{"id":29953,"date":"2024-04-12T12:00:59","date_gmt":"2024-04-12T12:00:59","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=29953"},"modified":"2024-04-12T12:00:59","modified_gmt":"2024-04-12T12:00:59","slug":"%e3%80%90%e6%8c%87%e5%8d%97%e4%b8%8e%e5%85%b1%e8%af%86%e3%80%912024-ada%e7%b3%96%e5%b0%bf%e7%97%85%e8%af%8a%e7%96%97%e6%a0%87%e5%87%86%e8%a7%a3%e8%af%bb","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=29953","title":{"rendered":"\u3010\u6307\u5357\u4e0e\u5171\u8bc6\u30112024 ADA\u7cd6\u5c3f\u75c5\u8bca\u7597\u6807\u51c6\u89e3\u8bfb"},"content":{"rendered":"<\/p>\n<p>2023\u5e7412\u6708\uff0c \u7f8e\u56fd\u7cd6\u5c3f\u75c5\u5b66\u4f1a\uff08ADA\uff09\u5728Diabetes Care\u7f51\u7ad9\u91cd\u78c5\u53d1\u5e03\u4e86\u300aADA\u7cd6\u5c3f\u75c5\u8bca\u7597\u6807\u51c6\uff082024\u7248\uff09\u300b\uff0c\u53732024 ADA\u6307\u5357<sup>1<\/sup>\u3002ADA\u6307\u5357\u5728\u7cd6\u5c3f\u75c5\u6cbb\u7597\u9886\u57df\u5177\u6709\u98ce\u5411\u6807\u610f\u4e49\uff0c\u6bcf\u5e74\u90fd\u4f1a\u57fa\u4e8e\u7cd6\u5c3f\u75c5\u8bca\u7597\u9886\u57df\u7684\u6700\u65b0\u79d1\u5b66\u7814\u7a76\u548c\u4e34\u5e8a\u5b9e\u8df5\u8fdb\u884c\u66f4\u65b0\u30022024 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&nbsp;<\/p>\n<p>\u4e00\u3001\u7cd6\u5c3f\u75c5\u7684\u5206\u578b\u8bca\u65ad\u5bf9\u4e2a\u4f53\u5316\u6cbb\u7597\u81f3\u5173\u91cd\u8981\uff0c\u7136\u800c\u5728\u4e34\u5e8a\u5b9e\u8df5\u4e2d\u65e0\u6cd5\u660e\u786e\u5c06\u67d0\u4e9b\u4e2a\u4f53\u5206\u7c7b\u4e3a1\u578b\u62162\u578b\u7cd6\u5c3f\u75c5\uff0c\u8bef\u8bca\u53d1\u751f\u4e8e\u7ea640%\u7684\u65b0\u8bca\u65ad1\u578b\u7cd6\u5c3f\u75c5\u6210\u4eba\u60a3\u8005\u4e2d\u3002\u57fa\u4e8e\u6b64\uff0c2024 ADA\u6307\u5357\u65b0\u589e\u201c\u6210\u4eba\u7591\u4f3c1\u578b\u7cd6\u5c3f\u75c5\u5206\u578b\u6d41\u7a0b\u56fe\u201d\uff08\u56fe1\uff09\uff0c\u4e3a\u7591\u4f3c\u6210\u4eba1\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u7684\u8bca\u65ad\u63d0\u4f9b\u4e86\u7ed3\u6784\u5316\u6846\u67b6<sup>2<\/sup>\u3002<\/p>\n<ul>\n<li>\u65b0\u589e\u63a8\u83502.8\uff1a\u5bf9\u4e8e\u8868\u578b\u98ce\u9669\u56e0\u7d20\u4e0e1\u578b\u7cd6\u5c3f\u75c5\u7684\u8868\u578b\u98ce\u9669\u56e0\u7d20\u91cd\u53e0\u7684\u6210\u4eba(\u5982\uff0c\u8bca\u65ad\u65f6\u5e74\u9f84\u8f83\u5c0f\u3001\u975e\u610f\u613f\u6027\u4f53\u91cd\u51cf\u8f7b\u3001\u916e\u75c7\u9178\u4e2d\u6bd2\u6216\u63a5\u53d7\u80f0\u5c9b\u7d20\u6cbb\u7597\u65f6\u95f4\u77ed) \uff0c\u63a8\u8350\u91c7\u7528\u6807\u51c6\u5316\u80f0\u5c9b\u81ea\u8eab\u6297\u4f53\u68c0\u6d4b\u5bf9\u5176\u8fdb\u884c\u7cd6\u5c3f\u75c5\u5206\u7c7b\u3002(\u8bc1\u636e\u7b49\u7ea7\uff1aE)<\/li>\n<\/ul>\n<p>\u56fe1 \u65b0\u8bca\u65ad\u6210\u4eba\u7591\u4f3c1\u578b\u7cd6\u5c3f\u75c5\u7684\u5206\u578b\u6d41\u7a0b\u56fe<\/p>\n<p> &nbsp;\u4e8c\u30012024 ADA\u6307\u5357\u7684\u201c2\u578b\u7cd6\u5c3f\u75c5\u836f\u7269\u6cbb\u7597\u8def\u5f84\u56fe\u201d\u4ecd\u7136\u5ef6\u7eed\u4e862023\u7248ADA\u6307\u5357\u8def\u5f84\u56fe\uff08\u56fe2\uff09\uff0c\u540c\u65f6\u65b0\u589e\u53ca\u66f4\u65b0\u4e86\u591a\u9879\u836f\u7269\u6cbb\u7597\u63a8\u8350\uff1a\u56fe2 \u6210\u4eba2\u578b\u7cd6\u5c3f\u75c5\u836f\u7269\u6cbb\u7597\u8def\u5f84\u56fe<\/p>\n<ul>\n<li>\n<p>\u66f4\u65b0\u63a8\u83509.14\uff1a\u6210\u4eba2\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u5728\u6cbb\u7597\u5f00\u59cb\u65f6\u53ef\u4ee5\u8003\u8651\u65e9\u671f\u8054\u5408\u6cbb\u7597\uff0c\u4ee5\u7f29\u77ed\u8fbe\u5230\u4e2a\u4f53\u5316\u6cbb\u7597\u76ee\u6807\u7684\u65f6\u95f4\u3002(\u8bc1\u636e\u7b49\u7ea7\uff1aA)<\/p>\n<\/li>\n<li>\n<p>\u65b0\u589e\u63a8\u83509.15\uff1a\u5bf9\u4e8e\u65e0\u5fc3\u8840\u7ba1\u548c\/\u6216\u80be\u810f\u75be\u75c5\u76842\u578b\u7cd6\u5c3f\u75c5\u6210\u4eba\u60a3\u8005\uff0c\u836f\u7269\u6cbb\u7597\u5e94\u540c\u65f6\u5b9e\u73b0\u4e2a\u4f53\u5316\u8840\u7cd6\u548c\u4f53\u91cd\u76ee\u6807\u3002(\u8bc1\u636e\u7b49\u7ea7\uff1aA)<\/p>\n<\/li>\n<li>\n<p>\u65b0\u589e\u63a8\u83509.16\uff1a\u5bf9\u4e8e\u672a\u8fbe\u5230\u4e2a\u4f53\u5316\u8840\u7cd6\u76ee\u6807\u7684\u6210\u4eba2\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\uff0c\u540e\u7eed\u964d\u7cd6\u836f\u7269\u7684\u9009\u62e9\u5e94\u8003\u8651\u4e2a\u4f53\u5316\u8840\u7cd6\u548c\u4f53\u91cd\u76ee\u6807\u4ee5\u53ca\u5176\u4ed6\u4ee3\u8c22\u5408\u5e76\u75c7\u7684\u5b58\u5728\u548c\u4f4e\u8840\u7cd6\u98ce\u9669\u3002(\u8bc1\u636e\u7b49\u7ea7\uff1aA)<\/p>\n<\/li>\n<li>\n<p>\u65b0\u589e\u63a8\u83509.17\uff1a\u5bf9\u4e8e\u5c1a\u672a\u5b9e\u73b0\u4e2a\u4f53\u5316\u4f53\u91cd\u76ee\u6807\u76842\u578b\u7cd6\u5c3f\u75c5\u6210\u5e74\u60a3\u8005\uff0c\u5efa\u8bae\u91c7\u53d6\u989d\u5916\u7684\u4f53\u91cd\u7ba1\u7406\u5e72\u9884\u63aa\u65bd\uff08\u5982\uff0c\u914c\u60c5\u52a0\u5f3a\u751f\u6d3b\u65b9\u5f0f\u6539\u53d8\uff0c\u7ed3\u6784\u5316\u4f53\u91cd\u7ba1\u7406\u8ba1\u5212\uff0c\u836f\u7269\u6216\u4ee3\u8c22\u624b\u672f\uff09\u3002(\u8bc1\u636e\u7b49\u7ea7\uff1aA)<\/p>\n<\/li>\n<li>\n<p>\u66f4\u65b0\u63a8\u83509.18\uff1a\u5bf9\u4e8e\u5408\u5e76\u6216\u4f34\u6709\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6027\u5fc3\u8840\u7ba1\u75be\u75c5\u3001\u5fc3\u529b\u8870\u7aed(HF)\u548c\/\u6216\u6162\u6027\u80be\u810f\u75c5(CKD)\u9ad8\u98ce\u9669\u76842\u578b\u7cd6\u5c3f\u75c5\u6210\u4eba\u60a3\u8005\uff0c\u6cbb\u7597\u8ba1\u5212\u5e94\u5305\u62ec\u53ef\u964d\u4f4e\u5fc3\u8840\u7ba1\u548c\u80be\u810f\u75be\u75c5\u98ce\u9669\u7684\u836f\u7269[\u5982\uff0c\u94a0-\u8461\u8404\u7cd6\u534f\u540c\u8f6c\u8fd0\u86cb\u767d2\u6291\u5236\u5242\uff08SGLT2i\uff09\u548c\/\u6216\u80f0\u9ad8\u8840\u7cd6\u7d20\u6837\u80bd1\u53d7\u4f53\u6fc0\u52a8\u5242(GLP-1RA)]\uff0c\u7528\u4e8e\u8840\u7cd6\u7ba1\u7406\u548c\u5168\u9762\u964d\u4f4e\u5fc3\u8840\u7ba1\u98ce\u9669\u3002\u8fd9\u4e00\u51b3\u7b56\u5e94\u72ec\u7acb\u4e8eHbA1c\uff0c\u5e76\u8003\u8651\u4e2a\u4f53\u7279\u5f02\u6027\u56e0\u7d20\u3002(\u8bc1\u636e\u7b49\u7ea7\uff1aA)<\/p>\n<\/li>\n<li>\n<p>\u65b0\u589e\u63a8\u83509.21\uff1a\u57282\u578b\u7cd6\u5c3f\u75c5\u5408\u5e76\u665a\u671fCKD (eGFR&lt;30 mL\/min\/1.73m2)\u7684\u6210\u4eba\u60a3\u8005\u4e2d\uff0c\u7531\u4e8e\u4f4e\u8840\u7cd6\u98ce\u9669\u8f83\u4f4e\u548c\u5fc3\u8840\u7ba1\u4e8b\u4ef6\u51cf\u5c11\uff0c\u9996\u9009GLP-1RA\u7528\u4e8e\u8840\u7cd6\u7ba1\u7406\u3002(\u8bc1\u636e\u7b49\u7ea7\uff1aB)<\/p>\n<\/li>\n<\/ul>\n<p>\u4e09\u3001\u4f4e\u8840\u7cd6\u662f\u7cd6\u5c3f\u75c5\u7ba1\u7406\u8fc7\u7a0b\u4e2d\u7684\u4e00\u4e2a\u4e3b\u8981\u9650\u5236\u56e0\u7d20\uff0c\u5e76\u5bf9\u4eba\u4f53\u5177\u6709\u5e7f\u6cdb\u7684\u8d1f\u9762\u5f71\u54cd\u30022024 ADA\u6307\u5357\u63d0\u51fa\u5728\u9009\u62e9\u964d\u7cd6\u836f\u7269\u548c\u8840\u7cd6\u76ee\u6807\u65f6\uff0c\u4e34\u5e8a\u533b\u751f\u5e94\u8bc4\u4f30\u60a3\u8005\u7684\u4f4e\u8840\u7cd6\u98ce\u9669\uff08\u56fe3\uff09\uff0c\u5e76\u66f4\u65b0\u4e86\u4f4e\u8840\u7cd6\u7684\u6cbb\u7597\u63a8\u8350\uff1a<\/p>\n<ul>\n<li>\u66f4\u65b0\u63a8\u83506.12\uff1a\u5bf9\u4e8e\u8461\u8404\u7cd6&lt;70 mg\/dL (&lt;3.9 mmol\/L)\u7684\u6e05\u9192\u60a3\u8005\uff0c\u5c3d\u7ba1\u4efb\u4f55\u5f62\u5f0f\u7684\u542b\u8461\u8404\u7cd6\u7684\u78b3\u6c34\u5316\u5408\u7269\u90fd\u53ef\u4ee5\u4f7f\u7528\uff0c\u8461\u8404\u7cd6\u4ecd\u662f\u9996\u9009\u7684\u6cbb\u7597\u65b9\u6cd5\u3002\u6cbb\u759715\u5206\u949f\u540e\u5982\u679c\u4f4e\u8840\u7cd6\u4ecd\u6301\u7eed\uff0c\u5e94\u91cd\u590d\u6cbb\u7597\u3002(\u8bc1\u636e\u7b49\u7ea7\uff1aB)\u3002\u5728\u6587\u4e2d\u66f4\u65b0\u4e86\u5173\u4e8e\u4f7f\u7528\u81ea\u52a8\u80f0\u5c9b\u7d20\u8f93\u6ce8\u7cfb\u7edf\u60a3\u8005\u7684\u4f4e\u8840\u7cd6\u6cbb\u7597\u6307\u5bfc\u610f\u89c1\uff1a\u5bf9\u4e8e\u4f7f\u7528\u81ea\u52a8\u80f0\u5c9b\u7d20\u8f93\u6ce8\u7cfb\u7edf\u5e76\u51fa\u73b0\u4f4e\u8840\u7cd6\u7684DM\u60a3\u8005\uff0c\u5efa\u8bae\u6444\u51655-10g\u78b3\u6c34\u5316\u5408\u7269\uff08\u8fd0\u52a8\u5f15\u8d77\u7684\u4f4e\u8840\u7cd6\u6216\u78b3\u6c34\u5316\u5408\u7269\/\u9910\u91cf\u660e\u663e\u589e\u52a0\u7684\u60c5\u51b5\u9664\u5916\uff093\u3002<\/li>\n<li>\u66f4\u65b0\u63a8\u83506.13\uff1a\u6240\u6709\u4f7f\u7528\u80f0\u5c9b\u7d20\u6216\u4f4e\u8840\u7cd6\u9ad8\u5371\u4eba\u7fa4\u5747\u5e94\u88ab\u5f00\u5177\u80f0\u9ad8\u8840\u7cd6\u7d20\u5904\u65b9\u3002\u5bb6\u5ead\u6210\u5458\u3001\u7167\u62a4\u4eba\u5458\u3001\u5b66\u6821\u5de5\u4f5c\u4eba\u5458\u548c\u5176\u4ed6\u63d0\u4f9b\u652f\u6301\u7684\u4eba\u5458\u5e94\u4e86\u89e3\u80f0\u9ad8\u8840\u7cd6\u7d20\u7684\u4fdd\u5b58\u4f4d\u7f6e\u548c\u4f7f\u7528\u65b9\u6cd5\u3002\u9996\u9009\u65e0\u9700\u91cd\u65b0\u914d\u5236\u7684\u80f0\u9ad8\u8840\u7cd6\u7d20\u5236\u5242\u3002(\u8bc1\u636e\u7b49\u7ea7\uff1aE)<\/li>\n<\/ul>\n<p>\u56fe3 \u4f4e\u8840\u7cd6\u7684\u8bc4\u4f30<\/p>\n<p> \u4f4e\u8840\u7cd6\u7684\u9884\u9632\u5bf9\u4e8e\u7cd6\u5c3f\u75c5\u60a3\u8005\u6765\u8bf4\u81f3\u5173\u91cd\u8981\uff0c2024 ADA\u6307\u5357\u65b0\u589e\u591a\u7ec4\u5206\u4f4e\u8840\u7cd6\u9884\u9632\u8ba1\u5212\uff08\u56fe4\uff09\uff0c\u6db5\u76d6\u4e86\u521d\u6b21\u5c31\u8bca\u3001\u968f\u8bbf\u548c\u5e74\u8bbf\u65f6\u7684\u4e00\u7cfb\u5217\u4f4e\u8840\u7cd6\u9884\u9632\u63aa\u65bd\u3002\u56fe4 \u4f4e\u8840\u7cd6\u9884\u9632\u63aa\u65bd\u80a5\u80d6\u548c\u4f53\u91cd\u7ba1\u7406&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<\/p>\n<p>\u4e00\u3001\u80a5\u80d6\u662f\u4e00\u79cd\u6162\u6027\u75be\u75c5\uff0c\u901a\u5e38\u4f34\u6709\u591a\u79cd\u4ee3\u8c22\u3001\u8eab\u4f53\u548c\u5fc3\u7406\u5e76\u53d1\u75c7\uff0c\u5305\u62ec\u5927\u5927\u589e\u52a0\u7f79\u60a32\u578b\u7cd6\u5c3f\u75c5\u7684\u98ce\u9669\u3002\u591a\u9879\u8bc1\u636e\u8868\u660e\u51cf\u91cd\u53ef\u4ee5\u5ef6\u7f13\u4ece\u7cd6\u5c3f\u75c5\u524d\u671f\u52302\u578b\u7cd6\u5c3f\u75c5\u7684\u8fdb\u5c55\uff1b\u6b64\u5916\uff0c2\u578b\u7cd6\u5c3f\u75c5\u5408\u5e76\u8d85\u91cd\u6216\u80a5\u80d6\u7684\u60a3\u8005\u53ef\u4ee5\u4ece\u51cf\u91cd\u4e2d\u83b7\u76ca\uff0c\u4f53\u91cd\u51cf\u8f7b3-7%\u53ef\u4ee5\u6539\u5584\u8840\u7cd6\u53ca\u5176\u4ed6\u5fc3\u8840\u7ba1\u5371\u9669\u56e0\u7d20\u3002\u4f53\u91cd\u51cf\u8f7b10%\u901a\u5e38\u5e26\u6765\u66f4\u5927\u83b7\u76ca\uff0c\u5305\u62ec2\u578b\u7cd6\u5c3f\u75c5\u7f13\u89e3\u5e76\u53ef\u80fd\u6539\u5584\u957f\u671f\u5fc3\u8840\u7ba1\u7ed3\u5c40\u548c\u6b7b\u4ea1\u7387\u3002\u76ee\u524d\u4e34\u5e8a\u4e2d\u5e38\u7528\u4f53\u8d28\u6307\u6570\uff08BMI\uff09\u8fdb\u884c\u80a5\u80d6\u7684\u8bc4\u4f30\uff0c\u7136\u800cBMI\u5b58\u5728\u7740\u4e00\u5b9a\u7684\u5c40\u9650\u6027\uff1a<\/p>\n<ul>\n<li>\n<p>BMI\u4ec5\u662f\u4e00\u79cd\u4e0d\u5b8c\u5584\u7684\u8102\u80aa\u7ec4\u7ec7\u91cf\u7684\u6d4b\u91cf\u65b9\u6cd5\uff0c\u4e0d\u80fd\u53cd\u6620\u8102\u80aa\u7ec4\u7ec7\u7684\u5206\u5e03\u6216\u529f\u80fd\uff1b<\/p>\n<\/li>\n<li>\n<p>BMI\u4e0d\u80fd\u53cd\u6620\u4e0e\u4f53\u91cd\u76f8\u5173\u7684\u5065\u5eb7\u7ed3\u5c40\uff1b<\/p>\n<\/li>\n<li>\n<p>\u5bf9\u4e8e\u808c\u8089\u53d1\u8fbe\u6216\u8eab\u4f53\u865a\u5f31\u7684\uff0c\u4ee5\u53ca\u5177\u6709\u4e0d\u540c\u8eab\u4f53\u6210\u5206\u548c\u5fc3\u810f\u4ee3\u8c22\u98ce\u9669\u7684\u4eba\u7fa4\uff0cBMI \u6613\u9020\u6210\u5206\u7c7b\u9519\u8bef\u3002<\/p>\n<\/li>\n<\/ul>\n<p>\u56e0\u6b642024 ADA\u6307\u5357\u6307\u51fa\u4e0d\u5e94\u5c06BMI\u4f5c\u4e3a\u80a5\u80d6\u552f\u4e00\u7684\u8bca\u65ad\u548c\u5206\u671f\u5de5\u5177\u5e76\u66f4\u65b0\u76f8\u5173\u63a8\u8350\uff1a<\/p>\n<ul>\n<li>\n<p>\u66f4\u65b0\u63a8\u83508.2a\uff1a\u4e3a\u4e86\u66f4\u597d\u8bca\u65ad\u80a5\u80d6\uff0c\u5efa\u8bae\u6d4b\u91cf\u60a3\u8005\u8eab\u9ad8\u548c\u4f53\u91cd\uff0c\u4ee5\u8ba1\u7b97\u4f53\u91cd\u6307\u6570\uff08BMI\uff09\uff0c\u540c\u65f6\u5e94\u6d4b\u91cf\u5176\u4ed6\u6307\u6807\uff0c\u4ee5\u4e86\u89e3\u8eab\u4f53\u8102\u80aa\u5206\u5e03\u60c5\u51b5\uff0c\u5982\u8170\u56f4\u3001\u8170\u81c0\u6bd4\u548c\/\u6216\u8170\u9ad8\u6bd4\u7b49\u3002(\u8bc1\u636e\u7b49\u7ea7\uff1aE)<\/p>\n<\/li>\n<li>\n<p>\u66f4\u65b0\u63a8\u83508.2b\uff1a\u81f3\u5c11\u6bcf\u5e74\u76d1\u6d4b\u4e00\u6b21\u4e0e\u80a5\u80d6\u76f8\u5173\u7684\u4eba\u4f53\u6d4b\u91cf\u503c\uff0c\u4ee5\u4fbf\u4e3a\u6cbb\u7597\u63d0\u4f9b\u53c2\u8003\u3002(\u8bc1\u636e\u7b49\u7ea7\uff1aE)<\/p>\n<\/li>\n<li>\n<p>\u66f4\u65b0\u63a8\u83508.3\uff1a\u5728\u8fdb\u884c\u4eba\u4f53\u6d4b\u91cf\u65f6\uff0c\u5e94\u4f5c\u51fa\u8c03\u6574\u4ee5\u4fdd\u8bc1\u9690\u79c1\u3002(\u8bc1\u636e\u7b49\u7ea7\uff1aE)<\/p>\n<\/li>\n<\/ul>\n<p>\u4e8c\u3001\u65b0\u589e\u8d85\u91cd\/\u80a5\u80d6\u76842\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u7684\u836f\u7269\u6cbb\u7597\u63a8\u8350\uff1a<\/p>\n<ul>\n<li>\n<p>\u65b0\u589e\u63a8\u83508.17\uff1a2\u578b\u7cd6\u5c3f\u75c5\u4f34\u6709\u8d85\u91cd\/\u80a5\u80d6\u7684\u60a3\u8005\u9996\u9009\u51cf\u91cd\u6548\u679c\u66f4\u4f18\u7684\u836f\u7269\uff0c\u5982GLP-1RA\uff08\u53f8\u7f8e\u683c\u9c81\u80bd2.4mg\uff09\u6216GIP\/GLP-1\u53cc\u53d7\u4f53\u6fc0\u52a8\u5242\uff08Tirzepatide\uff09\uff0c\u5c24\u5176\u8003\u8651\u5230\u8fd9\u4e9b\u836f\u7269\u5177\u6709\u72ec\u7acb\u4e8e\u4f53\u91cd\u7684\u989d\u5916\u83b7\u76ca\uff0c\u5982\u8840\u7cd6\u548c\u5fc3\u810f\u4ee3\u8c22\u65b9\u9762\u3002(\u8bc1\u636e\u7b49\u7ea7\uff1aA)<\/p>\n<\/li>\n<li>\n<p>\u65b0\u589e\u63a8\u83508.18\uff1a\u4e3a\u4e86\u907f\u514d\u6cbb\u7597\u60f0\u6027\uff0c\u5bf9\u4e8e\u672a\u8fbe\u5230\u6cbb\u7597\u76ee\u6807\u7684\u4eba\u7fa4\uff0c\u5e94\u91cd\u65b0\u8bc4\u4f30\u4f53\u91cd\u7ba1\u7406\u65b9\u5f0f\uff0c\u5e76\u901a\u8fc7\u5176\u4ed6\u65b9\u5f0f\u5f3a\u5316\u6cbb\u7597\uff08\u5982\uff0c\u4ee3\u8c22\u624b\u672f\u3001\u589e\u52a0\u836f\u7269\u3001\u7ed3\u6784\u5316\u751f\u6d3b\u65b9\u5f0f\u7ba1\u7406\u8ba1\u5212\uff09\u3002(\u8bc1\u636e\u7b49\u7ea7\uff1aA)<\/p>\n<\/li>\n<\/ul>\n<p>STEP2\u7814\u7a76\u65e8\u5728\u8bc4\u4f30\u6bcf\u5468\u4e00\u6b21\u76ae\u4e0b\u6ce8\u5c04\u53f8\u7f8e\u683c\u9c81\u80bd2.4 mg\u548c\u5b89\u6170\u5242\u5bf9\u8d85\u91cd\u6216\u80a5\u80d6\u76842\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u4f53\u91cd\u7ba1\u7406\u7684\u6709\u6548\u6027\u548c\u5b89\u5168\u6027\uff0c\u7814\u7a76\u7ed3\u679c\u63d0\u793a\u53f8\u7f8e\u683c\u9c81\u80bd2.4mg\u663e\u8457\u51cf\u91cd\u3001\u964d\u7cd6\u5e76\u6539\u5584\u5fc3\u8840\u7ba1\u53ca\u4ee3\u8c22\u5371\u9669\u56e0\u7d20<sup>4<\/sup>\uff08\u56fe5\uff09\u3002\u56fe5&nbsp;STEP 2\u7814\u7a76\u7ed3\u679c\u5fc3\u8840\u7ba1\u75be\u75c5\u53ca\u98ce\u9669\u7ba1\u7406&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<\/p>\n<p>\u4e00\u3001\u66f4\u65b0\u9ad8\u8840\u538b\u6cbb\u7597\u8def\u5f84\u56fe\uff0c\u53cd\u6620\u521d\u59cb\u8840\u538b\u503c\u7684\u53d8\u5316\u4ee5\u53ca\u975e\u598a\u5a20\u7cd6\u5c3f\u75c5\u60a3\u8005\u4e2d\u786e\u8bca\u9ad8\u8840\u538b\u7684\u6cbb\u7597\u63a8\u8350\u3002\uff08\u56fe6\uff09<\/p>\n<ul>\n<li>\u66f4\u65b0\u63a8\u835010.12\uff1a\u5bf9\u4e8e\u63a5\u53d7\u8840\u7ba1\u7d27\u5f20\u7d20\u8f6c\u6362\u9176\uff08ACE\uff09\u6291\u5236\u5242\u3001\u8840\u7ba1\u7d27\u5f20\u7d20\u2161\u53d7\u4f53\u62ee\u6297\u5242\uff08ARB\uff09\u3001\u76d0\u76ae\u8d28\u6fc0\u7d20\u53d7\u4f53\u62ee\u6297\u5242\uff08MRA\uff09\u6216\u5229\u5c3f\u5242\u6cbb\u7597\u7684\u6210\u4eba\u60a3\u8005\uff0c\u5e94\u5728\u5f00\u59cb\u6cbb\u7597\u540e7~14\u5929\u5185\u76d1\u6d4b\u8840\u808c\u9150\/eGFR\u548c\u8840\u6e05\u94be\u6c34\u5e73\uff0c\u6bcf\u5e74\u81f3\u5c11\u76d1\u6d4b\u4e00\u6b21\u3002\uff08\u8bc1\u636e\u7b49\u7ea7\uff1aB\uff09<\/li>\n<\/ul>\n<p>\u56fe6&nbsp;\u7cd6\u5c3f\u75c5\u60a3\u8005\u7684\u9ad8\u8840\u538b\u6cbb\u7597\u8def\u5f84<\/p>\n<p>\u4e8c\u3001\u65b0\u589e\u4ed6\u6c40\u7c7b\u836f\u7269\u6cbb\u7597\u7684\u4e00\u7ea7\u548c\u4e8c\u7ea7\u9884\u9632\u63a8\u8350\uff1a<\/p>\n<ul>\n<li>\u65b0\u589e\u63a8\u835010.24\uff1a\u5bf9\u4e8e\u65e0\u6cd5\u8010\u53d7\u4ed6\u6c40\u7c7b\u836f\u7269\u7684\u7cd6\u5c3f\u75c5\u60a3\u8005\uff0c\u63a8\u8350\u4f7f\u7528bempedoic acid\u6cbb\u7597\u4f5c\u4e3a\u964d\u4f4e\u80c6\u56fa\u9187\u7684\u66ff\u4ee3\u7597\u6cd5\uff0c\u4ee5\u964d\u4f4e\u5fc3\u8840\u7ba1\u4e8b\u4ef6\u53d1\u751f\u7387\u3002\uff08\u8bc1\u636e\u7b49\u7ea7\uff1aA\uff09<\/li>\n<li>\u65b0\u589e\u63a8\u835010.28b\uff1a\u5bf9\u4e8e\u4e0d\u8010\u53d7\u4ed6\u6c40\u6cbb\u7597\u7684\u7cd6\u5c3f\u75c5\u548cASCVD\u60a3\u8005\uff0c\u63a8\u8350\u5c06PCSK9\u6291\u5236\u5242\u8054\u5408\u5355\u514b\u9686\u6297\u4f53\u6cbb\u7597\uff08\u63a8\u8350\u7b49\u7ea7\uff1aA\uff09\u3001bempedoic acid\u6cbb\u7597\uff08\u63a8\u8350\u7b49\u7ea7\uff1aA\uff09\u3001\u6216PCSK9\u6291\u5236\u5242\u8054\u5408inclisiran siRNA\uff08\u63a8\u8350\u7b49\u7ea7\uff1aE\uff09\u6cbb\u7597\u4f5c\u4e3a\u964d\u4f4e\u80c6\u56fa\u9187\u7684\u66ff\u4ee3\u6cbb\u7597\u3002<\/li>\n<\/ul>\n<p>\u6162\u6027\u80be\u75c5\u53ca\u98ce\u9669\u7ba1\u7406&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;\u65b0\u589e\u7cd6\u5c3f\u75c5\u5408\u5e76CKD\u60a3\u8005\u836f\u7269\u6cbb\u7597\u8def\u5f84\u56fe\uff0c\u5c55\u793a\u6539\u5584\u7cd6\u5c3f\u75c5\u548c\u6162\u6027\u80be\u75c5\u60a3\u8005\u9884\u540e\u7684\u6574\u4f53\u65b9\u6cd55\u3002\uff08\u56fe7\uff09<\/p>\n<p>\u56fe7&nbsp;\u7f8e\u56fd\u7cd6\u5c3f\u75c5\u534f\u4f1a\u548cKDIGO\u5173\u4e8e\u7cd6\u5c3f\u75c5\u5408\u5e76CKD\u60a3\u8005\u836f\u7269\u6cbb\u7597\u7684\u5171\u8bc6\u63a8\u8350<\/p>\n<p>\u9aa8\u9abc\u5065\u5eb7&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<\/p>\n<p>2024 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ADA\u6307\u5357\u4e5f\u5728\u4e0d\u65ad\u6df1\u5316\u4ee5\u60a3\u8005\u4e3a\u4e2d\u5fc3\u7684\u6cbb\u7597\u7406\u5ff5\uff0c\u5021\u5bfc\u591a\u79cd\u56e0\u7d20\u5171\u540c\u7ba1\u7406\uff0c\u4ece\u800c\u51cf\u8f7b\u7cd6\u5c3f\u75c5\u5e76\u53d1\u75c7\uff0c\u6700\u7ec8\u6539\u5584\u60a3\u8005\u7684\u751f\u6d3b\u8d28\u91cf\u3002\u5982\u9700\u5b8c\u6574\u7248\u5e7b\u706f\uff0c\u656c\u8bf7\u8054\u7cfb\u60a8\u7684\u533b\u5b66\u987e\u95ee\u3002<\/p>\n<p>\u6ce8\u610f\uff1a<\/p>\n<ul>\n<li>\u6587\u4e2d\u63d0\u5230\u7684\u53f8\u7f8e\u683c\u9c81\u80bd2.4mg\u3001Tirzepatide\u3001bempedoic acid\u5c1a\u672a\u5728\u4e2d\u56fd\u4e0a\u5e02\uff1b\u53f8\u7f8e\u683c\u9c81\u80bd\u5c1a\u672a\u5728\u4e2d\u56fd\u6279\u51c6\u51cf\u91cd\u9002\u5e94\u75c7\uff1b\u5177\u4f53\u4e34\u5e8a\u4f7f\u7528\u8bf7\u53c2\u8003\u4e2d\u56fd\u836f\u54c1\u8bf4\u660e\u4e66\u3002<\/li>\n<li>\u672c\u6587\u662f\u9488\u5bf9\u53d1\u8868\u4e8e\u300aDiabetes care\u300b\u671f\u520a\u7684\u540d\u4e3a\u300aStandards of Care in Diabetes-2024\u300b\u6587\u7ae0\u7684\u4ecb\u7ecd\u548c\u8bc4\u8bba\u3002<\/li>\n<\/ul>\n<p>*\u4ec5\u4f9b\u533b\u7597\u536b\u751f\u4e13\u4e1a\u4eba\u58eb\u53c2\u8003<\/p>\n<p>\u5ba1\u6279\u53f7\uff1aCN2400319<\/p>\n<h2>\u53c2\u8003\u6587\u732e<\/h2>\n<p>1. American Diabetes Association Professional Practice Committee. Diabetes Care. 2024;47(Suppl 1):S1-S313.2. Holt RIG, et al. Diabetologia. 2021;64(12):2609-2652.3. Danne T, et al. Diabetes Care 2017;40:1631\u20131640.4. Davies M, et al. Lancet 2021;397:971\u2013984.5. de Boer IH, et al. Diabetes Care 2022;45:3075\u20133090.6. Wang H, et al. BMJ Open 2019;9:e024067.7. Weber DR, et al. Diabetes Care 2015;38:1913\u20131920.8. Janghorbani M, et al. Am J Epidemiol 2007;166:495\u2013505.9. Majumdar SR, et al. J Clin Endocrinol Metab. 2016;101(11):4489-4496.10. Ebeling PR, et al. 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