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
մٝdॹА׌ːА၍ष€˴
ڿމࠅ
ːषe໘՗ʕ
ٙ˴
೯ࠅ
षዚଣ݊Аইମ੬dՉʕ˸Э੗
ܓ
ইஐͣᑔ
ոቐᄣ৷௰ΚᎈdΪ
މ
ःʷٙЭ੗
ܓ
ইஐͣᑔոቐ̙
˸ίਗএlzᇫɨҖϓ౴෯dኬ
၍ߧ
ഢद॥ձॹА׌૚
ϥf
І੽
1994
ϋ˜˼͓™ᗳᖹ
ي
͜׵ːА၍ष
ط
ᐕٙ޼
Ӻ˸ԸdุʊᗇྼdЭ੗
ܓ
ইஐͣࠥЭ
39mg/dl
Դ
ڿ
ًਗএԫ΁೯͛ࠬᎈࠥЭ
24%
d՗ʕձːА၍ϥ
ɳࠬᎈ͵ᜑഹࠥЭfΪϾίԣ
ط
€ɚॴཫԣːА၍
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
əɓॴཫԣٙ޼Ӻ
ڌ
׼jίᏐ͜˜˼͓™
ܝ
ԴЭ੗
ܓ
ইஐͣᑔոቐ̻ѩਿᇞٙ
192mg / d l
ࠥЇ
140mg/dl
iᎇஞ
5
ϋdၾτᅌኒଡ଼ٙɛ໊޴ˢd
ߧڢ
ϥ׌ːЄ૚ϥձ
ڿ
ːषϥɳࠬᎈᜑഹࠥЭ
31%
f˚͉
ٙɓධ޼Ӻၾ਷ɛྼყً
੬ڢر
޴Чd޼Ӻ٫ٙɝ፯
ɛ໊ʕЭ੗
ܓ
ইஐͣᑔոቐ̻ѩਿᇞ
މ
157mg/dl
€Ң
਷ٙАইܸ
ی
֛
މ
ᗙᇝʺ৷d͜˜˼͓™ࠥЇ̻ѩਿ
128mg/dl
d
ڿ
ːषࠬᎈࠥЭ
33%
f
ԙʦʊϞ
19
ධᎇዚ࿁๫༊᜕ίೌːА၍षٙ
40
{
75
ɛ໊ʕᗇྼ˜˼͓™ٙɓॴཫԣঐࠥЭːЄ૚ϥ
36%
d
ࠥЭ՗ʕ
29%
f଺εɽۨᑗґ༊᜕ٙ⸭യʱؓᜑͪd
Ъ
މ
ːА၍षɓॴཫԣd˜˼͓™ࠥЭЭ੗
ܓ
ইஐͣᑔ
ոቐ
39mg/dl
dᎇஞୋɓϋːА၍ϥɳձ
ߧڢ
ϥ׌ː
Є૚ϥࠬᎈࠥЭᐏू༺
11%
dୋɚϋ༺
24%
dୋɧϋ
33%
dୋʬϋ৷༺
36%
fႭ׼˜˼͓™ɓॴཫԣַ
ڗ
ࣛ͜ගdᐏूึ஼နᄣ̋f
「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၍ष׸ઃɛ໊ɤʱᗫːٙਪᕚf
2016
ϋ
11
˜
15
˚
ߕ
਷ཫԣ؂ਕʈЪଡ଼€
USPSTF
೯б
əϓɛ˜˼͓™ːА၍षɓॴཫԣ௰୞પᑥจԈձᗇ
ኽ࿜
d༈પᑥจԈ࿁΢਷ேϞܸኬจ່f
USPSTF
ܔ
ᙄ࿁ΝࣛՈ௪˸ɨ
3
ᅺ๟ϾೌːА၍ष
̦ٙϓɛd䥊ਗЭ{ʕኒඎ˜˼͓™ཫԣjǺ
40
{
75
๋ʘගiǻπί˸ɨ
1
א
εධΚᎈΪ९jАইମ੬
€Э੗
ܓ
ইஐͣᑔոቐ
130mg /d l
€
3.4mmol / l

৷א
ܓ
ইஐͣᑔոቐ
40mg /d l
€
1. omg /d l
eጟ҇षe৷
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א
і๧iǼ
ၑٙ
10
ϋːА၍ԫ΁ࠬᎈ
10%
f
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40
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75
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10
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