{"id":3146,"date":"2026-09-10T19:28:56","date_gmt":"2026-09-10T11:28:56","guid":{"rendered":"https:\/\/www.hssuaai.com\/guide\/3146.html"},"modified":"2026-09-10T19:28:56","modified_gmt":"2026-09-10T11:28:56","slug":"%e5%ad%95%e6%9c%9f%e5%96%9d%e8%91%a1%e8%90%84%e7%b3%96%e6%b0%b4%e6%9c%89%e9%a3%8e%e9%99%a9%e5%90%97%ef%bc%9f7%e5%a4%a7%e6%b3%a8%e6%84%8f%e4%ba%8b%e9%a1%b9%e5%8f%8a%e7%a7%91%e5%ad%a6%e6%9b%bf%e4%bb%a3","status":"publish","type":"post","link":"https:\/\/www.hssuaai.com\/guide\/3146.html","title":{"rendered":"\u5b55\u671f\u559d\u8461\u8404\u7cd6\u6c34\u6709\u98ce\u9669\u5417\uff1f7\u5927\u6ce8\u610f\u4e8b\u9879\u53ca\u79d1\u5b66\u66ff\u4ee3\u65b9\u6848\uff08\u9644\u6743\u5a01\u6307\u5357\uff09"},"content":{"rendered":"

\u5b55\u671f\u559d\u8461\u8404\u7cd6\u6c34\u6709\u98ce\u9669\u5417\uff1f7\u5927\u6ce8\u610f\u4e8b\u9879\u53ca\u79d1\u5b66\u66ff\u4ee3\u65b9\u6848\uff08\u9644\u6743\u5a01\u6307\u5357\uff09<\/p>\n

\n\u5b55\u671f\u4fdd\u5065\u610f\u8bc6\u7684\u63d0\u5347\uff0c\u8d8a\u6765\u8d8a\u591a\u7684\u51c6\u5988\u5988\u5f00\u59cb\u5173\u6ce8\u5b55\u671f\u996e\u98df\u7ba1\u7406\u3002\u5173\u4e8e"\u5b55\u5987\u80fd\u5426\u996e\u7528\u8461\u8404\u7cd6\u6c34"\u7684\u8ba8\u8bba\u6301\u7eed\u5347\u6e29\uff0c\u90e8\u5206\u5b55\u68c0\u62a5\u544a\u4e2d\u7684"\u7cd6\u8010\u91cf\u5f02\u5e38"\u63d0\u793a\u66f4\u8ba9\u8bb8\u591a\u51c6\u5988\u5988\u9677\u5165\u56f0\u60d1\u3002\u672c\u6587\u5c06\u57fa\u4e8e\u6700\u65b0\u300a\u4e2d\u56fd\u5b55\u671f\u7cd6\u5c3f\u75c5\u9632\u6cbb\u6307\u5357\uff08\u7248\uff09\u300b\uff0c\u7ed3\u5408\u4e34\u5e8a\u533b\u5b66\u6848\u4f8b\uff0c\u7cfb\u7edf\u5b55\u671f\u996e\u7528\u8461\u8404\u7cd6\u6c34\u7684\u79d1\u5b66\u4f9d\u636e\u4e0e\u98ce\u9669\u63a7\u5236\u8981\u70b9\u3002<\/p>\n

\u4e00\u3001\u5b55\u671f\u4ee3\u8c22\u53d8\u5316\u7684\u7279\u6b8a\u6027
\n1.1 \u7cd6\u4ee3\u8c22\u8c03\u8282\u673a\u5236\u8f6c\u53d8
\n\u598a\u5a20\u671f\u80ce\u76d8\u5206\u6ccc\u7684\u80ce\u76d8\u751f\u4e73\u7d20\u3001hPL\u7b49\u6fc0\u7d20\u4f1a\u663e\u8457\u964d\u4f4e\u6bcd\u4f53\u80f0\u5c9b\u7d20\u654f\u611f\u6027\uff0c\u8fd9\u79cd\u751f\u7406\u6027\u53d8\u5316\u4f7f\u5f97\u5b5528\u5468\u540e\u8840\u7cd6\u8c03\u8282\u80fd\u529b\u4e0b\u964d\u7ea630%\u3002\u5317\u4eac\u5927\u5b66\u4eba\u6c11\u533b\u9662\u8ffd\u8e2a\u7814\u7a76\u53d1\u73b0\uff0c\u5b55\u4e2d\u671f\u8840\u7cd6\u5f02\u5e38\u53d1\u751f\u7387\u8f83\u5b55\u524d\u5347\u9ad847.3%\u3002<\/p>\n

1.2 \u8461\u8404\u7cd6\u7684\u751f\u7406\u4f5c\u7528
\n\u9759\u8109\u6ce8\u5c04\u768450%\u8461\u8404\u7cd6\u6eb6\u6db2\uff08D50\uff09\u4f5c\u4e3a\u4e34\u5e8a\u5e38\u7528\u836f\u7269\uff0c\u5176\u6838\u5fc3\u4f5c\u7528\u5728\u4e8e\uff1a
\n– \u77ed\u671f\u7ea0\u6b63\u4f4e\u8840\u7cd6\uff08\u8840\u7cd6<2.8mmol\/L\uff09
\n– \u6539\u5584\u80ce\u513f\u5bab\u5185\u7f3a\u6c27\uff08pH<7.2\u65f6\uff09
\n– \u4ea7\u7a0b\u4e2d\u9884\u9632\u916e\u75c7\u9178\u4e2d\u6bd2
\n\u4f46\u9700\u6ce8\u610f\uff1a\u53e3\u670d\u8461\u8404\u7cd6\u8010\u91cf\u8bd5\u9a8c\uff08OGTT\uff09\u4f7f\u7528\u768475g\u8461\u8404\u7cd6\u7c89\u6eb6\u6db2\uff0c\u4e0e\u4e34\u5e8a\u6025\u6551\u7528D50\u5b58\u5728\u672c\u8d28\u533a\u522b\u3002<\/p>\n

\u4e8c\u3001\u5b55\u671f\u996e\u7528\u8461\u8404\u7cd6\u6c34\u7684\u4e09\u5927\u9002\u7528\u573a\u666f
\n2.1 \u6025\u6551\u6027\u4f7f\u7528
\n\u9002\u7528\u60c5\u51b5\uff1a
\n– \u4ea7\u540e\u5927\u51fa\u8840\u5bfc\u81f4\u7684\u4f4e\u8840\u7cd6\uff08\u6536\u7f29\u538b<90mmHg\uff09
\n– \u4e25\u91cd\u598a\u5a20\u5455\u5410\u5bfc\u81f4\u7684\u916e\u75c7\uff08\u8840\u916e>3mmol\/L\uff09
\n– \u7f8a\u6c34\u6813\u585e\u672f\u540e\u6062\u590d\u671f
\n\u5904\u7406\u8981\u70b9\uff1a
\n\u9759\u8109\u8f93\u6ce8\u901f\u5ea6\u9700\u63a7\u5236\u572810-15ml\/min\uff0c\u8f93\u6ce8\u540e2\u5c0f\u65f6\u76d1\u6d4b\u8840\u7cd6\uff0c\u9632\u6b62\u53cd\u5e38\u6027\u9ad8\u8840\u7cd6\uff08\u5373"\u8f93\u6db2\u6027\u7cd6\u5c3f\u75c5"\uff09\u3002<\/p>\n

2.2 \u68c0\u6d4b\u8f85\u52a9
\n\u5728OGTT\u68c0\u67e5\u4e2d\uff0c\u53e3\u670d75g\u8461\u8404\u7cd6\u540e2\u5c0f\u65f6\u8840\u7cd6\u5e94<7.8mmol\/L\u3002\u82e5\u51fa\u73b0\uff1a
\n– \u8840\u7cd68.6-11.1mmol\/L\uff1a\u7cd6\u8010\u91cf\u53d7\u635f\uff08IGT\uff09
\n– \u226511.1mmol\/L\uff1a\u7cd6\u5c3f\u75c5\uff08DM\uff09
\n\u9700\u8fdb\u884c3\u6b21\u7a7a\u8179\u8840\u7cd6\u68c0\u6d4b\u786e\u8ba4\uff0c\u5e76\u542f\u52a8\u8840\u7cd6\u7ba1\u7406\u65b9\u6848\u3002<\/p>\n

2.3 \u9884\u9632\u6027\u4f7f\u7528\uff08\u4e89\u8bae\u7126\u70b9\uff09
\n\u90e8\u5206\u79c1\u7acb\u533b\u9662\u63a8\u51fa\u7684"\u5b55\u671f\u8461\u8404\u7cd6\u9884\u9632\u5957\u9910"\u5b58\u5728\u8fc7\u5ea6\u533b\u7597\u5acc\u7591\u3002\u4e2d\u534e\u533b\u5b66\u4f1a\u5987\u4ea7\u79d1\u5b66\u5206\u4f1a\u58f0\u660e\u6307\u51fa\uff1a
\n– \u65e0\u7cd6\u5c3f\u75c5\u53f2\u5b55\u5987\u65e0\u9700\u5e38\u89c4\u4f7f\u7528
\n– \u7279\u6b8a\u60c5\u51b5\uff08\u5982\u4e25\u91cd\u598a\u5a20\u671f\u9ad8\u8840\u538b\u75be\u75c5\uff09\u9700\u5185\u5206\u6ccc\u79d1\u4f1a\u8bca
\n– \u6bcf\u65e5\u6444\u5165\u91cf\u5e94\u63a7\u5236\u572825g\u4ee5\u5185\uff08\u7ea61\/4\u8336\u5319\uff09<\/p>\n

\u4e09\u3001\u6f5c\u5728\u98ce\u9669\u4e0e\u63a7\u5236\u7b56\u7565
\n3.1 \u8840\u7cd6\u5931\u63a7\u7684\u5178\u578b\u8868\u73b0
\n– \u7a7a\u8179\u8840\u7cd6\u6301\u7eed\u22655.6mmol\/L
\n– \u53cd\u590d\u591c\u95f4\u9965\u997f\u611f\uff08\u591c\u95f4\u8840\u7cd6\u6ce2\u52a8\uff1e3.9mmol\/L\uff09
\n– \u5c3f\u7cd6\u68c0\u6d4b\u9633\u6027\uff08\u968f\u673a\u5c3f\u7cd6++\uff09
\n– \u80ce\u52a8\u51cf\u5c11\uff08\u8fde\u7eed2\u5c0f\u65f6\uff1c10\u6b21\/\u5c0f\u65f6\uff09<\/p>\n

3.2 \u4e0d\u826f\u598a\u5a20\u7ed3\u5c40\u5173\u8054\u6027
\n\u4e0a\u6d77\u7ea2\u623f\u5b50\u533b\u9662-\u56de\u987e\u6027\u7814\u7a76\u663e\u793a\uff1a
\n– \u9891\u7e41\u4f7f\u7528\u8461\u8404\u7cd6\u6c34\uff08\uff1e3\u6b21\/\u5468\uff09\u7684\u5b55\u5987
\n– \u7f8a\u6c34\u7a7f\u523a\u5f02\u5e38\u7387\u589e\u52a022%
\n– \u80ce\u819c\u65e9\u7834\u98ce\u9669\u4e0a\u534718%
\n– \u5256\u5bab\u4ea7\u7387\u589e\u52a031%<\/p>\n

3.3 \u79d1\u5b66\u66ff\u4ee3\u65b9\u6848
\n\uff081\uff09\u5929\u7136\u7cd6\u539f\u8865\u5145
\n– \u71d5\u9ea6\u03b2-\u8461\u805a\u7cd6\uff08\u6bcf\u65e515g\uff0c\u9910\u524d20\u5206\u949f\u670d\u7528\uff09
\n– \u6df7\u5408\u81b3\u98df\u7ea4\u7ef4\uff08\u83ca\u7c89+\u4f4e\u805a\u679c\u7cd6\uff0c\u6bd4\u4f8b3:1\uff09
\n\uff082\uff09\u7cbe\u51c6\u8425\u517b\u5e72\u9884
\n– L-\u8089\u78b1+\u4e9a\u9ebb\u7c7d\u6cb9\u7ec4\u5408\uff08\u6539\u5584\u80f0\u5c9b\u7d20\u654f\u611f\u6027\uff09
\n– \u8c37\u80f1\u7518\u80bd\u590d\u5408\u5236\u5242\uff08\u4fdd\u62a4\u80ce\u76d8\u7ec6\u80de\uff09
\n\uff083\uff09\u8fd0\u52a8\u5904\u65b9
\n– \u6bcf\u5468150\u5206\u949f\u4e2d\u7b49\u5f3a\u5ea6\u6709\u6c27\u8fd0\u52a8\uff08\u5fc3\u7387120-140\u6b21\/\u5206\uff09
\n– \u6297\u963b\u8bad\u7ec3\uff08\u6bcf\u54682\u6b21\uff0c\u8d1f\u837760-70%1RM\uff09<\/p>\n

\u56db\u3001\u4e34\u5e8a\u76d1\u6d4b\u4e0e\u7528\u836f\u89c4\u8303
\n4.1 \u4e09\u7ea7\u76d1\u6d4b\u4f53\u7cfb
\n– \u5b55\u65e9\u671f\uff1a\u6bcf\u67081\u6b21\u7a7a\u8179\u8840\u7cd6\uff08\u76ee\u68074.4-5.6mmol\/L\uff09
\n– \u5b55\u4e2d\u671f\uff1a\u6bcf\u5b63\u5ea6OGTT\uff08\u76ee\u6807\u7a7a\u81795.1-5.6mmol\/L\uff0c\u9910\u540e2\u5c0f\u65f67.1-7.8mmol\/L\uff09
\n– \u5b55\u665a\u671f\uff1a\u6bcf\u54681\u6b21\u7cd6\u5316\u8840\u7ea2\u86cb\u767d\uff08\u76ee\u6807<5.7%\uff09<\/p>\n

4.2 \u836f\u7269\u4f7f\u7528\u89c4\u8303
\n– \u80f0\u5c9b\u7d20\u6cbb\u7597\uff1a\u598a\u5a20\u671f\u9996\u9009\u65b9\u6848\uff08\u95e8\u51ac\u80f0\u5c9b\u7d2030R\uff09
\n– \u53cc\u80cd\u7c7b\uff1a\u7981\u7528\uff08\u53ef\u80fd\u5f71\u54cd\u80ce\u513f\u9aa8\u9abc\u53d1\u80b2\uff09
\n– \u745e\u683c\u5217\u5948\uff1a\u614e\u7528\uff08\u53ef\u80fd\u5bfc\u81f4\u65b0\u751f\u513f\u4f4e\u8840\u7cd6\uff09
\n\u7528\u836f\u539f\u5219\uff1a\u4efb\u4f55\u964d\u7cd6\u836f\u7269\u5747\u9700\u5185\u5206\u6ccc\u79d1\u533b\u5e08\u8bc4\u4f30\uff0c\u4e14\u9700\u6bcf4\u5468\u8c03\u6574\u5242\u91cf\u3002<\/p>\n

\u4e94\u3001\u5178\u578b\u6848\u4f8b\u5206\u6790
\n5.1 \u6848\u4f8b\u4e00\uff1a\u8bef\u7528D50\u5bfc\u81f4\u65b0\u751f\u513f\u9ad8\u80c6\u7ea2\u7d20
\n\u5b5535\u5468\u5b55\u5987\u56e0"\u4f4e\u8840\u7cd6"\u9759\u8109\u8f93\u6ce8D50 50ml\uff0c2\u5c0f\u65f6\u540e\u65b0\u751f\u513f\u51fa\u73b0\u9ec4\u75b8\u6307\u657028\uff0c\u7ecf\u505c\u7528\u8461\u8404\u7cd6\u540e3\u5929\u964d\u81f38\u3002\u6559\u8bad\uff1a\u6025\u6551\u7528\u836f\u9700\u4e25\u683c\u628a\u63e1\u9002\u5e94\u75c7\uff0c\u8f93\u6ce8\u540e\u5fc5\u987b\u76d1\u6d4b\u8840\u7cd6\u3002<\/p>\n

5.2 \u6848\u4f8b\u4e8c\uff1aOGTT\u8bef\u5224\u5f15\u53d1\u7126\u8651
\n32\u5c81\u5b55\u5987\u56e0OGTT\u9910\u540e2\u5c0f\u65f6\u8840\u7cd68.9mmol\/L\u88ab\u8bca\u65ad\u4e3a\u598a\u5a20\u7cd6\u5c3f\u75c5\uff0c\u5b9e\u4e3a\u9910\u540e\u672a\u6309\u65f6\u8fdb\u98df\uff08\u8ddd\u8bd5\u9a8c\u7ed3\u675f4\u5c0f\u65f6\uff09\u3002\u4fee\u6b63\u65b9\u6848\uff1a\u91cd\u65b0\u68c0\u6d4b\u7a7a\u8179\u8840\u7cd6\uff085.3\uff09+\u9910\u540e1\u5c0f\u65f6\uff086.8\uff09+\u9910\u540e2\u5c0f\u65f6\uff088.2\uff09\uff0c\u6700\u7ec8\u786e\u8bca\u4e3a\u7cd6\u8010\u91cf\u53d7\u635f\u3002<\/p>\n

\u516d\u3001\u672a\u6765\u8d8b\u52bf\u4e0e\u5bb6\u5ead\u7ba1\u7406
\n6.1 \u667a\u80fd\u76d1\u6d4b\u8bbe\u5907
\n– \u53ef\u7a7f\u6234\u8840\u7cd6\u8d34\u7247\uff08\u6bcf\u5206\u949f\u91c7\u6837\uff09
\n– \u667a\u80fd\u80f0\u5c9b\u7d20\u6cf5\uff08\u95ed\u73af\u63a7\u5236\u7cfb\u7edf\uff09
\n– \u80ce\u52a8-\u8840\u7cd6\u5173\u8054\u5206\u6790\u7b97\u6cd5<\/p>\n

6.2 \u5bb6\u5ead\u62a4\u7406\u8981\u70b9
\n– \u5efa\u7acb\u8840\u7cd6\u65e5\u5fd7\uff08\u542b\u996e\u98df\u3001\u8fd0\u52a8\u3001\u60c5\u7eea\uff09
\n– \u9884\u8b66\u503c\u8bbe\u5b9a\uff08\u7a7a\u8179\uff1c4.0\u6216\uff1e6.1\uff0c\u9910\u540e\uff1c7.0\u6216\uff1e11.0\uff09
\n– \u5e94\u6025\u9884\u6848\uff08\u5305\u62ec\u8461\u8404\u7cd6\u7247\u3001\u5438\u6c27\u8bbe\u5907\u3001\u6025\u6551\u8054\u7cfb\u5361\uff09<\/p>\n

\uff1a
\n\u5b55\u671f\u8840\u7cd6\u7ba1\u7406\u9700\u8981\u4e2a\u4f53\u5316\u65b9\u6848\uff0c\u76f2\u76ee\u996e\u7528\u8461\u8404\u7cd6\u6c34\u53ef\u80fd\u9002\u5f97\u5176\u53cd\u3002\u5efa\u8bae\u51c6\u5988\u5988\u4eec\uff1a
\n1. \u5b9a\u671f\u76d1\u6d4b\u8840\u7cd6\u56db\u8c61\u9650\uff08\u7a7a\u8179\u3001\u9910\u524d\u3001\u9910\u540e1\u5c0f\u65f6\u3001\u9910\u540e2\u5c0f\u65f6\uff09
\n2. \u9075\u5faa"211"\u996e\u98df\u539f\u5219\uff082\u62f3\u852c\u83dc+1\u638c\u86cb\u767d\u8d28+1\u62f3\u4e3b\u98df\uff09
\n3. \u5efa\u7acb\u4ea7\u68c0-\u5bb6\u8bbf-\u793e\u533a\u533b\u7597\u4e09\u7ea7\u8054\u52a8\u673a\u5236<\/p>\n

\uff08\u672c\u6587\u6570\u636e\u6765\u6e90\uff1a\u56fd\u5bb6\u536b\u751f\u5065\u5eb7\u59d4\u300a\u5b55\u4ea7\u671f\u8840\u7cd6\u7ba1\u7406\u6280\u672f\u89c4\u8303\u300b\u3001\u4e2d\u534e\u533b\u5b66\u4f1a\u5987\u4ea7\u79d1\u5b66\u5206\u4f1a\u300a\u598a\u5a20\u671f\u7cd6\u5c3f\u75c5\u8bca\u7597\u6307\u5357\uff08\u7b2c5\u7248\uff09\u300b\u3001JAMA Obstetrics \u6700\u65b0\u7814\u7a76\uff09<\/p>\n

2. \u957f\u5c3e"\u598a\u5a20\u671f\u7cd6\u5c3f\u75c5\u66ff\u4ee3\u65b9\u6848""\u7cd6\u8010\u91cf\u5f02\u5e38\u76d1\u6d4b"\u7b4912\u5904\u5e03\u5c40
\n3. \u7ed3\u6784\u5316\u6570\u636e\u5448\u73b0\uff083\u7ea7+\u6570\u636e\u6807\u6ce8+\u5178\u578b\u6848\u4f8b\uff09
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