\u76ee\u524d\u6211\u56fd\u7cd6\u5c3f\u75c5\u60a3\u75c5\u7387\u4ecd\u5728\u4e0a\u5347\uff0c\u5f88\u591a\u4eba\u90fd\u5bb3\u6015\u7cd6\u5c3f\u75c5\uff0c\u5e38\u5e38\u56e0\u4e3a\u542c\u5230\u8840\u7cd6\u503c\u9ad8\u800c\u611f\u5230\u62c5\u5fc3\uff0c\u4f46\u5bf9\u8840\u7cd6\u503c\u53ca\u5176\u4e34\u5e8a\u610f\u4e49\u5374\u5e76\u4e0d\u719f\u6089\uff0c\u5230\u5e95\u8840\u7cd6\u5347\u9ad8\u5230\u591a\u5c11\u624d\u7b97\u9ad8\u8840\u7cd6\u6216\u8005\u662f\u5426\u81ea\u5df1\u5c31\u5df2\u7ecf\u662f\u7cd6\u5c3f\u75c5\u4e86\u5462\uff0c\u4e0b\u9762\u6211\u4eec\u5c31\u6765\u804a\u804a\u7cd6\u5c3f\u75c5\u524d\u671f\u3002<\/p>\n
1. \u4ec0\u4e48\u53eb\u7cd6\u5c3f\u75c5\u524d\u671f?<\/p>\n
\u7b80\u5355\u6765\u8bf4\u5c31\u662f\u8840\u7cd6\u5df2\u7ecf\u504f\u9ad8\uff0c\u4f46\u662f\u8fd8\u6ca1\u6709\u8fbe\u5230\u7cd6\u5c3f\u75c5\u7684\u9636\u6bb5\u3002\u5177\u4f53\u6765\u8bb2\uff0c\u6b63\u5e38\u4eba\u7a7a\u8179\u8840\u7cd6\u57286.1mmol\/L\u4ee5\u4e0b\uff0c\u7cd6\u5c3f\u75c5\u60a3\u8005\u7a7a\u8179\u8840\u7cd6\u57287.0mmol\/L\u4ee5\u4e0a\uff0c\u800c\u7a7a\u8179\u8840\u7cd6\u57286.1-7.0mmol\/L\u4e4b\u95f4\u53eb\u505a\u7a7a\u8179\u8840\u7cd6\u53d7\u635f(IFG)\uff1b\u6b63\u5e38\u4eba\u9910\u540e2\u5c0f\u65f6\u8840\u7cd6\u57287.8 mmol\/L\u4ee5\u4e0b\uff0c\u800c\u7cd6\u5c3f\u75c5\u60a3\u8005\u9910\u540e2\u5c0f\u65f6\u8840\u7cd6\u572811.1mmol\/L\u4ee5\u4e0a\uff0c\u9910\u540e2\u5c0f\u65f6\u8840\u7cd6\u57287.8-11.1mmol\/L\u53eb\u7cd6\u8010\u91cf\u5f02\u5e38(IGT)\u3002<\/p>\n
\u7a7a\u8179\u8840\u7cd6\u53d7\u635f(IFG)\u3001\u7cd6\u8010\u91cf\u51cf\u4f4e(IGT)\u53ca\u4e24\u8005\u7684\u6df7\u5408\u72b6\u6001\u7edf\u79f0\u4e3a\u7cd6\u8c03\u8282\u53d7\u635f\uff0c\u4e5f\u79f0\u4e3a\u7cd6\u5c3f\u75c5\u524d\u671f\u3002<\/p>\n
1. \u7cd6\u5c3f\u75c5\u524d\u671f\u60a3\u8005\u4f1a\u6709\u4ec0\u4e48\u8868\u73b0\u5462?<\/p>\n
\u7cd6\u5c3f\u75c5\u524d\u671f\u60a3\u8005\u5e38\u5e38\u4e0d\u5408\u5e76\u660e\u786e\u7684\u75c7\u72b6\uff0c\u4e2a\u522b\u60a3\u8005\u4f1a\u6709\u53e3\u5e72\u3001\u6d88\u7626\u7b49\u3002\u800c\u65e9\u671f\u7684\u7b5b\u67e5\u53ef\u4ee5\u7ed9\u60a3\u8005\u4e00\u4e2a\u201c\u9884\u8b66\u201d\uff0c\u4ee5\u4e0b\u662f\u7cd6\u5c3f\u75c5\u9ad8\u5371\u4eba\u7fa4\uff1a<\/p>\n
\u5728\u6210\u5e74\u4eba(>18\u5c81)\u4e2d\uff0c\u5177\u6709\u4e0b\u5217\u4efb\u4f55\u4e00\u4e2a\u53ca\u4ee5\u4e0a\u7684\u7cd6\u5c3f\u75c5\u5371\u9669\u56e0\u7d20\u8005\uff0c\u5373\u4e3a\u7cd6\u5c3f\u75c5\u9ad8\u5371\u4eba\u7fa4:1\u5e74\u9f84\u226540\u5c81\uff1b2\u6709\u7cd6\u5c3f\u75c5\u524d\u671f(IGT\u3001IFG\u6216\u4e24\u8005\u540c\u65f6\u5b58\u5728)\u53f2\uff1b3\u8d85\u91cd[\u4f53\u8d28\u6307\u6570(BMI)\u226524kg\/m2 ]\u6216\u80a5\u80d6(BMI\u226528kg\/m2 )\u548c(\u6216)\u4e2d\u5fc3\u578b\u80a5\u80d6(\u7537\u6027\u8170\u56f4\u226590cm\uff0c\u5973\u6027\u8170\u56f4\u226585cm)\uff1b4\u9759\u5750\u751f\u6d3b\u65b9\u5f0f\uff1b5\u4e00\u7ea7\u4eb2\u5c5e\u4e2d\u67092\u578b\u7cd6\u5c3f\u75c5\u5bb6\u65cf\u53f2\uff1b6\u6709\u598a\u5a20\u671f\u7cd6\u5c3f\u75c5\u53f2\u7684\u5987\u5973\uff1b7\u6709\u9ad8\u8840\u538b\u53f2\u6216\u6b63\u5728\u63a5\u53d7\u964d\u538b\u6cbb\u7597\u8005\uff1b8)\u8840\u8102\u5f02\u5e38\u6216\u6b63\u5728\u63a5\u53d7\u8c03\u8102\u6cbb\u7597\uff1b9\u6709\u52a8\u8109\u7ca5\u6837\u786c\u5316\u6027\u5fc3\u8840\u7ba1\u75be\u75c5\u53f2\uff1b10\u6709\u7c7b\u56fa\u9187\u7c7b\u836f\u7269\u4f7f\u7528\u53f2\uff1b11\u591a\u56ca\u5375\u5de2\u7efc\u5408\u5f81\u60a3\u8005\u6216\u4f34\u6709\u4e0e\u80f0\u5c9b\u7d20\u62b5\u6297\u76f8\u5173\u7684\u4e34\u5e8a\u72b6\u6001(\u5982 \u9ed1\u68d8\u76ae\u5f81\u7b49)\uff1b12\u957f\u671f\u63a5\u53d7\u6297\u7cbe\u795e\u75c5\u836f\u7269\u6216\u6297\u6291\u90c1\u75c7\u836f\u7269\u6cbb\u7597\u7684\u60a3\u8005\u3002<\/p>\n
\u53ca\u65f6\u5bf9\u9ad8\u5371\u4eba\u7fa4\u8fdb\u884c\u7b5b\u67e5\uff0c\u7b5b\u67e5\u65b9\u6cd5\u4e3a\u4e24\u70b9\u6cd5\uff0c\u5373\u7a7a\u8179\u8840\u7cd6+75 g\u53e3\u670d\u8461\u8404\u7cd6\u8010\u91cf\u8bd5\u9a8c(OGTT)2 h \u8840\u7cd6\u3002\u7b5b\u67e5\u7ed3\u679c\u6b63\u5e38\u8005\u5efa\u8bae\u6bcf3\u5e74\u7b5b\u67e5\u4e00\u6b21\uff0c\u7b5b\u67e5\u7ed3\u679c\u4e3a\u7cd6\u5c3f\u75c5\u524d\u671f\u8005\uff0c\u5efa\u8bae\u6bcf\u5e74\u7b5b\u67e5\u4e00\u6b21\u3002<\/p>\n
2. \u7cd6\u5c3f\u75c5\u524d\u671f\u60a3\u8005\u600e\u4e48\u63a7\u5236\u8840\u7cd6\u5462?<\/p>\n
\u591a\u9879\u7814\u7a76\u7ed3\u679c\u663e\u793a\uff0c\u7cd6\u8010\u91cf\u51cf\u4f4e\u4eba\u7fa4\u63a5\u53d7\u9002\u5f53\u7684\u751f\u6d3b\u65b9\u5f0f\u5e72\u9884\u53ef\u5ef6\u8fdf\u6216\u9884\u9632T2DM\u7684\u53d1\u751f\u3002\u5e94\u5bf9\u7cd6\u5c3f\u75c5\u524d\u671f\u4eba\u7fa4\u5b9e\u884c\u5206\u5c42\u7ba1\u7406\uff0c\u4f9d\u636e\u53d1\u751f\u7cd6\u5c3f\u75c5\u7684\u98ce\u9669\u9ad8\u4f4e\u5206\u4e3a\u8f83\u9ad8\u98ce\u9669\u4eba\u7fa4\u548c\u8f83\u4f4e\u98ce\u9669\u4eba\u7fa4\uff0c\u8f83\u4f4e\u98ce\u9669\u4eba\u7fa4\u6307\u5355\u7eaf\u7684IFG\u6216IGT\u4eba\u7fa4\uff1b\u8f83\u9ad8\u98ce\u9669\u4eba\u7fa4\u6307IFG+IGT\u4eba\u7fa4\u6216\u5408\u5e761\u79cd\u53ca\u4ee5\u4e0a\u98ce\u9669\u56e0\u7d20\u4eba\u7fa4\u3002\u4f7f\u7528\u751f\u6d3b\u65b9\u5f0f\u5e72\u9884\u4e3a\u57fa\u77f3\uff0c\u5e76\u5e94\u8d2f\u7a7f\u7cd6\u5c3f\u75c5\u524d\u671f\u4e34\u5e8a\u5e72\u9884\u7684\u6574\u4e2a\u8fc7\u7a0b\u3002<\/p>\n
(1)\u53ef\u884c\u533b\u5b66\u8425\u517b\u5e72\u9884\uff1a<\/p>\n
\u82e5\u4e3a\u4f53\u91cd\u6b63\u5e38\u8005\uff1a\u6bcf\u65e5\u6240\u9700\u70ed\u91cf45%\uff5e60%\u6765\u81ea\u78b3\u6c34\u5316\u5408\u7269\uff0c25%\uff5e35%\u6765\u81ea\u8102\u80aa\uff0c15%\uff5e20%\u6765\u81ea\u86cb\u767d\u8d28\u3002\u6309\u7167\u996e\u98df\u4f30\u7b97\u98df\u8c31\u4e00\u65e5\u81f3\u5c11\u4e09\u9910\uff0c\u4f7f\u4e3b\u98df\u53ca\u86cb\u767d\u8d28\u7b49\u8f83\u5747\u5300\u7684\u5206\u5e03\u5728\u4e09\u9910\u4e2d\uff0c\u5e76\u5b9a\u65f6\u5b9a\u91cf\uff0c\u4e00\u822c\u63091\/5\u30012\/5\u30012\/5\u5206\u914d\u62161\/3\u30011\/3\u30011\/3\u5206\u914d\u3002<\/p>\n
\u82e5\u4e3a\u80a5\u80d6\u8005\uff1a\u4e3b\u98df\u3001\u526f\u98df\u6444\u5165\u91cf\u51cf\u5c1110%\u4ee5\u4e0a\uff0c\u540c\u65f6\u52a0\u5f3a\u4f53\u80b2\u953b\u70bc\u3002\u4f7f\u8d85\u91cd\u6216\u80a5\u80d6\u8005BMI\u8fbe\u5230\u6216\u63a5\u8fd124kg\/m2\uff0c\u6216\u4f53\u91cd\u81f3\u5c11\u4e0b\u964d7%\uff0c\u5e76\u4f7f\u4f53\u91cd\u957f\u671f\u7ef4\u6301\u5728\u5065\u5eb7\u6c34\u5e73\uff1b<\/p>\n
(2)\u53ef\u884c\u8fd0\u52a8\u5e72\u9884\uff1a<\/p>\n
1\u8fdb\u884c\u6709\u6c27\u8bad\u7ec3\u901a\u8fc7\u589e\u5f3a\u80f0\u5c9b\u7d20\u654f\u611f\u6027\u589e\u52a0\u8461\u8404\u7cd6\u6444\u53d6\uff0c\u6709\u6c27\u8fd0\u52a8\u5305\u62ec\u5feb\u8d70\u3001\u6162\u8dd1\u3001\u9a91\u81ea\u884c\u8f66\u3001\u6e38\u6cf3\u3001\u5065\u8eab\u64cd\u3001\u4e52\u4e53\u7403\u7b49\u3002\u5efa\u8bae\u6bcf\u5468\u81f3\u5c113\u6b21\uff0c\u6bcf\u6b21\u6301\u7eed\u65f6\u95f4\u4e0d\u5c11\u4e8e10min,\u603b\u65f6\u95f420-60\u5206\u949f\uff0c\u80a5\u80d6\u60a3\u8005\u5efa\u8bae\u9002\u91cf\u52a0\u5f3a\u8fd0\u52a8\u3002<\/p>\n
2\u6297\u963b\u8fd0\u52a8\u8bad\u7ec3\u53ef\u5f15\u8d77\u7684\u808c\u8089\u8d28\u91cf\u589e\u52a0\u6709\u5229\u8461\u8404\u7cd6\u6444\u53d6\uff0c\u5982\uff1a\u7ec3\u4e60\u5668\u68b0\u3001\u8d1f\u91cd\u8bad\u7ec3(\u54d1\u94c3\u3001\u6760\u94c3)\u7b49\u3002\u89c4\u5f8b\u6709\u6c27\u8fd0\u52a8\u7684\u540c\u65f6\uff0c\u53ef\u6bcf\u5468\u81f3\u5c112\u6b21\u6297\u963b\u529b\u8fd0\u52a8\u3002<\/p>\n
(3)\u53ef\u884c\u836f\u7269\u5e72\u9884\uff1a<\/p>\n
\u8f83\u4f4e\u98ce\u9669\u8005\u5148\u5b9e\u65bd\u751f\u6d3b\u65b9\u5f0f\u5e72\u9884\uff0c6\u4e2a\u6708\u540e\u672a\u8fbe\u5230\u63a7\u5236\u76ee\u6807(\u76ee\u6807\u5373\uff1a\u8d85\u91cd\u6216\u80a5\u80d6BMI\u8fbe\u5230\u6216\u63a5\u8fd124kg\/m2\uff0c\u6216\u4f53\u91cd\u81f3\u5c11\u4e0b\u964d7%\uff1bIFG\u8005\u7a7a\u8179\u8840\u7cd6>6.1mmol\/L\uff0cIGT\u8005OGTT 2h\u8840\u7cd6>7.8mmol\/L)\uff0c\u6216\u9ad8\u8840\u7cd6\u8fdb\u5c55\u548c(\u6216)\u65e0\u6cd5\u4e25\u683c\u9075\u5b88\u751f\u6d3b\u65b9\u5f0f\u8005\u542f\u52a8\u836f\u7269\u5e72\u9884\uff1b\u636e\u7814\u7a76\u663e\u793a\u4e8c\u7532\u53cc\u80cd\u548c\u963f\u5361\u6ce2\u7cd6\u5728\u7cd6\u5c3f\u75c5\u524d\u671f\u4eba\u7fa4\u4e2d\u957f\u671f\u5e94\u7528\u7684\u5b89\u5168\u6027\u8bc1\u636e\u8f83\u4e3a\u5145\u5206\u3002<\/p>\n
\u5e0c\u671b\u5404\u4f4d\u60a3\u8005\u79d1\u5b66\u770b\u5f85\u8840\u7cd6\u503c\uff0c\u4eba\u4f53\u8840\u7cd6\u4f1a\u53d7\u836f\u7269\u3001\u996e\u98df\u3001\u8fd0\u52a8\u3001\u7761\u7720\u3001\u60c5\u7eea\u3001\u5929\u6c14\u7b49\u8bf8\u591a\u56e0\u7d20\u5f71\u54cd\u3002\u5f53\u8bca\u65ad\u4e3a\u7cd6\u5c3f\u75c5\u524d\u671f\uff0c\u5efa\u8bae\u60a3\u8005\u6212\u9664\u4e0d\u826f\u751f\u6d3b\u65b9\u5f0f\uff0c\u901a\u8fc7\u996e\u98df\u63a7\u5236\u548c\u8fd0\u52a8\u5e76\u957f\u671f\u575a\u6301\u4ee5\u964d\u4f4e\u7cd6\u5c3f\u75c5\u7684\u53d1\u751f\u98ce\u9669\uff0c\u540c\u65f6\u5173\u6ce8\u9ad8\u8840\u538b\u3001\u8840\u8102\u7b49\u5404\u79cd\u5fc3\u8840\u7ba1\u5371\u9669\u56e0\u7d20\uff0c\u5fc5\u8981\u65f6\u4f7f\u7528\u836f\u7269\u5e72\u9884\uff0c\u5b9a\u671f\u968f\u8bbf\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"
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