{"id":39792,"date":"2024-08-17T05:10:33","date_gmt":"2024-08-17T05:10:33","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=39792"},"modified":"2024-08-17T05:10:33","modified_gmt":"2024-08-17T05:10:33","slug":"%e6%8c%87%e5%8d%97%e5%85%b1%e8%af%86%ef%bd%9c%e4%b8%ad%e5%9b%bd%e6%85%a2%e6%80%a7%e5%86%a0%e8%84%89%e7%bb%bc%e5%90%88%e5%be%81%e6%82%a3%e8%80%85%e8%af%8a%e6%96%ad%e5%8f%8a%e7%ae%a1%e7%90%86%e6%8c%87","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=39792","title":{"rendered":"\u6307\u5357\u5171\u8bc6\uff5c\u4e2d\u56fd\u6162\u6027\u51a0\u8109\u7efc\u5408\u5f81\u60a3\u8005\u8bca\u65ad\u53ca\u7ba1\u7406\u6307\u53572024"},"content":{"rendered":"

<\/h2>\n

\u7cbe\u5f69\u5185\u5bb9<\/p>\n

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CCS\u7684\u5b9a\u4e49<\/p>\n

       ACS\u6307\u51a0\u8109\u7ca5\u6837\u786c\u5316\u6591\u5757\u7834\u88c2\u6216\u4fb5\u8680\uff0c\u7ee7\u53d1\u5b8c\u5168\u6216\u4e0d\u5b8c\u5168\u95ed\u585e\u6027\u8840\u6813\u5f62\u6210\u6240\u5f15\u8d77\u7684\u6025\u6027\u5fc3\u808c\u7f3a\u8840\u7efc\u5408\u5f81[5]\u3002CCS\u662f\u6307\u9664ACS\u4e4b\u5916\u51a0\u8109\u75be\u75c5\u7684\u4e0d\u540c\u53d1\u5c55\u9636\u6bb5\uff0c\u4e34\u5e8a\u5e38\u89c1\u4ee5\u4e0b5\u79cd\u7c7b\u578b\u3002<\/p>\n

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2.\u7f3a\u8840\u6027\u5fc3\u808c\u75c5<\/p>\n

3.\u56e0ACS\u6216\u51a0\u8109\u8840\u8fd0\u91cd\u5efa\u4f4f\u9662\uff0c\u75c5\u60c5\u7a33\u5b9a\u540e\u51fa\u9662 \u7684\u60a3\u8005<\/p>\n

4.\u5fc3\u7ede\u75db\u7591\u4f3c\u8840\u7ba1\u75c9\u631b\u6216\u5fae\u8840\u7ba1\u75be\u75c5\u7684\u60a3\u8005<\/p>\n

5.\u7b5b\u67e5\u65f6\u53d1\u73b0\u7684\u65e0\u75c7\u72b6\u6027\u51a0\u8109\u75be\u75c5\u60a3\u8005<\/p>\n

CCS\u7684\u8bca\u65ad<\/p>\n

       CCS\u60a3\u8005\u521d\u59cb\u8bca\u65ad\u4e00\u822c\u5728\u95e8\u8bca\u8fdb\u884c\uff0c\u9996\u5148\u901a\u8fc7\u75c7\u72b6\u3001\u4f53\u5f81\u3001\u5fc3\u7535\u56fe\u53ca\u5fc3\u808c\u635f\u4f24\u6807\u5fd7\u7269\u7b49\u68c0\u67e5\u6392\u9664ACS\uff1b\u901a\u8fc7\u9a8c\u524d\u6982\u7387\u8bc4\u4f30CCS\u53ef\u80fd\u6027;\u518d\u8fdb\u884c\u8f85\u52a9\u68c0\u67e5\uff0c\u6839\u636eCCS\u6982\u7387\u7684\u9ad8\u4f4e\u51b3\u5b9a\u68c0\u67e5\u9879\u76ee\uff0c\u5982\u6982\u7387\u8f83\u9ad8\uff0c\u5e94\u63a5\u53d7\u5fc3\u808c\u7f3a\u8840\u68c0\u67e5(\u5f71\u50cf\u5b66\u68c0\u67e5)\uff1b\u5982\u6982\u7387\u8f83\u4f4e\uff0c\u57fa\u672c\u6392\u9664CCS\uff0c\u5e94\u79ef\u6781\u8fdb\u884c\u5176\u4ed6\u68c0\u67e5\u6216\u8003\u8651\u5371\u9669\u56e0\u7d20\u63a7\u5236\uff1b\u786e\u8ba4\u51a0\u8109\u72ed\u7a84\u540e\uff0c\u660e\u786e\u60a3\u8005\u7684\u4e8b\u4ef6\u98ce\u9669\u3002\u6839\u636e\u4ee5\u4e0a\u68c0\u67e5\u548c\u8bc4\u4f30\u7ed3\u679c\u5236\u5b9a\u6cbb\u7597\u65b9\u6848\uff0c\u5305\u62ec\u8840\u8fd0\u91cd\u5efa\u548c\u836f\u7269\u6cbb\u7597\u3002\u65e0\u8bbaCCS\u7c7b\u522b\u5982\u4f55\uff0c\u521d\u59cb\u8bca\u65ad\u65b9\u6cd5\u5747\u76f8\u540c \u3002CCS\u8bca\u65ad\u6d41\u7a0b\u89c1\u56fe1\u3002<\/p>\n

\u4e00\u3001\u53ef\u80fd\u6027\u8bc4\u4f30<\/p>\n

\u4e8c\u3001\u8f85\u52a9\u68c0\u67e5<\/p>\n

1.\u5b9e\u9a8c\u5ba4\u68c0\u67e5<\/p>\n

2.\u5fc3\u7535\u56fe\u68c0\u67e5<\/p>\n

3.\u65e0\u521b\u6027\u5fc3\u810f\u5f71\u50cf\u5b66\u68c0\u67e5<\/p>\n

4.\u6709\u521b\u6027\u68c0\u67e5<\/p>\n

\u4e09\u3001\u98ce\u9669\u8bc4\u4f30<\/p>\n

CCS\u7684\u7ba1\u7406<\/p>\n

\u4e00\u3001\u836f\u7269\u6cbb\u7597<\/p>\n

      CCS\u60a3\u8005\u836f\u7269\u6cbb\u7597\u7684\u76ee\u6807\u5728\u4e8e\u7f13\u89e3\u75c7\u72b6\u3001\u63d0\u9ad8\u751f\u6d3b\u8d28\u91cf\uff0c\u9884\u9632\u4e3b\u8981\u4e0d\u826f\u5fc3\u8840\u7ba1\u4e8b\u4ef6(major adverse cardiovascular event\uff0cMACE)\u53ca\u6539\u5584\u8fdc\u671f\u9884\u540e\u3002\u4e3b\u8981\u5305\u62ec\u6297\u8840\u5c0f\u677f\u3001\u6297\u51dd\u3001\u964d\u8102\u3001\u03b2\u53d7\u4f53\u963b\u6ede\u5242\u3001\u80be\u7d20\u2043\u8840\u7ba1\u7d27\u5f20\u7d20\u2043\u919b\u56fa\u916e\u2043\u7cfb\u7edf\u963b\u6ede\u5242\u3001\u785d\u9178\u916f\u3001 \u9499\u901a\u9053\u963b\u6ede\u5242\u7b49\u836f\u7269\u3002<\/p>\n

\uff08\u4e00\uff09\u9884\u9632 MACE \u53ca\u6539\u5584\u8fdc\u671f\u9884\u540e<\/p>\n

\uff08\u4e8c\uff09\u7f13\u89e3\u75c7\u72b6\u3001\u63d0\u9ad8\u751f\u6d3b\u8d28\u91cf<\/p>\n

\u4e8c\u3001\u8840\u8fd0\u91cd\u5efa<\/p>\n

      \u6700\u4f73\u836f\u7269\u6cbb\u7597\u662fCCS\u60a3\u8005\u6cbb\u7597\u7684\u57fa\u77f3\u3002\u5728\u836f\u7269\u6cbb\u7597\u4e0d\u4f73\u7684CCS\u60a3\u8005\u4e2d\uff0c\u8840\u8fd0\u91cd\u5efa\u5728\u7f13\u89e3\u5fc3\u7ede\u75db\u548c\u6539\u5584\u9884\u540e\u65b9\u9762\u5b58\u5728\u4e89\u8bae\u3002<\/p>\n

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\u4e09\u3001\u957f\u671f\u4e8c\u7ea7\u9884\u9632\u7ba1\u7406<\/p>\n

      CCS\u60a3\u8005\u4e34\u5e8a\u7ba1\u7406\u7684\u76ee\u6807\u662f\u5c06\u98ce\u9669\u964d\u81f3\u6700\u4f4e\u6c34\u5e73\uff0c\u8fd9\u9700\u8981\u60a3\u8005\u5728\u751f\u6d3b\u65b9\u5f0f\u4e0a\u8fdb\u884c\u7ba1\u7406\u548c\u8c03\u6574\u3002\u575a\u6301\u6539\u53d8\u751f\u6d3b\u65b9\u5f0f\uff0c\u5305\u62ec\u6212\u70df\u3001\u5065\u5eb7\u996e\u98df\u548c\u8fd0\u52a8\uff0c\u90fd\u53ef\u4ee5\u5bf9\u5fc3\u8840\u7ba1\u98ce\u9669\u4ea7\u751f\u91cd\u8981\u7684\u9884\u9632\u4f5c\u7528\u3002<\/p>\n

       \u6b64\u5916\u6307\u5357\u8fd8\u4ece\u75be\u75c5\u7efc\u5408\u9632\u6cbb\u7684\u89d2\u5ea6\u5bf9\u5fc3\u529b\u8870\u7aed\u3001\u7cd6\u5c3f\u75c5\u3001\u6162\u6027\u80be\u810f\u75c5\u3001\u9ad8\u8840\u538b\u548c\u74e3\u819c\u6027\u5fc3 \u810f\u75c5\u3001\u764c\u75c7\u3001\u8001\u5e74\u4eba\u8fd9\u4e9b\u7279\u6b8a\u4eba\u7fa4\u8fdb\u884c\u4ecb\u7ecd\u3002<\/p>\n

\u5f15\u7528\u672c\u6587:\u4e2d\u534e\u533b\u5b66\u4f1a\u5fc3\u8840\u7ba1\u75c5\u5b66\u5206\u4f1a, \u4e2d\u534e\u5fc3\u8840\u7ba1\u75c5\u6742\u5fd7\u7f16\u8f91\u59d4\u5458\u4f1a . \u4e2d\u56fd\u6162\u6027\u51a0\u8109\u7efc\u5408\u5f81\u60a3\u8005\u8bca\u65ad\u53ca\u7ba1\u7406\u6307\u5357[J].\u4e2d\u534e\u5fc3\u8840\u7ba1\u75c5\u6742\u5fd7, 2024, 52(6): 589-614. DOI: 10.3760\/cma.j.cn112148-20240325-00168.<\/p>\n

\u9644\u539f\u6587:<\/p>\n

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