{"id":9074,"date":"2023-10-03T15:52:31","date_gmt":"2023-10-03T07:52:31","guid":{"rendered":"https:\/\/www.stdhc.org.hk\/express\/?p=9074"},"modified":"2025-02-07T17:33:46","modified_gmt":"2025-02-07T09:33:46","slug":"dyslipidemia-meds","status":"publish","type":"post","link":"https:\/\/www.stdhc.org.hk\/express\/dyslipidemia-meds\/","title":{"rendered":"\u964d\u8840\u8102\u85e5\u7269"},"content":{"rendered":"<h2>\u4e0d\u5c11\u4eba\u5c0d\u65bc\u4f55\u8b02\u7406\u60f3\u81bd\u56fa\u9187\u6c34\u5e73\u548c\u61c9\u5426\u7528\u85e5\u5b58\u5728\u7591\u554f\uff0c\u4ea6\u672a\u5fc5\u7406\u89e3\u70ba\u4f55\u91ab\u751f\u5c0d\u81ea\u5df1\u548c\u89aa\u53cb\u7684\u81bd\u56fa\u9187\u6c34\u5e73\u8981\u6c42\u4ee5\u53ca\u8655\u65b9\u7684\u85e5\u7269\u76f8\u7570\u3002\u90e8\u4efd\u4eba\u56e0\u64d4\u5fc3\u85e5\u7269\u526f\u4f5c\u7528\u6216\u898b\u670d\u85e5\u6578\u6708\u5f8c\u81bd\u56fa\u9187\u6307\u6578\u6709\u6539\u5584\u4fbf\u81ea\u884c\u505c\u85e5\uff0c\u9019\u6a23\u505a\u6709\u4ec0\u9ebc\u6f5b\u5728\u554f\u984c\uff1f<\/h2>\n<p>&nbsp;<\/p>\n<p>\u81bd\u56fa\u9187\uff08cholesterol\uff09\u662f\u4e00\u7a2e\u4eba\u9ad4\u5167\u7684\u8102\u80aa\u7269\u8cea\uff0c\u4e3b\u8981\u662f\u7531\u809d\u81df\u88fd\u9020\u6216\u5f9e\u98df\u7269\u4e2d\u5438\u53d6\uff0c\u7528\u65bc\u88fd\u9020\u7d30\u80de\u548c\u8377\u723e\u8499\u3002\u7531\u65bc\u81bd\u56fa\u9187\u4e0d\u80fd\u6eb6\u65bc\u6c34\uff0c\u5728\u8840\u6db2\u4e2d\u5b83\u8207\u86cb\u767d\u8cea\u7d50\u5408\u6210\u8102\u86cb\u767d\u4ee5\u4fbf\u904b\u9001\u3002\u6839\u64da\u8102\u86cb\u767d\uff08lipoprotein\uff09\u6240\u542b\u7684\u81bd\u56fa\u9187\u53ca\u4e09\u9178\u7518\u6cb9\u8102\uff08triglyceride\uff0cTG\uff09\u7b49\u7269\u8cea\u7684\u6bd4\u4f8b\uff0c\u8102\u86cb\u767d\u81bd\u56fa\u9187\u53ef\u5206\u70ba\u4e0d\u540c\u7a2e\u985e\uff0c\u6709\u300c\u597d\u300d\u8207\u300c\u58de\u300d\u4e4b\u5206\u3002<\/p>\n<p>\u300c\u597d\u81bd\u56fa\u9187\u300d\u5373\u9ad8\u5bc6\u5ea6\u8102\u86cb\u767d\u81bd\u56fa\u9187\uff08high-density lipoprotein cholesterol\uff0cHDL-C\uff09\u3002\u5b83\u5c07\u904e\u591a\u7684\u81bd\u56fa\u9187\u7531\u8840\u6db2\u904b\u56de\u809d\u81df\u4ee5\u4f5c\u5206\u89e3\uff0c\u6709\u4fdd\u8b77\u8840\u7ba1\u7684\u4f5c\u7528\uff0c\u56e0\u6b64\u5728\u8840\u6db2\u4e2d\u7684\u542b\u91cf\u76f8\u5c0d\u5176\u4ed6\u81bd\u56fa\u9187\u591a\u8f03\u597d\u3002<\/p>\n<p>\u300c\u58de\u81bd\u56fa\u9187\u300d\u5373\u4f4e\u5bc6\u5ea6\u8102\u86cb\u767d\uff08low-density lipoprotein cholesterol\uff0cLDL-C\uff09\u3002 \u5b83\u5c07\u81bd\u56fa\u9187\u904b\u5f80\u8eab\u9ad4\u4e0d\u540c\u7684\u5668\u7ba1\u548c\u7d30\u80de\u3002\u904e\u91cf\u7684\u81bd\u56fa\u9187\u6703\u7a4d\u805a\u5728\u8840\u7ba1\u58c1\u4e0a\u4e26\u963b\u585e\u52d5\u8108\uff0c\u589e\u52a0\u52d5\u8108\u7ca5\u6a23\u786c\u5316\u6027\u5fc3\u8840\u7ba1\u75be\u75c5\uff08\u5305\u62ec\u51a0\u5fc3\u75c5\u3001\u4e2d\u98a8\u3001\u5468\u908a\u8840\u7ba1\u75be\u75c5\u7b49\uff09\u7684\u98a8\u96aa\uff0c\u56e0\u6b64\u9700\u8981\u6e1b\u4f4e\u3002<\/p>\n<p>\u4e09\u9178\u7518\u6cb9\u8102\u5728\u8eab\u9ad4\u4e3b\u8981\u7528\u65bc\u80fd\u91cf\u5132\u5b58\u3002\u8840\u6db2\u4e2d\u9ad8\u4e09\u9178\u7518\u6cb9\u8102\u6c34\u5e73\u4ea6\u6709\u6a5f\u6703\u589e\u52a0\u5fc3\u8840\u7ba1\u75be\u75c5\u7684\u98a8\u96aa\u3002<\/p>\n<p>\u300c\u8840\u8102\u300d\u5305\u62ec\u81bd\u56fa\u9187\u548c\u4e09\u9178\u7518\u6cb9\u8102\u3002\u9ad8\u98fd\u548c\u8102\u80aa\u6216\u9ad8\u53cd\u5f0f\u8102\u80aa\u98f2\u98df\u3001\u80a5\u80d6\u3001\u5438\u7159\u3001\u9152\u7cbe\u3001\u7cd6\u5c3f\u75c5\u3001\u6162\u6027\u814e\u75c5\u3001\u809d\u75c5\u3001\u7532\u72c0\u817a\u529f\u80fd\u4f4e\u4e0b\u3001\u5e74\u9577\u3001\u57fa\u56e0\u907a\u50b3\u90fd\u662f\u60a3\u4e0a\u9ad8\u8840\u8102\u75c7\u7684\u98a8\u96aa\u56e0\u7d20\u3002\u670d\u7528\u985e\u56fa\u9187\u3001\u6297\u6392\u65a5\u85e5\u3001\u6297\u7cbe\u795e\u75c5\u85e5\u3001\u8377\u723e\u8499\u85e5\u3001\u86cb\u767d\u9176\u6291\u5236\u88fd\uff08\u6297\u75c5\u6bd2\u85e5\uff09\u548c\u90e8\u4efd\u964d\u8840\u58d3\u85e5\u4ea6\u6709\u6a5f\u6703\u589e\u52a0\u8840\u8102\u3002<\/p>\n<p>&nbsp;<\/p>\n<h3><strong>\u6cbb\u7642<\/strong><\/h3>\n<p><span style=\"color: #0000ff;\">\u6cbb\u7642\u9ad8\u8840\u8102\u75c7\u7684\u76ee\u7684\u4e0d\u50c5\u662f\u8981\u63a7\u5236\u81bd\u56fa\u9187\u7684\u6c34\u5e73\uff0c\u9084\u8981\u6e1b\u4f4e\u60a3\u4e0a\u5fc3\u8840\u7ba1\u75be\u75c5\u7684\u6a5f\u7387\u3002<\/span>\u4e00\u822c\u800c\u8a00\uff0c\u5efa\u8b70\u5148\u5728\u751f\u6d3b\u7fd2\u6163\u65b9\u9762\u4f5c\u51fa\u8abf\u6574\uff0c\u4f8b\u5982\u5efa\u7acb\u5065\u5eb7\u7684\u98f2\u98df\u7fd2\u6163\u3001\u52a0\u5f3a\u6046\u5e38\u904b\u52d5\u548c\u63a7\u5236\u9ad4\u91cd\u7b49\u3002\u82e5\u6578\u6708\u5f8c\u81bd\u56fa\u9187\u7684\u63a7\u5236\u60c5\u6cc1\u4ecd\u672a\u5982\u7406\u60f3\uff0c\u624d\u6703\u8f14\u4ee5\u85e5\u7269\u6cbb\u7642\u3002\u5c0d\u65bc\u66fe\u60a3\u5fc3\u8840\u7ba1\u75be\u75c5\u7684\u4eba\uff08\u5982\u525b\u9032\u884c\u4fd7\u7a31\u300c\u901a\u6ce2\u4ed4\u300d\u7684\u51a0\u72c0\u52d5\u8108\u4ecb\u5165\u6cbb\u7642\u3001\u51a0\u72c0\u52d5\u8108\u642d\u6a4b\u624b\u8853\u3001\u4e2d\u98a8\uff09\uff0c\u5247\u6709\u8f03\u5927\u8feb\u5207\u6027\u9700\u5118\u65e9\u670d\u964d\u8840\u8102\u85e5\uff0c\u4ee5\u6e1b\u4f4e\u518d\u767c\u75c5\u7684\u6a5f\u6703\u3002<\/p>\n<p><span style=\"color: #0000ff;\">\u7406\u60f3\u8840\u8102\u6c34\u5e73\u5c6c\u500b\u4eba\u5316\u7684\u8003\u91cf\u3002\u4e00\u822c\u800c\u8a00\uff0c\u60a3\u4e0a\u5fc3\u8840\u7ba1\u75c5\uff08\u6216\u518d\u767c\u75c5\uff09\u7684\u98a8\u96aa\u8d8a\u9ad8\uff0c\u75c5\u4eba\u7684\u58de\u81bd\u56fa\u9187\u6307\u6578\u9700\u964d\u81f3\u66f4\u4f4e\u7684\u6c34\u5e73\u3002<\/span>\u570b\u969b\u6307\u5f15\u5efa\u8b70\u7684\u6cbb\u7642\u76ee\u6a19\u548c\u65b9\u6848\u5404\u7570\uff0c\u5982\u90e8\u4efd\u5efa\u8b70\u5c07\u58de\u81bd\u56fa\u9187\u964d\u81f3\u67d0\u6c34\u5e73\uff0c\u6709\u4e9b\u5247\u5efa\u8b70\u5c07\u58de\u81bd\u56fa\u9187\u7531\u539f\u672c\u7684\u6c34\u5e73\u964d\u81f3\u67d0\u767e\u4efd\u6bd4\uff08\u5982\u4e94\u6210\uff09\u3002\u4ee5\u4e0b\u8868\u683c\u53c3\u8003\u81ea\u6b50\u6d32\u5fc3\u81df\u75c5\u5b78\u6703\uff08European Society of Cardiology\uff09\u53ca\u6b50\u6d32\u52d5\u8108\u7ca5\u6a23\u786c\u5316\u5b78\u6703\uff08European Atherosclerosis Society\uff09\u806f\u5408\u767c\u8868\u6709\u95dc\u9ad8\u8840\u8102\u7ba1\u7406\u7684\u6307\u5f15\uff0c\u75c5\u4eba\u61c9\u8aee\u8a62\u91ab\u751f\u95dc\u65bc\u81ea\u8eab\u7684\u7406\u60f3\u8840\u8102\u6c34\u5e73\u3002<\/p>\n<table width=\"530\">\n<tbody>\n<tr>\n<td width=\"182\"><strong>\u8840\u8102\u7a2e\u985e<\/strong><\/td>\n<td width=\"348\"><strong>\u76ee\u6a19\u6c34\u5e73<\/strong>\uff08\u4ee5\u6beb\u6469\u723e\/\u5347 mmol\/L \u70ba\u55ae\u4f4d\uff09<\/td>\n<\/tr>\n<tr>\n<td width=\"182\">\u7e3d\u81bd\u56fa\u9187<\/td>\n<td width=\"348\">\u4f4e\u65bc 5.2<\/td>\n<\/tr>\n<tr>\n<td width=\"182\">\u4f4e\u5bc6\u5ea6\u81bd\u56fa\u9187<\/td>\n<td width=\"348\">\u4f4e\u65bc 1.4 \/ 1.8 \/ 2.6 \/ 3.0\uff08\u8996\u4e4e\u5fc3\u8840\u7ba1\u75c5\u98a8\u96aa\uff09<\/td>\n<\/tr>\n<tr>\n<td width=\"182\">\u9ad8\u5bc6\u5ea6\u81bd\u56fa\u9187 <sup>#<\/sup><\/td>\n<td width=\"348\">\u7b49\u65bc\u6216\u5927\u904e 1.0\uff08\u7537\uff09\/ 1.3\uff08\u5973\uff09<\/td>\n<\/tr>\n<tr>\n<td width=\"182\">\u4e09\u9178\u7518\u6cb9\u8102<\/td>\n<td width=\"348\">\u4f4e\u65bc 1.7<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<pre># \u53d6\u81ea\u7f8e\u570b\u5fc3\u81df\u5354\u6703\uff08American Heart Association\uff09\u53ca\u7f8e\u570b\u5fc3\u81df\u75c5\u5b78\u6703\uff08American College of Cardiology \uff09\u806f\u5408\u767c\u8868\u7684\u6307\u5f15\uff1b\u9ad8\u5bc6\u5ea6\u81bd\u56fa\u9187\u4f4e\u65bc\u4e0a\u8ff0\u6c34\u5e73\u518d\u52a0\u4e0a\u8170\u570d\u904e\u7c97\u3001\u9ad8\u4e09\u9178\u7518\u6cb9\u8102\u3001\u9ad8\u8840\u58d3\u6216\u9ad8\u8840\u7cd6\uff08\u5176\u4e2d\u4e09\u9805\uff09\u4fbf\u6703\u8a3a\u65b7\u70ba\u300c\u4ee3\u8b1d\u7d9c\u5408\u5fb5\u300d\uff08metabolic syndrome\uff09\u3002<\/pre>\n<p>&nbsp;<\/p>\n<h3><strong>\u85e5\u7269\u6cbb\u7642<\/strong><\/h3>\n<p><span style=\"color: #0000ff;\">\u4ed6\u6c40\u985e\u662f\u7b2c\u4e00\u7dda\u964d\u8840\u8102\u85e5\u3002<\/span>\u6b64\u985e\u85e5\u7269\u662f\u552f\u4e00\u4e00\u7a2e\u80fd\u5927\u5e45\u5ea6\u5c07\u58de\u81bd\u56fa\u9187\u964d\u4f4e\u9054\u767e\u4efd\u4e4b\u4e94\u5341\u7684\u53e3\u670d\u964d\u8840\u8102\u85e5\uff0c\u800c\u4e14\u5177\u6d88\u708e\u3001\u6297\u6c27\u5316\u7b49\u4f5c\u7528\uff0c\u80fd\u4fdd\u8b77\u8840\u7ba1\u3002\u4ed6\u6c40\u985e\u76f8\u5c0d\u5176\u4ed6\u964d\u8840\u8102\u85e5\u6709\u8f03\u591a\u7814\u7a76\u8b49\u5be6\u80fd\u6709\u6548\u964d\u4f4e\u5fc3\u8840\u7ba1\u75be\u75c5\u53ca\u5176\u6b7b\u4ea1\u98a8\u96aa\uff08\u4e0d\u8ad6\u662f\u521d\u7d1a\u9810\u9632\u9084\u662f\u9810\u9632\u518d\u6b21\u767c\u75c5\uff09\u3002<\/p>\n<p>\u5176\u4ed6\u964d\u8840\u8102\u85e5\u4e3b\u8981\u7528\u4f5c\u8f14\u52a9\u6cbb\u7642\u3002\u7576\u55ae\u7368\u4f7f\u7528\u4ed6\u6c40\u85e5\u81f3\u6700\u9ad8\u53ef\u8010\u53d7\u7684\u5291\u91cf\u4ecd\u7121\u6cd5\u63a7\u5236\u8840\u8102\uff0c\u6216\u75c5\u4eba\u4f7f\u7528\u4ed6\u6c40\u85e5\u5f8c\u51fa\u73fe\u56b4\u91cd\u526f\u4f5c\u7528\uff0c\u6216\u75c5\u4eba\u4e0d\u80fd\u4f7f\u7528\u4ed6\u6c40\u85e5\uff08\u5982\u61f7\u5b55\uff09\uff0c\u91ab\u751f\u4fbf\u6703\u8003\u616e\u8f49\u7528\u6216\u52a0\u4e0a\u5176\u4ed6\u985e\u5225\u7684\u964d\u8840\u8102\u85e5\u3002\u5176\u4ed6\u53e3\u670d\u964d\u8840\u8102\u85e5\u964d\u58de\u81bd\u56fa\u9187\u7684\u5e45\u5ea6\u4e0d\u53ca\u4ed6\u6c40\u85e5\uff0c\u53ef\u80fd\u51fa\u73fe\u7684\u526f\u4f5c\u7528\u4e0d\u4e00\u5b9a\u6bd4\u4ed6\u6c40\u85e5\u8f15\/\u5c11\u3002\u91dd\u5291\uff08\u76ae\u4e0b\u6ce8\u5c04\uff09\u964d\u8840\u8102\u85e5\u964d\u58de\u81bd\u56fa\u9187\u7684\u6210\u6548\u8207\u4ed6\u6c40\u85e5\u76f8\u82e5\uff0c\u751a\u81f3\u512a\u65bc\u4ed6\u6c40\u85e5\uff0c\u4f46\u91dd\u5291\u76f8\u5c0d\u53e3\u670d\u85e5\u662f\u8f03\u5165\u4fb5\u6027\u7684\u6cbb\u7642\u800c\u4e14\u8cbb\u7528\u6602\u8cb4\u3002\u73fe\u6642\u9678\u7e8c\u6709\u7814\u7a76\u63a2\u8a0e\u91dd\u5291\u5c0d\u65bc\u5fc3\u8840\u7ba1\u75be\u75c5\u53ca\u5176\u6b7b\u4ea1\u7684\u4fdd\u8b77\u3002<\/p>\n<p><span style=\"color: #0000ff;\">\u5373\u4f7f\u958b\u59cb\u4f7f\u7528\u85e5\u7269\u6cbb\u7642\uff0c\u4ecd\u9700\u914d\u5408\u751f\u6d3b\u7fd2\u6163\u6539\u8b8a\uff0c\u624d\u80fd\u6709\u6548\u6301\u7e8c\u63a7\u5236\u8840\u8102\u548c\u9810\u9632\u75be\u75c5\u3002<\/span><\/p>\n<p>&nbsp;<\/p>\n<h4>\u5e38\u898b\u53e3\u670d\u964d\u8840\u8102\u85e5\ufe30<\/h4>\n<table width=\"660\">\n<tbody>\n<tr>\n<td width=\"116\"><\/td>\n<td width=\"181\"><strong>\u4ed6\u6c40\u985e<\/strong><strong><br \/>\nStatins<\/strong><\/td>\n<td width=\"181\"><strong>\u81bd\u56fa\u9187\u5438\u6536\u6291\u5236\u5291<\/strong><strong><br \/>\nCholesterol absorption inhibitors<\/strong><\/td>\n<td width=\"181\"><strong>\u5fae\u7e96\u7dad\u9178\u985e<\/strong><strong><br \/>\nFibrates<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"116\">\u4f8b\u5b50<\/td>\n<td width=\"181\">Atorva<u>statin<\/u>, Rosuva<u>statin<\/u>,<\/p>\n<p>Simva<u>statin<\/u><\/td>\n<td width=\"181\">Ezetimibe<\/td>\n<td width=\"181\">Feno<u>fib<\/u>rate, Gem<u>fib<\/u>rozil<\/td>\n<\/tr>\n<tr>\n<td width=\"116\">\u85e5\u7406<\/td>\n<td width=\"181\">\u6e1b\u5c11\u809d\u81df\u88fd\u9020\u81bd\u56fa\u9187\u3001<br \/>\n\u5e6b\u52a9\u809d\u81df\u5f9e\u8840\u6db2\u4e2d\u651d\u53d6 LDL-C<\/td>\n<td width=\"181\">\u6e1b\u5c11\u8178\u9053\u5438\u6536\u81bd\u56fa\u9187\u3001<br \/>\n\u5e6b\u52a9\u809d\u81df\u5f9e\u8840\u6db2\u4e2d\u651d\u53d6 LDL-C<\/td>\n<td width=\"181\">\u4fc3\u9032 TG \u5206\u89e3\u3001<br \/>\n\u6e1b\u5c11LDL-C \u88fd\u9020\u3001<br \/>\n\u589e\u52a0 HDL-C \u88fd\u9020<\/td>\n<\/tr>\n<tr>\n<td width=\"116\">\u6539\u5584\u8840\u8102\u6210\u6548 (\u7d04\u6578)<\/td>\n<td width=\"181\">LDL-C \u2193 20\u201350%<\/p>\n<p>TG \u2193 10\u201320%<\/p>\n<p>HDL-C \u2191 1\u201310%<\/td>\n<td width=\"181\">LDL-C \u2193 10\u201330%<\/p>\n<p>TG \u2193 10%<\/td>\n<td width=\"181\">LDL-C \u2193 20%<\/p>\n<p>TG \u2193 50%<\/p>\n<p>HDL-C \u2191 20%<\/td>\n<\/tr>\n<tr>\n<td width=\"116\">\u5291\u578b<\/td>\n<td width=\"181\">\u53e3\u670d<\/td>\n<td width=\"181\">\u53e3\u670d<\/td>\n<td width=\"181\">\u53e3\u670d<\/td>\n<\/tr>\n<tr>\n<td width=\"116\">\u53ef\u80fd\u526f\u4f5c\u7528<\/td>\n<td width=\"181\">\u8178\u80c3\u4e0d\u9069\u3001\u6688\u7729\u3001\u982d\u75db\u3001\u75b2\u5026<\/p>\n<p>\u808c\u8089\u75db\u3001\u7121\u529b\u3001\u62bd\u6410\u3001\u6a6b\u7d0b\u808c\u6eb6\u89e3\u75c7 (\u7f55\u898b)<\/p>\n<p>\u809d\u9175\u7d20\u4e0a\u5347\u3001 \u809d\u8870\u7aed (\u7f55\u898b)<\/p>\n<p>\u6216\u8a98\u767c\u7cd6\u5c3f\u75c5\uff0c\u5c24\u5176\u65bc\u672c\u8eab\u9ad8\u98a8\u96aa\u60a3\u7cd6\u5c3f\u75c5\u4eba\u58eb<\/td>\n<td width=\"181\">\u8179\u75db\u3001\u8179\u8139\u3001\u8179\u7009\u3001\u982d\u75db\u3001\u75b2\u5026<\/p>\n<p>\u808c\u8089\u75db<\/p>\n<p>\u809d\u9175\u7d20\u4e0a\u5347\u3001 \u809d\u8870\u7aed (\u7f55\u898b)<\/td>\n<td width=\"181\">\u8178\u80c3\u4e0d\u9069\u3001\u6688\u7729\u3001\u982d\u75db\u3001\u7d05\u75b9<\/p>\n<p>\u808c\u8089\u75db\u3001\u808c\u8089\u75c5\u8b8a (\u7f55\u898b)<\/p>\n<p>\u809d\u75c5 (\u7f55\u898b)\u3001\u81bd\u7d50\u77f3 (\u7f55\u898b)<\/p>\n<p>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td width=\"116\">\u5176\u4ed6\u6ce8\u610f\u4e8b\u9805<\/td>\n<td width=\"181\">Simvastatin \u61c9\u5728\u665a\u9910\u5f8c\u670d\u7528<\/p>\n<p>\u670d\u7528 Simvastatin \u671f\u9593\u61c9\u907f\u514d\u9032\u98df\u897f\u67da\u3001\u788c\u67da\u3001\u694a\u6843\u6216\u5176\u679c\u6c41<\/p>\n<p>\u90e8\u4efd\u85e5\u7269\u5982\u9223\u62ee\u6297\u85e5\u985e\u9ad8\u8840\u58d3\u85e5 \uff08Amlodipine\u3001Diltiazem\u3001Verapamil\uff09\u6216\u6703\u9593\u63a5\u5f71\u97ff Simvastatin \u548c Atorvastatin \u7684\u5206\u89e3\uff0c\u589e\u52a0\u4ed6\u6c40\u85e5\u7684\u526f\u4f5c\u7528\uff0c\u6216\u9700\u8981\u8abf\u6574\u4ed6\u6c40\u85e5\u5291\u91cf<\/p>\n<p>\u61f7\u5b55\u6216\u9935\u54fa\u6bcd\u4e73\u5a66\u5973\u5fcc\u7528<\/td>\n<td width=\"181\">\/<\/td>\n<td width=\"181\">Fenofibrate\ufe30\u7528\u6c34\u541e\u670d\uff0c\u52ff\u54ac\u788e<\/p>\n<p>Gemfibrozil\uff1a\u9910\u524d 30 \u5206\u9418\u53e3\u670d<\/p>\n<p>Gemfibrozil \u8207\u4ed6\u6c40\u985e\u85e5\u7269\u540c\u670d\u6709\u6a5f\u6703\u589e\u52a0\u5169\u8005\u5171\u540c\u7684\u526f\u4f5c\u7528\uff0cGemfibrozil \u672c\u8eab\u4ea6\u6703\u6291\u5236\u4ed6\u6c40\u85e5\u7684\u5206\u89e3\uff0c\u9032\u800c\u589e\u52a0\u526f\u4f5c\u7528<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h4>\u5176\u4ed6\u53e3\u670d\u548c\u91dd\u5291\u964d\u8840\u8102\u85e5\ufe30<\/h4>\n<table width=\"660\">\n<tbody>\n<tr>\n<td width=\"116\"><\/td>\n<td width=\"181\"><strong>\u81bd\u9178\u7d50\u5408\u5291<\/strong><strong><br \/>\nBile acid sequestrants<\/strong><\/td>\n<td width=\"181\"><strong>PCSK9 <\/strong><strong>\u6291\u5236\u5291<\/strong><\/td>\n<td width=\"181\"><strong>\u5c0f\u578b\u5e72\u64fe<\/strong><strong>RNA<\/strong><strong>\u7642\u6cd5<\/strong><\/p>\n<p><strong>Small interfering RNA-based therapy<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"116\">\u4f8b\u5b50<\/td>\n<td width=\"181\">Cholestyramine<\/td>\n<td width=\"181\">Aliro<u>cumab<\/u>, Evolo<u>cumab<\/u><\/td>\n<td width=\"181\">Inclisiran<\/td>\n<\/tr>\n<tr>\n<td width=\"116\">\u85e5\u7406<\/td>\n<td width=\"181\">\u6e1b\u5c11\u8178\u9053\u5438\u6536\u81bd\u9178\u3001\u5e6b\u52a9\u809d\u81df\u5f9e\u8840\u6db2\u4e2d\u651d\u53d6 LDL-C<\/td>\n<td width=\"181\">\u6291\u5236 PCSK9 \u7684\u6d3b\u52d5\uff0c\u5f9e\u800c\u6e1b\u5c11 LDL-C \u53d7\u9ad4\u7684\u5206\u89e3\u3001\u5e6b\u52a9\u809d\u81df\u5f9e\u8840\u6db2\u4e2d\u651d\u53d6 LDL-C<\/td>\n<td width=\"181\">\u6e1b\u5c11 PCSK9 \u7684\u88fd\u9020\uff0c\u5f9e\u800c\u6e1b\u5c11 LDL-C \u53d7\u9ad4\u7684\u5206\u89e3\u3001\u5e6b\u52a9\u809d\u81df\u5f9e\u8840\u6db2\u4e2d\u651d\u53d6 LDL-C<\/td>\n<\/tr>\n<tr>\n<td width=\"116\">\u6539\u5584\u8840\u8102\u6210\u6548 (\u7d04\u6578)<\/td>\n<td width=\"181\">LDL-C \u2193 10\u201330%<\/td>\n<td width=\"181\">LDL-C \u2193 40\u201360%<\/p>\n<p>TG \u2193 25%<\/p>\n<p>HDL-C \u2191 10%<\/td>\n<td width=\"181\">LDL-C \u2193 50%<\/td>\n<\/tr>\n<tr>\n<td width=\"116\">\u5291\u578b<\/td>\n<td width=\"181\">\u53e3\u670d<\/td>\n<td width=\"181\">\u91dd\u5291 (\u76ae\u4e0b\u6ce8\u5c04)<\/td>\n<td width=\"181\">\u91dd\u5291 (\u76ae\u4e0b\u6ce8\u5c04)<\/td>\n<\/tr>\n<tr>\n<td width=\"116\">\u53ef\u80fd\u526f\u4f5c\u7528<\/td>\n<td width=\"181\">\u8179\u8139\u3001\u4fbf\u79d8\u3001\u6d88\u5316\u4e0d\u826f\u3001\u5641\u5fc3<\/p>\n<p>\u6216\u589e\u52a0\u4e09\u9178\u7518\u6cb9\u8102\u6c34\u5e73<\/p>\n<p>\u6e1b\u5c11\u8102\u6eb6\u6027\u7dad\u4ed6\u547d (A\u3001D\u3001E\u3001K) \u7684\u5438\u6536<\/p>\n<p>\u6e1b\u5c11\u85e5\u7269\u5438\u6536<\/td>\n<td width=\"181\">\u6ce8\u5c04\u90e8\u4f4d\u53cd\u61c9 (\u7d05\u3001\u75db\u3001 \u7600\u9752)<\/p>\n<p>\u4e0a\u547c\u5438\u9053\u75c7\u72c0 (\u9f3b\u708e\u3001\u54bd\u5589\u767c\u708e)<\/p>\n<p>\u808c\u8089\u75bc\u75db\u3001\u80cc\u75db<\/td>\n<td width=\"181\">\u6ce8\u5c04\u90e8\u4f4d\u53cd\u61c9 (\u7d05\u3001\u76ae\u75b9)<\/p>\n<p>\u95dc\u7bc0\u75db<\/p>\n<p>\u652f\u6c23\u7ba1\u708e<\/td>\n<\/tr>\n<tr>\n<td width=\"116\">\u5176\u4ed6\u6ce8\u610f\u4e8b\u9805<\/td>\n<td width=\"181\">\u5207\u52ff\u4e7e\u670d\uff0c\u5fc5\u9808\u8207\u6d41\u8cea\u6df7\u548c\u540c\u670d<\/p>\n<p>\u6216\u9700\u670d\u7528\u7dad\u4ed6\u547d\u88dc\u5145\u5291\uff0c\u61c9\u5148\u8aee\u8a62\u91ab\u751f\u610f\u898b<\/p>\n<p>\u61c9\u5728\u670d\u7528\u6b64\u85e5 1 \u5c0f\u6642\u524d\u6216 4 \u2013 6\u5c0f\u6642\u5f8c\u624d\u670d\u5176\u4ed6\u85e5\u7269<\/td>\n<td width=\"181\">\u4ed4\u7d30\u95b1\u8b80\u5305\u88dd\u5167\u7684\u75c5\u4eba\u9808\u77e5\uff0c\u4ee5\u4e86\u89e3\u85e5\u7269\u7684\u7528\u6cd5\uff0c\u6216\u53ef\u8a62\u554f\u91ab\u751f\u6216\u85e5\u5291\u5e2b<\/p>\n<p>\u5b58\u653e\u65bc\u96ea\u6ac3\u5167 (\u651d\u6c0f 2-8 \u5ea6)\uff0c\u52ff\u653e\u5728\u51b0\u683c\u5167<\/p>\n<p>\u85e5\u7269\u9700\u8981\u906e\u5149<\/p>\n<p>\u4e0d\u53ef\u6416\u52fb<\/td>\n<td width=\"181\">\u9700\u7531\u91ab\u8b77\u4eba\u54e1\u6ce8\u5c04<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>\u526f\u4f5c\u7528\u8a3b\u89e3\ufe30<\/p>\n<ul>\n<li><strong>\u808c\u8089\u75bc\u75db\u7b49\u75c7\u72c0<\/strong>\u662f\u5404\u7a2e\u964d\u8840\u8102\u85e5\u4e4b\u9593\u5e38\u898b\u7684\u526f\u4f5c\u7528\uff0c\u4e00\u822c\u8f15\u5fae\uff0c\u4e14\u6578\u661f\u671f\u5167\u6703\u6e1b\u9000\u3002\u82e5\u9047\u4e0a\u808c\u8089\u5287\u75db\u6216\u865b\u5f31\u7121\u529b\u7684\u60c5\u6cc1\uff0c\u61c9\u7acb\u5373\u6c42\u91ab\u3002<\/li>\n<li><strong>\u809d\u9175\u7d20\u7570\u5e38<\/strong>\u672a\u5fc5\u6703\u5f15\u8d77\u660e\u986f\u75c7\u72c0\u3002\u4e00\u822c\u800c\u8a00\uff0c\u8f15\u5fae\u809d\u9175\u7d20\u4e0a\u5347\u672a\u5fc5\u9700\u8981\u4e0b\u8abf\u5291\u91cf\u6216\u505c\u85e5\u3002\u82e5\u51fa\u73fe\u7570\u5e38\u75b2\u5026\u3001\u98df\u617e\u4e0d\u632f\u3001\u76ae\u819a\u548c\u773c\u767d\u8b8a\u9ec3\u3001\u5c3f\u6db2\u8b8a\u6df1\u8272\u7b49\u75c7\u72c0\uff0c\u6216\u8868\u793a\u809d\u529f\u80fd\u8f49\u5dee\uff0c\u61c9\u7acb\u5373\u6c42\u91ab\u3002<\/li>\n<li>\u7dc3\u4f7f\u670d\u7528\u4ed6\u6c40\u85e5\u6216\u6703\u589e\u52a0\u60a3<strong>\u4e8c\u578b\u7cd6\u5c3f<\/strong>\u7684\u98a8\u96aa\uff0c\u81ea\u8eab\u5177\u7cd6\u5c3f\u75c5\u98a8\u96aa\u4eba\u58eb\uff08\u5982\u80a5\u80d6\uff09\u60a3\u75c5\u7684\u6a5f\u7387\u8f03\u9ad8\uff0c\u800c\u4e14\u4ed6\u6c40\u85e5\u5c0d\u65bc\u4fdd\u8b77\u5fc3\u8840\u7ba1\u7684\u6210\u6548\u5927\u65bc\u5f15\u81f4\u7cd6\u5c3f\u75c5\u7684\u98a8\u96aa\uff0c\u75c5\u4eba\u4e0d\u61c9\u56e0\u64d4\u5fc3\u76f8\u95dc\u526f\u4f5c\u7528\u800c\u5fcc\u670d\u4ed6\u6c40\u85e5\u6216\u81ea\u884c\u505c\u85e5\uff0c\u61c9\u5b9a\u671f\u6aa2\u9a57\u8840\u7cd6\uff0c\u4e26\u5f9e\u751f\u6d3b\u7fd2\u6163\u7740\u624b\u4ee5\u6e1b\u4f4e\u60a3\u7cd6\u5c3f\u75c5\u7684\u6a5f\u6703\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3><strong>\u670d\u964d\u8840<\/strong><strong>\u8102<\/strong><strong>\u85e5\u6ce8\u610f\u4e8b\u9805<\/strong><\/h3>\n<ul>\n<li><span style=\"color: #0000ff;\">\u9808\u6309\u91ab\u751f\u6307\u793a\u5b9a\u6642\u670d\u85e5\u3002\u964d\u8840\u8102\u85e5\u4fdd\u8b77\u5fc3\u8840\u7ba1\u7684\u4f5c\u7528\u9700\u8981\u9577\u6642\u9593\u670d\u85e5\u624d\u80fd\u9054\u5230\uff0c\u75c5\u4eba\u4e0d\u61c9\u81ea\u884c\u52a0\u6e1b\u5291\u91cf\u6216\u505c\u85e5\u3002<\/span><\/li>\n<li><span style=\"color: #0000ff;\">\u90e8\u4efd\u4eba\u6c92\u6709\u5b9a\u6642\u670d\u85e5\uff0c\u53ea\u5728\u9032\u98df\u8c50\u5bcc\u7684\u4e00\u9910\u524d\/\u5f8c\u624d\u670d\u964d\u8840\u8102\u85e5\uff0c\u4f46\u9019\u5c0d\u63a7\u5236\u8840\u8102\u662f\u6c92\u6709\u5e6b\u52a9\u7684\u3002<\/span>\u964d\u8840\u8102\u85e5\u9700\u8981\u670d\u7528\u6578\u661f\u671f\u751a\u81f3\u6578\u7528\u624d\u80fd\u6709\u6548\u5c07\u8840\u8102\u6e1b\u4f4e\u81f3\u76ee\u6a19\u6c34\u5e73\u3002\u75c5\u4eba\u61c9\u5b9a\u6642\u670d\u85e5\u4e26\u4e14\u4fdd\u6301\u826f\u597d\u98f2\u98df\u7fd2\u6163\u3002<\/li>\n<li>\u5927\u90e8\u4efd\u53e3\u670d\u964d\u8840\u8102\u85e5\u6bcf\u5929\u53ea\u9700\u670d\u4e00\u6b21\uff0c\u61c9\u5118\u91cf\u6bcf\u65e5\u65bc\u76f8\u540c\u6642\u9593\u670d\u85e5\u3002<\/li>\n<li>\u5927\u90e8\u4efd\u964d\u8840\u8102\u85e5\u53ef\u65bc\u7a7a\u8179\u6216\u9910\u5f8c\u670d\uff0c\u552f\u500b\u5225\u85e5\u7269\u6709\u7279\u5225\u670d\u6cd5\uff0c\u61c9\u6309\u85e5\u7269\u6a19\u7c64\u4e0a\u7684\u6307\u793a\u670d\u85e5\u3002<\/li>\n<li>\u5982\u679c\u5fd8\u8a18\u7528\u85e5\uff0c\u5927\u90e8\u4efd\u85e5\u7269\u53ef\u65bc\u8a18\u8d77\u6642\u5118\u5feb\u88dc\u670d\uff0c\u5207\u52ff\u4f7f\u7528\u96d9\u500d\u5291\u91cf\u3002<\/li>\n<li>\u6240\u6709\u964d\u8840\u8102\u85e5\u5728\u672c\u6e2f\u5747\u5c6c<strong><u>\u91ab\u751f\u8655\u65b9\u85e5\u7269<\/u><\/strong>\uff0c\u5e02\u6c11\u5207\u52ff\u81ea\u884c\u65bc\u85e5\u623f\u8cfc\u8cb7\u964d\u8840\u8102\u85e5\uff0c\u8aa4\u7528\u53ef\u5f15\u81f4\u56b4\u91cd\u526f\u4f5c\u7528\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>\u5ef6\u4f38\u95b2\u8b80\ufe30<\/p>\n<ol>\n<li>\u885b\u751f\u7f72 \u2013 \u885b\u751f\u9632\u8b77\u4e2d\u5fc3\u3002\u81bd\u56fa\u9187\u3002 2023\u5e74\u3002\u53d6\u81ea<a href=\"https:\/\/www.chp.gov.hk\/files\/her\/exnnutp036_tc.pdf\">https:\/\/www.chp.gov.hk\/files\/her\/exnnutp036_tc.pdf<\/a>\u3002<\/li>\n<li>\u91ab\u9662\u7ba1\u7406\u5c40 \u667a\u53cb\u7ad9\u3002\u5fc3\u81df\u79d1\u85e5\u7269\u4e4b\u964d\u81bd\u56fa\u9187\u85e5\u30022022 \u5e74\u3002\u53d6\u81ea<a href=\"https:\/\/www.ha.org.hk\/hadf\/Portals\/0\/Docs\/Leaflets\/TC\/Medications_for_the_heart-Cholesterol-lowering_medications.pdf\">https:\/\/www.ha.org.hk\/hadf\/Portals\/0\/Docs\/Leaflets\/TC\/Medications_for_the_heart-Cholesterol-lowering_medications.pdf<\/a>\u3002<\/li>\n<li>\u885e\u751f\u7f72 \u2013 \u85e5\u7269\u8fa6\u516c\u5ba4\u3002\u53e3\u670d\u964d\u81bd\u56fa\u9187\u85e5\u7269\u30022020 \u5e74\u3002\u53d6\u81ea<a href=\"https:\/\/www.drugoffice.gov.hk\/eps\/do\/tc\/consumer\/news_informations\/dm_05.html\">https:\/\/www.drugoffice.gov.hk\/eps\/do\/tc\/consumer\/news_informations\/dm_05.html<\/a>\u3002<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>\u8cc7\u6599\u4f86\u6e90\ufe30<\/p>\n<ol>\n<li>Mach F, et al. 2019 ESC\/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. <em>Eur Heart J<\/em>. 2020 Jan 1;41(1):111-188.<\/li>\n<li>Grundy SM, et al. 2018 AHA\/ACC\/AACVPR\/AAPA\/ABC\/ACPM\/ADA\/ AGS\/APhA\/ASPC\/NLA\/PCNA Guideline on the Management of Blood Cholesterol. <em>Circulation<\/em>. 2019;139:e1082\u2013 e1143.<\/li>\n<li>Health Bureau. Hong Kong Reference Framework for Hypertension Care for Adults in Primary Care Settings. Module 9 Lipid Management in Hypertensive Patients. 2021. Available at <a href=\"https:\/\/www.healthbureau.gov.hk\/pho\/rfs\/english\/reference_framework\/hypertension_care.html\">https:\/\/www.healthbureau.gov.hk\/pho\/rfs\/english\/reference_framework\/hypertension_care.html<\/a>.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>\u4f5c\u8005\ufe30\u8a3b\u518a\u85e5\u5291\u5e2b<\/p>\n<p>\u6700\u5f8c\u66f4\u65b0\u65e5\u671f\ufe302023 \u5e74 10 \u6708<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u4e0d\u5c11\u4eba\u5c0d\u65bc\u4f55\u8b02\u7406\u60f3\u81bd\u56fa\u9187\u6c34\u5e73\u548c\u61c9\u5426\u7528\u85e5\u5b58\u5728\u7591\u554f\uff0c\u4ea6\u672a\u5fc5\u7406\u89e3\u70ba\u4f55\u91ab\u751f\u5c0d\u81ea\u5df1\u548c\u89aa\u53cb\u7684\u81bd\u56fa\u9187\u6c34\u5e73\u8981\u6c42\u4ee5\u53ca\u8655\u65b9\u7684\u85e5\u7269\u76f8\u7570\u3002\u90e8\u4efd\u4eba\u56e0\u64d4\u5fc3\u85e5\u7269\u526f\u4f5c\u7528\u6216\u898b\u670d\u85e5\u6578\u6708\u5f8c\u81bd\u56fa\u9187\u6307\u6578\u6709\u6539\u5584\u4fbf\u81ea\u884c\u505c\u85e5\uff0c\u9019\u6a23\u505a\u6709\u4ec0\u9ebc\u6f5b\u5728\u554f\u984c\uff1f<\/p>\n<p>&nbsp;<\/p>\n<p>\u81bd\u56fa\u9187\uff08cholesterol\uff09\u662f\u4e00\u7a2e\u4eba\u9ad4\u5167\u7684\u8102\u80aa\u7269\u8cea\uff0c\u4e3b\u8981\u662f\u7531\u809d\u81df\u88fd\u9020\u6216\u5f9e\u98df\u7269\u4e2d\u5438\u53d6\uff0c\u7528\u65bc\u88fd\u9020\u7d30\u80de\u548c\u8377\u723e\u8499\u3002\u7531\u65bc\u81bd\u56fa\u9187\u4e0d\u80fd\u6eb6\u65bc\u6c34\uff0c\u5728\u8840\u6db2\u4e2d\u5b83\u8207\u86cb\u767d\u8cea\u7d50\u5408\u6210\u8102\u86cb\u767d\u4ee5\u4fbf\u904b\u9001\u3002\u6839\u64da\u8102\u86cb\u767d\uff08lipoprotein\uff09\u6240\u542b\u7684\u81bd\u56fa\u9187\u53ca\u4e09\u9178\u7518\u6cb9\u8102\uff08triglyceride\uff0cTG\uff09\u7b49\u7269\u8cea\u7684\u6bd4\u4f8b\uff0c\u8102\u86cb\u767d\u81bd\u56fa\u9187\u53ef\u5206\u70ba\u4e0d\u540c\u7a2e\u985e\uff0c\u6709\u300c\u597d\u300d\u8207\u300c\u58de\u300d\u4e4b\u5206\u3002<\/p>\n<p>\u300c\u597d\u81bd\u56fa\u9187\u300d\u5373\u9ad8\u5bc6\u5ea6\u8102\u86cb\u767d\u81bd\u56fa\u9187\uff08high-density lipoprotein cholesterol\uff0cHDL-C\uff09\u3002\u5b83\u5c07\u904e\u591a\u7684\u81bd\u56fa\u9187\u7531\u8840\u6db2\u904b\u56de\u809d\u81df\u4ee5\u4f5c\u5206\u89e3\uff0c\u6709\u4fdd\u8b77\u8840\u7ba1\u7684\u4f5c\u7528\uff0c\u56e0\u6b64\u5728\u8840\u6db2\u4e2d\u7684\u542b\u91cf\u76f8\u5c0d\u5176\u4ed6\u81bd\u56fa\u9187\u591a\u8f03\u597d\u3002<\/p>\n<p>\u300c\u58de\u81bd\u56fa\u9187\u300d\u5373\u4f4e\u5bc6\u5ea6\u8102\u86cb\u767d\uff08low-density lipoprotein cholesterol\uff0cLDL-C\uff09\u3002 \u5b83\u5c07\u81bd\u56fa\u9187\u904b\u5f80\u8eab\u9ad4\u4e0d\u540c\u7684\u5668\u7ba1\u548c\u7d30\u80de\u3002\u904e\u91cf\u7684\u81bd\u56fa\u9187\u6703\u7a4d\u805a\u5728\u8840\u7ba1\u58c1\u4e0a\u4e26\u963b\u585e\u52d5\u8108\uff0c\u589e\u52a0\u52d5\u8108\u7ca5\u6a23\u786c\u5316\u6027\u5fc3\u8840\u7ba1\u75be\u75c5\uff08\u5305\u62ec\u51a0\u5fc3\u75c5\u3001\u4e2d\u98a8\u3001\u5468\u908a\u8840\u7ba1\u75be\u75c5\u7b49\uff09\u7684\u98a8\u96aa\uff0c\u56e0\u6b64\u9700\u8981\u6e1b\u4f4e\u3002<\/p>\n<p>\u4e09\u9178\u7518\u6cb9\u8102\u5728\u8eab\u9ad4\u4e3b\u8981\u7528\u65bc\u80fd\u91cf\u5132\u5b58\u3002\u8840\u6db2\u4e2d\u9ad8\u4e09\u9178\u7518\u6cb9\u8102\u6c34\u5e73\u4ea6\u6709\u6a5f\u6703\u589e\u52a0\u5fc3\u8840\u7ba1\u75be\u75c5\u7684\u98a8\u96aa\u3002<\/p>\n<p>\u300c\u8840\u8102\u300d\u5305\u62ec\u81bd\u56fa\u9187\u548c\u4e09\u9178\u7518\u6cb9\u8102\u3002\u9ad8\u98fd\u548c\u8102\u80aa\u6216\u9ad8\u53cd\u5f0f\u8102\u80aa\u98f2\u98df\u3001\u80a5\u80d6\u3001\u5438\u7159\u3001\u9152\u7cbe\u3001\u7cd6\u5c3f\u75c5\u3001\u6162\u6027\u814e\u75c5\u3001\u809d\u75c5\u3001\u7532\u72c0\u817a\u529f\u80fd\u4f4e\u4e0b\u3001\u5e74\u9577\u3001\u57fa\u56e0\u907a\u50b3\u90fd\u662f\u60a3\u4e0a\u9ad8\u8840\u8102\u75c7\u7684\u98a8\u96aa\u56e0\u7d20\u3002\u670d\u7528\u985e\u56fa\u9187\u3001\u6297\u6392\u65a5\u85e5\u3001\u6297\u7cbe\u795e\u75c5\u85e5\u3001\u8377\u723e\u8499\u85e5\u3001\u86cb\u767d\u9176\u6291\u5236\u88fd\uff08\u6297\u75c5\u6bd2\u85e5\uff09\u548c\u90e8\u4efd\u964d\u8840\u58d3\u85e5\u4ea6\u6709\u6a5f\u6703\u589e\u52a0\u8840\u8102\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u6cbb\u7642<\/strong><\/p>\n<p>\u6cbb\u7642\u9ad8\u8840\u8102\u75c7\u7684\u76ee\u7684\u4e0d\u50c5\u662f\u8981\u63a7\u5236\u81bd\u56fa\u9187\u7684\u6c34\u5e73\uff0c\u9084\u8981\u6e1b\u4f4e\u60a3\u4e0a\u5fc3\u8840\u7ba1\u75be\u75c5\u7684\u6a5f\u7387\u3002\u4e00\u822c\u800c\u8a00\uff0c\u5efa\u8b70\u5148\u5728\u751f\u6d3b\u7fd2\u6163\u65b9\u9762\u4f5c\u51fa\u8abf\u6574\uff0c\u4f8b\u5982\u5efa\u7acb\u5065\u5eb7\u7684\u98f2\u98df\u7fd2\u6163\u3001\u52a0\u5f3a\u6046\u5e38\u904b\u52d5\u548c\u63a7\u5236\u9ad4\u91cd\u7b49\u3002\u82e5\u6578\u6708\u5f8c\u81bd\u56fa\u9187\u7684\u63a7\u5236\u60c5\u6cc1\u4ecd\u672a\u5982\u7406\u60f3\uff0c\u624d\u6703\u8f14\u4ee5\u85e5\u7269\u6cbb\u7642\u3002\u5c0d\u65bc\u66fe\u60a3\u5fc3\u8840\u7ba1\u75be\u75c5\u7684\u4eba\uff08\u5982\u525b\u9032\u884c\u4fd7\u7a31\u300c\u901a\u6ce2\u4ed4\u300d\u7684\u51a0\u72c0\u52d5\u8108\u4ecb\u5165\u6cbb\u7642\u3001\u51a0\u72c0\u52d5\u8108\u642d\u6a4b\u624b\u8853\u3001\u4e2d\u98a8\uff09\uff0c\u5247\u6709\u8f03\u5927\u8feb\u5207\u6027\u9700\u5118\u65e9\u670d\u964d\u8840\u8102\u85e5\uff0c\u4ee5\u6e1b\u4f4e\u518d\u767c\u75c5\u7684\u6a5f\u6703\u3002<\/p>\n<p>\u7406\u60f3\u8840\u8102\u6c34\u5e73\u5c6c\u500b\u4eba\u5316\u7684\u8003\u91cf\u3002\u4e00\u822c\u800c\u8a00\uff0c\u60a3\u4e0a\u5fc3\u8840\u7ba1\u75c5\uff08\u6216\u518d\u767c\u75c5\uff09\u7684\u98a8\u96aa\u8d8a\u9ad8\uff0c\u75c5\u4eba\u7684\u58de\u81bd\u56fa\u9187\u6307\u6578\u9700\u964d\u81f3\u66f4\u4f4e\u7684\u6c34\u5e73\u3002\u570b\u969b\u6307\u5f15\u5efa\u8b70\u7684\u6cbb\u7642\u76ee\u6a19\u548c\u65b9\u6848\u5404\u7570\uff0c\u5982\u90e8\u4efd\u5efa\u8b70\u5c07\u58de\u81bd\u56fa\u9187\u964d\u81f3\u67d0\u6c34\u5e73\uff0c\u6709\u4e9b\u5247\u5efa\u8b70\u5c07\u58de\u81bd\u56fa\u9187\u7531\u539f\u672c\u7684\u6c34\u5e73\u964d\u81f3\u67d0\u767e\u4efd\u6bd4\uff08\u5982\u4e94\u6210\uff09\u3002\u4ee5\u4e0b\u8868\u683c\u53c3\u8003\u81ea\u6b50\u6d32\u5fc3\u81df\u75c5\u5b78\u6703\uff08European Society of Cardiology\uff09\u53ca\u6b50\u6d32\u52d5\u8108\u7ca5\u6a23\u786c\u5316\u5b78\u6703\uff08European Atherosclerosis Society\uff09\u806f\u5408\u767c\u8868\u6709\u95dc\u9ad8\u8840\u8102\u7ba1\u7406\u7684\u6307\u5f15\uff0c\u75c5\u4eba\u61c9\u8aee\u8a62\u91ab\u751f\u95dc\u65bc\u81ea\u8eab\u7684\u7406\u60f3\u8840\u8102\u6c34\u5e73\u3002<\/p>\n<p><strong>\u8840\u8102\u7a2e\u985e<\/strong><br \/>\n<strong>\u76ee\u6a19\u6c34\u5e73<\/strong>\uff08\u4ee5\u6beb\u6469\u723e\/\u5347 mmol\/L \u70ba\u55ae\u4f4d\uff09<\/p>\n<p>\u7e3d\u81bd\u56fa\u9187<br \/>\n\u4f4e\u65bc 5.2<\/p>\n<p>\u4f4e\u5bc6\u5ea6\u81bd\u56fa\u9187<br \/>\n\u4f4e\u65bc 1.4 \/ 1.8 \/ 2.6 \/ 3.0\uff08\u8996\u4e4e\u5fc3\u8840\u7ba1\u75c5\u98a8\u96aa\uff09<\/p>\n<p>\u9ad8\u5bc6\u5ea6\u81bd\u56fa\u9187 #<br \/>\n\u7b49\u65bc\u6216\u5927\u904e 1.0\uff08\u7537\uff09\/ 1.3\uff08\u5973\uff09<\/p>\n<p>\u4e09\u9178\u7518\u6cb9\u8102<br \/>\n\u4f4e\u65bc 1.7<\/p>\n<p># \u53d6\u81ea\u7f8e\u570b\u5fc3\u81df\u5354\u6703\uff08American Heart Association\uff09\u53ca\u7f8e\u570b\u5fc3\u81df\u75c5\u5b78\u6703\uff08American College of Cardiology \uff09\u806f\u5408\u767c\u8868\u7684\u6307\u5f15\uff1b\u9ad8\u5bc6\u5ea6\u81bd\u56fa\u9187\u4f4e\u65bc\u4e0a\u8ff0\u6c34\u5e73\u518d\u52a0\u4e0a\u8170\u570d\u904e\u7c97\u3001\u9ad8\u4e09\u9178\u7518\u6cb9\u8102\u3001\u9ad8\u8840\u58d3\u6216\u9ad8\u8840\u7cd6\uff08\u5176\u4e2d\u4e09\u9805\uff09\u4fbf\u6703\u8a3a\u65b7\u70ba\u300c\u4ee3\u8b1d\u7d9c\u5408\u5fb5\u300d\uff08metabolic syndrome\uff09\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u85e5\u7269\u6cbb\u7642<\/strong><\/p>\n<p>\u4ed6\u6c40\u985e\u662f\u7b2c\u4e00\u7dda\u964d\u8840\u8102\u85e5\u3002\u6b64\u985e\u85e5\u7269\u662f\u552f\u4e00\u4e00\u7a2e\u80fd\u5927\u5e45\u5ea6\u5c07\u58de\u81bd\u56fa\u9187\u964d\u4f4e\u9054\u767e\u4efd\u4e4b\u4e94\u5341\u7684\u53e3\u670d\u964d\u8840\u8102\u85e5\uff0c\u800c\u4e14\u5177\u6d88\u708e\u3001\u6297\u6c27\u5316\u7b49\u4f5c\u7528\uff0c\u80fd\u4fdd\u8b77\u8840\u7ba1\u3002\u4ed6\u6c40\u985e\u76f8\u5c0d\u5176\u4ed6\u964d\u8840\u8102\u85e5\u6709\u8f03\u591a\u7814\u7a76\u8b49\u5be6\u80fd\u6709\u6548\u964d\u4f4e\u5fc3\u8840\u7ba1\u75be\u75c5\u53ca\u5176\u6b7b\u4ea1\u98a8\u96aa\uff08\u4e0d\u8ad6\u662f\u521d\u7d1a\u9810\u9632\u9084\u662f\u9810\u9632\u518d\u6b21\u767c\u75c5\uff09\u3002<\/p>\n<p>\u5176\u4ed6\u964d\u8840\u8102\u85e5\u4e3b\u8981\u7528\u4f5c\u8f14\u52a9\u6cbb\u7642\u3002\u7576\u55ae\u7368\u4f7f\u7528\u4ed6\u6c40\u85e5\u81f3\u6700\u9ad8\u53ef\u8010\u53d7\u7684\u5291\u91cf\u4ecd\u7121\u6cd5\u63a7\u5236\u8840\u8102\uff0c\u6216\u75c5\u4eba\u4f7f\u7528\u4ed6\u6c40\u85e5\u5f8c\u51fa\u73fe\u56b4\u91cd\u526f\u4f5c\u7528\uff0c\u6216\u75c5\u4eba\u4e0d\u80fd\u4f7f\u7528\u4ed6\u6c40\u85e5\uff08\u5982\u61f7\u5b55\uff09\uff0c\u91ab\u751f\u4fbf\u6703\u8003\u616e\u8f49\u7528\u6216\u52a0\u4e0a\u5176\u4ed6\u985e\u5225\u7684\u964d\u8840\u8102\u85e5\u3002\u5176\u4ed6\u53e3\u670d\u964d\u8840\u8102\u85e5\u964d\u58de\u81bd\u56fa\u9187\u7684\u5e45\u5ea6\u4e0d\u53ca\u4ed6\u6c40\u85e5\uff0c\u53ef\u80fd\u51fa\u73fe\u7684\u526f\u4f5c\u7528\u4e0d\u4e00\u5b9a\u6bd4\u4ed6\u6c40\u85e5\u8f15\/\u5c11\u3002\u91dd\u5291\uff08\u76ae\u4e0b\u6ce8\u5c04\uff09\u964d\u8840\u8102\u85e5\u964d\u58de\u81bd\u56fa\u9187\u7684\u6210\u6548\u8207\u4ed6\u6c40\u85e5\u76f8\u82e5\uff0c\u751a\u81f3\u512a\u65bc\u4ed6\u6c40\u85e5\uff0c\u4f46\u91dd\u5291\u76f8\u5c0d\u53e3\u670d\u85e5\u662f\u8f03\u5165\u4fb5\u6027\u7684\u6cbb\u7642\u800c\u4e14\u8cbb\u7528\u6602\u8cb4\u3002\u73fe\u6642\u9678\u7e8c\u6709\u7814\u7a76\u63a2\u8a0e\u91dd\u5291\u5c0d\u65bc\u5fc3\u8840\u7ba1\u75be\u75c5\u53ca\u5176\u6b7b\u4ea1\u7684\u4fdd\u8b77\u3002<\/p>\n<p>\u5373\u4f7f\u958b\u59cb\u4f7f\u7528\u85e5\u7269\u6cbb\u7642\uff0c\u4ecd\u9700\u914d\u5408\u751f\u6d3b\u7fd2\u6163\u6539\u8b8a\uff0c\u624d\u80fd\u6709\u6548\u6301\u7e8c\u63a7\u5236\u8840\u8102\u548c\u9810\u9632\u75be\u75c5\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u5e38\u898b\u53e3\u670d\u964d\u8840\u8102\u85e5\ufe30<\/p>\n<p><strong>\u4ed6\u6c40\u985e<\/strong><strong><br \/>\nStatins<\/strong><br \/>\n<strong>\u81bd\u56fa\u9187\u5438\u6536\u6291\u5236\u5291<\/strong><strong><br \/>\nCholesterol absorption inhibitors<\/strong><br \/>\n<strong>\u5fae\u7e96\u7dad\u9178\u985e<\/strong><strong><br \/>\nFibrates<\/strong><\/p>\n<p>\u4f8b\u5b50<br \/>\nAtorvastatin, Rosuvastatin,<\/p>\n<p>Simvastatin<br \/>\nEzetimibe<br \/>\nFenofibrate, Gemfibrozil<\/p>\n<p>\u85e5\u7406<br \/>\n\u6e1b\u5c11\u809d\u81df\u88fd\u9020\u81bd\u56fa\u9187\u3001<br \/>\n\u5e6b\u52a9\u809d\u81df\u5f9e\u8840\u6db2\u4e2d\u651d\u53d6 LDL-C<br \/>\n\u6e1b\u5c11\u8178\u9053\u5438\u6536\u81bd\u56fa\u9187\u3001<br \/>\n\u5e6b\u52a9\u809d\u81df\u5f9e\u8840\u6db2\u4e2d\u651d\u53d6 LDL-C<br \/>\n\u4fc3\u9032 TG \u5206\u89e3\u3001<br \/>\n\u6e1b\u5c11LDL-C \u88fd\u9020\u3001<br \/>\n\u589e\u52a0 HDL-C \u88fd\u9020<\/p>\n<p>\u6539\u5584\u8840\u8102\u6210\u6548 (\u7d04\u6578)<br \/>\nLDL-C \u2193 20\u201350%<\/p>\n<p>TG \u2193 [&#8230;]<\/p>\n","protected":false},"author":3341,"featured_media":9075,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[39,92],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/9074"}],"collection":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/users\/3341"}],"replies":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/comments?post=9074"}],"version-history":[{"count":6,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/9074\/revisions"}],"predecessor-version":[{"id":10308,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/9074\/revisions\/10308"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/media\/9075"}],"wp:attachment":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/media?parent=9074"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/categories?post=9074"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/tags?post=9074"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}