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在美国,减少冠心病的危险有两个主要研究,一个是大众基础的研究,即叙述饮食方式的一般指南以及美国境内人口的生活方式。这个研究着重规定食物中总胆固醇和饱和脂肪酸的总量,控制体重、体力活动以及控制其他危险因素。另一个研究是上述的补充,包括发现冠心病例和处理冠心病的高危病人。1988年颁布了确定、评价、治疗成人高胆固醇血症的指南。1993年6月又进行了修订,近期即可有手册出版。下面就已修订的国家胆固醇教育方案(NCEP)对成人高胆固醇血症的检出、评价和治疗作一综述。
There are two main studies in the United States to reduce the risk of coronary heart disease. One is a mass-based study, which is a general guide to eating habits and the lifestyle of the population in the United States. This study focuses on the total amount of total cholesterol and saturated fatty acids in food, weight control, physical activity and other risk factors. Another study is the above supplement, including the discovery of coronary heart disease cases and high-risk patients with coronary heart disease. In 1988, guidelines for the identification, evaluation and treatment of adult hypercholesterolemia were promulgated. It was revised in June 1993 and the manuals can be published shortly. The following is a review of the detection, evaluation and treatment of adult hypercholesterolemia in the revised National Cholesterol Education Program (NCEP).