\u636e\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\u4f30\u8ba1\uff0c\u73b0\u65f6\u672c\u6e2f\u7ea6\u670970\u4e07\u4eba\uff08\u5373\u5341\u4efd\u4e4b\u4e00\u4eba\u53e3\uff09\u60a3\u6709\u7cd6\u5c3f\u75c5\uff0c\u5176\u4e2d\u4f7f\u7528\u80f0\u5c9b\u7d20\u7684\u60a3\u8005\u7ea6\u536020%\u3002\u9999\u6e2f\u4e2d\u6587\u5927\u5b66\uff08\u4e2d\u5927\uff09\u6700\u65b0\u4e00\u9879\u7814\u7a76\u663e\u793a\uff0c\u5927\u90e8\u4efd\u80f0\u5c9b\u7d20\u4f7f\u7528\u8005\u7684\u8840\u7cd6\u6c34\u5e73\u4e0d\u4f46\u672a\u80fd\u8fbe\u6807\uff0c\u800c\u4e14\u8d77\u4f0f\u504f\u5dee\u5927\uff0c\u672a\u80fd\u7a33\u5b9a\u5730\u63a7\u5236\u5728\u7406\u60f3\u6c34\u5e73\u4e4b\u5185\uff0c\u53cd\u6620\u51fa\u73b0\u7cd6\u5c3f\u75c5\u5e76\u53d1\u75c7\u7684\u98ce\u9669\u76f8\u5f53\u9ad8\u3002<\/p>
\u6bcf\u5e74\u768411\u670814\u65e5\u4e3a\u300c\u4e16\u754c\u7cd6\u5c3f\u75c5\u65e5\u300d\uff0c\u76ee\u7684\u4e3a\u7eaa\u5ff5\u80f0\u5c9b\u7d20\u53d1\u73b0\u8005\u73ed\u5ef7\uff08Dr Frederick Banting\uff09\u7684\u5bff\u8fb0\u3002\u80f0\u5c9b\u7d20\u6ce8\u5c04\u5242\u7684\u53d1\u660e\u53ca\u5e94\u7528\u81f3\u4eca\u5df2\u8d85\u8fc780\u591a\u5e74\uff0c\u836f\u6548\u5df2\u5907\u53d7\u80af\u5b9a\uff0c\u7f8e\u56fd\u7cd6\u5c3f\u75c5\u534f\u4f1a\uff08ADA\uff09\u53ca\u6b27\u6d32\u7cd6\u5c3f\u75c5\u7814\u7a76\u5b66\u4f1a\uff08EASD\uff09\u4ea6\u4e8e\u53bb\u5e74\u53d1\u51fa\u6307\u5f15\uff0c\u5efa\u8bae\u75c5\u4eba\u53ca\u65e9\u4f7f\u7528\u57fa\u7840\u80f0\u5c9b\u7d20\uff0c\u4f46\u4e0d\u5c11\u75c5\u4eba\u4f9d\u7136\u6297\u62d2\u4f7f\u7528\uff1b\u5373\u4f7f\u613f\u610f\u63a5\u53d7\u80f0\u5c9b\u7d20\u6cbb\u7597\u7684\u75c5\u4eba\uff0c\u8840\u7cd6\u63a7\u5236\u4ecd\u672a\u5982\u7406\u60f3\uff0c\u66f4\u51fa\u73b0\u9ad8\u4f4e\u8d77\u4f0f\u7684\u73b0\u8c61\uff0c\u751a\u81f3\u6709\u4f4e\u8840\u7cd6\u75c7\u7684\u526f\u4f5c\u7528\u3002<\/p>
\u4e3a\u8fdb\u4e00\u6b65\u76d1\u5bdf\u4f7f\u7528\u80f0\u5c9b\u7d20\u75c5\u4eba\u7684\u8840\u7cd6\u6c34\u5e73\u3001\u8d77\u4f0f\u504f\u5dee\u5e45\u5ea6\u53ca\u5e73\u5747\u6709\u591a\u5c11\u65f6\u95f4\u5904\u4e8e\u7406\u60f3\u6c34\u5e73\u7b49\uff0c\u4e2d\u5927\u533b\u5b66\u9662\u5185\u79d1\u53ca\u836f\u7269\u6cbb\u7597\u5b66\u7cfb\u4e8e2007\u5e74\u8fdb\u884c\u4e86\u4e00\u9879\u7814\u7a76\uff0c\u62db\u52df58\u540d\u6b63\u5728\u4f7f\u7528\u80f0\u5c9b\u7d20\u4f46\u8840\u7cd6\u63a7\u5236\u672a\u5982\u7406\u60f3\u7684\u7cd6\u5c3f\u75c5\u75c5\u4eba\uff08\u5305\u62ec\u4e00\u578b\u53ca\u4e8c\u578b\uff09\uff0c\u8fde\u7eed72\u5c0f\u65f6\u5728\u8170\u95f4\u6302\u7740\u7279\u5236\u7684\u8840\u7cd6\u76d1\u5bdf\u673a\uff08CGMS\uff09\uff0c\u8bb0\u5f55\u8be5\u65f6\u6bb5\u7684\u8840\u7cd6\u6c34\u5e73\uff0c\u4f9b\u7814\u7a76\u4eba\u5458\u5206\u6790\u3002\u7ed3\u679c\u663e\u793a\ufe30<\/p>
1. \u75c5\u4eba\u7684\u7cd6\u5316\u8840\u7ea2\u7d20\uff08HbA1c\uff0c\u5373\u8fc7\u53bb\u4e09\u4e2a\u6708\u7684\u8840\u7cd6\u5e73\u5747\u503c\uff09\u5e73\u5747\u8fbe8.3%\uff0c\u8d85\u51fa\u7f8e\u56fd\u53ca\u6b27\u6d32\u7684\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u6240\u5efa\u8bae\u76847%\u7684\u6807\u51c6\uff1b
2. \u6709\u63a5\u8fd1\u516d\u6210\u65f6\u95f4\uff0c\u75c5\u4eba\u7684\u8840\u7cd6\u6c34\u5e73\u9ad8\u4e8e8 mmol\/L\uff08\u5373\u8d85\u8d8a\u7406\u60f3\u6c34\u5e73\uff09\uff1b
3. \u9664\u4e86\u8d85\u6807\uff0c\u4ea6\u6709\u8fd1\u4e09\u4efd\u4e4b\u4e8c\u7684\u75c5\u4eba\u66fe\u51fa\u73b0\u8840\u7cd6\u4f4e\u4e8e4 mmol\/L\u7684\u8bfb\u6570\uff08\u75c5\u4eba\u4e00\u822c\u4f1a\u51fa\u73b0\u4f4e\u8840\u7cd6\u5f81\u72b6\uff09\uff1b
4. \u75c5\u4eba\u7684\u8840\u7cd6\u6c34\u5e73\u9ad8\u4f4e\u8d77\u4f0f\u5dee\u5f02\u5927\uff0c\u6700\u9ad8\u8fbe22.2mmol\/L\uff0c\u6700\u4f4e\u5219\u53ea\u67091.2mmol\/L\uff1b
5. \u5e73\u5747\u6765\u8bf4\uff0c\u75c5\u4eba\u7684\u8840\u7cd6\u6c34\u5e73\u53ea\u6709\u4e09\u6210\u591a\u65f6\u95f4\u5904\u4e8e4 - 8 mmol\/L \u4e4b\u95f4\uff08\u5373\u8f83\u4e3a\u53ef\u63a5\u53d7\u7684\u6c34\u5e73\uff09\u3002<\/p>
\u6570\u636e\u53c8\u663e\u793a\uff0c\u8840\u7cd6\u5904\u4e8e\u7406\u60f3\u6c34\u5e73\u6108\u77ed\u65f6\u95f4\u7684\u75c5\u4eba\uff0c\u4ed6\u4eec\u7684\u8840\u7cd6\u6c34\u5e73\u8d77\u4f0f\u5dee\u5f02\u4ea6\u8f83\u5927\uff0c\u7cd6\u5316\u8840\u7ea2\u7d20\u4e5f\u8f83\u9ad8\uff08\u7cd6\u5316\u8840\u7ea2\u7d20\u6108\u9ad8\u4ee3\u8868\u75c5\u4eba\u7684\u957f\u671f\u8840\u7cd6\u7ba1\u6cbb\u8f83\u5dee\uff0c\u51fa\u73b0\u7cd6\u5c3f\u75c5\u5e76\u53d1\u75c7\u7684\u673a\u4f1a\u4e5f\u6108\u5927\uff09\u3002<\/p>
\u8d1f\u8d23\u8be5\u9879\u7814\u7a76\u7684\u4e2d\u5927\u5185\u79d1\u53ca\u836f\u7269\u6cbb\u7597\u5b66\u7cfb\u526f\u6559\u6388\u9a6c\u9752\u4e91\u6559\u6388\u8bf4\uff1a\u300c\u7814\u7a76\u53cd\u6620\u51fa\u75c5\u4eba\u7684\u8840\u7cd6\u63a7\u5236\u5dee\u5f3a\u4eba\u610f\u3002\u4ed6\u4eec\u867d\u5df2\u63a5\u53d7\u80f0\u5c9b\u7d20\u6cbb\u7597\uff0c\u4f46\u8840\u7cd6\u63a7\u5236\u4f9d\u7136\u8d85\u6807\uff0c\u800c\u4e14\u8840\u7cd6\u8fc7\u4f4e\u7684\u60c5\u51b5\u5341\u5206\u666e\u904d\uff0c\u8840\u7cd6\u6c34\u5e73\u9ad8\u4f4e\u8d77\u4f0f\u53c8\u5927\uff0c\u5b8c\u5168\u4e0d\u80fd\u8fbe\u5230\u7406\u60f3\u7684\u80f0\u5c9b\u7d20\u6cbb\u7597\u6548\u679c\u3002\u300d<\/p>
\u4e2d\u5927\u5185\u79d1\u53ca\u836f\u7269\u6cbb\u7597\u5b66\u7cfb\u6559\u6388\u517c\u7cd6\u5c3f\u53ca\u5185\u5206\u6ccc\u4e13\u79d1\u533b\u751f\u5510\u4fca\u4e1a\u6559\u6388\u6307\u51fa\uff0c\u7406\u60f3\u7684\u8840\u7cd6\u63a7\u5236\u662f\u628a\u8840\u7cd6\u7a33\u5b9a\u5730\u63a7\u5236\u57284 - 8 mmol\/L \u7684\u6c34\u5e73\u3002\u5982\u679c\u8840\u7cd6\u7a0d\u4e3a\u504f\u9ad8\uff0c\u75c5\u4eba\u901a\u5e38\u4e0d\u4f1a\u611f\u5230\u4efb\u4f55\u4e0d\u9002\uff0c\u4f46\u957f\u671f\u9ad8\u4f01\u5219\u4f1a\u8bf1\u53d1\u5404\u79cd\u7cd6\u5c3f\u75c5\u5e76\u53d1\u75c7\uff0c\u56e0\u6b64\u6cbb\u7597\u7cd6\u5c3f\u75c5\u7684\u9996\u8981\u7740\u773c\u70b9\u662f\u964d\u4f4e\u8840\u7cd6\u6c34\u5e73\u3002\u4f46\u53e6\u4e00\u65b9\u9762\uff0c\u5982\u679c\u8840\u7cd6\u964d\u5f97\u592a\u4f4e\uff0c\u75c5\u4eba\u5c31\u4f1a\u611f\u5230\u75b2\u5026\u4e0d\u9002\u3001\u5192\u51b7\u6c57\u3001\u5fc3\u8df3\u52a0\u901f\u3001\u4e25\u91cd\u9965\u997f\u3001\u813e\u6c14\u66b4\u8e81\u3001\u5934\u6655\u773c\u82b1\u7b49\u660e\u663e\u5f81\u72b6\uff0c\u4e25\u91cd\u8005\u751a\u81f3\u4f1a\u660f\u8ff7\u3002\u5510\u6559\u6388\u8bf4\uff1a\u300c\u66fe\u7ecf\u5386\u8fc7\u4f4e\u8840\u7cd6\u75c7\u7684\u75c5\u4eba\u90fd\u4f1a\u975e\u5e38\u5bb3\u6015\uff0c\u5b81\u613f\u8ba9\u8840\u7cd6\u6c34\u5e73\u9ad8\u4e00\u70b9\u3002\u4f46\u8840\u7cd6\u957f\u671f\u504f\u9ad8\uff0c\u53ea\u4f1a\u589e\u9ad8\u8840\u7ba1\u51fa\u73b0\u5e76\u53d1\u75c7\u7684\u98ce\u9669\u3002\u300d<\/p>
\u73b0\u5e74\u4e03\u5341\u5c81\u7684\u5173\u5148\u751f\u662f\u5176\u4e2d\u4e00\u540d\u63a5\u53d7\u76d1\u5bdf\u7684\u4e8c\u578b\u7cd6\u5c3f\u75c5\u75c5\u4eba\uff0c\u4ee5\u5f80\u6bcf\u65e5\u6ce8\u5c04\u4e2d\u6548\u80f0\u5c9b\u7d20\u4e24\u6b21\uff0c\u4f46\u6548\u679c\u5e76\u4e0d\u7406\u60f3\uff0c\u7cd6\u5316\u8840\u7ea2\u7d20\u4f9d\u7136\u9ad8\u8fbe9.1%\u3002CGMS\u76d1\u5bdf\u5668\u66f4\u663e\u793a\uff0c\u5173\u5148\u751f\u7684\u8840\u7cd6\u6c34\u5e73\u6709\u516b\u6210\u591a\u7684\u65f6\u95f4\u8d85\u6807\uff0c\u800c\u4e14\u6ce2\u5e45\u751a\u5927\uff0c\u7531\u6700\u9ad8\u768422.2 mmol\/L\u81f3\u6700\u4f4e\u76844.1 mmol\/L\uff0c\u76f8\u5dee\u591a\u8fbe18.1\u5ea6\u3002\u5176\u540e\u533b\u751f\u4e3a\u4ed6\u8f6c\u7528\u6bcf\u65e5\u4e00\u6b21\u7684\u957f\u6548\u57fa\u7840\u80f0\u5c9b\u7d20\uff08\u4e34\u7761\u524d\u6ce8\u5c04\uff09\uff0c\u518d\u52a0\u4e09\u6b21\u9910\u524d\u77ed\u6548\u80f0\u5c9b\u7d20\u7684\u6cbb\u7597\u65b9\u6848\u3002\u4e09\u4e2a\u6708\u540e\uff0c\u5173\u5148\u751f\u7684\u7cd6\u5316\u8840\u7ea2\u7d20\u968f\u5373\u4e0b\u964d\u81f36.8%\u7684\u7406\u60f3\u6807\u51c6\uff0c\u5e73\u5747\u8840\u7cd6\u6c34\u5e73\u4ea6\u8fbe\u6807\uff0c\u66f4\u6709\u8d85\u8fc7\u4e00\u534a\u65f6\u95f4\u80fd\u628a\u8840\u7cd6\u63a7\u5236\u5728\u6b63\u5e38\u6c34\u5e73\uff0c\u800c\u4e14\u6ce2\u5e45\u660e\u663e\u6536\u7a84\uff0c\u8f83\u4e4b\u524d\u5e73\u7a33\u3002<\/p>
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\u5510\u4fca\u4e1a\u6559\u6388\u5f15\u7528\u6b27\u7f8e\u7684\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u53bb\u5e74\u6240\u53d1\u51fa\u7684\u6cbb\u7597\u5171\u8bc6\u89e3\u91ca\uff1a\u300c\u5728\u4e0d\u540c\u7684\u57fa\u7840\u80f0\u5c9b\u7d20\u4e2d\uff0c\u957f\u6548\u7684\u57fa\u7840\u80f0\u5c9b\u7d20\u6ce8\u5c04\u5242\uff0c\u80fd\u572824\u5c0f\u65f6\u5185\u9010\u6e10\u91ca\u653e\u836f\u6548\uff0c\u56e0\u6b64\u66f4\u80fd\u5e73\u7a33\u5730\u63a7\u5236\u8840\u7cd6\u3002\u300d<\/p>
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