ࡱ> ` R†bjbjss2"'?l l l  $J$J$J8\J(K LM(NNNփ  $@h4--l ÇTz փÇÇ-NNF,Z۩۩۩Ç4Nl N۩Ç۩۩Ӷ| l sNL Pwn5$JO$p0a$sl sp^۩L.--}^ÇÇÇÇ =$J $J  [l^-N;SbORuy4N^ʋueHh m4n{|u 2021t^Hr m4n{|u|?\u /fNYn0Yߘ0Y?\0SOm&vb?\ gusT:Nyr_vuu,vQegSe Nur Nhs:Nm4nuؚqSV }X[(Wb[[hg_8^0vQyr_:N@_s-Na|Sm^_8^GSؚS?\|3'`0@|ǏؚeSQsxQWv NYN\ ur sSYn0Y?\0YߘSSO͑Q{ N4O guONeR0 N ʋe N V|?\uOSO(ADA)N1997t^Sh1999t^NLukSu~~S ev|?\uʋehQ[1]h1-1 0 h1-1|?\uʋehQ ^SʋeOnc1|?\uur+Nae@Fma|4ls^e"11. Immol/L(200mg/dl)2b+zzy@Fma|( FPG)4ls^e"7.0mmol/L(126mg/dl)3OGTTՋ-N 2\e@Fma|4ls^e"11. Immol/L(200mg/dl) f = 1 \* GB3 `$1Q:NY @Fma|4ls^ (ua|'lSlKm[0 = 2 \* GB3 a$zzyc8^14\eQeNUOpϑDdeQ0 = 3 \* GB3 b$NaecN)YQNUOe N N!kۏeSߘirDdeQϑesQ0 = 4 \* GB3 c$OGTTsSS ga|ϑՋ ehf7^9e_Y SՋzzyS@T S g250^300ml4lQReQ75ge4la||v|4l0|4l(W5minQ g[0N g|4l,{NS_Ye N g|T30min01\e 2\e03\eS@S0ՋMR3)YQ,kex4lSTirDdeQϑ N\N150g,\P(uSq_TOGTTvU[o0)R?\BRI{3^7)Y0d$|?\uur;N gY?\0Yn0eSVvSO͑Q{0 = 6 \* GB3 e$|?\uur+ NaghQ-NvNag0RsSSʋe:N|?\u Ye|?\uur (WSN)Y ch-Nv N*NhQKNNۏL YKm8h[ Y,{N!kl0RhQ Nʋe|?\u 0 N RW9hncvMR[|?\uuVvƋ R:NV'Y{| h1-20 h1-2 |?\uRW ^SRW11W|?\u\~ހ4xOW[\ }~[:ON 22W|?\uN;NN\ }bb:N;N4Ov[\ } N0R;NN\ }Rl:w:N;N4O\ }bb 3vQNyrk{|W|?\u4Y Z|?\ufvQ-N1W|?\uSR2*NNW vQNyrk{|W|?\u g8*NNW0  N [[hg 1.?\|3'`/fʋe|?\uv͑~"}n?\N͑ubnߘ1Y4Onubnux-Nke0 2.@|GSؚ/fvMRʋe|?\uv;NOncʋehQSh1- 2 0 3.|S@~ˆ}vAl( HbAlc)SS fS@MR8^12hT@|v;`4ls^0 4.7(lx1vbSO( GADAb)0\~ހbSO(ICA)T\ }bSO(IAA)I{bSO gRNt+R|?\u{|W0 5.SL\ }TCʑ>eՋNN㉣`\~ހR0 V -N;SRgʋe 1. SYg4N^hKm@|0\ }0|ϑI{uSchGW(Wck8^V X[(W|?\u[èof0ؚ@0ؚ@S0:ONRRbЏR0SOb_ր0t^(WVAS\]SI{ؚqSV }0 2. MRqg[[hga|ϑ_8^ bNhs{^zzy@|_8^ FO\*g0R|?\uʋehQ0 3. m4ngQsxQWv NYN\ ur &{T1999t^WHON[TYXTO[|?\uvʋehQ0 4. R_gQsTym4nuv^Su0dkg(Wʋe NǑ(uNSOvk00@ 0K{0 NQv~T0 N lueHh N luSR |?\uv2lSR:N NSOSlu sSN|?\u`:N-N_ O`>y:SWB\;Sb:NW@xvT~;SRNXTT>yO Nebv'}[MT hQbc6R@|0@T@S }qNI{_@{qSiV } MQT^ba'`v^SuvSuTSU\ 0R gHeMNO|?\u~pNNSusvluvv0 |?\uvluSbnߘlu0ЏRlu0b@|vKm0|?\ub{tYeToirlu0 1.nߘluv͑p/f:N`[kev;`pϑ0nߘ-N N'Y%{Qir(vt`kONS6R~v[eeHh0SR/f6R[TtvkeDdNv;`pϑ OTtvnߘ~g ĉ_ۏ NЏRToirlu[RMT gZWc0 2.ЏRul;N(uN{^T-N^2W|?\u` $\vQ/fր0u`3z[v1W|?\u`_NSۏLS_vЏR;p0 b`atQ0{US0fZWcvyv ccS_vЏRϑ0 N el 1. SYgRWl Z urb_SOOP&v0^yu0v|3#0pxo Sr^?\ (OP~ Ԃ}v l~0 llevl eomQsT0WĞdlRQu0W0/ӂ0ll0q\80mq\o09Nv0 >Z urb_SOOPր0^yuONR0\la0SmSu0On (OPm Ԃ}v{ o~0 lleP> eoV_RceRQZQS0/ӂ0}v/g0g0}v0gX0Hv0 2. MRqgRWl 1 l4$NZ ur^yuONR0Sr^Wl lwa01Y w0pp_`0 (~bm~ b+}Ԃ}vb}v &_~b~pe0 llvl{Q4 eom|TBRRQĞ0~of)Y0sYP[0<{0ss|{0 2 lZun urSOb_ր0^yuONR0\la0~FTUTv` mb gpS Ԃ}v{ ~0 lleP>vl eoMJmTBRRQuĞ09NS0[9h0mq\o0u͂/g0~݄0uq\Bi0Hv0 À4Z urSr^Yn0SS0m7Ue0f`0'YOr^~ (~ ԂĞbԂ\ &_pe0 ll{Q4g eoN/NqRQu0W0}v0S_R_0Q0^gP[0]]iP[0SlS0'YOr^~R6R'YĞkpWR9Nv0pq\h0YgI0uar0 3. m4ngRWl lZ%mN uruRONR0Sr^Yn0m7Ue0Y?\Or^0m&v (~ ԂĞq ~pe0 llvlu%m eovlmqdlRQ*YP[S0Q0wk0N-N}v0mzS0wHQNq 'YOr^~R6R'YĞ sS0u0W0 l4$NZ urONR)wUf0Sr^vWlWl  lwa01Y w0pp_`0 (~bm~ b+}Ԃ}vb}vbeR &_~b~pe0 llvl{Q4 eomQsTRQuĞ0Q0u0W0mq\0809Nv0ll0/ӂ09NS0[9h0sS0͂/g0 lZun ur^yuONR0\lba04Yl0~FTUTv`0u0hQV&P րb gpS ZeRbo1_o0 lleP>vl eoMJmTBRRQuĞ09NS0[9h0mq\o0u͂/g0~݄0uq\Bi0Hv0 4. R_gRWl udkg QlSR }qN ~~l:gqN ~v; BS~A~0NNSOvk00@ 0K{0 Svuunu0vu0V)0u0u01uI{uNNSu0px04l0ll?\I{u vQ-N^\m4nK{u0m4n1u0m4nu0m4n_utuvQ[ ,geHh NQ拺0ddkKNY 4N^؏Y_000>0Q NTKNhs YSOZfQ0'YO N01Y wI{m4n@bv^Su 1 >$NZ urhs:NfYa0OuΘ0QWl0~FT0uONI{ur0 llT%kS eo NTdlBhg0}v0'Yg0uY0g0Ğ0*YP[S06RJSY0uĞ02Θ0}v/g0YWlR;ar0xChr^0 2 _@Z urS4nYn0)wUf0_`_p01Y wYh0beP_0\OuI{u*r2ur^g (m Ԃ}v ~0 ll{Q_[^y eoxu[_dlRQpgN0m\01g/ӂ0R0Q0Α~vT0͂/g0&qq\h0]0D0mQf0 3 > NT urY`UQ ;hRĞ  Ul~FT #yu Onby (mԂ}v{ o~b&_n0 ll ueP> eot>dlRQg0}v0gX0*YP[S0/ӂ0}v/g0mq\0m\0(g0]ޏ0r^Y0HvOyS(g0]ޏ R]4g0tN0Ʉ0 4 >$NZ urbr͂}vbM`}v pxo Ou[Q OnbNfl (mu Ԃ}v l~0 ll )ne> eoDP[t-NdlRQ6RDP[0r^Y0ZQS0/ӂ0p}v/g0e0F;pxuR\gN0r 0Qh[u NR/ӂv0fMRP[0Bhg0  N vQN-N;Sll 1.-Nbo Sl\mvlV1 {Q4u%m0 SM||vleP>0 Ğ|vleP>0;m@~0 2.~xp?\ϑXY~xplwm0sQCQ0ONvR30jeCQl &P `ONR~xplwm0sQCQ0 N̑NQl@R px~xplwm0sQCQ0O0 N4NNvR30jeCQl0 ~]-N0^y0sQCQ0lwm NjeCQl eP-NTÀ t>ÀR0 [] N4N0ml Nn4\o3 [_[^y _kpR_CQ0 3.3tzW/SF Sr^YnQRl v( N0> |?\up À N&qNW|vl0eP-NTÀ0u%mbk4n YߘfeQRl0>0|?\up À0epNW|vl0eP-NTÀ0b6Rߘ2k0 4.tzMO4we Sr^Yn'Yi0O0>O0'Yg0O 4OYߘSRÀO ^yuONR0pxo0Y?\Y0O0}T0'Yg0O y0~]0Oy>O0ÀO0 N&qO0'Yg0O V(g0uu}T0>O0ÀO0'Yg0O0 5.-Noyrrqmul 6.XoireQlu pxoStzO N~;m~ :_Vp0 ONRStz N̑ N~;m~ QR0 7.-NoYwe À~]0v`_UTT[nceYwe Nmn[l MbkUT t>ÀR0 V olu olu;N g^\ }M|oT\ }lu0 1.^\ }M|oR:NO\ }RlBR0S̀{|0 QUOTE  -|vb6RBR0{VUpNn{|oirTDPP-IVb6RBRI{ vQ-NO\ }RlBRSbx2{|TfGSؚ S(uN2W|?\uT1W|?\u1W|?\u(W\ }luvW@x NR(u ^(Wۏߘ,{NSs|mT g(u ÀSS^/fg8^v NoS^ R NhQNa(u0 {VUpNn{|(uNlu2W|?\u $\vQ/f\ }bbf>f ;N NoS^:N4l g_Rpz>PTbu N(ubNa(u0 DPP-IVb6RBR cؚQn'`GLP-1TGIPv;m'` Oۏ\~ހvʑ>e\ } Teb6R\~ހRlؚ@| } N cؚ\ }4ls^ MNO@| N NOSNO@|TXRSO͑0 GLP-1{|@NJ T h r t | ӾӾӫxkx_xMB8B8BhICJOJQJhICJOJQJo("hIB*CJOJQJaJo(ph333hICJOJQJaJhaCJOJQJaJo(hICJOJQJaJo(%hIB*CJOJQJ\aJo(ph333%hkHB*CJOJQJ\aJo(ph333%hYfB*CJOJQJ\aJo(ph333(ha5B*CJ$OJQJ\aJ$o(ph333(hI5B*CJ$OJQJ\aJ$o(ph333.h7zIh7zI5B*CJ$OJQJ\aJ$o(ph333",:J T $d$-D1$IfM a$ $dhG$H$a$$dhG$H$WD`a$ 0dWD`0$da$ B    N P R ` l r      J L d f h j p r t x    hIOJQJaJjhIOJQJUaJhIOJQJaJo(#hIB*KHOJQJ^JaJphhI5CJOJQJhI5CJOJQJo(hICJH*OJQJhICJOJQJo(hICJOJQJ: H yfd$-D1$IfM $d$-D1$IfM a$okd$$IfT0'3"  "22 l4apTH J N yfd$-D1$IfM $d$-D1$IfM a$okd$$IfT0'3"  "22 l4apT yfd$-D1$IfM $d$-D1$IfM a$okd$$IfT'0'3"  "22 l4apT 8:~{jj__I$d$-D1$IfM a$ $dhG$H$a$$dhG$H$WD`a$dG$H$ -D1$M okdI$$IfT!0'3"  "22 l4apT   * , . 0 N P R T V ` h n   $ , > @ B D x z | 68tz|~ǺhICJOJQJhICJOJQJo(hI5CJOJQJhI5CJOJQJo(hICJOJQJhICJOJQJo(hIOJQJaJo(hIOJQJaJjhIOJQJUaJ<yfd$-D1$IfM pkd $$IfT0/! S"22 l4apT$d$-D1$IfM a$8@RZdhrtHPT\h|&(@BfrbpηķηΧhIB*CJOJQJph333hIB*CJOJQJo(ph333hICJOJQJ\o(hICJOJQJhICJOJQJo(hIOJQJhIOJQJo(hICJOJQJhICJOJQJo(<:yc$d$-D1$IfM a$$d$-D1$IfM a$pkd$$IfT0/! S"22 l4apT:<@Tyfd$-D1$IfM $d$-D1$IfM a$pkd$$IfT0/! S"22 l4apTTVZfyfd$-D1$IfM $d$-D1$IfM a$pkdX$$IfT0/! S"22 l4apTfhVNfb~mmmmmmmddd`$dhG$H$WD`a$$dhG$H$WD`a$pkd$$IfT0/! S"22 l4apT b2@PDb 4@>Nd^ & Fd dWD`$dhG$H$WD`a$ 0dWD`0d`02@NP|BF`h 46:nptz|̹ްޔމޔ|q|qޔްމh(tCJOJQJo(h(tCJOJQJ\o(h;'CJOJQJo(hYfCJOJQJo(!hIB*CJOJQJ\o(ph333hIOJQJo(%hIB*CJOJQJ\aJo(ph333"hIB*CJOJQJaJo(ph333hICJOJQJo(hICJOJQJ\o(hICJOJQJ+$4p,62@ & Fd dWD` & Fdgd(td^d dWD`gd(t d^gd(t"(628:@lrz~( * !!B"h"z""""""""###$$%%%齥hbdjhICJOJQJhbdjhICJOJQJo(h0*CJOJQJo(h hYfCJOJQJh;'CJOJQJo(hYfCJOJQJo(hICJOJQJ\o(hIOJQJo(h/ CJOJQJo(hICJOJQJo(h.CJOJQJo(/l|t8H . 2!@!!!."B"d` XdWD`X dWD` dVD^d^dB"P"~"""#F####$b$$$%N%%%% dWD`gdu dWD`gdudVDWD,^` dVD^dVDWD^` d^gd0*d^%%&0&^&n&&&''\(^)8**\+ ,\,$ dhG$H$VDsWD^ `a$$dhG$H$^a$d dWD`gdudhWD[$\$`gdudhWD[$\$`gdu dWD`gdu%%%0&^&`&&&&&&&&&''''2'4'B'D'F'H'J'L'N'n'z'''''''Z(\(f(h(((\)^)־־ֳ־xjhIOJQJUjhIOJQJUjhICJOJQJUhICJOJQJo(hICJOJQJhg9CJOJQJo(hbdjhICJOJQJh0*CJOJQJo(hbdjhICJOJQJo(hbdjhIo( h0*o(hbdjhuCJOJQJo(*^)`)b)n)p)))))))6*8*L*N******* + +Z+\+l+n+ , ,,Z,\,^,`,h,j,x,z,,,,,,,,,,,,,,ɽɥԚԚ߁߁߁߁߁jhICJOJQJUh9/CJOJQJo(h`CJOJQJo(h};CJOJQJo(hKCJOJQJ^Jo(hKCJOJQJ^JhKCJOJQJo(hRCJOJQJo(hICJOJQJo(hICJOJQJhICJOJQJ^J2\,^,j,b6cDc(dZdddddddzz$dhG$H$WD`a$ $dhG$H$a$$dhG$H$WD`a$gd,^$dhG$H$WD`a$gd,^$dhG$H$WD`a$gd9/$dhG$H$WD`a$d$ dhG$H$VDsWD^ `a$ ,----l-n---------------.bbbbbbRbTblbnbpbrbbb6cDccc&d(d*dPdVdXdZd\dndxdzddddݶh,^OJPJh,^OJPJo(&jhvOJQJUaJmHnHuhuCJOJQJo(hI0J5CJOJQJhICJOJQJaJo(UhICJOJQJo(jhICJOJQJUhICJOJQJ5\* GB3 e$2W|?\u`:_Slub~nߘSS gM|olu*g_o}Yc6R = 7 \* GB3 f$hQzRd_wv~S'`|?\u0 \ }lu^(WN,luTnߘluvW@x NۏL vKmu` cluS^Tlu\OS_vte0\ }v;N NoS^/fNO@|S^ luRgSVtoYu\O(u Su{^4l0 N ʋuAm z Ne`|?\uʋefnx sS^ۏL gsQv|?\uwƋYe SbYUOc6Rnߘ0TtЏR0b{t0uuTI{ 1W|?\uTY Z|?\ub|?\uTv^Y Z \ }lunxʋesS g͑uag0%N͑R_c[I{`Q [ \ }lu0 2W|?\uؚ@|c6RvV{euTlu_V1-10 Y@|c6R NhHbA1ce"7.0% RۏeQ NNeklu                V1-1 2W|?\uʋuAm zV u;me_r^/f2W|?\uvW@xluce ^/zN|?\uluvY~0YgUS~u;me_ NO@|c6Rh ^_Yoirlu0USolu 2W|?\uoirluv oir/fN2uS̀0Ygl gy_ N2uS̀^NvOYu(W|?\uvlueHh-N0 NTN2uS̀luS b(-|vb6RBRb\ }OlBR0NTlu YUSrO(uN2uS̀lu @|N*gh RSR(u(-|vb6RBR0\ }OlBR0{VUpNn0DPP-4b6RBRb-a|qQlЏˆ}v2b6RBR bN2uS̀TT\ }1-2!k/)Yl\bGLP-1SSOoRBRluYTv^ASCVDb gؚqSV }0_p0CKD ^NN2uS̀GrR(uDPP-4b6RBRb-a|qQlЏˆ}v2b6RBR:N;N0 NTlu YgNTluN NO@|hv RS(uN2uS̀GrTT Nb N T\O(u:g6Rv$NyoirۏL@|c6R0 NTluN NO@|hv R^N2uS̀GrTT\ }Y!kl\lW@x\ }Re\ }bke3!km\ }{|fHe:QRse"70 %; gHe:QRs30 %^70 %;eHe:QR< 30 %0Ǒ(u<\0Ws^llQ_{:QRs=0uMRyR- uTyR0uMRyR100 %0 h1-4 m4nu-N;SurċRϑh ur0 R2 R4 R6 RċRS4nYneurS4nUn0ben4lϑ1.5^2lS4nYn0ben4lϑ2^3lS4n_n0ben4lϑ>3lfeYߘߘϑck8^ߘ2k g@bX:_0bߘϑXR1/4ߘ2kf>fX:_0bߘϑXR1/2ߘ2kNۏ,Nꁧc0bߘϑXR1 P_p%`eurGN_p%` Nɉ_p%`_p%`Nꁧc&P `ONRSORck8^R/}Ta&P `ONR z;mRa&P `ONROo`ea&P `ONR1Y waw wo}YvP g1Y w~8^1Y w{_Y N w_`lweur;mRTa_`lweu;mRTa_`lwOo`ea_`lw4YUfeurvP g4YUf~8^4YUf)wUf2kP3#eurvP g3#~8^3#3#YIc~ NSO(geurvP g(g,$\Y,r~8^(g,$\Yz(g NN,uɉQ NuueurvP guuGk'`ۍLYo`uueurvP gu~8^uc~u4OQQWlpxeurR/}Tapx~8^pxOo`epxpu`pYWleurvP g`pYWl~8^`pYWl[YeN`pYWlvWlevWlaw wevP gQWlaw we~8^QWlaw weWlQYsnmenmnm`!^a!^Qwnma!^b!^Qwnmb!^N NQwb_[QeurvP g`QV k)nf>f`QVSQb_[VSQyl'YOck8^On1^2!k/e'YOll3^4!k/e'YO1Yy?\?\Y\Ock8^\O!kpeMRXY0b?\ϑXR1/4\O!kpef>fXY0b?\ϑXR1/2\O!kpe$\vQY?\XY0b?\ϑXR1 POy'YOck8^'YOr^q01!k/eOy01!k/2^3e'YOy~01!k/3^5e;NchuHeċ[hQ>fHe:zzy@|4.4^6.1mmol/ L0buMR NM50 %,T@|4.4^8.1mmol/L0buMR NM50% HbAlc < 6.5%0buMRMNO>2%0 gHe:zzy@|6.2^7.0 mmol/L0buMR NM20%,T@|8.1^10.0mmol/ L0buMR NM20% HbAlc 6.5%^7.5%0buMR NM> 1%0eHe:zzy@|0T@|0HbAlc GW*g gHehQ0 vQNvsQch@S0SO͑cpe0@nƀV0NO[^ˆ}v0ul NoI{ c6RhQS2005t^-NV-N;S~Tf[O|?\uNNYXTOS^v 0-N;S~T|?\uʋuhQ 00 2uHeċ0O MRqguHeċ0O4N^‰[60Om4nMRqg` Џ(unߘc6R~T-Nor^ v^N62O N(uNUOoir USNnߘc6R\O[gq 3t^ ~gSsMR90N NuNY;eT^vQSU\b4N^g|?\u -N;Sur gHe9eU60N T~70%]SuN3t^TSU\b4N^g|?\u04N^ N‰[0R-No(W9eU\ }bbeb g}Yv\O(u by][b 0MJmTBR[րlZuJmW2W|?\uvxvz 0-NǏ[120 TlZuJmW2W|?\u`v4N^‰[ [NMJmTBR gHeMNOlZuJmW2W|?\u`@n8nyx4ls^0cؚ\ }Oea'`cpe09eU`\ }bbr` f>f9eUրlZuJmW2W|?\u`4N^ur0 TeRir[c:y MJmTBR(WؚBRϑe[րMSG'Y gN[M@|\O(u wQ gf>f9eU'Y zzy\ }4ls^v\O(u gQ\րMSG'Y uǏ z-N:gSO+Tϑ MNOvQ8nyx4ls^v\O(u0 m4nguHeċ0Om4ng`&{TsN;Sf[2W|?\uvʋech lu NǑ(uoM|0-No9eUurv-N;S~TluelY gHe9eUm4nuur >fWQ\o(uϑ0Џ(uNm4ngl4$NZ0lZuJmv-No~4N^Yt^xvzNЏ(u fnxwQ g)nT cENvM|\O(u f>f9eU|?\uYyur gHeQ\M|ov(uoϑ0 R_guHeċ0O,geHh(WdkgS gHe㉣`vur 9eU`u;m(ϑ0Rek~bNy2005t^ 4N^lum4nR_g8^v^Sv1Y w0'YO N0SOZfQ30000YOO 82%N N`ur gHe9eU0 N lup㉐g -N;SoTTlum4n(W4N^_0RN^'Y`_ؚ z^v T0(W9eU4N^ur 9eU\ }bb03z[@|Segr^lum4nMRqgI{ebwQ g_'YOR0~T4N^ bN:NvMR-N;Solum4nX[(WY N -Nolu[N9eUm4n`v4OurYSr^0YnI{u uHe}Y FO[NM|v\O(uN Nf>f O` NUS~O`-Noegc6R@|0 m4nSYg0MRqg`u` Np_ g\;NR1\;S sSO~SOhSs V:\[Ye N N;NRMTlu Ee_m4nSYg0MRqgv4N^[a0 by]ۏLbau{t|~ [m4nI{`ۏL{v{t FO4N^ߍ*NX[(WV De:ONyf[{t0 mQ [pv-N;Slu^[` 1. R:_-No[NM|\O(uuHevxvz Ne[UʋueHh OORuyv-Noluf gOR0 2. ^zm4nSYg0MRqgv[{gSO| (W,g0W>y:Sc^O(u~T>y:SAmLugv!j_[yr[t^NۏLmB\!kvegm4nuv[Ye]\O0 3. [U4N^m4n`Oo`penc^ ]Ǒ(u|?\u`{t|~ >mNN# NBlgR`[-N;S-NouHeۏL‰[U_ N_f~vuHeċ0OT_/ec0v^(WQRlʋu-N__U\NybXNLʋ :N`vSf[`N&^egeO0     PAGE 1 PAGE 1 u;me_r^TN2uS̀N~lu Tv^ASCVDb gؚqSV }0_p0CKD ASCVDb gؚqSV } u ;m e _ r^ CKD _p HbA1c Nh NTlu SGLT2i/ GLP-1RA SGLT2i GLP-1RA/ SGLT2i \ }/ GLP-1RA OlBR/-|vb6RBR/ TZD/ DPP4i/ SGLT2i HbA1c Nh NTlu (W NluvW@x NR(uNyvQN{|+Rvoir HbA1c Nh W@x\ }+e\ } m\ } \ }Y!kl\ \ }8^ĉlu_ 'YBRϑYyS goTTluTNHbA1c>7.0% \ }wYlueHh m\ }ke1-2!kl\mN\ }/m\ }{|9.0%bFPG>11.1mmol/L wg\ }:_SlueHh W@x+e\ }ke1-3!kl\ c~v N\ }lCSII m\ }{|fZfffffffff.g6g충~s~fX~sX~s~s jahICJOJQJo(hICJOJQJ\o(h9~CJOJQJo(hICJOJQJhICJOJQJo(h.CJOJQJo(hI5CJOJQJhI5CJOJQJo(&hgyB*CJKHOJQJ^Jo(ph&jh.OJQJUaJmHnHujh.OJQJUaJ&hIB*CJKHOJQJ^Jo(phe:e -D1$M `-D1$M `a-D1$M WD`agdu $dhG$H$a$ dWD`$dhG$H$WD`a$|mmmnnDnJnNnTnZn\n^nfnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnoo o o2o:ooƻƻөөөөөөөөөөөөөөөh9/CJOJQJo(&hIB*CJKHOJQJ^Jo(ph#hIB*CJKHOJQJ^JphhI5CJOJQJhI5CJOJQJo(jhIOJQJUhICJH*OJQJhICJOJQJhICJOJQJo(3nnnnnnnnnnnnnnnooo o oo$XdhG$H$WD`Xa$$-D1$M a$ -D1$M -D1$M ` -D1$M `ooopppppppq$dp$7$8$H$Ifa$1dVD WDX^1` 0dWD`0 & F dd oooppp(p,p.p4ppHpLpNpRp^pvpxp~pppppppppppppppppppppppq q qqq(q*q,q.q0q4q6qJqLqôhIKHOJQJaJo(hIKHOJQJaJhIKHOJQJ^JaJhIKHOJQJ^JaJo(hICJOJQJ\aJo(hICJOJQJaJ&hIB*CJOJQJ^JaJo(ph333hICJOJQJaJo(7qq qq6qTq?....$dp$7$8$H$Ifa$kd/ $$If~ֈ $H044 laLqPqRqTqhqnqpq|q~qqqqqqqqqqqqqqqqqrrrrr r0r2r>r@rHrJrZr\r~rrrrrrrrrrrrrrrrrrrrrss sssss$s&s8s:s@sBsJsLsTsVsfshstshIKHOJQJaJo(hIKHOJQJ^JaJhIKHOJQJaJhIKHOJQJ^JaJo(OTqpqrqtq~qq0kd $$Ifֈ $H044 la$dp$7$8$H$Ifa$qqqqqq0kd$$Ifֈ $H044 la$dp$7$8$H$Ifa$qqrr r2r4r$dp$7$8$H$Ifa$4r6r@rJr\rnr?....$dp$7$8$H$Ifa$kd$$IfYֈ $H044 lanrrrrrr.kdg$$IfYֈ $H044 la$dp$7$8$H$Ifa$rrrrrr.kd7$$IfYֈ $H044 la$dp$7$8$H$Ifa$rrrrrss$dp$7$8$H$Ifa$ss sss&sA0000$dp$7$8$H$Ifa$kd$$Ifֈ $H044 la&s0s2s4s:sBs.kd$$IfYֈ $H044 la$dp$7$8$H$Ifa$BsLsVshsjsls.kd$$IfYֈ $H044 la$dp$7$8$H$Ifa$lsvs~sssss$dp$7$8$H$Ifa$tsvs|s~sssssssssssssssssssssuuuuuuuuuuuuuuuuvvv`vbvdvfvhvjvpvrvtvxvzv|v~vvvvvvvvvvʻhICJOJQJaJo(hIKHOJQJ^JaJo(hIKHOJQJaJo(hIKHOJQJaJhIKHOJQJ^JaJo(hIKHOJQJ^JaJAssssssA0000$dp$7$8$H$Ifa$kds$$Ifֈ $H044 lassssst.kd?$$If;ֈ $H044 la$dp$7$8$H$Ifa$t tt&t(t*t.kd$$If;ֈ $H044 la$dp$7$8$H$Ifa$*t0t8tFtPt`tbt$dp$7$8$H$Ifa$btdtntvttt?....$dp$7$8$H$Ifa$kd$$If;ֈ $H044 latttttt.kd$$If;ֈ $H044 la$dp$7$8$H$Ifa$tttttt.kd$$If;ֈ $H044 la$dp$7$8$H$Ifa$ttt uu.u0u$dp$7$8$H$Ifa$0u2uwDwFwTwZw`wbwjwlwnwpwrwtwvwwwwwwwwwwwwwwwwwwwwwwx xxx(x4xxx{|||||}}}}hHCJOJQJaJo(hL&CJOJQJaJo(hICJOJQJ\aJo(hICJOJQJaJo(hICJOJQJaJKvFxxx{}}}}~.8\dWDj^`\gdOdgd1( & FdgdD 0dWD`0gdDd :d`:gd1( 0dWD`0d` dWD`gdu dWD`gdu}}}}}}}~*8<:<Rbdh ȻȮȡȡȡ宑呄|x|x|x|xpjhIUhjhUhg9CJOJQJaJo(h1(h1(CJOJQJaJo(hHCJOJQJaJo(hOCJOJQJaJo(hDCJOJQJaJo(hDhDCJOJQJaJo(h9/CJOJQJaJo(h1(CJOJQJaJo(hICJOJQJaJo(* "$&<>@Bbd$dhG$H$WD`a$gd?N)$dhG$H$WD`a$gd,^&`#$\dWDj^`\gd1( "&(468:<@B`bd‚ĂȂʂ̂΂Ԃւ؂܂ނynynhkHhvCJaJhkHCJOJPJaJo(hICJOJPJhICJOJPJo( hkHhI hkHo(h?N)h?N)CJOJPJh,^CJOJPJo(h,^hICJOJPJaJh,^h,^CJOJPJaJo(hh7zI0JmHnHuhIjhIU hI0J+̂΂ւ؂ނ "02DRT$a$gd"O $G$H$a$gdkH $dhG$H$a$$a$gdkHgdv$dhG$H$WD`a$gdkH  ".02PRTZ\hlnpv|ă̸̸̩򞔞zzoezZh"OCJOJPJo(h?N)CJOJPJh?N)CJOJPJo(hICJOJPJo(hgyh{CJOJPJo(hgyCJOJPJhgyCJOJPJo(h"Oh"OCJaJh"OhkHh"OCJaJh"OCJaJo(h"OCJOJPJaJo(h?N)hvCJOJPJhvCJOJPJo(hIhICJOJPJ"T^npƃȃ҃ԃNP`bvx$d-D1$M a$ $dhG$H$a$gd. $G$H$a$gd"O $dhG$H$a$gd"O$G$H$a$ $G$H$a$gd{ăƃȃЃ҃ԃփڃLNPV^`btvx„Ą҄؄$&8:<ÿصÿvÿÿÎÎÿÎÿhI5CJOJPJhI5CJOJPJo(hICJOJPJo(hL&hICJOJPJaJh.CJOJPJaJo(h.CJOJPJhIhICJOJPJhgyCJOJPJo(h.CJOJPJo(h"Oh"OCJOJPJo(hgyh"OCJOJPJ*„Ą:<@BVXz|…ąȅʅ,.$dhG$H$WD`a$$d-D1$M a$<>@BTVX\^lrxz|…ąƅȅʅ ,.DFHLN\bhjlĹhKDhI5CJOJPJhI5CJOJPJo(hICJOJPJhICJOJPJo(hIhICJOJPJhICJOJPJo(B.FHjl†\dWDj^`\gd1($d-D1$M a$†hDCJOJQJaJo(0182P. A!"#$%S $$If!vh55 #v#v :V  ",55 / 22 l4 apT$$If!vh55 #v#v :V  ",55 / 22 l4 apT$$If!vh55 #v#v :V ' ",55 / 22 l4 apT$$If!vh55 #v#v :V ! ",55 / 22 l4 apT$$If!vh55#v#v:V S",55/ 22 l4 apT$$If!vh55#v#v:V S",55/ 22 l4 apT$$If!vh55#v#v:V S",55/ 22 l4 apT$$If!vh55#v#v:V S",55/ 22 l4 apT$$If!vh55#v#v:V S",55/ 22 l4 apTDd r  s 4A(8? VGr 13"b&v<+w^/nv<+w^/PNG  IHDRF4SsRGB pHYs+IDAT(Sc?рh C]9`0*`} Ts}+``? PŮ""Z0h6A `ų@Q8T_WT?|ĉ@gj' A#0qФ*}um7IENDB`Dd r  s 4A(8? VGr 23"b&v<+w^/ nv<+w^/PNG  IHDRF4SsRGB pHYs+IDAT(Sc?рh C]9`0*`} Ts}+``? PŮ""Z0h6A `ų@Q8T_WT?|ĉ@gj' A#0qФ*}um7IENDB`$$If!vh55555O#v#v#v#v#vO:V 0U"55555Oa$$If!vh55555O#v#v#v#v#vO:V 0U"55555Oa$$If!vh55555O#v#v#v#v#vO:V 0U"55555Oa$$If!vh555555H#v#v#v#vH:V ~0,5555Ha$$If!vh555555H#v#v#v#vH:V 0,5555Ha$$If!vh555555H#v#v#v#vH:V 0,5555Ha$$If!vh555555H#v#v#v#vH:V Y0,5555Ha$$If!vh555555H#v#v#v#vH:V Y0,5555Ha$$If!vh555555H#v#v#v#vH:V Y0,5555Ha$$If!vh555555H#v#v#v#vH:V 0,5555Ha$$If!vh555555H#v#v#v#vH:V Y0,5555Ha$$If!vh555555H#v#v#v#vH:V Y0,5555Ha$$If!vh555555H#v#v#v#vH:V 0,5555Ha$$If!vh555555H#v#v#v#vH:V ;0,5555Ha$$If!vh555555H#v#v#v#vH:V ;0,5555Ha$$If!vh555555H#v#v#v#vH:V ;0,5555Ha$$If!vh555555H#v#v#v#vH:V ;0,5555Ha$$If!vh555555H#v#v#v#vH:V ;0,5555Ha$$If!vh555555H#v#v#v#vH:V ;0,5555Ha$$If!vh555555H#v#v#v#vH:V ;0,5555Ha$$If!vh555555H#v#v#v#vH:V 0,5555Ha$$If!vh555555H#v#v#v#vH:V 0,5555Ha$$If!vh555555H#v#v#v#vH:V 0,5555Ha888666666J@J cke $1$a$ CJKH_HaJmH nHsH tHb@b h 2$a$$8$7$@&H$^`CJ OJQJaJ KHmHsH$A@$ ؞k=W[SONi@N nfha%5 CBFMLK8ZQ^   !"#%&3$'4FKOY_px6Aa}&8;>A   !"#$%&a%$%'MNPyz{?@KNQRTlmo+Q1c"L  HPpv8@fn  G O  6 > g t : B \ d   G P  ! ( ? R h 1\d/7ck.T./5I-KMORV_gnpv|tu 127=CI[\-BDFGJKPQSUXZ[`fijklnopsuwx|Yjmquy} %.7@ABEJOTYZ[`dmw #(0127;BIRSTW[ckstux|!"#&+5@MNO#t| X!!! " ""H""""""########## #!#1#2#G#H#T#U#f#g#k#l#o#p#y#z#####################$ $ $'$($0$1$;$<$V$W$a$b$$$$$$$$$$$$$$$$$$$$$%%#%$%5%6%F%G%X%Y%[%\%^%b%00000000000000000000000\000d000000d0000000 0000 0000000000 0000 0000 0000 0000000000000000000000000000000000 0 0 0 0 0 0 0 0 0  0 0 0 0 0 0 0 00000000000000000000000000000000 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000 0 0 000h00h00h00h00h00<h00h005h00h00h00h00@0@0h0 0X5h00 h00 zLh000L0h00hLh00 L0h00 L0h000L0h0 0{L0h00 L00h00 L0h00{L00h0 0 |L00h00L0h00L0h00L0h00ةL0h0"0#0?L0 h0@0APL0h0B0CL0h0D0EL0 h0F0GL0h0H0I$KL0h0J0K\KL0h0L0MKL0h0N0OKL0h00  &&&)  %^),dd e6g*j|moLqtsv}ă<†!')-.0DEGIKORT`oqsuwy{ H :TfbB"%\,dei0jjTknoqTqqq4rnrrrs&sBslssst*tbtttt0uhuuuDvvvT.† "#$%&(*+,/FHJLMNPQSUVWXYZ[\]^_abcdefghijklmnprtvxz~<IKR_a} )68a%"""""#"""""""  ")!!@  Sa@H 0(  +R`&(  t  C $(( e,gFh 3#" ? t  C $(( e,gFh 4#" ? n  C $ (( e,gFh 6"?  h  3 (( e,gFh 8"?* j   3 ((e,gFh 11"?0 j   3 ((e,gFh 12"?.    s 8 ((e,gFh 13#" ?  x  c 4() Vb_ 14#" ?"  LZGHGIE() Vb_ 18"?  c 2((e,gFh 193"`? |  S ,((e,gFh 20#" ?2   c 2((e,gFh 21#" ?4   c 2((e,gFh 22#" ?1   c 2((e,gFh 23#" ?6   c 2((e,gFh 24#" ?9   c 2((e,gFh 25#" ?5   c 2((e,gFh 26#" ?<   c 2((e,gFh 27#" ?@   c 2((e,gFh 28#" ?C   c 2((e,gFh 29#" ?D   c 2((e,gFh 30#" ?A   c 2((e,gFh 31#" ?B    c 2 ((e,gFh 32#" ?E   ! c 2!((e,gFh 33#" ?F ! " c 2"((e,gFh 34#" ?H " # c 2#((e,gFh 35#" ?L # $ c 2'((e,gFh 36#" ?P ' % c 2$((e,gFh 37#" ?M $ & c 2%((e,gFh 38#" ?N %x ' c 4() Vb_ 39#" ?3x (@ c 4() Vb_ 40#" ?7x ) c 4() Vb_ 41#" ?8x * c 4() Vb_ 42#" ?:x +@ c 4() Vb_ 43#" ?;x ,@ c 4() Vb_ 44#" ??x - c 4() Vb_ 45#" ?>x . c 4() Vb_ 46#" ?=x / c 4() Vb_ 47#" ?Gx 0@ c 4() Vb_ 48#" ?Ix 1 c 4() Vb_ 49#" ?Jx 2 c 4() Vb_ 50#" ?K 3 c 2&((e,gFh 51#" ?O &z 5 c 05(( e,gFh 2"? n 8 C $ 8(( e,gFh 4"?  r ; c 4() Vb_ 14"?)D =  "?J > # "?D ?  "?x @ c 4() Vb_ 14#" ?x A c 4() Vb_ 14#" ?t B C $B(( e,gFh 4#" ?  t C C $C(( e,gFh 4#" ?  x D c 4() Vb_ 14#" ? D E  "? t F C $F(( e,gFh 3#" ? D G  "?x H c 4() Vb_ 14#" ?x I c 4() Vb_ 14#" ?x J c 4() Vb_ 14#" ?t K C $ K(( e,gFh 4#" ?  t L C $ L(( e,gFh 4#" ?  t M C $ M(( e,gFh 4#" ?  x N c 4() Vb_ 14#" ?x O c 4() Vb_ 14#" ?x P c 4() Vb_ 14#" ?t Q C $Q(( e,gFh 3#" ?( D R  "?"D S  "?!D T  "?'D U  "? D V  "?D W  "?D X  "?D Y  "?%t Z C $Z(( e,gFh 3#" ?& J [ # "?$J \@ # "?#r ] c 4() Vb_ 14"?,t ^ C $^(( e,gFh 3#" ?+ P _@ 3 "?/r ` c 4() Vb_ 14"?-6 3 ?@'()*+, - . / 0 12;=>?@ADEGHIJNOPRS T!U"V#W$X%Y&['\(])_*`-KMOPRSTVWXYZ[\]_`abcdeghijklnpqrstvwxyz|}-DGHKLMNQUVX[\]`abfgpqsuxyz|}~a%?  tHt8Ht5j6$Nt=UyU=tA{ t>7 kjlt7 j8 tU#V$t cntEI!ItD!I!AtCb8"$tB8W$t@+#tU tP!Q!tOQtNQ/tJ tI ! utG tHtFctMb6$tL\WHtKt8 Utt)R tVvMtX!tW!!tUtS ! btRebt\Xt[] tY] ] tZbtT  tQcKct;jjt Wt^X{t]i jt`kkt Wt_t Wt$tG)t'ntH `tU!tt(H ZPt)Zntxvt*Q /3@t+UtH t.Y!2t-WYWt,Yv2tAH tDt t! ydtPdt  k3t!` (t/t"A Kt0".t1W5W.t2"t# t%rt&P!t3It$ It_GoBackb%b% ҷҷҷTҷԐҷԋҷԏҷҷҷԌ4:s##$N$$b%7<u##$P$%b%< *urn:schemas-microsoft-com:office:smarttagschmetcnv W01150375CFalsegHasSpacelNegative NumberType SourceValueTCSCUnitName                                     @A'()069TXYcgl{~'*+047DI]bcdghklvwyz:=>@AEJKMNPU\]kp $)*.48=>DEFHPT\^cdkpv{04HLMPaf!#KO  GHKPopqv:=@efin     F G N O   5 6 9 > H j s x 9 = ? B [ \ c d     F G J K O P   # & . 0 E L X Z j 07[^c15-.34GH&'SMRb} )9HI(+,.7<=BJ-3JLZejkst'7_ !"()09:?@EF\^`gipszlm"&'+,./3A  $&')/;<?@EGRWXYZ^ijlopstwx{|} $%-.67?BDEIJNOSTX[_`cdlmvw  "#'(/267:;ABHIQTVWZ[bcjkruwx{|  #%&*+01234589:<=>?@EFGIJKLO\]adeov{  "#KOsu{|-.:=CDab W!!! " """"F""""""""##### #!#0#2#4#9#:#M#O#U#V#X#Y#[#\#^#_#a#b#d#e#l#n#u#x#z#|###########$$ $ $$$!$#$($+$1$:$<$K$W$`$b$i$l$v$w$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$%%%"%$%&%'%.%1%4%6%@%G%Q%T%W%Y%Z%\%]%b%ORAIef     3 4   $ & 4 5 @ A  F G X Y k l s t %KPmnpqstvw  JO/0Z[`a$*+;<WXZ_|} efADMQ.2mpqvK P !!"""""""""##### #!#+#,###b%s3333sss3sssssss3ssssssssssssss33sssssssss33ssssssssssssssssss33s3ssssss333ssssss3ss3s3ss3sss3s33333ss33333333sss Pg{~@Tmo HPpv8@  : B   \d/A<LRb} )92\j#O""""""""##### #!#H#S#U#e#g#j#l#n#p#x#z#~###############$$($/$1$:$W$`$$$$$$$$$$%Y%Z%\%]%b%"""""""##### #!#b%^`o( \^`\)\^`\.:\:^:`\. \ ^ `\) \ ^ `\.& \& ^& `\.\^`\)n\n^n`\.HH^H`o( (\(^(`\)\^`\.p\p^p`\. \ ^ `\) \ ^ `\.\ \\ ^\ `\.\^`\)\^`\.hh^h`o(.H\H^H`\)\^`\.\^`\.4\4^4`\) \ ^ `\.| \| ^| `\. \ ^ `\)\^`\.\^`\o(.H\H^H`\)\^`\.\^`\.4\4^4`\) \ ^ `\.| \| ^| `\. \ ^ `\)\^`\.^`o(.x\x^x`\)\^`\.\^`\.d \d ^d `\) \ ^ `\. \ ^ `\.P\P^P`\)\^`\.HH^H`o( (\(^(`\)\^`\.p\p^p`\. \ ^ `\) \ ^ `\.\ \\ ^\ `\.\^`\)\^`\.V*9~B `~ / D^ u>$HR pB~;'1(?N)0*Z,9/g9*v:S ;};=BKDkH7zIYm$_`*eYfugX.jbdj l n(pq(teTvgyJ^W]<m`4"OKd:ink(O!p.u.`L&0p  {pvN#0; !aa ,^IpZ\_D+ S;O$%'MNPyz@KNQRTlmo 127=CI[\Yjmquy} %.7@ABEJOTYZ[`dmw #(0127;BIRSTW[ckstux|!"#&+5@MNO"b%Q 2Q 2Q 2Q 2Q 2@g(a%pp pbUnknown G:Ax Times New Roman5Symbol3& :Cx Arial;([SOSimSun7&@CalibriA0 N[_GB2312N[5& >[`)Tahoma]AdobeSongStd-Light-AcroўSOgAdobeSongStd-Light-Acro,BoldўSO7& [ @Verdana QhTgG''8?8?Z&!),.:;?]}    & 6"0000 0 0 00000 =@\]^([{  0 0 00000;[i""2Q ?'*2Xyygl$      Oh+'0h   $ 0 <HPX`X Normal.dotyygl18Microsoft Office Word@ҏ.$@i5@$@58՜.+,D՜.+,T  JUJUè̳?" d ?GKSOProductBuildVer2052-11.1.0.9208  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|~Root Entry F0w5Data }S1TableWordDocument2SummaryInformation(DocumentSummaryInformation8CompObjm  FMicrosoft Office Word ĵ MSWordDocWord.Document.89q