高血压诊断标准变了！
<section data-role="outer" label="edit by 135editor" data-mpa-powered-by="yiban.io"><section data-role="outer" label="edit by 135editor"><section data-role="outer" label="edit by 135editor"><section><section data-role="outer" label="edit by 135editor"><section data-role="paragraph"><section data-role="outer" label="edit by 135editor"><section data-tools="135编辑器" data-id="118502"><section><section><section><section data-role="outer" label="edit by 135editor"><section data-role="paragraph"><section data-role="outer" label="edit by 135editor"><section data-role="paragraph"><section data-role="outer" label="edit by 135editor"><section data-role="paragraph" style="margin-bottom: 0px;outline: 0px;max-width: 100%;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section data-role="paragraph" style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section label="edit by 135editor" style="outline: 0px;max-width: 100%;letter-spacing: 0.544px;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section data-role="outer" label="edit by 135editor"><section data-tools="135编辑器" data-id="86005" style="margin-bottom: 24px;outline: 0px;color: rgb(34, 34, 34);letter-spacing: 0.544px;background-color: rgb(255, 255, 255);visibility: visible;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><section data-autoskip="1" style="margin-bottom: 16px;padding: 16px;outline: 0px;overflow-wrap: normal;overflow: auto;font-size: 15px;line-height: 1.45;border-radius: 3px;background-color: rgb(247, 247, 247);visibility: visible;"><section style="outline: 0px;line-height: 1.75em;visibility: visible;"><p style="text-indent: 2em;line-height: 2em;"><span style="outline: 0px;font-size: 17px;visibility: visible;color: rgb(89, 89, 89);">从11月13日起，一大批曾被界定为“高血压前期”的亚健康人群，将被诊断为高血压患者。当日，首部<span style="outline: 0px;visibility: visible;color: rgb(0, 112, 192);"><strong style="outline: 0px;visibility: visible;">《中国高血压临床实践指南》</strong></span>（下称：《指南》）发布。这部新《指南》将我国成人高血压的诊断界值由140/90 mmHg下调至<span style="outline: 0px;visibility: visible;color: rgb(0, 112, 192);"><strong style="outline: 0px;visibility: visible;">130/80 mmHg</strong></span>。华中科技大学附属协和医院心血管内科主任程翔教授、苏冠华副教授对其中变化进行了解读。</span></p></section></section></section><p style="text-align:center;padding-right: 0.5em;padding-left: 0.5em;outline: 0px;visibility: visible;"></p><section data-role="title" data-tools="135编辑器" data-id="99663"><section style="margin: 10px auto;text-align: center;"><section style="display: inline-block;"><section style="display: flex;align-items: center;margin-bottom: -5px;"><section style="width: 10px;margin-right: -5px;height: 10px;border-width: 1px;border-style: solid;border-color: rgb(11, 121, 255);border-radius: 100%;overflow: hidden;"><br/></section><section style="width: 200px;height: 1px;background: rgb(11, 121, 255);overflow: hidden;"><br/></section></section><section data-brushtype="text" style="font-size: 16px;letter-spacing: 1.5px;padding: 8px 10px;background: #edf5ff;color: #0b79ff;margin-left: 8px;margin-right: 8px;" hm_fix="388:499"><strong><span style="font-size:17px;">130/80 mmHg更适合中国国情</span></strong></section><section style="display: flex;align-items: center;justify-content: flex-end;margin-top: -5px;"><section style="width: 200px;height: 1px;background: rgb(11, 121, 255);overflow: hidden;"><br/></section><section style="width: 10px;margin-left: -5px;height: 10px;border-width: 1px;border-style: solid;border-color: rgb(11, 121, 255);border-radius: 100%;"><br/></section></section></section></section></section><section style="margin-bottom: 24px;outline: 0px;line-height: 1.75em;visibility: visible;"><p style="text-align:justify;text-indent: 2em;line-height: 2em;margin-top: 20px;"><span style="color:#595959;">据了解，本《指南》由国家心血管病中心、中国医师协会、中国医师协会高血压专业委员会、中华医学会心血管病学分会、海峡两岸医药卫生交流协会高血压专业委员会联合制订发布，以期实现高血压临床诊治标准化，具有极高的权威性。</span></p></section><section style="margin-bottom: 24px;outline: 0px;line-height: 1.75em;visibility: visible;"><p style="text-align:justify;text-indent: 2em;line-height: 2em;"><span style="color:#595959;">新《指南》为何要将高血压诊断界值下调10 mmHg，<span style="outline: 0px;visibility: visible;"><strong style="outline: 0px;visibility: visible;">即由140/90 mmHg改为130/80 mmHg？</strong></span></span></p></section><section style="margin-bottom: 24px;outline: 0px;line-height: 1.75em;visibility: visible;"><p style="text-align:justify;text-indent: 2em;line-height: 2em;"><span style="color:#595959;"><span style="outline: 0px;visibility: visible;"><strong style="outline: 0px;visibility: visible;">本次标准的调整主要是来源于我们中国人自己的流行病学数据。</strong></span>专家介绍说，血压介于“130/80 mmHg和140/90 mmHg之间”的人群，既往认为其处于“正常高值”，也被称作“高血压前期”人群。新的研究发现，这类既往还没有被诊断为高血压患者的人群，多半未得到及时干预，因而存在着潜在的心脑血管病风险，而新标准的制定主要是为了将防控端口前移，使更多过去“正常高值”人群被确诊，得以追踪监测、药物治疗和长期管理，越早治疗获益越大，这将大大降低心脑血管病的发病风险和死亡风险。</span></p></section><section data-role="title" data-tools="135编辑器" data-id="99663"><section style="margin: 10px auto;text-align: center;"><section style="display: inline-block;"><section style="display: flex;align-items: center;margin-bottom: -5px;"><section style="width: 10px;margin-right: -5px;height: 10px;border-width: 1px;border-style: solid;border-color: rgb(11, 121, 255);border-radius: 100%;overflow: hidden;"><br/></section><section style="width: 200px;height: 1px;background: rgb(11, 121, 255);overflow: hidden;"><br/></section></section><section data-brushtype="text" style="font-size: 16px;letter-spacing: 1.5px;padding: 8px 10px;background: #edf5ff;color: #0b79ff;margin-left: 8px;margin-right: 8px;" hm_fix="302:489"><span style="font-size:17px;"><strong>高血压分级简化为2级</strong></span></section><section style="display: flex;align-items: center;justify-content: flex-end;margin-top: -5px;"><section style="width: 200px;height: 1px;background: rgb(11, 121, 255);overflow: hidden;"><br/></section><section style="width: 10px;margin-left: -5px;height: 10px;border-width: 1px;border-style: solid;border-color: rgb(11, 121, 255);border-radius: 100%;"><br/></section></section></section></section></section><p style="margin-top: 20px;margin-bottom: 24px;outline: 0px;visibility: visible;text-indent: 2em;line-height: 2em;"><span style="color:#595959;">新《指南》将我国成人高血压患者按血压水平分为<span style="outline: 0px;visibility: visible;"><strong style="outline: 0px;visibility: visible;">1级</strong></span>和<strong style="outline: 0px;visibility: visible;"><span style="outline: 0px;visibility: visible;">2级</span></strong>。</span></p><p style="margin-bottom: 24px;outline: 0px;visibility: visible;text-indent: 2em;line-height: 2em;"><span style="color:#595959;"><strong style="outline: 0px;visibility: visible;">1级：</strong>收缩压130～139 mmHg和/或舒张压80～89 mmHg；</span></p><p style="margin-bottom: 24px;outline: 0px;text-indent: 2em;line-height: 2em;"><span style="color:#595959;"><span style="outline: 0px;"><strong style="outline: 0px;">2级：</strong></span>收缩压≥140 mmHg和/或舒张压≥90 mmHg。</span></p><p style="outline: 0px;text-indent: 2em;line-height: 2em;"><span style="color:#595959;">医生将结合1级和2级患者的身体指标和其他综合因素，进行必要的非药物干预和药物治疗。</span></p><section data-role="title" data-tools="135编辑器" data-id="99663"><section style="margin: 10px auto;text-align: center;"><section style="display: inline-block;"><section style="display: flex;align-items: center;margin-bottom: -5px;"><section style="width: 10px;margin-right: -5px;height: 10px;border-width: 1px;border-style: solid;border-color: rgb(11, 121, 255);border-radius: 100%;overflow: hidden;"><br/></section><section style="width: 200px;height: 1px;background: rgb(11, 121, 255);overflow: hidden;"><br/></section></section><section data-brushtype="text" style="font-size: 16px;letter-spacing: 1.5px;padding: 8px 10px;background: #edf5ff;color: #0b79ff;margin-left: 8px;margin-right: 8px;" hm_fix="245:493"><span style="font-size:17px;"><strong>新《指南》教你在家量血压</strong></span></section><section style="display: flex;align-items: center;justify-content: flex-end;margin-top: -5px;"><section style="width: 200px;height: 1px;background: rgb(11, 121, 255);overflow: hidden;"><br/></section><section style="width: 10px;margin-left: -5px;height: 10px;border-width: 1px;border-style: solid;border-color: rgb(11, 121, 255);border-radius: 100%;"><br/></section></section></section></section></section><p style="margin-top: 20px;margin-bottom: 24px;outline: 0px;text-indent: 2em;line-height: 2em;"><span style="color:#595959;">新《指南》教你居家期间这样量血压：</span></p><p style="margin-bottom: 24px;outline: 0px;text-indent: 2em;line-height: 2em;"><span style="color:#595959;">1.每天早、晚各测量1次血压；</span></p><p style="margin-bottom: 24px;outline: 0px;text-indent: 2em;line-height: 2em;"><span style="color:#595959;">2.每次测量至少连续获取2次血压读数，每次读数间隔1～2分钟，取2次读数的平均值，若第1、2次血压读数差值＞10 mmHg，则建议测量第3次，取后2次读数平均值；</span></p><p style="margin-bottom: 24px;outline: 0px;text-indent: 2em;line-height: 2em;"><span style="color:#595959;">3.测量血压前30分钟避免剧烈运动、饮酒、喝含咖啡因的饮料以及吸烟；在每次测量之前，安静休息3～5分钟。</span></p><p style="margin-bottom: 24px;outline: 0px;text-indent: 2em;line-height: 2em;"><span style="color:#595959;">4.测量时段：</span></p><p style="margin-bottom: 24px;outline: 0px;text-indent: 2em;line-height: 2em;"><span style="color:#595959;">早上：服药前、早餐前、排尿后测量。</span></p><p style="margin-bottom: 24px;outline: 0px;text-indent: 2em;line-height: 2em;"><span style="color:#595959;">晚上：晚餐前，若错过则在睡前1小时内测量；如晚上服药，建议服药前测量。</span></p><p style="margin-bottom: 24px;outline: 0px;text-indent: 2em;line-height: 2em;"><span style="color:#595959;">5.初诊或血压未控制者：</span></p><p style="margin-bottom: 24px;outline: 0px;text-indent: 2em;line-height: 2em;"><span style="color:#595959;">初诊或血压未控制稳定的患者，每周至少连续测量3天血压。</span></p><p style="outline: 0px;text-indent: 2em;line-height: 2em;"><span style="color:#595959;">6.血压控制良好者：每周进行1～2天血压测量。</span></p><section data-support="96编辑器" data-style-id="32687" style="margin-bottom: unset;outline: 0px;"><section style="margin-top: 10px;margin-right: 6px;margin-bottom: 10px;outline: 0px;text-align: left;"><section style="outline: 0px;display: inline-block;background-color: rgb(17, 112, 192);border-radius: 6px;"><section style="padding: 2px 10px;outline: 0px;letter-spacing: 2px;color: rgb(254, 254, 254);font-size: 16px;"><p style="outline: 0px;"><strong style="outline: 0px;">链接>>></strong></p></section></section><section style="margin-top: -20px;margin-left: 6px;outline: 0px;box-shadow: rgb(200, 200, 200) 0px 0px 6px;border-radius: 10px;"><section style="padding: 25px 15px 15px;outline: 0px;"><section style="outline: 0px;color: rgb(97, 97, 97);letter-spacing: 2px;font-size: 14px;line-height: 1.75em;transform: rotateZ(0deg);"><h1 ng-bind-html="data.item.TITLE|trsSce " style="margin-bottom: 0em;outline: 0px;letter-spacing: 1px;text-align: center;text-indent: 0em;background-color: rgb(254, 254, 254);color: rgb(51, 51, 51);line-height: 1.75em;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px;font-size: 18px;color: rgb(0, 112, 192);"><strong style="outline: 0px;"><span style="outline: 0px;letter-spacing: 2px;text-indent: 2em;"><br style="outline: 0px;"/></span></strong></span></h1><h1 ng-bind-html="data.item.TITLE|trsSce " style="margin-bottom: 0em;outline: 0px;letter-spacing: 1px;text-align: center;text-indent: 0em;background-color: rgb(254, 254, 254);color: rgb(51, 51, 51);line-height: 1.75em;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px;color: rgb(0, 122, 170);font-size: 17px;"><strong style="outline: 0px;"><span style="outline: 0px;letter-spacing: 2px;text-indent: 2em;">量血压注意这五点</span></strong></span></h1><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;text-indent: 0em;line-height: 1.75em;"><span style="outline: 0px;font-size: 17px;color: rgb(89, 89, 89);"><strong style="outline: 0px;">1.电子血压计还是水银血压计？</strong></span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;text-indent: 2em;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;line-height: 1.75em;text-indent: 0em;"><p style="text-indent:2em;"><span style="outline: 0px;font-size: 17px;color: rgb(89, 89, 89);">电子血压计更安全可靠，水银血压计容易产生误差，且存在水银泄露的隐患，目前水银血压计已经全面停产。电子血压计的准确性和重复性较好，使用方法易掌握。推荐成年人首选正规厂家生产的上臂式电子血压计。</span></p></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;text-indent: 2em;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;text-indent: 0em;line-height: 1.75em;"><span style="outline: 0px;font-size: 17px;color: rgb(89, 89, 89);"><strong style="outline: 0px;">2.袖带怎样算合适？</strong></span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;text-indent: 2em;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;line-height: 1.75em;text-indent: 0em;"><p style="text-indent:2em;"><span style="outline: 0px;font-size: 17px;color: rgb(89, 89, 89);">量血压不准确，最常见的原因就是袖带不合适，太大或者太小都不行。大多数人可使用标准规格袖带，肥胖或者臂围大者，可使用大规格袖带，儿童可使用小规格袖带。</span></p></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;text-indent: 2em;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;text-indent: 0em;line-height: 1.75em;"><span style="outline: 0px;font-size: 17px;color: rgb(89, 89, 89);"><strong style="outline: 0px;">3.准备工作怎么做？</strong></span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;text-indent: 2em;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;line-height: 1.75em;text-indent: 0em;"><p style="text-indent:2em;"><span style="outline: 0px;font-size: 17px;color: rgb(89, 89, 89);">测血压前30分钟不要剧烈运动，不要喝咖啡和吸烟。测血压前要排尿，静坐休息3~5分钟，建议穿宽松的衣服，不要把袖子撸上去。</span></p></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;text-indent: 2em;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;text-indent: 0em;line-height: 1.75em;"><span style="outline: 0px;font-size: 17px;color: rgb(89, 89, 89);"><strong style="outline: 0px;">4.量左手还是右手？</strong></span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;text-indent: 2em;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;line-height: 1.75em;text-indent: 0em;"><p style="text-indent:2em;"><span style="outline: 0px;font-size: 17px;color: rgb(89, 89, 89);">初次测血压，两只手臂都量，以血压高的一侧为准。长期量血压者可固定一侧。</span></p></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;text-indent: 2em;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;text-indent: 0em;line-height: 1.75em;"><span style="outline: 0px;font-size: 17px;color: rgb(89, 89, 89);"><strong style="outline: 0px;">5.坐着量还是躺着量？</strong></span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;line-height: 1.75em;text-indent: 0em;"><br style="outline: 0px;"/></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(51, 51, 51);text-align: justify;line-height: 1.75em;text-indent: 0em;"><p style="text-indent:2em;"><span style="outline: 0px;font-size: 17px;color: rgb(89, 89, 89);">测血压应该坐着，如果情况不允许可以躺着测量，取仰卧位，不能侧卧。记住袖带与心脏保持在同一高度。</span></p></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section><section><section data-tools="135编辑器" data-id="105279"><section data-role="paragraph"><section data-role="paragraph" data-darkmode-bgcolor-16647963650869="rgb(25, 25, 25)" data-darkmode-original-bgcolor-16647963650869="#fff|rgb(255, 255, 255)" data-style="margin-bottom: 24px; outline: 0px; max-width: 100%; font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.544px; white-space: normal; background-color: rgb(255, 255, 255); visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section data-role="outer" data-darkmode-bgcolor-16647963650869="rgb(25, 25, 25)" data-darkmode-original-bgcolor-16647963650869="#fff|rgb(255, 255, 255)" data-darkmode-color-16647963650869="rgb(163, 163, 163)" data-darkmode-original-color-16647963650869="#fff|rgb(34, 34, 34)" data-style="color: rgb(34, 34, 34); outline: 0px; max-width: 100%; letter-spacing: 0.544px; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;" style="outline: 0px;color: rgb(34, 34, 34);letter-spacing: 0.544px;font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif;visibility: visible;"><section data-tools="135编辑器" data-id="98809" data-darkmode-bgcolor-16647963650869="rgb(25, 25, 25)" data-darkmode-original-bgcolor-16647963650869="#fff|rgb(255, 255, 255)" data-darkmode-color-16647963650869="rgb(163, 163, 163)" data-darkmode-original-color-16647963650869="#fff|rgb(34, 34, 34)" style="outline: 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data-darkmode-bgcolor-16647963650869="rgb(25, 25, 25)" data-darkmode-original-bgcolor-16647963650869="#fff|rgb(255, 255, 255)" data-darkmode-color-16647963650869="rgb(163, 163, 163)" data-darkmode-original-color-16647963650869="#fff|rgb(34, 34, 34)" style="outline: 0px;visibility: visible;"><section class="channels_iframe_wrp wxw_wechannel_card_not_horizontal"><mpvideosnap class="js_uneditable custom_select_card channels_iframe videosnap_video_iframe" data-pluginname="videosnap" data-id="export/UzFfAgtgekIEAQAAAAAAK34WycM2BgAAAAstQy6ubaLX4KHWvLEZgBPEpYJ0KggXSvyBzNPgMItu7Gr8qfSTZ7tq5xgZadkm" data-url="https://findermp.video.qq.com/251/20304/stodownload?encfilekey=rjD5jyTuFrIpZ2ibE8T7YmwgiahniaXswqzlOXyTkCojjDMcniawwYnribD2QVFJpMcMr1nFKhicBUibPLkbucLOyuKDuPSbqQDB2xr766bMMlxxiawIrt11Zvpz8Q&adaptivelytrans=0&bizid=1023&dotrans=0&hy=SH&idx=1&m=&scene=0&token=x5Y29zUxcibA7Y9262ibRWadhPxCFBJza8zhqys2OGKlBurERXvd0oT2PSJ4k8B65NfjCn752zUcg" data-headimgurl="http://wx.qlogo.cn/finderhead/kiaXicXJs2M4fatn55TTopceia8F8NBuowaL4ys9rahneiaqF4wm5Bm9yA/0" data-username="v2_060000231003b20faec8c7e7881dc1ddc60de83cb07750afedf4b5448a38eb053a72bf92d36c@finder" data-nickname="十堰日报" data-desc="央视《航拍中国》第四季湖北篇聚焦仙山秀水汽车城！（素材来源：央视网）#十堰 #航拍 " data-nonceid="4961757519205712520" data-type="video" data-authiconurl="https://dldir1v6.qq.com/weixin/checkresupdate/icons_filled_channels_authentication_enterprise_a2658032368245639e666fb11533a600.png" data-width="1080" data-height="1920"></mpvideosnap></section><section><br/></section></section></section></section></section></section></section></section></section></section><hr data-darkmode-bgcolor-16647963650869="rgb(25, 25, 25)" data-darkmode-original-bgcolor-16647963650869="#fff|rgb(255, 255, 255)" data-darkmode-color-16647963650869="rgb(117, 195, 117)" data-darkmode-original-color-16647963650869="#fff|rgb(0, 51, 0)" data-style="color: rgb(0, 51, 0); outline: 0px; max-width: 100%; letter-spacing: 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