ࡱ> #% !"q` RbjbjqPqP2Z::)8888888L[[[[$]L$````````ދ$hol8Pc``PcPc88``uuuPc 8`8`ދuPcދuu:z,88F{`_ s5r[Zrz : 0zRې@uېF{F{ې8Z{`L/a6uea,a```u ```PcPcPcPcLLLd;?DLLL?LLL888888 RS-N`_[{/gTQS%`'`@{aYRg _NS _ [Xd] vv ce_` gRS-Nv`L_[{/gCC TQS@{uvyrpNSvsQV }Rg0 el [892O[eNCC/gve_` gRS-Nv`ۏLV~'`Rg Ǐ[`vN,rQ0_@{uSpeϑ0R^0lu`QNSQsQSRS-Nv`QTvsQV }ۏLRg0 ~g /g-NT/gT24 hQ101O`QsRS-N `S11.32% 33OQswf:@S\OTIA 64OSuN%`'`h{k(CI) 4Ov^SQ@(CH)0Logistic VR_Rg>f:y@{`CC/gTQ!kQs%`'`@{aYvqSiV }Sb7u'`0nR ؚ@u0` gYhT@{u0_@{uSvpeϑNSluel gsQ0~ @{`CC/gTQ!kQs%`'`RS-NvqSiV }Sb7u'`0nR ؚ@u0` gYhT@{u0_@{uSvpeϑNSluel0 [sQ.͋] _[{/g@{aYv^Su RS-N Cerebral vascular accidents after cardiac catheterization in stroke patients ZHANG Hua, ZHANG Zhuo. Department of Neurology, An Zhen Hospital of Capital University of Medical Science, Beijing 100029, China [Abstract] Objective To investigate the characteristics and risk factors of cerebral vascular accidents(CVA) after cardiac catheterization (CC) in stroke patients. Methods The clinical data of 892 stroke patients received CC since Jan.2002 to Oct.2006, were analyzed retrospectively. Results During and within 24hours after the operations,101 patients suffered from CVA (11.32%). 33 patients suffered from transient ischemic attack (TIA),64 patients suffered from cerebral infarction(CI) and 4patients suffered from cerebral hemorrhage(CH). Logistic regression models found that risk factors of CVA were associated with male gender(OR 0.308, 95%CI 0.141-0.674), alcohol(OR 0.319, 95%CI 0.128-0.797) , hyperlipidemia (OR 3.676, 95%CI 1.944-6.950), peripheral vascular diseases((OR 7.419, 95%CI 2.477-22.219),numbers of cardiac vascular diseases(OR 1.809, 95%CI 1.284-2.548). Patients under PTCA and stenting were much easier suffered from CVA compared to the other patients. Conclusions The risk factors after CC maybe male gender, alcohol, hyperlipidemia, peripheral vascular diseases, numbers of cardiac vascular diseases and PTCA and stenting. [Key words] Cardiac catheterization; Cerebral vascular accidents; Complication; Stroke _[{/gcardiac catheterization, CC vMR]~b:NNy8^v_uʋeTluel0vQ-N_@{ q_cardiac angiography CA :Nʋe_@{uvёch ~vTQ@{bW/gpercutaneous transluminal coronary angioplasty PTCA /f[_@{;^X'`uuv_wc0 gHe _c$O\vluel0@wۏLdkyʋeTluv`NpeXR vQ/g-NTVKb/ggv^y~|~v^Su_NnXR,vQ-N%`'`@{aYcerebral vascular accidents, CVA g:N8^ }6qSus Nؚ FOvQ{kSksؚ0vMRVQ\e~_[{/gNT^y~|~v^SuSuvvsQbS _Nl ge_` gRS-Nv`ۏL_NeQlu/g-NTVKb/ggQSRS-NvvsQbS0:Ndk bNV~Nbb 892 OۏL_[{/gvRS-N`uODe [vQ/g-NT/gTQs^y~|~v^Su`QۏLN~Rg0 [aNel N0[a @b g[aeg2002 t^1g 2006 t^10g,gbޏ~eQbL_[{/gۏLʋeTluve_ gRS-Nv` qQ892O GW:NOObuODeV~0vQ-N/g-NT/gT24 hQSu@{uv`101O t^39~79\0 N0el 6eƖ`vN,`Q Sbt^0'`+R0SO͑cpeBMI 0ؚ@S0|?\u08Tp0nR0ؚ@u ؚ[^ˆ}vƀVMNO0Q_u0ba'`;^X'`l0_?b~NSYhT@{uu @b g[aGW:NL~R z:R_v` \~ahR z:R_Kb/gv`dY0U_`eQbv;NʋeSb3z['`_~u0 N3z['`_~u0%`'`_h{k0QrR -deh/gTNSu_g 0_NeQ q_T@{uSpeϑ(NUS/e@{rzb;^X z^'YN75%N N:NhQ)0uSR^`QSQrR 0];Nr^0]MRM/e0Ve/e0;NR tuuNSN\tuu 0lu`QUS~CA+oirlu0PTCA0PTCA+/eg0_YyQrR -deh/gNSCA+nhlu 0^y~|~v^Suh{k0TIANSQ@ NSRS-NSMO0eSuvh{kTQ@vʋe:N~^y~QyOʋ;S^Oʋ0gSOv^GW g4YCTbMRI[:NeSuvpv`wfO@ NTIA vʋe:N~^y~QyOʋ;S^Oʋ0gSOSq_Pf[hg&{ThQV,{V!k@{uf[/gO6R[vʋehQ vQYO~OObuORgcdRS-N0 N0~f[RYt peDe(uX2h ϑDeǑ(urz7h,gth0[NUSV }e]Rg g~f[aINvSϑۏLLogisticVR_Rg0@b gpencYtǑ(uSPSS11.0~oN[b0 ~g `vN,`Q /gT gv^SuTl gv^Suv$N~`(Wt^0ր0ؚ@SuS0|?\uuS0nR0ba'`;^X'`l0_?b~NSؚ[^ˆ}v4ls^MNOeb]_l g~f[aIN (W'`+R(P=0.000)08Tp(P=0.025)0ؚ@u(P=0.000)0e_ gQ_uS(P=0.000)NSYhT@{u(P=0.000)eb]_ g~f[aIN(h1)0 h1 `4N^yr_ 4N^yr_;`uOn=892 /gTl gv^Sun=791  gv^Su n=101 P25 44149.4 377(47.7)64(63.4)0.441ؚ@Su622(69.7)550(69.5)72(71.3)0.718|?\u205(23)175(22.1)30(29.7)0.0888Tp392(43.9)338(42.7)11(10.9)0.025nR143(16.0)132(16.7)55(54.5)0.135ؚ@u336(37.7)279(35.3)57(56.4)0.000Q_u29533.1 244(30.8)51(50.5)0.000ba'`;^X'`l34(3.8)32(4.0)2(2.0)0.382_?b~32(3.6)30(3.8)2(2.0)0.357YhT@{uu27(3)10(1.3)4(4.0)0.000ؚ[^ˆ}v4ls^MNO289(32.4)253(32.0)36(35.6)0.460lbSQ:N~vRk N0`_ʋeNlu`Q 1. (W;Nʋevk-N /gTev^Su~`-NNu_g:N;N45% vQ!k/f3z['`_~u`36.8%  /gT gv^Su~v`-N ;N/f3z['`_~u`44.6% vQ!k/f%`'`_h{kv`(34.7%)h2 0 h2 ;Nʋevk ~+ROpe3z['`_~u N3z['`_~u%`'`_h{ku_gCABG /gT/gTev^Su791291(36.8)70(8.8)60(7.6)356(45.0)14(1.8)/gT gv^Su10145(44.6)6(5.9)35(34.7)13(12.9)2(2.0)lbSQ:N~vRk 2. k q_~g-N@{uSvpeϑ e/gTv^Su~-N46.5%v`l gf>fv@{uS N/euSv``S27.2% gv^Su~ N/euSv``S45.5% N10.9%v`l gf>fv@{uSh3 0 h3 q_~g@{uSpeϑvk ~+ROpe0ag1ag2ag3ag/gTev^Su791368(46.5)127(16.1)81(10.2)215(27.2)/gT gv^Su10111(10.9)30(29.7)14(13.9)46(45.5)lbSQ:N~vRk 3. @{uSR^`Qvkeg w $N~`;NuSvMOƖ-N(W];Nr^0]MRM/eNS]Ve/e ;NR tTN\tuu:Npe NYh4 0 h4 @{uSR^`Qk ~+ROpeSQrR ];Nr^]MRM/e]Ve/e;NR tuuN\tuu/gTev^Su791131266327210120/gT gv^Su10139446347834. N bluve_eg w e/gTv^Su~`;NۏLNUS~CAʋeToirlu48% vQ!k/fۏLNPTCA T/eglu36.2%  gv^Su~`'YRۏLNPTCA T/eglu62.4% US~CAʋeToirluNSPTCAluvkOv T16.8% h5 0 h5 lu`Qk ~+ROpeUS~CA+oirluPTCAPTCA+/egCABGnhlu/gTev^Su791380(48.0)77(9.7)286(36.2)48(6.1)0(0)/gT gv^Su10117(16.8)17(16.8)63(62.4)2(2.0)2(2.0)lbSQ:N~vRk 5. N>en/egpeϑ Nk e/gTv^Su~`ǏJSpe64.9% l g>en/eg vQ!k16.4%:N>en1*N/egv` >en2*NT3*N/egvN`S9%T4.9% gv^Su~`>en/egvpeϑN00R3*NO!k:N39.6%024.8%018.8%014.9% $N~>en4*NN N/egvNpeGW_\h6 0 h6 >en/egpeϑk ~+ROpe0*N1*N2*N3*N4*N5*N/gTev^SL791513(64.9)130(16.4)71(9.0)39(4.9)20(2.5)18(2.3)/gT gv^Su10140(39.6)25(24.8)19(18.8)15(14.9)2(2.0)0(0)lbSQ:N~vRk N0^y~|~v^Su`QNSvsQqSiV }Rg Su^y~|~v^Suv`-N TIA v` g 12 Ohs:NMR_s:@ 21Ohs:NT_s:@Suh{kv`-N 6 OMONr^ 28 OMON'Yv( 31O(W^:S0QSRS-Nv`-N g2O{kN GW:N%`'`_h{kv` vQ-N1O:Nv^SQ@ MO(W\SgS Sue(WCC /gT2 h {kNSV:NuS1O:NNO'YJSth{k /g-NSu {kNYhVpz04OQ@`-N 1OMONN 2OMON^ 1OMON\SgSh7 01uNQ@ TIANSh{kuOpeϑ NY NNZPUSrVR_Rg Vdk\vQTv^:N g^y~|~v^Su~ ~NۏLLogisticVR_Rg ~gh80 h7 ^y~|~v^Su`Q:Ope N TluelTIAh{kQ@CA76.9 87.9 11.0 PTCA33.0 1413.5 00.0 PTCA+/eg2322.8 4241.6 11.0 CA+nh00.0 00.0 22.0 lbSQ:N~vRk h8 ^y~|~v^SuLogisticYCQVR_Rg chVR_|pehQWaldPXdnFP 0WD`0gd"j` 0WD`0gdo$a$gdA 0WD`0gdGgd.gd(gd}-$a$gdmgdN4$a$gdZgdY    D L Z \ ^ v  " 檞ΒxocxWKWKWWhGh{CJaJo(hGh=CJaJo(hGhZCJaJo(h}-CJaJo(hGhCJaJo(hGhhGheCJaJhGh5XCJaJo(hGhZCJaJo(hGhLCJaJo(hGh.CJaJo(hGhY-rCJaJo(hGh9.CJaJo(hGhi)CJaJo(hGhZCJaJo(hGhfCJaJo(hGh{CJaJo(hGhCJaJo(hGhcCJaJo(hGhc5CJaJo(hGh=CJaJo(hGhACJaJo( k l u v     Ϳ癍ui]]QCQhGhQ-5CJaJo(hGhQ-CJaJo(hGhiCJaJo(hGh9CJaJo(hGhGGCJaJo(hGh(CJaJo(hGh.CJaJo(hGhAr~CJaJo(hGh5X5CJaJhGh5X5CJaJo(h}-hm6CJaJo(h}-h5X6CJaJo(hGhY-rCJaJo(hGh5XCJaJo(hGhfCJaJo( J L M S W [ _ c ;>Xef}+18ۺ}Ϡ}}qeqωYhGhY!CJaJo(hGh,_UCJaJo(hGh"CJaJo(hGh TvCJaJo(hGh9CJaJo(hGhjCJaJhGhjCJaJo(hGhM 5CJaJo(hGhM CJaJo(h}-CJaJo(hGhGGCJaJo(hGh (YCJaJo(hGhfCJaJo(hGh\CJaJo( 89:EF]_{|  ()4wl`l`TlIhGhACJaJhGhACJaJo(hGh.CJaJo(hGh}-CJaJhGh.5CJaJo(hGh(CJaJo(hGhY!CJaJo(hGhe-iCJaJo(hGhsTCJaJo(hGhfCJaJo(hGh=wCJaJo(hGhc<\5CJaJo(hGhc<\CJaJo(hGh,_UCJaJo(hGhCCJaJo(457<=  :<>BDp8|ĴĴĴĄteUEhGh=CJOJQJaJo(hGh2%OCJOJQJaJo(hGhpICJOJQJaJhGh0CJOJQJaJo(hGhpICJOJQJaJo(hGhN4CJOJQJaJo(hGhGGCJOJQJaJo(hGhp)nCJOJQJaJo(hGhfCJOJQJaJo(hch5Xo(hGh5XCJaJo(hGh}-CJaJhGhLCJaJo(.Rhl  $4VXbdlnvsssscSShGhf$CJOJQJaJo(hGhmCJOJQJaJo(hGhoLCJOJQJaJo(hoCJOJQJaJo(hGhZCJOJQJaJo(hGh~lGCJOJQJaJo(hGh+ECJOJQJaJo(hGhN4CJOJQJaJo(hGh=CJOJQJaJo(hGhe-iCJOJQJaJhGhe-iCJOJQJaJo( v(02:<DFJNP|߲ߢߢϢϢrrbbRhGhC;CJOJQJaJo(hGh:CJOJQJaJo(hGh6CJOJQJaJo(hGh=CJOJQJaJo(hGhZCJOJQJaJo(hGh$CJOJQJaJo(hGh+ECJOJQJaJo(hoCJOJQJaJo(hGhf$CJOJQJaJo(hGhN4CJOJQJaJo(hGh.CJOJQJaJo( D^lϿϯueUeEe55hGhWCJOJQJaJo(hGhr1CJOJQJaJo(hGhCJOJQJaJo(hGhC#oCJOJQJaJo((hohB*CJOJQJaJo(ph(hoh2B*CJOJQJaJo(phhGhZCJOJQJaJo(hGhCJOJQJaJo(hGh<_$CJOJQJaJo(hGh^CJOJQJaJo(hGhC;CJOJQJaJo(hGhf$CJOJQJaJo(048>BNPfh°žŽ~n~^N^^>^>^>Nh"j`h"j`6CJOJQJaJhGh"j`CJOJQJaJo(hGhiCJOJQJaJo(hGhACJOJQJaJo(hGh@CJOJQJaJo(hGhCJOJQJaJo("h"j`h`G6CJOJQJaJo("hGh`GCJH*OJQJaJo(hGh`GCJOJQJaJo(h"j`CJOJQJaJo(hGhf$CJOJQJaJo(hGh:CJOJQJaJo((FP`f$IfgdN4l0$a$gd"j` 0WD`0gdG & Fgdi &6DN^`blnprtvx|~²ﭨ~up~g^~h"j`OJQJo(hwpOJQJo( h6o(h6OJQJo( h"j`o( ho(h"j`h"j`6OJQJo( hf$o(h"j`h"j`6 hAo( hVDro( hN4o(hGh-![CJOJQJaJo(h"j`CJOJQJaJo(hGh"j`CJOJQJaJo(h"j`h"j`6CJOJQJaJhGhiCJOJQJaJo("fhxK88888$IfgdN4lkd$$Iflr b  ( t0644 laFRT\np  "24>HZ\np ",8JL^`pr| h6o( h+o( hwpo( h2Zo( h)h o( h"to( h4o(hVDrOJQJo( hp\Xo( hDo( hVDro(hEOJQJo(JK88888$IfgdN4lkd$$Iflr b  ( t0644 laK2$IfgdN4l$IfWDd`gdN4lkd$$Iflr b  ( t0644 la7kd|$$Ifl4r b  (` t0644 la$IfgdN4l0BD$IfgdN4l$IfWDd`gdN4lDF\pJ77777$IfgdN4lkdX$$Ifl4r b  (  t0644 laK88888$IfgdN4lkd4$$Iflr b  ( t0644 la"4@K88888$IfgdN4lkd$$Iflr b  ( t0644 la@BH\pK88888$IfgdN4lkd$$Iflr b  ( t0644 laK88888$IfgdN4lkd$$Iflr b  ( t0644 la".K88888$IfgdN4lkd$$Iflr b  ( t0644 la.08L`r~K88888$IfgdN4lkdX$$Iflr b  ( t0644 la~K88888$IfgdN4lkd, $$Iflr b  ( t0644 la  K88888$IfgdN4lkd $$Iflr b  ( t0644 la   " , . < > J L V Z j l n p &!,!H!R!!!!!!!!!!Ͽzuz h<*o( hN4o(hGhZy0CJOJQJaJo(hGhY5CJOJQJaJo(hGhR qCJOJQJaJo(hGhziwCJOJQJaJo(hGhCJOJQJaJo(hGhmo( ho( h o( h2Zo( h6o( hp\Xo( h+o( hVDro( hwpo(.  " . > L X K88888$IfgdN4lkd $$Iflr b  ( t0644 laX Z p K88888$IfgdN4lkd $$Iflr b  ( t0644 la !!KF;;3$a$gd"j` 0WD`0gd"j`gdN4kd| $$Iflr b  ( t0644 la!!!!"" "0"$IfgdN4l0"2"%kdP $$Ifl֞U Z  t0644 la2"@"H"\"l"|"""$IfgdN4l!H"Z"\"j"l"z"|"""""""""""""# # #$#&#*#4#R#`####$$$%|%%%z&&''''''''''''''а h@/o(hGh<*CJOJQJaJo(hGhZy0CJOJQJaJo(hGh "CJOJQJaJo(hGhthCJOJQJaJo(hGh)^CJOJQJaJo(hGhY5CJOJQJaJo( hAo( h<*o( ho(6""%kd4$$Ifl֞U Z  t0644 la""""""" #$IfgdN4l # # #% gdN4kd&$$Ifl֞U Z  t0644 la ##$$$"$($.$4$$IfgdN4l$a$gd"j` 0WD`0gd"j`4$6$D$L$`$8%%%$IfgdN4lkd$$Iflֈ  8Q  t0644 la`$t$$$$%kd$$Iflֈ  8Q  t0644 la$IfgdN4l$$$$$$$$IfgdN4l$$%%83( 0WD`0gd"j`gdN4kd$$Iflֈ  8Q  t0644 la%%%%%%%%%%$IfgdN4l$a$gd"j` %&kdJ$$IflִT@  )8* t06    44 la&&&&&&.&6&<&@&$IfgdN4l$Ifgd@/l@&B&kd`$$IflִT@  )8* t06    44 laB&P&X&^&d&j&p&t&x&$IfgdN4lx&z&kd$$IflִT@  )8* t06    44 laz&'''''''''$IfgdN4l  WD` gd"j` 0WD`0gd"j` '''''(((((*(,(>(@(N(P(X(\(((()****(***.*0*4*6*:*<*@*B*F*H*Z*`***D+X+Z+^++++hGh;CJOJQJaJo(hGhEYCJOJQJaJo(hGh@/CJOJQJaJo( h@`]o(hGh;CJOJQJaJo(hGh DCJOJQJaJo(hGhZy0CJOJQJaJo( hAo( h@/o( h<*o(0''%kd$$Ifl֞U Z g t0644 la'(((,(@(P(Z($IfgdN4lZ(\(%kd$$Ifl֞U Z g t0644 la\(j(r(((((($IfgdN4l$Ifgd@/l(((% gdAkd~$$Ifl֞U Z g t0644 la(** *&*,*2*8*>*D*J*$IfgdN4l$a$gd"j` 0WD`0gd"j` J*L*kdp$$Iflִ 0_   ..///! t06    44 laL*Z*b*v******$IfgdN4l**kdN$$Iflִ 0_   ..///! t06    44 la****++*+8+B+$IfgdN4lB+D+kd:$$Iflִ 0_   ..///! t06    44 laD+X+Z++----....$IfgdN4l$a$gd"j` 0WD`0gdGgdoigdN4gdA +++++++ ,,,, ,$,.,0,z,,,,,,,,.-6-8-D-߿rbRhGhoiCJOJQJaJo(hGhZvCJOJQJaJo(h"j`CJOJQJaJo(hGhfCJOJQJaJo(hGh2CJOJQJaJo(hGhCJOJQJaJo(hGhmJCJOJQJaJo(hGh@/CJOJQJaJo(hGh8PCJOJQJaJo(hGh;CJOJQJaJo(hGhZCJOJQJaJo(D-J------------".,.0.:.<.>.H.X.b.h.t.x.........................//ǵǣ h"j`o( h9Ro( h] o( hZo( hao( h"Qo( hq)o(hoih9B*o(phhoihoiB*o(ph hZvo( hEYo( hmo(hGh;CJOJQJaJo(hGhoiCJOJQJaJo(hGhoiCJOJQJaJ2.. ...<.J.aNNNN$IfgdN4lkd&$$Ifl\8 RRSS t0644 laJ.L.V.d.v..aNNNN$IfgdN4lkd$$Ifl\8 RRSS t0644 la......aNNNN$IfgdN4lkd|$$Ifl\8 RRSS t0644 la...../aNNNN$IfgdN4lkd'$$Ifl\8 RRSS t0644 la/////// /"/$/&/a\WWWWWWWWgd)^gdN4kd$$Ifl\8 RRSS t0644 la //2/6/f/h/l/n/v/x/~///////////////////////ݼݲuudS!h )CJKHOJQJ^JaJo(!hGVyCJKHOJQJ^JaJo(hCJKHOJQJ^JaJ!hCJKHOJQJ^JaJo($h)khCJKHOJQJ^JaJh ho(hrCJKHaJ#h[hr6OJPJQJ^JaJh[hr6aJ hro(hr hGVyo( h2o( h)^o( hGo( h?_o( h9o( &/(/*/,/./0/2/4/6/h/n/x//////$Ifl0$a$gdoigd)^///%$Iflkd}$$Ifl֞ j!8  ps t0644 la//////0$$7$8$H$Ifa$l0$$7$8$H$Ifa$gdl0/0000 000 0"0,0.0D0F0N0P0Z0\0^0b0d0f0h0r0t0~0000000000000000000ǴǴǤǤǴشǴǴǤǤǴoǴǴ$hGVyhCJKHOJQJ^JaJ!h )CJKHOJQJ^JaJo(!hGVyCJKHOJQJ^JaJo(hCJKHOJQJ^JaJ$h)khCJKHOJQJ^JaJ!hCJKHOJQJ^JaJo(h ho(hCJKHaJ'h)khCJKHOJQJ^JaJo(+000%$Iflkd$$Ifl֞ j!8  ps t0644 la00 0,080D0\0$$7$8$H$Ifa$l0$$7$8$H$Ifa$gdl0\0^0d0%$Iflkd $$Ifl֞ j!8  ps t0644 lad0r0~00000$$7$8$H$Ifa$l$$7$8$H$Ifa$l0$$7$8$H$Ifa$gdl0000%$Iflkd!$$Ifl֞ j!8  ps t0644 la0000011$$7$8$H$Ifa$l$$7$8$H$Ifa$l0$$7$8$H$Ifa$gdl000011 1 1111 1"1$1.101:1<1F1H1^1`1h1j1t1v1x1|1~111111111111̻̻sbbbb!hFCJKHOJQJ^JaJo(hFCJKHOJQJ^JaJh ho(hCJKHaJ'h)khCJKHOJQJ^JaJo(!h )CJKHOJQJ^JaJo(!hGVyCJKHOJQJ^JaJo($h)khCJKHOJQJ^JaJ!hCJKHOJQJ^JaJo(hCJKHOJQJ^JaJ&11"1%$Iflkd"$$Ifl֞ j!8  ps t0644 la"1.1:1F1R1^1v1$$7$8$H$Ifa$l$$7$8$H$Ifa$l0$$7$8$H$Ifa$gdl0v1x1~1%$Iflkd#$$Ifl֞ j!8  ps t0644 la~1111111$$7$8$H$Ifa$l$$7$8$H$Ifa$l0$$7$8$H$Ifa$gdl0111111111111112&(246>@LNXfh~ޓޓހo!h )CJKHOJQJ^JaJo($h)khCJKHOJQJ^JaJ!hCJKHOJQJ^JaJo(Uh ho(hCJKHaJ'h)khCJKHOJQJ^JaJo(!hGVyCJKHOJQJ^JaJo(hCJKHOJQJ^JaJ!hFCJKHOJQJ^JaJo(+111%$Iflkd$$$Ifl֞ j!8  ps t0644 la1114$$7$8$H$Ifa$l$$7$8$H$Ifa$l0$$7$8$H$Ifa$gdl040.7271.0100.732~1.544ؚ@u1.3020.32516.0490.0003.6761.944~6.950ؚ[^ˆ}vNO-0.4940.3312.2210.1360.6100.319~1.168nR-1.1420.4675.9900.0140.3190.128~0.797SO͑cpe-0.0280.0560.2470.6190.9730.872~1.085e_Q_u0.5500.3123.1070.0781.7330.940~3.192hTV@{u2.0040.56012.8240.0007.4192.477~22.219ʋe0.1820.1192.3520.1251.2000.951~1.515_@{uSpeϑ0.5930.17511.4860.0011.8091.284~2.548luel0.4030.2193.3770.0661.4960.974~2.298/egpeϑ-0.2000.1302.3730.1230.8180.634~1.056N~g-N w luelvPf:yt$7u'``ksY'``f[fSuCC/gTRS-N Tv^8Tp0ؚ@u0e_nxʋQ_uNS` gYhT@{uvRS-N`f[fSuCC/gTRS-N0u$CC/gTSuCVA vqSiV }Sb7u'`0ؚ@u0nR0hTV@{uS0_@{uSpeϑNSluvel0 9hncvMRe.s~ /g-NT/gTCVASb:@TQ@'` $\vQ(W36 hNQvSus(W0.07%~7.0%0'YRNKb/gǏ z gsQvCVASu(W/g-Nb/gT_wveQ0t^`80\N NN50\N Nvk 0_@{uSv%N͑ z^0Tv^ gfYv@{uSqSiV }v`ffSu/gT%`'`CVA[2-5]0bNvxvz_N gvf:y:NY@{R^vYvp'`%`'`h{k @{vqSiV }SegꁎN'Y@{X NvR |7hlxSeWW /f\o(WvhP[egn[8]u$~YnfR[cKm0RؚAmϑ:NhP[OS ُNVSOhP[(W[{MRۏe0l\ q_BRN][ q_eQs[9]0bNvxvz>f:yۏLPTCANS TeO(u/egluv`QSRS-NvQsf>fؚNUS~ۏLCA hgTv^oirluv` PTCANS TeO(u/egluv`vQSOQ[{d\ONSev[kUS~ۏLPTCAv` VdkhP[1=T(W[{\zb_bv:gOv[XY0 vMRxvzcKmhP[vegn gN NQ*Nt$[{\z~;NR _e[|7hlxSeWW1=u$SOQ[{v\z@hb_b/fhP[v͑egnv$ q_ev^0S fNfYvSOQ[{d\O O_fYvR lxSeWW1=NS[{\z@hb_bw$\v\o(WhP[egn؏Sbzzlh[0/g-NNO@S0R Qdˆ0bev[N Negvё^\hP[I{x$8\hv~g؏c:y(W'YvB\v\R NSsNƀV~vfhP[[10]0 CC/gTQ@vSus܏:@'`RS-NvSusNO ;NN%`'`_h{kTO(unhlu0 N TvY-N_xvz>f:yvSus N T N0.2%~14% NI{0bNvV~'`xvz-NQ@vuOpeN:N4O vQ-N1O:NUS~CATQ@ 1O:NPTCATv^/eg/gTQ@ S2OGW:NnhTQ@ vQ-N1OPTCATv^/eg/gTQ@`{kN0;`Q@s`SxvzNv0.45%0NVE Ne.sbSvf:y[N'YYpe_h`,NeQluv^^_ NS\,gsOvoirluNcOg'Y z^vOb\O(u[12]01udkS ^(W/gMREQRċ0O``Q %Nۺۺۺh ho(hCJKHaJ'h)khCJKHOJQJ^JaJo(!h )CJKHOJQJ^JaJo(!hGVyCJKHOJQJ^JaJo(hCJKHOJQJ^JaJ$h)khCJKHOJQJ^JaJ!hCJKHOJQJ^JaJo(3 $$7$8$H$Ifa$l$$7$8$H$Ifa$l0$$7$8$H$Ifa$gdl0 ".%$Iflkd*$$Ifl֞ j!8  ps t0644 la.:FT`l$$7$8$H$Ifa$l$$7$8$H$Ifa$l0$$7$8$H$Ifa$gdl0%$Iflkd+$$Ifl֞ j!8  ps t0644 la$$7$8$H$Ifa$l$$7$8$H$Ifa$l0$$7$8$H$Ifa$gdl0%$Iflkd,$$Ifl֞ j!8  ps t0644 la(4L$$7$8$H$Ifa$l$$7$8$H$Ifa$l0$$7$8$H$Ifa$gdl0>@JLNVXZdfp|~ &ɿɿɿrhGh>3XCJOJQJaJo(hCJKHOJQJ^JaJ$h)khCJKHOJQJ^JaJ!hCJKHOJQJ^JaJo(h ho(hCJKHaJ'h)khCJKHOJQJ^JaJo(!h )CJKHOJQJ^JaJo(!hGVyCJKHOJQJ^JaJo(&LNX%$Iflkd-$$Ifl֞ j!8  ps t0644 laXdp|$$7$8$H$Ifa$l$$7$8$H$Ifa$l0$$7$8$H$Ifa$gdl0%$Iflkd.$$Ifl֞ j!8  ps t0644 la$$7$8$H$Ifa$l$$7$8$H$Ifa$l0$$7$8$H$Ifa$gdl0% 0dWD`0gdoikd/$$Ifl֞ j!8  ps t0644 la&(Ft06:@ξάάΜ|lZJ:hGhj2CJOJQJaJo(hGhJ\ CJOJQJaJo("hGhJ\ CJH*OJQJaJo(hGh,CJOJQJaJo(hGh@ LCJOJQJaJo(hGhmCJOJQJaJo(hGhN4CJOJQJaJo("hoihU6CJOJQJaJo(hGhsWCJOJQJaJo(hGhUCJOJQJaJo(hGh>3XCJOJQJaJo("hoih>3X6CJOJQJaJo(,nx@    gdy $a$gdR% 0WD`0gdpE! 0WD`0gdG 0WD`0gdG$a$gdpdgdG@Dbh$*8<@DFHLl2߿￟Ͽ￟￟rbhGhJ\ CJOJQJaJo(h$CJOJQJaJo(hGhdCCJOJQJaJo(hGh2-CJOJQJaJo(hGh{CJOJQJaJo(hGhsWCJOJQJaJo(hGhXCJOJQJaJo(hGhZCJOJQJaJo(hGhj2CJOJQJaJo(hGhfCJOJQJaJo(#28T|~HZ`bj&NRϿϝύ}m]}]M]=hGhfCJOJQJaJo(hGh~!CJOJQJaJo(hGhg-CJOJQJaJo(hGhCJOJQJaJo(hGh="WCJOJQJaJo(hGhvwCJOJQJaJo(hGhz CJOJQJaJo("hGhJ\ CJH*OJQJaJo(hGhp CJOJQJaJo(hGhdSDCJOJQJaJo(hGhJ\ CJOJQJaJo(hGhmCJOJQJaJo(R.2ϼߗ߇wgWG7hGhJ\ CJOJQJaJo(hGhsWCJOJQJaJo(hGh!aCJOJQJaJo(hGhfCJOJQJaJo(hGhXCJOJQJaJo(hGhmCJOJQJaJo(hGh@sCJOJQJaJo((hGh2B*CJOJQJaJo(ph%hGhWqB*CJOJQJaJphhGh2CJOJQJaJo(hGh~!CJOJQJaJo(hGhg-CJOJQJaJo(:<@BDNRrt﫛{kk[[KKhGhBCJOJQJaJo(hGhq CJOJQJaJo(hGhu=CJOJQJaJo(hGh!aCJOJQJaJo(hGh+ECJOJQJaJo(hGh=CJOJQJaJo(hGhz CJOJQJaJo(hGhsWCJOJQJaJo("hGhiCJH*OJQJaJo("hGhJ\ CJH*OJQJaJo(hGhuCJOJQJaJo(28$<f|ͽ͍ͭ͝}m]MM=hGho8CJOJQJaJo(hGhHCJOJQJaJo(hGh/CJOJQJaJo(hGhR'CJOJQJaJo(hGhkCJOJQJaJo(hGhCJOJQJaJo(hGhCJOJQJaJo(hGhZCJOJQJaJo(hGhfCJOJQJaJo(hGh!aCJOJQJaJo("hGhiCJH*OJQJaJo(hGh^ACJOJQJaJo( RZ*2:° ␀p`PhGhJCJOJQJaJo(hGh7OCJOJQJaJo(hGhfCJOJQJaJo(hGh%>kCJOJQJaJo(hGhCJOJQJaJo(hGhCJOJQJaJo("hGhiCJH*OJQJaJo(hGhHCJOJQJaJo(hGho8CJOJQJaJo(hGhCJOJQJaJo(h$CJOJQJaJo(:@`bjrz~RZ\fl߿߯q߯aQAQhGhfCJOJQJaJo(hGh`CJOJQJaJo(hGh7OCJOJQJaJo(+hGhpn4B*CJH*OJQJaJo(ph(hGhpn4B*CJOJQJaJo(ph%hGhpn4B*CJOJQJaJphhGhpn4CJOJQJaJo(hGhCJOJQJaJo(hGhFh?CJOJQJaJo(hGhJCJOJQJaJo(hGhZCJOJQJaJo(lnx "&*n<>@Hb>ͺͰͰͰ͜װ׈zlalWWWhGh`CJo(h$CJmHo(sHhGh%sCJmHo(sHhGhyCJmHo(sHhGh,2CJo(hGhLyCJo(hGhCJo(hGhfCJo(hGhCJo(hGh%sCJo(hGhFhCJhGhFhCJo(hGhyCJo(hGhR%CJo((hpE!hGB*CJOJQJaJo(ph">JFH^L                ǽ߈~t~j`W`hGh$CJhGhQCJo(hGhCSqCJo(hGh]/CJo(hGh%wCJo(hGh%wCJmHo(sHhGh/J CJo(hGhJCJo(hGhxCJhGhxCJo(hGhyCJo(hGhLCJo(hGhLCJmHo(sHhGhyCJmHo(sHhGh`CJo(hGh`CJ   Z xĽhGhpE!CJo( hpE!CJo( hCJo(hGhUCJhGhUCJ\o(hGhUCJ\hGhUCJo(hGhQCJo(hGhpE!CJ  $a$gdpE!gdR%0182P. A!"#$%S $$If!vh5 5(555#v #v(#v#v:Vl t065 5(55/ $$If!vh5 5(555#v #v(#v#v:Vl t065 5(55/ $$If!vh5 5(555#v #v(#v#v:Vl t065 5(55/ $$If!vh5 5(555#v #v(#v#v:Vl4 t06+5 5(55/ $$If!vh5 5(555#v #v(#v#v:Vl4 t06+5 5(55/ $$If!vh5 5(555#v #v(#v#v:Vl t065 5(55/ $$If!vh5 5(555#v #v(#v#v:Vl t065 5(55/ $$If!vh5 5(555#v #v(#v#v:Vl t065 5(55/ $$If!vh5 5(555#v #v(#v#v:Vl t065 5(55/ $$If!vh5 5(555#v #v(#v#v:Vl t065 5(55/ $$If!vh5 5(555#v #v(#v#v:Vl t065 5(55/ $$If!vh5 5(555#v #v(#v#v:Vl t065 5(55/ $$If!vh5 5(555#v #v(#v#v:Vl t065 5(55/ $$If!vh5 5(555#v #v(#v#v:Vl t065 5(55/ $$If!vh5 5(555#v #v(#v#v:Vl t065 5(55/ $$If!vh5 5(555#v #v(#v#v:Vl t065 5(55/ $$If!vh5555555#v#v#v#v#v:Vl t0655555$$If!vh5555555#v#v#v#v#v:Vl t0655555/ $$If!vh5555555#v#v#v#v#v:Vl t0655555/ $$If!vh555555#v#v:Vl t0655$$If!vh555555#v#v:Vl t0655/ $$If!vh555555#v#v:Vl t0655/ $$If!vh5)55558555*#v)#v#v#v#v8#v#v#v*:Vl t065)55558555*"$$If!vh5)55558555*#v)#v#v#v#v8#v#v#v*:Vl t065)55558555*/ "$$If!vh5)55558555*#v)#v#v#v#v8#v#v#v*:Vl t065)55558555*/ $$If!vh55g55555#v#vg#v#v#v:Vl t0655g555$$If!vh55g55555#v#vg#v#v#v:Vl t0655g555/ $$If!vh55g55555#v#vg#v#v#v:Vl t0655g555/ $$If!vh5 5 5.5.5/5/5/5!#v #v.#v/#v!:Vl t065 5.5/5!$$If!vh5 5 5.5.5/5/5/5!#v #v.#v/#v!:Vl t065 5.5/5!/ $$If!vh5 5 5.5.5/5/5/5!#v #v.#v/#v!:Vl t065 5.5/5!/ $$If!vh5R5R5S5S#vR#vS:Vl t065R5S/ $$If!vh5R5R5S5S#vR#vS:Vl t065R5S/ $$If!vh5R5R5S5S#vR#vS:Vl t065R5S/ $$If!vh5R5R5S5S#vR#vS:Vl t065R5S/ $$If!vh5R5R5S5S#vR#vS:Vl t065R5S/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ $$If!vh55n55555#v#vn#v#v#v#v#v:Vl t065 5p5555s/ J@J N4cke $1$a$ CJKH_HaJmH nHsH tH$A@$ ؞k=W[SOBi@B nfh*ph3.. pE!yblFhe,gCJaJ)Zl=>a f / 8 8 B G R a f n q r z     ) 2 8 9 = E O X ^ _ b l v  $%*2:AGHOU]djkv"-03:BINVW^blt|5FILORUXY`dnx"&+07=>EIMQUY\^_fjmpsvxz{$,167>BLT^fklsw?KNQTWZ]`cdkoy#$%7>BFJKNU\cdipy !',2>?BHNTZ`lmpw} ()-4:@FLXY^djqw} $*06<BNOU[ahnt!'-39EFG !^"##$F%.& ''(()))000000000000000 000 0 0 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 0 000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 000 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 0 000 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 0000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000000000000000000 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 0 0 0 0 00000000000000000l=a / =>EQUY\^_fpsvxz{$,167>kls?KNQTWZ]`cd !',2>?BHNTZ`lmpw} ()-4:@FLXY^djqw} $*06<BNOU[ahnt!'-39EFG ''(()K00K00K00K00K00K00K00K00K00K00K00K00K00K00DK00 K00 K00 nK00K00 K00 DK0 0 K00K0 0 TDK0 0 K0 0 K00 K0 0 I00 K00 K00zI00 I00 I00 I00 I00 K00K00P DK00 K00 K00 K00 K00 K00 DK00 @0 K00L DK00 K00 K00 K00 K00K0/0K0/0K0/0K0/0K0/0K0/0K0/0K0/0K0/0K0/0K0/00hqK0/0K0/0K00K00YK00 K00K00K00[K00[K00[K00[K00[K00[K00[K00K00[K00@0 K00K00K00@0 K00K00[K00@0 K00K00K00 @0K00K00[K00@0 K00K00K00@0K00K00[K00@0 K00(K00K00T@0K00K0 0[K00 @0 K00 `K00 (K00 @0K00K0 0[K0 0 @0 K0 0 K0 0 `K0 0 @0K00K00[K0 0 @0 K0 0 ЦK0 0 K0 0 @0K00K00[K00@0 K00K00K004@0K00K00[K00@0 K00@K00K00l@0K00K00[K00@0 K00xK00@K00@0K00K00[K00@0K00K00xK00@0K00K00[K00@0K00观K00K00@0K00K00[K00@0 K00 K00K00L@0K00K00[K00@0 K00XK00 K00@0K00K00[K00@0 K00K00XK00@0K00K0 0[K00@0K00ȨK00K00@0K00K0"0[K0 0!@0K0 0!K0 0K0 0@0 K00K00 dF 0K00K00K00K00 0 0K00lzI00I000 0"  84v!'+D-//01>&@2R:l>  !"#$%')7>N[\bfmrfD@.~ X !0"2""" # #4$`$$$%%&@&B&x&z&''Z(\(((J*L***B+D+.J.../&///00\0d0001"1v1~1114@\h .LX &(*+,-./012345689:;<=?@ABCDEFGHIJKLMOPQRSTUVWXYZ]^_`acdeghijklnopqst8@0(  B S  ?`wD\ aw3\ bw!cw,`y dway ###))###))9*urn:schemas-microsoft-com:office:smarttagsState8*urn:schemas-microsoft-com:office:smarttagsCity9*urn:schemas-microsoft-com:office:smarttagsplace;*urn:schemas-microsoft-com:office:smarttagschsdate au 112189920072630DayFalse IsLunarDate IsROCDateMonthYear      !#%9;<OPRSkmuwLM[\^_;<899:EF_`{|46<>CD[]_`$%@AO  F G U Y ` } ! 7 8 . =       ! " ( 3 7 8 A B F G P R Y Z _ a e g l n p r t u x z      9 < _ a %)HNku !",-/0239:ABHIM2345EFHIK!"%&*+/067<>DEQ{#$+,0157=>ABKLST]^efj?@BJKMNP%';=CFNP`ast"%1257=>ABEFIKOPSUVWZ\]^adjknprswyz{~  '?Amo),Y]#OTQZ\bdhl%&kl .0x{ :=IlABFI./23=>ABgh( ) G H R S g h !!!!!!!!]"_"##o#p#######$$E%G%m%n%-&/& ''1'2'''((((z){)))))))))kl<` a e f / 7 8 P 7 n p r y z  %)!4{>"%67=>ABEFIFoFNl !!A"]"##$E%&-&& ' '''(((()))))) 8 R a "F{?7F{))))\AsD7hh^h`o( H\H^H`\hH) \^`\hH. \^`\hH. 4\4^4`\hH)  \ ^ `\hH. | \| ^| `\hH.  \ ^ `\hH) \^`\hH. \^`\o(0 H\H^H`\hH) \^`\hH. \^`\hH. 4\4^4`\hH)  \ ^ `\hH. | \| ^| `\hH.  \ ^ `\hH) \^`\hH.\sDօ|L        Bh        X``J6TB & J\ q /J  )h p z {\@U=YGLF2-L2cD[pE!Y!~! "D%#$<_$f$8L%R% )<*}-9.@/B//0Zy0/#1r1,2j2N4pn4Y59Fh?7UBC DdSD+EFG`G~lGpImJ@ LoLmL2%O7O8P"QR9R/RsT)U,_UsW="W>3X5Xp\X (Y2ZMZZ-![#J[Z[[c<\@`])^?_"j`!a8d7IgFhie-ioi"j/j%>klFmp)nC#owp=Pp&pR qCSqWqY-rVDr|Jrs%s@s TvZv=wziwvwxGVyczAr~i)2Xq)!Vf|;kmi+EdCpGGM Zo9r= -uth\hHa ijg-_m"a.I\Ee^+6`^v^AyC=U`3EIMQUY\^_fjmpsvxz{$,167>BLT^fklswKNQTWZ]`cdkoy7>BFJKNU\cdipy !',2>?BHNTZ`lmpw} ()-4:@FLXY^djqw} $*06<BNOU[ahnt!'-39EF'()@P?>>> > >>>>>>)@@@@@@@@ @(@*@.@0@UnknownGz Times New Roman5Symbol3& z Arial;[SOSimSun1eckSO hf&f8w#K8w#K!-!),.:;?]}    & 6"0000 0 0 00000 =@\]^([{  0 0 00000;[rd)) 2QHX)?,2_NeQKb/gvMR]~b:NNy8^v_uʋeTluelZHuser  Oh+'0  0< \ h t 8ĿǰѾΪһֳಡϺƷZHNormaluser3Microsoft Office Word@^в@@@]-r8w#՜.+,0 X`lt| K)   !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~     $Root Entry F=z5r&Data 01TableWordDocument2ZSummaryInformation(DocumentSummaryInformation8CompObjm  FMicrosoft Office Word ĵ MSWordDocWord.Document.89q