{"id":30411,"date":"2024-04-17T04:19:28","date_gmt":"2024-04-17T04:19:28","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=30411"},"modified":"2024-04-17T04:19:28","modified_gmt":"2024-04-17T04:19:28","slug":"%e5%a6%82%e4%bd%95%e8%b0%83%e8%8a%82%e8%a1%80%e8%84%82","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=30411","title":{"rendered":"\u5982\u4f55\u8c03\u8282\u8840\u8102"},"content":{"rendered":"<p>       \u52a8\u8109\u7ca5\u6837\u786c\u5316\u6027\u5fc3\u8840\u7ba1\u75be\u75c5\uff08ASCVD\uff09\u6b7b\u4ea1\uff0c\u5360\u6211\u56fd\u5c45\u6c11\u75be\u75c5\u6b7b\u4ea1\u768440\uff05\u4ee5\u4e0a\uff0c\u5c45\u9996\u4f4d\u3002\u8840\u8102\u5f02\u5e38\u4e3aASCVD\u53d1\u751f\u53d1\u5c55\u4e2d\u6700\u4e3b\u8981\u7684\u81f4\u75c5\u6027\u5371\u9669\u56e0\u7d20\u4e4b\u4e00\u3002\u8840\u8102\u5f02\u5e38\u662f\u6307\u8840\u6d46\u80c6\u56fa\u9187\u53ca\uff08\u6216\uff09\u7518\u6cb9\u4e09\u916f\u6c34\u5e73\u589e\u9ad8\u6216\u662f HDL \u80c6\u56fa\u9187\u6c34\u5e73\u964d\u4f4e\uff0c\u4fc3\u4f7f\u52a8\u8109\u7ca5\u6837\u786c\u5316\u7684\u5f62\u6210\u3002\u6cbb\u7597\u5305\u62ec\u996e\u98df\u6539\u53d8\u3001\u8fd0\u52a8\u548c\u964d\u8102\u836f\u7269\u3002<\/p>\n<h2 data-placeholder='\u4e00\u7ea7\u6807\u9898'>01 \u964d\u8102\u836f\u7269<\/h2>\n<p>\u964d\u8102\u836f\u7269\u7684\u4e00\u822c\u7528\u836f\u539f\u5219\u662f\uff1a<\/p>\n<p>       1\uff09\u9996\u9009\u7528\u836f\uff1a\u9996\u9009\u4ed6\u6c40\u7c7b\u836f\u7269\uff0c\u8d77\u59cb\u6cbb\u7597\u5b9c\u91c7\u7528\u4e2d\u7b49\u5f3a\u5ea6\uff08\u4f7f LDL-C \u964d\u4f4e 30 ~ 50 \uff05\uff09\uff0c\u6839\u636e\u8c03\u8102\u7597\u6548\u548c\u60a3\u8005\u7684\u8010\u53d7\u60c5\u51b5\uff0c\u9002\u5f53\u8c03\u6574\u5242\u91cf\uff1b\u5bf9\u4e8e\u4e25\u91cd\u9ad8\u8102\u8840\u75c7\u6216\u8d85\u9ad8\u5371\u60a3\u8005\uff0c\u5e38\u9700\u4ed6\u6c40\u7c7b\u4e0e\u5176\u4ed6\u8c03\u8102\u836f\u7269\u5408\u7528\u3002<\/p>\n<p>        2\uff09\u8c03\u6574\u7528\u836f\uff1a\u8c03\u8102\u836f\u7269\u7597\u6548\u4e0d\u4f73\u6216\u51fa\u73b0\u660e\u663e\u4e0d\u826f\u53cd\u5e94\uff0c\u53ef\u52a0\u7528\u6216\u6362\u7528\u4e0d\u540c\u673a\u5236\u7684\u8c03\u8102\u836f\u7269\u3002\u964d\u80c6\u56fa\u9187\u3001\u7518\u6cb9\u4e09\u916f\u836f\u7269\u4e0d\u826f\u53cd\u5e94\u3001\u4f5c\u7528\u673a\u5236\u5982\u4e0b\u3002<\/p>\n<p>\u964d\u80c6\u56fa\u9187\u836f\u7269\u4f5c\u7528\u673a\u5236\u3001\u4e0d\u826f\u53cd\u5e94<\/p>\n<p>\u964d\u7518\u6cb9\u4e09\u916f\u836f\u7269\u7684\u673a\u5236\u3001\u4e0d\u826f\u53cd\u5e94<\/p>\n<p>       3\uff09\u8054\u5408\u7528\u836f\uff1a\u5355\u836f\u6cbb\u7597\u8840\u8102\u4e0d\u8fbe\u6807\u7684\u60a3\u8005\u9700\u8981\u8054\u5408\u5e94\u7528\u673a\u5236\u4e0d\u540c\u7684\u836f\u7269\u3002\u8054\u5408\u964d\u8102\u65b9\u6848\u53ca\u9002\u5e94\u75c7\u89c1\u4e0b\u8868\u3002<\/p>\n<h2 data-placeholder='\u4e00\u7ea7\u6807\u9898'>02 \u8840\u8102\u8c03\u8282\u8425\u517b\u65b9\u6848<\/h2>\n<p>        TC\u3001TG\u3001LDL\u3001Lp(a)\u4f4e\u597d\uff0cHDL-C\u3001ApoA1\u9ad8\u597d\uff01<\/p>\n<p>2.1 \u03c9\u20113\u8102\u80aa\u9178<\/p>\n<p>2.1.1 DHA \u548c EPA<\/p>\n<p>    \u8865\u51451.8g\/d\u7684\u03c9\u20113PUFAs\uff0c\u53ef\u4ee5\u663e\u8457\u964d\u4f4eTG\uff0c\u63d0\u9ad8HDL\u2011C\u6c34\u5e73\uff0c\u5e76\u53ef\u964d\u4f4eCVD\u6b7b\u4ea1\u98ce\u9669\u548c\u51a0\u5fc3\u75c5\u53d1\u75c5\u7387\u3002EPA \u548c\uff08\u6216\uff09DHA\uff0c\u5747\u5177\u6709\u5242\u91cf\u4f9d\u8d56\u6027\u964d\u4f4e TG \u4f5c\u7528\uff0c\u63a8\u8350\u81f3\u5c11 1.8 g\/d\u3002<\/p>\n<p>2.1.2 \u03b1\u2011\u4e9a\u9ebb\u9178\uff08\u03b1\u2011linolenic acid\uff0c ALA\uff09<\/p>\n<p>     \u7814\u7a76\u663e\u793a\uff1a\u5f53\u4f53\u5185ALA\u6d53\u5ea6\u6bcf\u589e\u52a00.13 mmol\/L\u65f6\uff0cCVD\u98ce\u9669\u964d\u4f4e4.7%\u3002\u957f\u671f\u6444\u5165\u4e00\u5b9a\u91cf\u7684ALA\u5bf9TG\u3001TC\u53caLDL\u2011C\u6709\u660e\u663e\u7684\u964d\u4f4e\u4f5c\u7528\uff0c\u63a8\u8350\u6444\u5165\u5242\u91cf\u4e3a\u6bcf\u59293~8 g\u3002<\/p>\n<p>2.1.3 \u690d\u7269\u753e\u9187<\/p>\n<p>       \u8840\u8102\u5f02\u5e38\u60a3\u8005\u5efa\u8bae\u6bcf\u65e5\u670d\u7528 1.5~2.5 g\u7684\u690d\u7269\u753e\u9187\uff08\u80f6\u56ca\u3001\u6e38\u79bb\u578b\uff09\u53ef\u964d\u4f4eLDL\u2011C\u3001TC\u3001TG \u7684\u6c34\u5e73\uff0c\u4e14\u957f\u671f\u8865\u5145\u690d\u7269\u753e\u9187\u662f\u5b89\u5168\u7684\u3002\u7814\u7a76\u663e\u793a\uff1a\u6bcf\u5929\u670d\u7528\u542b 2.0 g\u690d\u7269\u753e\u9187\u7684\u9178\u5976\uff0c1\u5e74\u540e\u9ad8\u80c6\u56fa\u9187\u8840\u75c7\u60a3\u8005\u7684LDL\u2011C\u6c34\u5e73\u6bd4\u5bf9\u7167\u7ec4\u663e\u8457\u964d\u4f4e\u4e86 0.36 mmol\/L\u3002<\/p>\n<p>2.1.4 \u4e2d\u94fe\u7518\u6cb9\u4e09\u916f\uff08medium chain triglycerides\uff0cMCT\uff09<\/p>\n<p>     \u7814\u7a76\u663e\u793a\uff1a\u4e0e\u5bcc\u542b\u957f\u94fe\u9971\u548c\u8102\u80aa\u9178\uff08long chain saturated fatty acids\uff0cLCSFAs\uff09\u7684\u996e\u98df\u76f8\u6bd4\uff0c\u5bcc\u542bMCFAs \u7684\u996e\u98df\u4f1a\u663e\u8457\u589e\u52a0 HDL\u2011C \u53ca apoA\u2011I \u6c34\u5e73\uff0c\u800c\u5bf9 TG\u3001LDL\u2011C \u548c TC \u6c34\u5e73\u6ca1\u6709\u5f71\u54cd\u3002\u5efa\u8bae\u6bcf\u5929\u6444\u5165\u91cf 4~5 g MCT \u4ee3\u66ff\u90e8\u5206\u957f\u94fe\u7518\u6cb9\u4e09\u916f\u53ef\u80fd\u4f1a\u6539\u5584\u8840\u8102\u5f02\u5e38\u60a3\u8005\u7684\u8840\u8102\u6c34\u5e73\u3002<\/p>\n<p>2.2 \u7ef4\u751f\u7d20\u53ca\u77ff\u7269\u8d28<\/p>\n<p>       \u7814\u7a76\u663e\u793a\uff1a\u6bcf\u65e5\u8865\u5145 5 mg \u4e2d\u4f4d\u5242\u91cf\u7684\u53f6\u9178\uff0cTC \u964d\u4f4e 0.17 mmol\/L\uff0cLDL\u2011C\u964d\u4f4e0.33 mmol\/L\uff0cTG\u964d\u4f4e0.79 mmol\/L\uff1b\u6bcf\u65e5\u8865\u5145 400 mg \u4e2d\u4f4d\u5242\u91cf\u7684\u9541\uff0cTG \u964d\u4f4e 0.14 mmol\/L\uff0cHDL\u2011C \u63d0\u9ad8 0.04 mmol\/L\uff1b\u6bcf\u65e5\u8865\u5145 30 mg\u4e2d\u4f4d\u5242\u91cf\u7684\u950c\uff0cTG\u964d\u4f4e 0.28 mmol\/L\uff0cTC\u964d\u4f4e 0.34 mmol\/L\uff1b\u70df\u9178\u65e2\u53ef\u4ee5\u964d\u4f4e\u8840\u6e05\u7518\u6cb9\u4e09\u916f\uff0c\u53c8\u53ef\u4ee5\u589e\u52a0HDL-C\u6c34\u5e73\uff0c\u8fd8\u80fd\u964d\u4f4e\u4f4e\u5bc6\u5ea6\u8102\u86cb\u767d\u80c6\u56fa\u9187\uff08LDL-C\uff09\u6c34\u5e73\u3002\u70df\u9178\u53ef\u5c06\u7518\u6cb9\u4e09\u916f\u6c34\u5e73\u964d\u4f4e\u7ea635%\uff1b\u800c\u7ef4\u751f\u7d20 C\u3001\u7ef4\u751f\u7d20 E\u3001\u7ef4\u751f\u7d20 D\u3001\u7852\u5bf9\u8840\u8102\u672a\u89c1\u663e\u8457\u6539\u5584\u4f5c\u7528\u3002\u76ee\u524d\uff0c\u8fd8\u7f3a\u4e4f\u9ad8\u8d28\u91cf\u5173\u4e8e\u591a\u79cd\u7ef4\u751f\u7d20\u53ca\u77ff\u7269\u8d28\u8865\u5145\u5242\u5bf9\u8840\u8102\u6709\u76ca\u7684\u7edf\u4e00\u8bc1\u636e\u3002<\/p>\n<p>2.3 \u76ca\u751f\u83cc<\/p>\n<p>        \u7814\u7a76\u663e\u793a\uff1a\u4e0e\u5b89\u6170\u5242\u7ec4\u76f8\u6bd4\uff0c\u670d\u7528\u76ca\u751f\u83cc\u80fd\u663e\u8457\u964d\u4f4e\u8840\u6e05 LDL\u2011C\u3001TC \u6c34\u5e73\uff0c\u6709\u5229\u4e8e\u964d\u4f4e\u5fc3\u8840\u7ba1\u4e8b\u4ef6\u53d1\u751f\u98ce\u9669\u3002\u7136\u800c\u76ee\u524d\uff0c\u53d7\u7814\u7a76\u76ca\u751f\u83cc\u79cd\u7c7b\u3001\u5242\u91cf\u53ca\u5e72\u9884\u65b9\u5f0f\u548c\u4eba\u7fa4\u7684\u4e0d\u540c\uff0c\u76ca\u751f\u83cc\u6539\u5584\u8840\u8102\u5f02\u5e38\u7684\u7ed3\u8bba\u5e76\u4e0d\u5b8c\u5168\u4e00\u81f4\uff0c\u591a\u6570\u7814\u7a76\u8ba4\u4e3a\uff0c\u8865\u5145\u76ca\u751f\u83cc\u540c\u65f6\u8865\u5145\u76ca\u751f\u5143\uff0c\u5bf9\u6539\u5584\u8840\u8102\u7684\u6548\u679c\u66f4\u4f73\uff0c\u800c\u5355\u7eaf\u76ca\u751f\u83cc\u7684\u4f5c\u7528\u4ecd\u9700\u9ad8\u8d28\u91cf\u7684\u7814\u7a76\u8fdb\u4e00\u6b65\u8bc1\u5b9e\u3002<\/p>\n<p>2.4 \u81b3\u98df\u7ea4\u7ef4<\/p>\n<p>       \u7814\u7a76\u663e\u793a\uff1a\u957f\u671f\u6bcf\u5929\u589e\u52a0\u81b3\u98df\u7ea4\u7ef4 12 g \u5de6\u53f3\uff0c\u8840\u6e05 TC\u3001TG\u6c34\u5e73\u663e\u8457\u4e0b\u964d\u3001HDL\u6c34\u5e73\u663e\u8457\u589e\u52a0\uff0c\u4eba\u7fa4\u8d85\u91cd\u7387\u3001\u80a5\u80d6\u7387\u3001\u8179\u578b\u80a5\u80d6\u7387\u3001\u7a7a\u8179\u8840\u7cd6\u53ca\u8840\u8102\u4ea6\u4e0b\u964d\u660e\u663e\u3002\u81b3\u98df\u7ea4\u7ef4\uff08\u5c24\u5176\u662f\u6c34\u6eb6\u6027\/\u9ad8\u9ecf\u5ea6\u81b3\u98df\u7ea4\u7ef4\uff09\u6709\u52a9\u4e8e\u6539\u5584\u8840\u8102\u5f02\u5e38\uff0c\u5efa\u8bae\u98df\u7269\u6dfb\u52a0\u81b3\u98df\u7ea4\u7ef4\uff08\u6c34\u6eb6\u6027\/\u9ad8\u9ecf\u5ea6\u81b3\u98df\u7ea4\u7ef4\uff0910~25 g\/d\u3002<\/p>\n<h2 data-placeholder='\u4e00\u7ea7\u6807\u9898'>03 \u8840\u8102\u8c03\u8282\u7684\u836f\u98df\u540c\u6e90\u7c7b\u4e2d\u836f\u6750<\/h2>\n<p>3.1 \u5e38\u7528\u964d\u8840\u8102\u7684\u5355\u5473\u4e2d\u836f<\/p>\n<p>       \u5c71\u6942\u3001\u4f55\u9996\u4e4c\u3001\u6cfd\u6cfb\u3001\u51b3\u660e\u5b50\u3001\u5973\u8d1e\u5b50\u3001\u8336\u6811\u6839\u3001\u8377\u53f6\u3001\u7389\u7af9\u3001\u5927\u9ec4\u3001\u7075\u829d\u3001\u4e09\u4e03\u3001\u7ea2\u82b1\u3001\u4e39\u53c2\u3001\u6851\u5bc4\u751f\u3001\u9ea6\u82bd\u3001\u845b\u6839\u3001\u90c1\u91d1\u3001\u8335\u9648\u3002<\/p>\n<p>3.2 \u5e38\u7528\u964d\u8840\u8102\u590d\u65b9<\/p>\n<p>3.2.1 \u590d\u65b9\u5c71\u6942\u7247:&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; <\/p>\n<p>       \u5c71\u694230\u514b\uff0c\u845b\u683915\u514b\uff0c\u660e\u77fe1.2\u514b\uff0c\u4e3a\u4e00\u65e5\u91cf\uff0c\u5236\u6210\u7247\u5242\uff0c\u52063\u6b21\u670d\u3002<\/p>\n<p>3.2.2 \u8109\u5b89\u51b2\u5242&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<\/p>\n<p>       \u751f\u5c71\u6942\uff0c\u9ea6\u82bd\u540415\u514b\uff0c\u5236\u6210\u51b2\u5242\uff0c\u4e00\u65e52\u6b21\uff0c\u6bcf\u6b211\u5305\uff0820\u514b\uff09\u3002<\/p>\n<p>3.2.3 \u5c71\u6942\u6bdb\u51ac\u9752\u714e\u5242&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<\/p>\n<p>       \u5c71\u694230\u514b\uff0c\u6bdb\u51ac\u975260\u514b\uff0c\u6bcf\u65e5\u4e00\u5242\uff0c\u52062\u6b21\u670d\u3002 &nbsp; &nbsp; &nbsp; &nbsp; 3.2.4 \u964d\u8102\u6c64<\/p>\n<p>        \u4f55\u9996\u4e4c15\u514b\u3001\u67b8\u675e\u5b5010\u514b\uff0c\u8349\u51b3\u660e30\u514b\uff0c\u6bcf\u65e5\u4e00\u5242\uff0c\u52062\u6b21\u670d\u3002<\/p>\n<p>3.2.5 \u7389\u6942\u51b2\u5242<\/p>\n<p>       \u7389\u7af9\u3001\u5c71\u6942\u5404\u7b49\u91cf\uff0c\u5236\u6210\u51b2\u5242\uff0c\u4e00\u65e52\u6b21\uff0c\u6bcf\u6b211\u5305\uff0820\u514b\uff09\u3002<\/p>\n<p>3.2.6 \u590d\u65b9\u4e09\u4e03\u6c64<\/p>\n<p>      \u4e09\u4e033\u514b\uff0c\u5c71\u694224\u514b\uff0c\u6cfd\u6cfb18\u514b\uff0c\u8349\u51b3\u660e15\u514b\uff0c\u864e\u675615\u514b\uff0c\u6bcf\u65e5\u4e00\u5242\uff0c\u52062\u6b21\u670d\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6027\u5fc3\u8840\u7ba1\u75be\u75c5\uff08ASCVD\uff09\u6b7b\u4ea1\uff0c\u5360\u6211\u56fd\u5c45\u6c11\u75be\u75c5\u6b7b\u4ea1\u768440\uff05\u4ee5\u4e0a\uff0c\u5c45\u9996 &hellip; <a href=\"http:\/\/zydq.1006ss.com\/?p=30411\">\u7ee7\u7eed\u9605\u8bfb <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-30411","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/30411","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=30411"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/30411\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30411"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30411"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30411"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}