65e5\u4e24\u6b21\uff09\uff0c\u66f2\u683c\u5217\u6c40\u4e3a\u5468\u5236\u5242\u30022024\u7248\u6307\u5357DPP-4i\u7c7b\u522b\u4e0b\u66f4\u65b0\u52a0\u5165\u9996\u4e2a\u4e14\u76ee\u524d\u552f\u4e00\u56fd\u4ea7\u539f\u7814DPP-4i\u745e\u683c\u5217\u6c40\u3002DPP-4i\u7c7b\u836f\u7269\u5355\u72ec\u5e94\u7528\u65f6\u4e00\u822c\u4e0d\u51fa\u73b0\u4f4e\u8840\u7cd6\uff0c\u5bf9\u4f53\u91cd\u5f71\u54cd\u4e2d\u6027\uff0c\u80c3\u80a0\u9053\u53cd\u5e94\u5c11\uff0c\u8f83\u9002\u7528\u4e8e\u8001\u5e74\u60a3\u8005\uff0c\u4e3a\u4e00\u7ea7\u63a8\u8350\u964d\u7cd6\u836f\u7269\u3002<\/p>\n<p>SGLT2i<\/p>\n<p>\u6211\u56fd\u76ee\u524d\u6279\u51c6\u4e34\u5e8a\u4f7f\u7528\u7684SGLT2i\u5305\u62ec\u8fbe\u683c\u5217\u51c0\u3001\u6069\u683c\u5217\u51c0\u3001\u5361\u683c\u5217\u51c0\u3001\u827e\u6258\u683c\u5217\u51c0\u548c\u6052\u683c\u5217\u51c0\u30022024\u7248\u6307\u5357SGLT2i\u7c7b\u522b\u4e0b\u66f4\u65b0\u52a0\u5165\u9996\u4e2a\u56fd\u4ea7\u539f\u7814SGLT2i\u6052\u683c\u5217\u51c0\u3002<\/p>\n<p>\u6052\u683c\u5217\u51c0\u5bf9\u8001\u5e74\u60a3\u8005\u6709\u6548\u4e14\u8010\u53d7\u6027\u53ef\uff0c\u964d\u7cd6\u673a\u5236\u5e76\u4e0d\u4f9d\u8d56\u80f0\u5c9b\u7d20\uff0c\u6781\u5c11\u53d1\u751f\u4f4e\u8840\u7cd6\uff0c\u5177\u6709\u51cf\u91cd\u4f5c\u7528\uff08\u7279\u522b\u662f\u51cf\u5c11\u5185\u810f\u8102\u80aa\uff09\u4ee5\u53ca\u660e\u786e\u7684\u5fc3\u8840\u7ba1\u53ca\u80be\u810f\u83b7\u76ca\uff0c\u4e14\u5728\u8001\u5e74\u548c\u975e\u8001\u5e74\u60a3\u8005\u4e2d\u5747\u4e00\u81f4\uff0c\u662f\u8001\u5e74T2DM\u60a3\u8005\u7684\u4e00\u7ea7\u63a8\u8350\u964d\u7cd6\u836f\u7269\uff0c\u5e76\u4e14\u63a8\u8350\u4f5c\u4e3a\u5408\u5e76ASCVD\u6216\u9ad8\u5371\u56e0\u7d20\u3001HF\u53ca\u6162\u6027\u80be\u810f\u75c5\u7684\u8001\u5e74\u60a3\u8005\u9996\u9009\u7528\u836f\u3002<\/p>\n<p>\u6307\u5357\u539f\u6587\u66f4\u65b0\u4e86\u8fd1\u4e09\u5e74\u6765\u6069\u683c\u5217\u51c0\u3001\u8fbe\u683c\u5217\u51c0\u7b49\u5728\u80be\u810f\u7ed3\u5c40\u7814\u7a76\u548c\u5fc3\u8870\u4eba\u7fa4\u83b7\u76ca\u7814\u7a76\u7ed3\u679c\uff0c\u540c\u65f6\u63d0\u5230\u6052\u683c\u5217\u51c0\u5728T2DM\u60a3\u8005\u4e2d\u5f00\u5c55\u7684\u5176\u5bf9\u5fc3\u529f\u80fd\u53ca\u5c3f\u767d\u86cb\u767d\u5f71\u54cd\u7684\u5b9e\u6548\u6027\u7814\u7a76\u6b63\u5728\u8fdb\u884c\u4e2d\u3002<\/p>\n<p>\u5f53\u4ee5\u964d\u7cd6\u4e3a\u76ee\u7684\u65f6\uff0ceGFR&lt;45ml\/min\/1.73m<sup>2<\/sup><sup><\/sup>\u4e0d\u5efa\u8bae\u4f7f\u7528\u8fbe\u683c\u5217\u51c0\u3001\u5361\u683c\u5217\u51c0\u3001\u827e\u6258\u683c\u5217\u51c0\uff0ceGFR&lt;30ml\/min\/1.73m<sup>2<\/sup><sup><\/sup>\u4e0d\u5efa\u8bae\u4f7f\u7528\u6069\u683c\u5217\u51c0\u3001\u6052\u683c\u5217\u51c0\u3002<\/p>\n<p>\u5f53\u4ee5\u975e\u964d\u7cd6\u4e3a\u76ee\u7684\u65f6\uff0ceGFR&lt;25ml\/min\/1.73m<sup>2<\/sup><sup><\/sup>\u4e0d\u5efa\u8bae\u8d77\u59cb\u4f7f\u7528\u8fbe\u683c\u5217\u51c0\uff1beGFR&lt;20ml\/min\/1.73m<sup>2<\/sup><sup><\/sup>\u4e0d\u5efa\u8bae\u8d77\u59cb\u4f7f\u7528\u6069\u683c\u5217\u51c0\uff0c\u82e5\u5df2\u7ecf\u4f7f\u7528\u6069\u683c\u5217\u51c0\u3001\u8fbe\u683c\u5217\u51c0\uff0c\u9664\u975e\u60a3\u8005\u65e0\u6cd5\u8010\u53d7\u6216\u9700\u8981\u80be\u810f\u66ff\u4ee3\u6cbb\u7597\uff0c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