我国发布新版血脂异常防治指南约四成人血脂异?！嗣裾?/title> <link href="/css/css.css" rel="stylesheet" type="text/css" /> <link href="/css/xywy_header.css" rel="stylesheet" type="text/css" /> <link href="/css/news_list_content.css" rel="stylesheet" type="text/css" />  <script type="text/javascript" src="http://www.rmzxb.com.cn/js/jquery-1.8.3.min.js"></script> <script>window.jQuery || document.write('<script src="http://www.rmzxb.com.cn/js/jquery-1.8.3.min.js" type="text/javascript"><\/script>')</script> <script src="/js/jquery.soChange1.js"></script> <script src='/js/roller.js'></script> <script src="http://www.rmzxb.com.cn/js/js.js"></script> <script src="http://www.rmzxb.com.cn/js/detailPagePublicJs.js"></script> <script src="http://www.rmzxb.com.cn/js/advPublicJs.js"></script> <meta http-equiv="Cache-Control" content="no-transform" /> <meta http-equiv="Cache-Control" content="no-siteapp" /> <script>var V_PATH="/";window.onerror=function(){ return true; };</script> </head> <body> <h1><a 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/> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <p style="text-indent: 2em; text-align: left;">新华网北京10月24日电（刘映）我国居民血脂异?；疾÷食中黾樱谛牟∷劳雎士焖僭黾?。10月24日，《中国成人血脂异常防治指南（2016年修订版）》在北京正式发布，指南显示，中国成人血脂异常总体患病率高达40.4%。专家预测，若不加强防控，随着人群血清胆固醇水平的持续升高，将导致2010年-2030年期间我国心血管病事件增加约920万。</p><p style="text-indent: 2em; text-align: left;">据悉，新版指南依据国人长期队列研究流行病学数据和临床循证研究进展，对人群的心血管病危险分层做了重大更新，对缺血性心血管病极高危人群提出更严格的控制目标?！吨改稀非康饕莞鎏逍难芊⒉∥Ｏ站龆ㄖ瘟拼胧?；强调治疗性生活方式改变作为血脂异?；颊叩幕≈瘟拼胧?；强调高胆固醇血症患者和高危以上人群长期药物调脂治疗的重要性。</p><p style="text-indent: 2em; text-align: left;"><strong>近十年居民冠心病死亡快速增加</strong></p><p style="text-indent: 2em; text-align: left;">冠心病、脑卒中和外周动脉疾病等，是导致我国居民致残致死的主要心血管病，统称为动脉粥样硬化性心血管疾病。虽然其发生发展是一个漫长的过程，但动脉粥样硬化性疾病首次发病就可能有致死、致残的高风险。</p><p style="text-indent: 2em; text-align: left;">中国工程院院士、国家心血管病中心首席专家高润霖表示，近十年来，居民冠心病死亡快速增加，我国面临双重疾病负担，即与高血压相关的脑卒中还没得到有效控制，与高胆固醇相关的心肌梗死又在快速增加。而血脂异常与我国心血管病发病增加密切相关，降低血液中的低密度脂蛋白胆固醇或胆固醇，可预防冠心病和脑卒中等致死、致残性疾病的风险。</p><p style="text-indent: 2em; text-align: left;">指南显示，根据2012年全国调查结果，我国成人血脂异常总体患病率高达40.4%；高胆固醇血症的患病率为4.9%；高甘油三酯（TG）血症的患病率达13.1%；低高密度脂蛋白胆固醇（HDL-C）血症的患病率达33.9%。</p><p style="text-indent: 2em; text-align: left;">首都医科大学附属北京安贞医院—北京市心肺血管疾病研究所副所长赵冬教授指出，以低密度脂蛋白胆固醇（LDL-C）或胆固醇升高为特点的血脂异常，是动脉粥样硬化性心血管疾病重要的危险因素；无论采取何种药物或措施，只要能使血低密度脂蛋白胆固醇下降，就可稳定、延缓或消退动脉粥样硬化病变，并能显著减少这些致死致残性疾病的发生率、致残率和死亡率。此外，其他类型的血脂异常，如甘油三酯增高或高密度脂蛋白胆固醇降低与动脉粥样硬化性疾病的发病危险的升高也存在一定的关联。</p><p style="text-indent: 2em; text-align: left;">高润霖表示，对血脂异?；颊?，防治工作重点是提高血脂异常的知晓率、治疗率和控制率。近年来，我国成人血脂异?；颊叩闹屎椭瘟坡仕溆刑岣?，但控制率仍处于较低水平，血脂异常的防治工作亟待加强。</p><p style="text-indent: 2em; text-align: left;"><strong>定期血脂检测和健康生活方式是重要防范措施</strong></p><p style="text-indent: 2em; text-align: left;">赵冬表示，定期检查血脂和健康生活方式是防治心血管病的重要措施。良好的生活方式包括坚持心脏健康饮食、规律运动、远离烟草和保持理想体重。为及时发现血脂异常，建议40岁以上男性和绝经期后女性每年检测血脂；动脉粥样硬化性心血管病患者及其高危人群，应每3-6个月测定1次血脂；因动脉粥样硬化性心血管病住院的患者，应在入院时或入院24小时内检测血脂。</p><p style="text-indent: 2em; text-align: left;">指南建议，无论是否选择药物调脂治疗，都必须坚持控制饮食和改善生活方式。建议每日摄入胆固醇小于300mg，尤其是已有动脉粥样硬化心血管病或高危人群，摄入脂肪不应超过总能量的20%-30%。高甘油三酯血症者更应尽可能减少每日摄入脂肪总量，每日烹调油应少于30g。脂肪摄入应优先选择富含n-3多不饱和脂肪酸的食物（如深海鱼、鱼油、植物油）。建议每日摄入碳水化合物占总能量的50%-65%。选择使用富含膳食纤维和低升糖指数的碳水化合物替代饱和脂肪酸，每日饮食应包含 25-40g膳食纤维（其中7-13g为水溶性膳食纤维）。碳水化合物摄入以谷类、薯类和全谷物为主，其中添加糖摄入不应超过总能量的10%（对于肥胖和高甘油三酯血症者要求比例更低）。</p><p style="text-indent: 2em; text-align: left;">建议每周5-7天、每次30分钟中等强度代谢运动。有心脑血管病者，应在医生指导下进行适度运动。</p><p style="text-indent: 2em; text-align: left;"><strong>呼吁55岁以下人群关注心血管病余生危险</strong></p><p style="text-indent: 2em; text-align: left;">国家心血管病中心防治资讯部主任、中国医学科学院阜外医院主任医师陈伟伟教授表示，依据动脉粥样硬化性心血管病的发病危险，采取不同强度干预措施是血脂异常防治的核心策略。</p><p style="text-indent: 2em; text-align: left;">指南建议，危险评估应按推荐的流程进行：对年龄低于55岁人群应关注心血管病余生危险。根据个体动脉粥样硬化性心血管病危险程度，决定是否启动药物调脂治疗。将降低LDL-C水平作为防控动脉粥样硬化性心血管病危险的首要干预靶点。</p><p style="text-indent: 2em; text-align: left;">调脂治疗需设定目标值：极高危者LDL-C＜1.8mmol/L；高危者LDL-C＜2.6mmol/L；中危和低危者LDL-C＜3.4mmol/L；LDL-C基线值较高不能达目标值者，LDL-C至少降低50%。极高?；颊週DL-C基线在目标值以内者，LDL-C仍应降低30%左右。</p><p style="text-indent: 2em; text-align: left;">临床调脂达标，首选他汀类调脂药物。起始宜应用中等强度他汀，根据个体调脂疗效和耐受情况，适当调整剂量。他汀应用取得预期疗效后应继续长期应用，如能耐受应避免停用。</p><p style="text-indent: 2em; text-align: left;">据悉，《中国成人血脂异常防治指南（2016年修订版）》是在2007年版《中国成人血脂异常防治指南》基础上进行的修订更新。新版指南在国家卫生计生委疾病预防控制局的支持下，由国家心血管病中心、中华医学会心血管病学分会、中华医学会糖尿病学分会、中华医学会内分泌学分会以及中华医学会检验医学分会组成血脂指南修订联合委员会，以我国近年来心血管病流行病学研究进展和血脂异常大规模随机临床试验为依据，参考国内外有关研究进展，经修订专家反复研讨论证，于2016年完成修订并正式发布实施。</p> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：新版血脂异常防治指南</p> <h1 class="pv_title_2 mt_15"><a href="/index.shtml" target="_blank" class="more mtb_14">更多</a><span id="i2i2jyu4k" class="t" id="a3"><a href="/index.shtml"><img src="/images/xg_t1.jpg" /></a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <ul class="Related_ul bh_150"> <li><a target="_blank" href="/c/2016-10-24/1100507.shtml">中国成人血脂异常总体患病率超过40%</a></li> <li><a target="_blank" href="/c/2016-10-23/1098189.shtml">超50个国家和地区参加澳门国际贸易投资展览会</a></li> <li><a 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