2017台灣血脂肪異常臨床治療指引~血脂建議控制目標

2026-09-04 15:31

2025 台灣血脂管理臨床路徑共識-2026健保給付規定新制*高血脂治療指引

中華民國血脂及動脈硬化學會
2017年台灣高風險病人血脂異常臨床治療指引.
罹患冠心症及糖尿病的患者, 建議將 LDL 降低至 55 以下.
缺血性中風, 糖尿病 目標是 100 以下
慢性腎病, eGFR < 60 患者, 目標是 100 以下
遺傳性高膽固醇血症, 成人建議 100 以下, 但同時罹患心血管疾病者, 建議降到 70 以下.
老年人血壓~血脂肪~血糖控制目標

各個年齡的血糖正常值

Reference Range from Medscape
The normal glucose reference ranges are as below [1]
Cord - 45-96 mg/dL or 2.5-5.3 mmol/L (SI units)
Premature infant - 20-60 mg/dL or 1.1-3.3 mmol/L
Neonate - 30-60 mg/dL or 1.7-3.3 mmol/L
Infant - 40-90 mg/dL or 2.2-5.0 mmol/L
Child < 2 years - 60-100 mg/dL or 3.3-5.5 mmol/L
Adult - 74-106 mg/dL or 4.1-5.9 mmol/L

For children over age 2 years to adult, the normal reference ranges are as follows [1] :
Fasting (ie, no caloric intake for at least 8 hours) - 70-110 mg/dL or < 6.1 mmol/L
Casual (ie, any time of day, with no regard to food intake) - ≤200 mg/dL (< 11.1 mmol/L)


For elderly patients, the normal reference ranges are as follows [1] :
60-90 years - 82-115 mg/dL or 4.6-6.4 mmol/L
>90 years - 75-121 mg/dL or 4.2-6.7 mmol/L

Possible critical values
These are as follows [1] :
Adult male - < 50 and >400 mg/dL
Adult female - < 40 and >400 mg/dL
Infant - < 40 mg/dL
Newborn - < 30 and >300 mg/dL

Two-hour postprandial glucose
Normal values are as follows [1] :
0-50 years - < 140 mg/dL or < 7.8 mmol/L (SI units)
50-60 years - < 150 mg/dL
60 years and older - < 160 mg/dL