中国全科医学2024,Vol.27Issue(15) :1796-1801.DOI:10.12114/j.issn.1007-9572.2024.0002

2023年美国预防临床服务指南工作组《儿童和青少年血脂异常筛查推荐声明》解读

Interpretation of Screening for Lipid Disorders in Children and Adolescents:U.S.Preventive Services Task Force Recommendation Statement

刘文郡 姚弥 荆冠宁 闫存玲 闫辉
中国全科医学2024,Vol.27Issue(15) :1796-1801.DOI:10.12114/j.issn.1007-9572.2024.0002

2023年美国预防临床服务指南工作组《儿童和青少年血脂异常筛查推荐声明》解读

Interpretation of Screening for Lipid Disorders in Children and Adolescents:U.S.Preventive Services Task Force Recommendation Statement

刘文郡 1姚弥 2荆冠宁 2闫存玲 3闫辉1
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作者信息

  • 1. 100034 北京市,北京大学第一医院儿童医学中心
  • 2. 100034 北京市,北京大学第一医院全科医学科
  • 3. 100034 北京市,北京大学第一医院检验科
  • 折叠

摘要

家族性高胆固醇血症和多因素所致血脂异常是导致儿童期血脂异常的重要原因,而儿童期血脂异常可能导致早发动脉粥样硬化性心血管疾病甚至威胁生命.已有众多指南和声明提出不同的儿童和青少年时期血脂筛查策略.2023 年美国预防临床服务指南工作组(USPSTF)针对儿童家族性高胆固醇血症及多因素血脂异常筛查的利弊进行了系统综述,并发布《儿童和青少年血脂异常筛查推荐声明》,目前尚无充足的证据评估针对 20 岁以下儿童青少年血脂异常筛查的益处或危害,呼吁对此开展进一步深入研究,并建议临床医生根据自己的判断决定是否进行筛查.

Abstract

Dyslipidemia due to genetic and multifactorial dyslipidemia has a predisposition to early-onset atherosclerotic cardiovascular disease(ASCVD),and consensus and guidelines regarding lipid lowering in adults are well established,but the benefits of lipid screening and treatment in childhood and adolescence for this population are not well established.The United States Preventive Medicine Task Force(USPSTF)issued the Recommendation Statement:Screening for Dyslipidemia in Children and Adolescents based on a systematic review of evidence with meta-analysis conducted in a large number of randomized controlled trials,large cohort studies in European and American countries,with the aim of assessing evidences whether initiation of lipid screening and early initiation of treatment in childhood and adolescence has long-term benefits for this population.This article provides a detailed interpretation of the guideline,which aims to provide reference to clinical healthcare workers to improve the understanding of dyslipidaemia in children and to decide whether to screen them with a view to reducing the incidence of cardiovascular disease in adulthood.

关键词

血脂异常/儿童/青少年/筛查/美国预防临床服务指南工作组

Key words

Dyslipidemias/Child/Adolescent/Screening/United States Preventive Medicine Task Force

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基金项目

2022年度北京大学第一医院院内交叉临床研究专项(2022CR22)

出版年

2024
中国全科医学
中国医院协会

中国全科医学

CSTPCD北大核心
影响因子:2.04
ISSN:1007-9572
参考文献量31
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