{"id":25983,"date":"2026-03-03T20:30:40","date_gmt":"2026-03-03T13:30:40","guid":{"rendered":"https:\/\/huanqiuribao.com\/?p=25983"},"modified":"2026-03-03T16:41:39","modified_gmt":"2026-03-03T09:41:39","slug":"%e9%b8%a1%e8%9b%8b%e7%ab%8b%e5%a4%a7%e5%8a%9f%ef%bc%9a%e9%99%8d%e4%bd%8e%e5%bf%83%e8%a1%80%e7%ae%a1%e7%97%85%e9%a3%8e%e9%99%a9","status":"publish","type":"post","link":"https:\/\/huanqiuribao.com\/?p=25983","title":{"rendered":"\u9e21\u86cb\u7acb\u5927\u529f\uff1a\u964d\u4f4e\u5fc3\u8840\u7ba1\u75c5\u98ce\u9669"},"content":{"rendered":"

\u6839\u636e\u5168\u7403\u996e\u98df\u6570\u636e\u5e93\uff082018\u5e74\uff09\uff0c\u4e16\u754c\u5404\u5730\u9e21\u86cb\u6d88\u8d39\u5dee\u5f02\u5de8\u5927\uff1a<\/p>\n

\u5168\u7403\u5e73\u5747\uff1a21.5\u514b\/\u5929\uff08\u7ea60.4\u4e2a\u9e21\u86cb\uff09<\/p>\n

\u4e2d\u4e1c\u548c\u5317\u975e\uff1a36.1\u514b\/\u5929\uff08\u6700\u9ad8\uff09<\/p>\n

\u6492\u54c8\u62c9\u4ee5\u5357\u975e\u6d32\uff1a6.9\u514b\/\u5929\uff08\u6700\u4f4e\uff09<\/p>\n

\u65e5\u672c\uff1a39.6\u514b\/\u5929\uff08\u7ea60.8\u4e2a\u9e21\u86cb\uff09\uff0c\u8fdc\u8d85\u5168\u7403\u5747\u503c<\/p>\n

\u9ec4\u8272\u9ad8\u4eae\u663e\u793a\u9e21\u86cb\u7684\u8d21\u732e\u3002\u9e21\u86cb\u63d0\u4f9b\u4e86\u65e5\u672c\u5973\u602752.3%\u7684\u7389\u7c73\u9ec4\u8d28\u6444\u5165\u548c8.1%\u7684\u53f6\u9ec4\u7d20\u6444\u5165\uff0c\u662f\u62a4\u773c\u8425\u517b\u7d20\u7684\u9996\u8981\u6765\u6e90\u3002<\/p>\n

\u5728\u65e5\u672c\uff0c\u9e21\u86cb\u8d21\u732e\u4e86\u7ea650%\u7684\u81b3\u98df\u80c6\u56fa\u9187\uff0c\u4f46\u540c\u65f6\u4e5f\u63d0\u4f9b\u4e86\uff1a<\/p>\n

\u86cb\u767d\u8d28\u3001\u7ef4\u751f\u7d20A\/D\/E\/K\u3001B\u65cf\u7ef4\u751f\u7d20<\/p>\n

\u53f6\u9ec4\u7d20\uff08167-270\u5fae\u514b\/100\u514b\uff09\uff1a\u7b2c\u4e09\u81b3\u98df\u6765\u6e90<\/p>\n

\u7389\u7c73\u9ec4\u8d28\uff0885-230\u5fae\u514b\/100\u514b\uff09\uff1a\u9996\u8981\u81b3\u98df\u6765\u6e90\uff08\u5360\u5973\u6027\u603b\u6444\u5165\u768452.3%\uff09<\/p>\n

\u8fd9\u4e9b\u7c7b\u80e1\u841d\u535c\u7d20\u6b63\u662f\u9e21\u86cb\u5fc3\u8840\u7ba1\u4fdd\u62a4\u4f5c\u7528\u7684\u5173\u952e\u3002<\/p>\n

\u80c6\u56fa\u9187\u8ff7\u601d\uff1a\u5403\u8fdb\u53bb\u7684\u2260\u8840\u6db2\u4e2d\u7684<\/p>\n

\u5173\u952e\u6d1e\u5bdf\uff1a\u867d\u7136\u9e21\u86cb\u4f1a\u8f7b\u5fae\u5347\u9ad8\u603b\u80c6\u56fa\u9187\u548c”\u574f\u80c6\u56fa\u9187”\uff08LDL-C\uff09\uff0c\u4f46”\u597d\u80c6\u56fa\u9187”\uff08HDL-C\uff09\u4e5f\u540c\u6b65\u4e0a\u5347\uff0c\u4e24\u8005\u6bd4\u503c\u2014\u2014\u9884\u6d4b\u52a8\u8109\u7ca5\u6837\u786c\u5316\u98ce\u9669\u7684\u5173\u952e\u6307\u6807\u2014\u2014\u57fa\u672c\u4fdd\u6301\u7a33\u5b9a\u3002<\/p>\n

\u65e5\u672c\u4e34\u5e8a\u8bd5\u9a8c\uff1a\u6bcf\u5929\u4e00\u86cb\uff0c\u6297\u6c27\u5316\u529b\u98d9\u5347<\/p>\n

\u7814\u7a76\u4e00\uff1a\u5065\u5eb7\u6210\u5e74\u4eba<\/p>\n

19\u540d\u5065\u5eb7\u65e5\u672c\u4eba\uff0c\u6bcf\u5929\u989d\u5916\u54031\u4e2a\u86cb\uff0c\u6301\u7eed4\u5468\uff1a<\/p>\n

HDL-C\u663e\u8457\u5347\u9ad8<\/p>\n

LDL-C\/HDL-C\u6bd4\u503c\u4e0b\u964d<\/p>\n

MDA-LDL\uff08\u6c27\u5316LDL\uff09\u964d\u4f4e<\/p>\n

LDL\u6297\u6c27\u5316\u80fd\u529b\u589e\u5f3a<\/p>\n

\u7814\u7a76\u4e8c\uff1a\u9ad8\u80c6\u56fa\u9187\u7537\u6027<\/p>\n

19\u540d\u8f7b\u4e2d\u5ea6\u9ad8\u80c6\u56fa\u9187\u8840\u75c7\u7537\u6027\uff0c\u6bcf\u59291\u4e2a\u86cb\uff0c4\u5468\uff1a<\/p>\n

\u603b\u80c6\u56fa\u9187\u548cLDL-C\u65e0\u663e\u8457\u53d8\u5316\uff08\u6253\u7834”\u9ad8\u80c6\u56fa\u9187\u4eba\u7fa4\u4e0d\u80fd\u5403\u86cb”\u7684\u8ff7\u601d\uff09<\/p>\n

MDA-LDL\u663e\u8457\u964d\u4f4e\uff08\u7b2c2\u30014\u5468\uff09<\/p>\n

LDL\u6c27\u5316\u6ede\u540e\u65f6\u95f4\u5ef6\u957f\uff08\u6297\u6c27\u5316\u80fd\u529b\u589e\u5f3a\uff09<\/p>\n

\u8840\u6e05\u53f6\u9ec4\u7d20+\u7389\u7c73\u9ec4\u8d28\u6c34\u5e73\u7ffb\u500d<\/p>\n

\u673a\u5236\u89e3\u6790\uff1a<\/p>\n

\u86cb\u9ec4\u4e2d\u7684\u53f6\u9ec4\u7d20\u548c\u7389\u7c73\u9ec4\u8d28\u662f\u5f3a\u6548\u6297\u6c27\u5316\u5242<\/p>\n

\u5b83\u4eec\u80fd\u5d4c\u5165LDL\u9897\u7c92\uff0c\u963b\u6b62\u6c27\u5316\u4fee\u9970\uff08\u6c27\u5316LDL\u624d\u662f\u52a8\u8109\u7ca5\u6837\u786c\u5316\u7684\u771f\u6b63\u5143\u51f6\uff09<\/p>\n

\u9e21\u86cb\u4e2d\u7684\u8fd9\u4e9b\u8425\u517b\u7d20\u751f\u7269\u5229\u7528\u5ea6\u9ad8\u4e8e\u83e0\u83dc\u6216\u8865\u5145\u5242<\/p>\n

\u51a0\u72b6\u52a8\u8109\u9020\u5f71\u5b9e\u9524\uff1a\u9e21\u86cb\u4e0d\u5835\u8840\u7ba1<\/strong><\/p>\n

\u6700\u65b0\u65e5\u672c\u7814\u7a76\u76f4\u63a5\u89c2\u5bdf\u4e86\u9e21\u86cb\u6444\u5165\u4e0e\u51a0\u72b6\u52a8\u8109\u75c5\u53d8\u7684\u5173\u7cfb\uff08Kishimoto\u7b49\uff0c2025\uff09\uff1a<\/p>\n

\u8bbe\u8ba1\uff1a795\u540d\u63a5\u53d7\u51a0\u72b6\u52a8\u8109\u9020\u5f71\u7684\u60a3\u8005\uff0c\u5176\u4e2d506\u4eba\u786e\u8bca\u51a0\u5fc3\u75c5\uff08CAD\uff09\uff0c299\u4eba\u4e3a\u591a\u652f\u8840\u7ba1\u75c5\u53d8\uff08MVD\uff09<\/p>\n

\u7ed3\u679c\uff1a<\/p>\n

\u9e21\u86cb\u6444\u5165\u4e0eCAD\u6216MVD prevalence\u65e0\u663e\u8457\u5173\u8054<\/p>\n

\u5728\u672a\u670d\u7528\u964d\u8102\u836f\u7684504\u540d\u60a3\u8005\u4e2d\uff0c\u6bcf\u54683-4\u4e2a\u86cb\u7684\u4eba\u7fa4MVD\u98ce\u9669\u663e\u8457\u964d\u4f4e\uff08OR=0.56, 95%CI: 0.33-0.96\uff09<\/p>\n

\u6bcf\u5929\u5403\u22651\u4e2a\u86cb\u7684\u4eba\u7fa4\u4e5f\u65e0\u98ce\u9669\u589e\u52a0\uff08OR=1.21, \u4e0d\u663e\u8457\uff09<\/p>\n

\u89e3\u8bfb\uff1a\u5728\u771f\u5b9e\u4e16\u754c\u7684\u9ad8\u98ce\u9669\u4eba\u7fa4\u4e2d\uff0c\u9002\u91cf\u9e21\u86cb\u6444\u5165\u4e0d\u4ec5\u65e0\u5bb3\uff0c\u53cd\u800c\u53ef\u80fd\u4e0e\u66f4\u4f4e\u7684\u4e25\u91cd\u51a0\u72b6\u52a8\u8109\u75c5\u53d8\u76f8\u5173\u3002<\/p>\n

\u9e21\u86cb\u8d8a\u591a\uff0c\u5fc3\u810f\u75c5\u8d8a\u5c11<\/strong><\/p>\n

\u6700\u4ee4\u4eba\u4fe1\u670d\u7684\u8bc1\u636e\u6765\u81ea142\u4e2a\u56fd\u5bb6\u7684\u751f\u6001\u5b66\u7814\u7a76\uff08Sugihara\u7b49\uff0c2023\uff09\uff1a<\/p>\n

\u89c1\u56fe3\u6982\u5ff5\u6027\u6570\u636e\uff0c\u7ebf\u6027\u6df7\u5408\u6a21\u578b\u5206\u6790\u663e\u793a\uff081990-2018\u5e74\u6570\u636e\uff09\uff1a<\/p>\n

\u9e21\u86cb\u6444\u5165\u4e0e\u7f3a\u8840\u6027\u5fc3\u810f\u75c5\u53d1\u75c5\u7387\uff1a\u663e\u8457\u8d1f\u76f8\u5173<\/p>\n

\u9e21\u86cb\u6444\u5165\u4e0e\u7f3a\u8840\u6027\u5fc3\u810f\u75c5\u6b7b\u4ea1\u7387\uff1a\u663e\u8457\u8d1f\u76f8\u5173<\/p>\n

\u4e89\u8bae\u4e0e\u5171\u8bc6\uff1a\u4e3a\u4ec0\u4e48\u7814\u7a76\u7ed3\u679c\u4e0d\u4e00\u81f4\uff1f<\/p>\n

\u5173\u952e\u5dee\u5f02\u56e0\u7d20\uff1a<\/strong><\/p>\n

\u4f34\u968f\u996e\u98df\u6a21\u5f0f\uff1a\u7f8e\u56fd\u7814\u7a76\u4e2d\u7684\u9ad8\u9e21\u86cb\u6444\u5165\u5f80\u5f80\u4f34\u968f\u52a0\u5de5\u8089\u7c7b\u3001\u4f4e\u7ea4\u7ef4\u996e\u98df\uff1b\u65e5\u672c\u5219\u642d\u914d\u9c7c\u7c7b\u3001\u852c\u83dc\u3001\u7c73\u996d<\/p>\n

\u70f9\u996a\u65b9\u5f0f\uff1a\u6c34\u716e\u3001\u84b8\u86cb vs \u6cb9\u70b8\u3001\u9ec4\u6cb9\u714e\u86cb<\/p>\n

\u4e2a\u4f53\u4ee3\u8c22\u5dee\u5f02\uff1a\u7ea615-25%\u4eba\u7fa4\u5bf9\u81b3\u98df\u80c6\u56fa\u9187”\u9ad8\u53cd\u5e94”<\/p>\n

\u57fa\u7ebf\u6444\u5165\u91cf\uff1a\u4ece0\u52301\u4e2a\u86cb\/\u5929 vs \u4ece1\u4e2a\u52302\u4e2a\/\u5929\uff0c\u6548\u5e94\u4e0d\u540c<\/p>\n

\u5b9e\u7528\u5efa\u8bae\uff1a\u5982\u4f55\u79d1\u5b66\u5403\u86cb\uff1f<\/strong>\u8c01\u53ef\u4ee5\u653e\u5fc3\u5403\uff1f<\/strong><\/p>\n

\u5065\u5eb7\u6210\u5e74\u4eba\uff1a\u6bcf\u59291\u4e2a\u86cb\u662f\u5b89\u5168\u4e14\u8425\u517b\u7684\u9009\u62e9<\/p>\n

\u9ad8\u80c6\u56fa\u9187\u8840\u75c7\u60a3\u8005\uff1a\u6bcf\u59291\u4e2a\u86cb\u4e0d\u4f1a\u6076\u5316\u8840\u8102\uff0c\u53cd\u800c\u53ef\u80fd\u6539\u5584LDL\u6297\u6c27\u5316\u72b6\u6001<\/p>\n

\u8001\u5e74\u4eba\uff1a\u4f18\u8d28\u86cb\u767d\u6709\u52a9\u4e8e\u808c\u8089\u7ef4\u6301<\/p>\n

\u8c01\u9700\u8981\u8c28\u614e\uff1f<\/strong><\/p>\n

\u5bb6\u65cf\u6027\u9ad8\u80c6\u56fa\u9187\u8840\u75c7\u60a3\u8005\uff1a\u9700\u9075\u533b\u5631\uff0c\u53ef\u80fd\u9700\u9650\u5236<\/p>\n

\u7cd6\u5c3f\u75c5\u60a3\u8005\uff1a\u90e8\u5206\u7814\u7a76\u663e\u793a\u8fc7\u91cf\u9e21\u86cb\uff08>1\u4e2a\/\u5929\uff09\u53ef\u80fd\u589e\u52a0\u98ce\u9669\uff0c\u5efa\u8bae\u9002\u91cf<\/p>\n

\u5bf9\u81b3\u98df\u80c6\u56fa\u9187”\u9ad8\u53cd\u5e94”\u8005\uff1a\u53ef\u901a\u8fc7\u68c0\u6d4b\u786e\u5b9a<\/p>\n

\u6700\u4f73\u5403\u6cd5<\/p>\n

\"\"
\n\u5bf9\u4e8e\u7edd\u5927\u591a\u6570\u4eba\u6765\u8bf4\uff0c\u6bcf\u59291\u4e2a\u86cb\u4e0d\u4ec5\u5b89\u5168\uff0c\u8fd8\u53ef\u80fd\u901a\u8fc7\u6297\u6c27\u5316\u673a\u5236\u5e26\u6765\u5fc3\u8840\u7ba1\u76ca\u5904\u3002<\/p>\n

\u9e21\u86cb\u7684\u5065\u5eb7\u6548\u5e94\uff0c\u7ec8\u7a76\u53d6\u51b3\u4e8e\u5b83\u51fa\u73b0\u5728\u4ec0\u4e48\u6837\u7684\u9910\u76d8\u91cc\u2014\u2014\u662f\u642d\u914d\u70df\u718f\u57f9\u6839\u548c\u85af\u997c\uff0c\u8fd8\u662f\u642d\u914d\u6df1\u6d77\u9c7c\u548c\u7eff\u53f6\u852c\u83dc\uff1f\u7b54\u6848\u4e0d\u8a00\u800c\u55bb\u3002<\/p>\n

\u65b0\u836f\u8bf4<\/p>\n

 <\/p>\n

\u514d\u8d23\u58f0\u660e\uff1a\u7b2c\u4e09\u65b9\u65b0\u95fb\uff08\u6216\u56fe\u7247\uff09\u4e3a\u5206\u4eab\/\u63f4\u5f15\/\u50a8\u5b58\u4fe1\u606f\uff0c\u5176\u5185\u5bb9\u5e76\u4e0d\u4ee3\u8868\u672c\u62a5\/\u672c\u7f51\u7acb\u573a\uff0c\u5982\u6709\u9519\u8bef\u6216\u76f8\u5173\u4fb5\u6743\u8bf7\u8054\u7cfb\u6211\u4eec\u5220\u9664\uff0c\u8c22\u8c22\uff01<\/p>\n","protected":false},"excerpt":{"rendered":"

\u6839\u636e\u5168\u7403\u996e\u98df\u6570\u636e\u5e93\uff082018\u5e74\uff09\uff0c\u4e16\u754c\u5404\u5730\u9e21\u86cb\u6d88\u8d39\u5dee\u5f02\u5de8\u5927\uff1a \u5168\u7403\u5e73\u5747\uff1a21.5\u514b\/\u5929\uff08\u7ea60.4\u4e2a\u9e21\u86cb\uff09 \u4e2d\u4e1c\u548c\u5317\u975e\uff1a36.1\u514b\/\u5929\uff08\u6700\u9ad8\uff09 \u6492\u54c8\u62c9\u4ee5\u5357\u975e\u6d32\uff1a6.9\u514b\/\u5929\uff08\u6700\u4f4e\uff09 \u65e5\u672c\uff1a39.6\u514b\/\u5929\uff08\u7ea60.8\u4e2a\u9e21\u86cb\uff09\uff0c\u8fdc\u8d85\u5168\u7403\u5747\u503c \u9ec4\u8272\u9ad8\u4eae\u663e\u793a\u9e21\u86cb\u7684\u8d21\u732e\u3002\u9e21\u86cb\u63d0\u4f9b\u4e86\u65e5\u672c\u5973\u602752.3%\u7684\u7389\u7c73\u9ec4\u8d28\u6444\u5165\u548c8.1%\u7684\u53f6\u9ec4\u7d20\u6444\u5165\uff0c\u662f\u62a4\u773c\u8425\u517b\u7d20\u7684\u9996\u8981\u6765\u6e90\u3002 \u5728\u65e5\u672c\uff0c\u9e21\u86cb\u8d21\u732e\u4e86\u7ea650%\u7684\u81b3\u98df\u80c6\u56fa\u9187\uff0c\u4f46\u540c\u65f6\u4e5f\u63d0\u4f9b\u4e86\uff1a \u86cb\u767d\u8d28\u3001\u7ef4\u751f\u7d20A\/D\/E\/K\u3001B\u65cf\u7ef4\u751f\u7d20 \u53f6\u9ec4\u7d20\uff08167-270\u5fae\u514b\/100\u514b\uff09\uff1a\u7b2c\u4e09\u81b3\u98df\u6765\u6e90 \u7389\u7c73\u9ec4\u8d28\uff0885-230\u5fae\u514b\/100\u514b\uff09\uff1a\u9996\u8981\u81b3\u98df\u6765\u6e90\uff08\u5360\u5973\u6027\u603b\u6444\u5165\u768452.3%\uff09 \u8fd9\u4e9b\u7c7b\u80e1\u841d\u535c\u7d20\u6b63\u662f\u9e21\u86cb\u5fc3\u8840\u7ba1\u4fdd\u62a4\u4f5c\u7528\u7684\u5173\u952e\u3002 \u80c6\u56fa\u9187\u8ff7\u601d\uff1a\u5403\u8fdb\u53bb\u7684\u2260\u8840\u6db2\u4e2d\u7684 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