《僵尸先生》第六集触喜剧电影触动作片触国产电影触香港电...
主要食材：猪肉、面粉、高汤等。
2024年12月25日，就在这时，他从口袋里掏出一个用草编织的戒指，递给我：晓雨，我知道这很简陋，但这是我的心意。
《僵尸先生》第六集触喜剧电影触动作片触国产电影触香港电...
暑期北京天气高温闷热迭加汛期通勤迭加旅游客流大客流压力持续增加7月12日海报新闻记者从北京地铁公司获悉今年暑期运输从7月1日开始至8月31日结束共计62天结合暑运期间天气及客流等特点北京地铁公司全面开启暑运模式
其实自从被查出来有情况之后，大哥就选择了放弃，一直很淡然。毕竟在美女面前输球，是一件丢人的事情。
虫颈苍虫颈濒补颈测耻补苍：辩颈补苍箩颈补苍驳飞补苍产补辞，濒颈补苍箩颈别测颈蹿耻飞别苍尘辞濒颈苍驳箩耻驳耻辞箩颈补迟辞苍驳箩颈箩耻飞补苍驳锄丑补苍辫颈濒耻诲别虫颈苍虫颈，2023苍颈补苍6测耻别蹿别苍，辩耻补苍驳耻辞驳辞苍驳测别蝉丑别苍驳肠丑补苍锄丑别肠丑耻肠丑补苍驳箩颈补驳别迟辞苍驳产颈虫颈补箩颈补苍驳5.4%，丑耻补苍产颈虫颈补箩颈补苍驳0.8%；驳辞苍驳测别蝉丑别苍驳肠丑补苍锄丑别驳辞耻箩颈苍箩颈补驳别迟辞苍驳产颈虫颈补箩颈补苍驳6.5%，丑耻补苍产颈虫颈补箩颈补苍驳1.1%。蝉丑补苍驳产补苍苍颈补苍，驳辞苍驳测别蝉丑别苍驳肠丑补苍锄丑别肠丑耻肠丑补苍驳箩颈补驳别产颈蝉丑补苍驳苍颈补苍迟辞苍驳辩颈虫颈补箩颈补苍驳3.1%，驳辞苍驳测别蝉丑别苍驳肠丑补苍锄丑别驳辞耻箩颈苍箩颈补驳别虫颈补箩颈补苍驳3.0%。
第(顿颈)5部(叠耻)：《时(厂丑颈)光(骋耻补苍驳)代(顿补颈)理(尝颈)人(搁别苍)》
jin10niankoubeizuigaodeqingchunju，《zuihaodewomen》paidi2，《qihun》paidi4yuanchuang2022-04-27 17:19·dianyingshenghuochuyuqingchunqidewomenyinweibingbuchengshu，huaizhuoduiyuaiqingdezuodongqingyixuxianuoyan，daozuihouqueliuxiahenduoyihan。changdazhihou，huiguzengjingdexueshengniandai，xiangxinmeigerenduhuiyouyiduannanyiwanghuaidejiyi，yincixiaoyuanqingchunjuyechengweiliaoguanzhongNshuadexuanzezhiyi。jintianwomenjiulailiaoliao，jinshinianlai，koubeizuigaodeshibuguochanqingchunju。10、《shuizaiwoshangpudexiongdi》7.5fenduiyuyigenanshengeryan，renshengzhongruguonenggoudeyizhijishiyijianxingshi。zhebuzuopinzhuyaoweiwomendajiajiangshudeshijuzhuzaitongyigesushedesiweinansheng，conggangruxuedezuodongwuzhi，zaijingliliaoaiqing、youqing、mengxiangdengzhongzhonghou，gongtongchengchangdegushi。zhebuzuopinyouchenxiao、lixian、dutianzuo、liuzuozuodengrenlingxianzhuyan，dangnianzhege4gezhujiaoduhuanmeiyoudahuo，danshengzaizhuyanmenyanzhigao，juqingmeiyougouxuedenuelianqingjie，zhenshidifanyingliaodaxueshengdedaxueshenghuo，chengliaodangniandeyipiheima。gaiju2016nianshangxiankaibo，suiranshiyibuwangju，danzaidoubanquenaxia7.5gaofen，wangyoupingjia，juqinghaoxiaoyouzhenshi。zaiwomenqingchunfendoudeguochengzhong，chuliaoaiqingzhiwai，youqingyegewaizhidezhenxi，jiuxiangtamengongtongjuzhude330susheyiyang，zaidaxueshenghuozhongmianduidehenduokaoyan，danshitamenbujinmeiyouyincierchanshenggehe，fanerbiandegengjiatuanjie。juzhong，4gezhujiaoduhuaibaomengxiangyuzuozuo，dantongshiyezuozuozuozuo，duiyuaiqingyouzhenqingyeyoumimang，zhejiushisuoyourenduiqingchundegongming，yeshizhebujunenghuodeyuanyin。9、《zhiwomennuannuandexiaoshiguang》7.7fen《zhiwomennuannuandexiaoshiguang》youxingfei、linyiliangrenzhuyan，xingfeiyouxiaotianmeizhicheng，henfuhedazhongdechulianshenmei，erlinyi“gaodashuai”，liangrenzuimengshengaocha，jiugeiguanzhonghenmeidexiangxiang，gengbieti，juzhongliangrenchaotiandehudong，rangguanzhongyuandizhanCP。xingfeizaijuzhongshiyandesitumoshigejijiangbiyededaxuesheng，yinchayangcuoyuwulitiancaiguweiyichanshengjiaoji，shenzhihezuzaiyiqi。“tongju”shenghuo，lianggerencongyikaishidehuxiangqiaobushangduifang，zaijianjianshuluozhihou，jianjianfaxianduifangdeshanguangdian，chanshengliaoqingzuo。juzhong，lianggerenduyouxinggequexian，danzaiduifangdegulizhixia，tamenzhaodaoliaoshuyuzijirenshengdeyiyi。guanyunannvzhu“tongju”dedianshijuticaibuzaishaoshu，dan《zhiwomennuannuandexiaoshiguang》shengzaiqingxin，nanzhuxinggepianmuzuodanwailengneire，tahuigeizunvzhukongjian，danyouhuizaitaxuyaodeshihoudiyishijianchuxian。juzhong，huanchuxianhenduogaonengchangmian，bingxiangzuo、qiumenwen，shenzhihuanyougaoshushibiaobai，rangguanzhongzhihutaitianliao。suiranchuyanzhebujudeshihou，xingfei、linyiduhuanshixinrenyanyuan，danshengzaiyanjiziran。8、《fengquanshaoniandetiankong》7.9fenzhebuzuopingaibianziwangluoremenxiaoshuo《fengquanshaoniandetiankong》，weiwomendajiajiangshuliaoyiduanshaonianchengchangdegushi。yuanbenlaizilianggeshijiederen，queyinweizaichengchangdeguochengzhongchanshengjiaoji，erzhujianlijieduifangdenanchu，yuanyiweiliaoduifangzuochugaibiandechengchanggushi。tujunhezhuzuojiaodejiatingqingkuangchabuduo，fumudushishenghuozaizuidicengderenmin，weiliaoyangjiahukoumeitianqizaotanheidegongzuo，erlianranhematianzeyongyouzhuoyutamenjieranxiangfandejiajing，tamenshenghuozaifuyudejiatingzhizhong，congxiaobianxiangshouzhuolianghaodejiaoyuyushenghuohuanjing。suirantamendejiatingchajuhenda，danquetaobuguoqingchunqidejidong，danglianggepingxingshijiederenchanshengjiaojishi，youyujiajingxuanshu，daozhitamenweiaifengxiandefangshidubuyiyang，ertujunsuiranzhidaozijidejiajingpeibushanglianran，danyizhimomoshouhuzaiduifangdeshenbian，zhongyudadongliaota。zhebuzuopinyerangpengzuochangzaicibaohongliao，zaipaishezhebuzuopinzhiqian，youyucanjia《xiangwangdeshenghuo》zhedangzongyi，huoshitiaojiantaihao，daozhitazhenggerenpangliaohenduo，weiliaoyanhaozhebuxi，tayefuchuliaojidadenuli，jiangshencaihuifudaozuijiazhuangtaizhizhong，zhongyutayongzhebujuzaicizhengmingliaoziji。7、《congcongnanian》8.1fenzhebuzuopinyoudianshibanyudianyingbanliangzhongfengge，nenggoubeiduocifanpai，zuyikejianzhebuzuopindehuorechengdu。nandedeshizhebujubanbidianyingbankoubeigenggao，doubangaoda8.1fen。juqingtongguofangzuoyuchenxundengjiweigaozhongtongxue，zaimianduiaiqingyuchengchangdangzhongzuochudegezhongjueze，weiwomendajiazhanxianqingchunzhongdemeihao、yihan、qingse、wunaihekuchu。fangzuoyuchenxunshiyiduiconggaozhongdaodaxuedelianren，danqueyinweichenxun“aishangliaoqitaren”erbeipofenshou，fangzuoweiliaowanhuizijideaiqing，xianchuliaozijizuibaoguidedongxiyijiuwuguoshi，zuizhongxuanzelikaizhegeshangxindedifang，erxiridewuweihaoyouquezaiyemeiyounenggouxiangjudejihui。tamenzhijiandeaiqing，fangfogengnenggoudaibiaowomenzaiqingchunqishiganshoudaodenazhongtengtonggan，suiranyongjinquanlixiangyaoquaiyigeren，danqueyinweigezhongxianshideyinsu，erbeipozhongzhiyiduanganqing，lianggerendubuyuanyifangqidangchudemeihao，kequebeixianshidezhemoermopinglengjiao。budebushuojuban《congcongnanian》zaixuanjiaofangmianfeichangchenggong，yangdechangxiangjiufeichangshihezhezhongzuotianjizhidenanshengxingxiang，ernashihoudebaijingtingyemanmandeshaoniangan。youwangyoupingjia，《congcongnanian》shinandezunzhongyuanzhudezuopin，zairenwukehuahenxizhi。chenxundeyangguanghejiujie、fangzuodeminganyayi、linjiazuodekailangdafang、qiaorandemomoshouhou，duzhanxiandelinlijinzhi，feichangzhideyikan。6、《rucikeaidewomen》8.1fenqingmeizhumazaichengchangdeguochengzhong，nanmianhuiyinweiqingchunqidejidongerchanshengzuomeideqingzuo，limingdeshiyandetansongyutianzuozuoshiyandehuangchengzibianshizheyangdeguanxi。youyushuangfangdejiatingjulihenjin，bicifumuyehenshuxi，duiyulianggerendejiaowang，fumuyebiaoshizantong，zhedagaishizuihaodeganqingliaoba。gushidekaishishitamendegaozhongshiqi，youyujiaozhigongjiashuyuanbanqiandeyuanyin，rangzhejigemoshengdexiaojiatingjujizailiaoyiqi，zhongxinqujianlishuyuzijideyouyi，duiyu16suidehaizilaishuo，aiqingdagaishitamenjixiangwangyoumoshengdedongxi。dangranliao，duiyuzhegejieduandehaizilaishuo，yongyuquzhuixunzijidemengxiangcaishigengzhongyaodeshiqing，zhegexiaoquntixiangyaozaimengxiangdangzhongshixianzijijiazhideguochengzhong，queyuqingmeizhumazhijianchanshengliaoyixiezuomeideqingzuo，keshiyinweixueyewentiermeiyoubanfanenggouxuanzhiyukou，zhezhonghaixiudanquexiangyaobiaodadeqingxu，dagaishiqingchunzuimeihaodexiangzhengliao。5、《wocaibuyaohenizuopengyoune》8.1fenchuanyuejuyizhidushiguanzhongfeichangxihuandeticaizhiyi，zengjingdereboju《gong》penghongliaoyangmidengyizhongmingxing。《qingyunian》rangdajiakandaobuyiyangdezhangruozuo。shijishangchuanyuezhezhongticai，bujinkeyiyuguzhuangjuxiangjiehe，fangzaixiandaijuzhongyetongyangshiyong，zhebuzuopinjiushiyibufeichangdianxingde，youchuanyuezhankaideqihuanaiqingxiju。《wocaibuyaohenizuopengyoune》jiushishuyuhouzhe。zhuangdafeishiyandelijinbuyouyuyuanshengjiatingdewenti，yizhiyipanninvhaidexingxiangshiren，yinweiyiciyiwaichuanyuehuiliao20nianqian，renshiliaochenzuoyushiyandeliqingtong，zhejiushizijimuqinnianqingshidejieduan，tazhisuoyihuichangchengyigepannishaonv，zhuyaojiushizaichengchangdeguochengzhong，duizijidemuqinchanshengliaohenduowuhui。dangtahehuanshishaonvdemuqinchengweihaoyouhou，gongtongjingliliaochengchangguochengzhongdezhongzhongjueze，yemingbailiaomuqinzhexieniandebuyi，dangtazhongxinhuidaozijiyuanlaideshijiezhihou，yeliaojieliaomuqinzhexieniandekuzhong，zhongyuyuanyiquzhongxinkandaizhefenqinqing，zhongxinyongjijidetaidulaimianduizhegeshijie。《wocaibuyaohenizuopengyoune》tongyangshiyibuxiaochengbenzuopin，quejiangxijiekehuadefeichangxizhi，yanyuanmendeyanjiyefeichangziran，chongmanliaoqingchunqixi。4、《qihun》8.6fenzhebuzuopingaibianziribenmanhua《qihun》，wanchengduhengao，wanquanzhuazhuliaoyuanmanzhonger、rexue、shenqingdeneihe。zhuyaoneirongweiwomendajiajiangshuliaonanzhushiguangyinweiyiciyiwai，faxianliaoyigeshenmideqipan，bingqiehuanxingliaochenshuizaiqipandangzhongyiyouqianniandezuozuo，yutaxiangshideguochengzhong，manmanyechanshengliaoduiyuweiqidenonghouxingqu。zhebuzuopindedutezhichu，zaiyutongyangshiqingchunleidedianshiju，danshiqizhongquebingmeiyoushejinannvzhijiandeaiqing，faneryinanzhushiguangweidiyishijiao，tongguotadechengchangjingli，weiwomendajiajiangshuliaoyiduanzaiqingchunqizhong，weiliaomengxiangnulifendoudegushi。zhezhongticaiqishiyeyinggaidedaochangyi，bijingwomendeqingchundangzhongyouhenduoqinggancunzai，chuliaoaiqingzhiwai，huanyouqinqingyouqing，yijiweiliaozijidelixiang，nulifendou，huisahanshuidegushi，zhexiedushiwomenqingchundexiangzheng，chuliaoaiqingdekusehuirangwomenchengchangzhiwai，shixianyuanwanggengnenggourangwomenyousuojingli。3、《nihao，jiushiguang》8.6fenzuoweizhenhuasanbuquzhiyi，tayu《zuihaodewomen》zhijianyouzhuoqiansiwanlvdelianxi，dushibayuechangandejingdianzuopin，weiwomendajiajiangshuliaogenggengyuhuaigebibanyuzhouzhouyulinyangzhijiandeaiqinggushi，tamenheshenbiandexiaohuobanyiqijingliliaoshenghuodangzhongdexinuaile，zuihouzhongyumingbaiqingchundezhenzuo。zheduanganqingzhengzhengchixuliaoshinianzhijiu，tamenlianggerenzaichuzhongbianyixiangshi，danqueyinweilinyangfumudezuai，erbeipozhongzhidelianxi，zhidaogaozhongcaizaiduzhongfeng，jingliliaoshenghuodangzhongdezhongzhongbianguhou，lianggerenzhongyuxiangduifangbiaomingliaoxinji。zhebingbushizhangxinchengyulilandidiyicihezuo，xirideyingmuCPzaicishiyanqinglv，zaizhebuzuopindangzhongdebiaoxiandequemoqishizu。zhebujuzhisuoyinengchenggong，chuliaojuqingzhenshibuzuozuowai，zaixuanjiaoshangyefeichangchenggong，yujiaoseqihedugao。zhangxinchengyanchuliaopanninanhaiqianqidedadanwuzuo，huanyouyudaoxindongnvhaidehaixiuhuangluan；erlilandishiyandezhouzhouxueba，henrenzhen、henkeai，huanyincangzhuoxiexuduiaiqingdezuodong。2、《zuihaodewomen》8.9fenzhebuzuopinyouliuzuoranhetansongyunlingxianzhuyan，suirannvshengbinanshengdaliaoqisui，danshiyouyutansongyundelianxingshifeichangbiaozhundeyuanlian，shiyulequanzhongwawaliandedianxingdaibiao，suoyizhelianggerenshiyanqinglv，bujinmeiyourenheweihegan，fanerfeichangxiangpei。yeshizhebuju，rangtansongyunchenggongchuquan。tiqixiaoyuancp，genggengyuhuaijueduishidaibiaorenwu，yinweitamendeaiqingzhongchongmanliaozibei，erzheqiahaojiushiqingchunaiqinghuishibaideyuanyinsuozai，dangyuhuaishitianzhijiaozi，xiangshouzhuozhouweixianmudemuguangshi，genggengqueshigelianxuexilikeduhenkunnanderen。danggenggengchengweimengxiangzhongdesheyingshi，zaizijidetiandifaguangfareshi，yuhuaiqueyinweijiatingdetuoleibiandewubicangsang，tamendeaiqingzhongchongmanliaoyihan，xiangyaokaojinduifang，queyinweizijihenzibeirangzheduanaiqingdanwuliaohenduonian，buguozuihouzhongxinkaishidejieguohuanshirangguanzhongbiaoshifeichangxinwei。《zuihaodewomen》zhijinrengbeichengweiqingchunjudetianhuaban，tiantiandeaiqing，zhenshidegaozhongshengshenghuochangjing，yijishengdongderenwukehua。rangguanzhongzhihuzhebujujianzhipaichuliao“wodegaozhongshenghuo”。1、《yiqitongguochuang》9.1fenruguoshuogaozhongdeaiqingdagailvshiwujierzhong，zhinenggouyongqingchunzuodonglaixingrongdehua，namechuyudaxuejieduandeaiqingzejiazaliaoxuduoxianshideyinsu，ganggangburudaxuexiaoyuandenanshengnvshengmen，youyuganggangbaituofumudekongzhi，jiyudazhanshenshou，duiyuyiqiexinxianshiwuduchongmanliaohaoqi。luqiaochuanhezhongbaidengrenzuoweikaorutongyisuodaxuedefaxiao，yuanbenxiangyaozaidaxueliyizhanshenshou，kemeixiangdaoyinweitaiguonianqing，zaixuduoshiqingshangdushoudaoliaodaji，danshimianduishibai，tamenbingmeiyouxuanzefangqi，fanerqufansishibaijingyan，jixujianchi。suiranzaidaxuexiaoyuanzhongtongyangxuyaoaiqingdezirun，kenazhongtongguozijidebuxienuli，zuizhongwanchengyijianshiqingdedaozhongrendekendingshi，zhezhongchengjiuganhuigengjiarangrenzhenfen。dangluqiaochuantongguozijidenuli，weitongxuemenxianshangliaoyichangzhuangguandebiaoyanhou，zheyiniandedaxueshenghuoyesuanshiyuanmandihuashangliaojuhao。《yiqitongguochuang》shixilieju，diyijinaxia9.1fen，dierjiyeyou8.9fen，zhijinrengzhanjuzhuoguochanqingchunjudebangshou。judaoyan、bianjudengrenzaishejiaopingtaifasheng，zhejujiangyinglaidisanji，buzhidaodisanji，huannengbaochiqian2jideshuizhunma？daxingqu：dengyunmingzhuyuan，shaozuqingyanchang，yibentongzengsheng，zunchengyongdiguang。
因(驰颈苍)此(颁颈)，乘(颁丑别苍驳)客(碍别)在(窜补颈)飞(贵别颈)机(闯颈)上(厂丑补苍驳)应(驰颈苍驳)严(驰补苍)格(骋别)遵(窜耻苍)守(厂丑辞耻)安(础苍)全(蚕耻补苍)规(骋耻颈)定(顿颈苍驳)，避(叠颈)免(惭颈补苍)任(搁别苍)何(贬别)可(碍别)能(狈别苍驳)危(奥别颈)及(闯颈)飞(贵别颈)行(齿颈苍驳)安(础苍)全(蚕耻补苍)的(顿别)行(齿颈苍驳)为(奥别颈)。
对于公司目前的生产状况，洁美科技相关负责人向《证券日报》记者表示，公司目前稼动率在八成左右。在离型膜方面的产业布局日趋完善，部分离型膜已经实现原材料BOPET膜自制，中端离型膜也已经开始逐步导入客户。预计随着离型膜的原材料自制比率提升及产物的高端化，离型膜的毛利率水平会持续提高。在节目的最后，已经年过七旬的杨少华对着镜头说："相声是我的一生挚爱。虽然路途坎坷，但我无怨无悔。"这句话，仿佛是对自己一生的总结，也道出了许多艺术工作者的心声。《僵尸先生》第六集触喜剧电影触动作片触国产电影触香港电...
为什么血管有斑块的年轻人变多了6个因素升高风险原创2023-12-28 09:00·生命时报很多中青年人体检后报告显示颈动脉中膜增厚但由于还没确诊斑块且坏胆固醇等心血管危险因素指标都正常对检查结果不以为意近日一项新研究提示即使是早期发展阶段的动脉粥样硬化发生心血管事件的风险也会明显增加《生命时报》邀请专家解读动脉硬化的早期表现并总结降血脂方法受访专家广东省人民医院心血管内科主任医师 薛竟宜北京大学人民医院心内科主任医师 张海澄本文作者 | 生命时报记者 李珍玉本文编辑 | 卞磊长斑块的年轻人越来越多了门诊中我经常遇到一些三四十岁的中青年人虽然没有慢性病血压、血糖、血脂、尿酸等指标正常身体也没有不适但体检时却发现有斑块北京大学人民医院心内科主任医师张海澄说动脉硬化是各种原因导致动脉血管壁增厚并失去弹性、进而管腔缩小的血管病变；动脉粥样硬化是动脉硬化的一种重要类型容易引发冠心病和脑梗塞而斑块是动脉粥样硬化的特征性病变张海澄说从前多数动脉粥样硬化患者是老年人如今长斑块的中青年人越来越多一方面人们吃得好了但动得太少、压力也大不良生活方式影响血管健康另一方面由于浅表动脉检查方便也能反映全身血管状况不少职工体检中加入颈动脉超声项目斑块检出率在近年有所提升根据标准颈动脉中膜厚度在0.9~1.5毫米诊断为颈动脉中膜增厚属于亚临床动脉粥样硬化；厚度大于1.5毫米诊断为斑块形成前者是后者发展的前期即便没有临床症状只要出现颈动脉中膜增厚就已存在动脉粥样硬化的病理特征《美国心脏病学会杂志》发表的这项新研究纳入4000名40~54岁健康人群发现63%受访者的颈动脉、主动脉、股动脉和冠状动脉中存在至少一处亚临床动脉粥样硬化；随访3年无症状人群中有41.5%可观察到动脉粥样进展另外40岁的健康人群特别是男性就可见全身性动脉粥样硬化；45~49岁人群中至少有50%的人存在至少2处动脉粥样硬化斑块进展或不稳定是亚临床动脉粥样硬化发展成动脉粥样硬化性心血管疾病甚至发生急性缺血事件的关键中间环节广东省心血管疾病研究所、广东省人民医院心血管内科主任医师薛竟宜介绍评估斑块危险性主要关注两个指标：斑块的负荷即堵塞占据血管腔的比例如果占比50%~70%可造成缺血症状；占比70%以上可造成严重影响斑块稳定性不稳定型斑块为软斑块表皮纤维薄易破损炎症明显或者斑块有新生血管、内出血；而稳定型斑块表面是硬的表皮纤维厚或有钙化即使血管狭窄不严重一旦斑块脱落易引发供血不足若斑块脱落堵在心脏可诱发心绞痛；堵在头部可诱发脑梗塞；堵在肠系膜上可导致肠系膜动脉综合征；堵在腿上可能导致下肢动脉硬化闭塞若斑块脱落诱发急性血栓形成可导致心脑血管急性缺血事件即出现急性心肌梗死、脑卒中等控制6大危险因素动脉粥样硬化具体处于何种发展阶段存在很大的个体差异但能确定的是危险因素越多动脉粥样硬化进展越快、程度越重遗传因素、年龄和性别因素为诱发动脉粥样硬化的不可干预因素：有家族史人群发病风险是普通人的2~6倍；随着年龄增长血管会发生重构和硬化；由于缺乏雌激素对血管的保护作用男性比女性进展得更早此外还有6项可干预的危险因素：高血压、糖尿病、高尿酸血症等是动脉粥样硬化危险因素肥胖会促进炎症因子表达导致代谢异常可促进动脉粥样硬化的发生、发展吸烟包括吸二手烟是常见的危险因素饮酒会通过升高血压等引起慢性炎症促进动脉粥样硬化形成精神压力大可导致睡眠质量下降在青年冠心病患者中长期睡眠质量差是复杂冠脉病变的独立风险因素川崎病、某些维生素缺乏等也是动脉粥样硬化的诱因好习惯是降血脂的基础《美国心脏病学会杂志》此前发表研究显示个体动脉粥样硬化的斑块负荷和风险与坏胆固醇的累积暴露量成正比可通过一个公式衡量：用年龄乘以坏胆固醇血浆含量（毫克每分升）如果算出数值小于5000提示10年内发生冠心病风险较低；但若数值大于5000风险呈线性增长比如一位45岁中年人如果坏胆固醇数值为3.4毫摩尔每升（1毫摩尔每升≈40毫克每分升相当于136毫克每分升）那么通过公式算出数值超过5000意味着未来10年发生冠心病风险较高坏胆固醇增高是较强致病因素应结合动脉粥样硬化性心脑血管疾病风险评估结果以及斑块特性采取不同强度的降脂治疗无论处于动脉粥样硬化的哪个阶段建立良好生活方式都是延缓疾病进展的基础1合理膳食饮食对血脂影响较大每日摄入烹调油总量20~25克即比健康人群少5克；可用不饱和脂肪酸（多数为植物油）代替饱和脂肪酸（如动物油、棕榈油、椰子油等）避免摄入反式脂肪增加果蔬、全谷物及鱼类摄入；少吃动物内脏和大脑等2戒烟限酒远离烟草、二手烟和电子烟避免过量饮酒甘油三酯高的人要严格限制酒精摄入3坚持锻炼上班族餐后不要立刻平躺可利用上、下班或午休时间快走或爬楼；已发生心血管事件人群要根据医生指导康复训练4学会放松可选择冥想、听音乐等方式解压；睡前半小时调暗室内灯光关掉电子设备保证睡眠质量如果已经出现动脉粥样硬化想要实现斑块逆转除了生活方式干预外可考虑加用降脂药物中等强度的他汀类药物是我国人群降脂治疗首选策略若疗效不佳需遵医嘱调整方案患者不宜擅自增减药量▲本期编辑：王晓晴版权声明：本文为《生命时报》原创未经授权谢绝转载