Schucker B, Bradford R H
Lipid Metabolism-Atherogenesis Branch, National Heart, Lung and Blood Institute, Bethesda, Maryland.
Clin Lab Med. 1989 Mar;9(1):29-36.
The detection and treatment of high blood cholesterol will require a sizeable screening effort. To a large extent, the screening can be accomplished through routine medical care, but screenings conducted at public or community sites also offer promise. The NCEP will ultimately recommend whether or not public screening should supplement that performed in the physician's office. In the meantime, the National Heart, Lung and Blood Institute has issued screening guidelines that address critical issues including reliability of cholesterol measurement, compliance to the education and referral advice given at screening, and physician readiness to evaluate and treat those referred. Findings from the Model System for High Blood Cholesterol Screening and other research projects provided a basis for such recommendations. It is hoped that these guidelines will ensure high quality public screening.
检测和治疗高血胆固醇需要大规模的筛查工作。在很大程度上，筛查可通过常规医疗保健来完成，但在公共或社区场所进行的筛查也很有前景。国家胆固醇教育计划（NCEP）最终将建议是否应通过公共筛查来补充在医生办公室进行的筛查。与此同时，国家心肺血液研究所已发布筛查指南，这些指南涉及关键问题，包括胆固醇测量的可靠性、对筛查时给出的教育和转诊建议的依从性，以及医生评估和治疗被转诊者的准备情况。高血胆固醇筛查示范系统及其他研究项目的结果为这些建议提供了依据。希望这些指南能确保高质量的公共筛查。
