保健 - 第108期 - page 13
13
疾病防治
洪中立(主任醫生)Zhong Li
「他汀」在心血管病一級預防中
如何應用?
ה
մٝdॹАːА၍ष˴
ڿމࠅ
ːषe໘ʕ
ٙ˴
೯ࠅ
षዚଣ݊Аইମ੬dՉʕ˸Э
ܓ
ইஐͣᑔ
ոቐᄣ৷௰ΚᎈdΪ
މ
ःʷٙЭ
ܓ
ইஐͣᑔոቐ̙
˸ίਗএlzᇫɨҖϓ෯dኬ
၍ߧ
ഢद॥ձॹА
ϥf
І
1994
ϋ˼͓ᗳᖹ
ي
͜ːА၍ष
ط
ᐕٙ
Ӻ˸ԸdุʊᗇྼdЭ
ܓ
ইஐͣࠥЭ
39mg/dl
d̙
Դ
ڿ
ًਗএԫ೯͛ࠬᎈࠥЭ
24%
dʕձːА၍ϥ
ɳࠬᎈ͵ᜑഹࠥЭfΪϾίԣ
ط
ɚॴཫԣːА၍
षࣛd˼͓݊ʔ̙
א
ॹٙᖹ
ي
fԟ䟕dՉίːА
၍षٙɓॴཫԣʕٙЪ͜νОճk
「他汀」一級預防缺血性心血管病的依據
1995
ϋ೯
ڌ
əɓॴཫԣٙӺ
ڌ
jίᏐ͜˼͓
ܝ
ԴЭ
ܓ
ইஐͣᑔոቐ̻ѩਿᇞٙ
192mg / d l
ࠥЇ
140mg/dl
iᎇஞ
5
ϋdၾτᅌኒଡ଼ٙɛ໊ˢd
ߧڢ
ϥːЄϥձ
ڿ
ːषϥɳࠬᎈᜑഹࠥЭ
31%
f˚͉
ٙɓධӺၾɛྼყً
੬ڢر
ЧdӺ٫ٙɝ፯
ɛ໊ʕЭ
ܓ
ইஐͣᑔոቐ̻ѩਿᇞ
މ
157mg/dl
Ң
ٙАইܸ
ی
֛
މ
ᗙᇝʺ৷d͜˼͓ࠥЇ̻ѩਿ
ᇞ
128mg/dl
d
ڿ
ːषࠬᎈࠥЭ
33%
f
ԙʦʊϞ
19
ධᎇዚ࿁༊᜕ίೌːА၍षٙ
40
{
75
๋
ɛ໊ʕᗇྼ˼͓ٙɓॴཫԣঐࠥЭːЄϥ
36%
d
ࠥЭʕ
29%
fεɽۨᑗґ༊᜕ٙ⸭യʱؓᜑͪd
Ъ
މ
ːА၍षɓॴཫԣd˼͓ࠥЭЭ
ܓ
ইஐͣᑔ
ոቐ
39mg/dl
dᎇஞୋɓϋːА၍ϥɳձ
ߧڢ
ϥː
ЄϥࠬᎈࠥЭᐏू༺
11%
dୋɚϋ༺
24%
dୋɧϋ
33%
dୋʬϋ৷༺
36%
fႭ˼͓ɓॴཫԣַ
ڗ
Ꮠ
ࣛ͜ගdᐏूึနᄣ̋f
「他汀」在心血管病一級預防中如何應用?
ίːА၍षٙɓॴཫԣʕ݊щසίЭ
ܓ
ইஐͣਿ
ᇞ˥̻ᜑᄣ৷ٙɛ໊ʕ፯͜˼͓kϞщϋᙧ
ޢ
ࠢkϞщАইͦᅺ࠽kᏐ༈
ء
จࡳԬਓˀᏐkவԬ
ே݊ᔼਕɛࡰձːА၍षઃɛ໊ɤʱᗫːٙਪᕚf
2016
ϋ
11
˜
15
˚
ߕ
ཫԣਕʈЪଡ଼
USPSTF
೯б
əϓɛ˼͓ːА၍षɓॴཫԣ௰પᑥจԈձᗇ
ኽ
ࠅ
d༈પᑥจԈ࿁ேϞܸኬจ່f
USPSTF
ܔ
ᙄ࿁ΝࣛՈ௪˸ɨ
3
ࡈ
ᅺϾೌːА၍ष
̦ٙϓɛd䥊ਗЭ{ʕኒඎ˼͓ཫԣjǺ
40
{
75
๋ʘගiǻπί˸ɨ
1
ධ
א
εධΚᎈΪ९jАইମ੬
Э
ܓ
ইஐͣᑔոቐ
⩾
130mg /d l
3.4mmol / l
৷א
ܓ
ইஐͣᑔոቐ
⩽
40mg /d l
1. omg /d l
eጟ҇षe৷
АᏀ
א
іiǼ
ࠇ
ၑٙ
10
ϋːА၍ԫࠬᎈ
⩾
10%
f
USPSTF
ᒔ
ܔ
ᙄj࿁ೌːА၍ष̦eϋᙧ
40
{
75
๋˲
πί
1
ධ
א
εධΚᎈΪ९dϾ
10
ϋːА၍ԫࠬᎈ
މ
7.5
{
10%
٫d̙፯ഗʚЭ{ʕഃኒඎ˼͓
ط
ᐕf
1...,3,4,5,6,7,8,9,10,11,12
14,15,16,17,18,19,20,21,22,23,...84