{"id":32724,"date":"2024-05-07T04:01:23","date_gmt":"2024-05-07T04:01:23","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=32724"},"modified":"2024-05-07T04:01:23","modified_gmt":"2024-05-07T04:01:23","slug":"%e5%a6%82%e4%bd%95%e9%99%8d%e5%8e%8b%e8%be%be%e6%a0%87%ef%bc%9f%e7%89%a2%e8%ae%b05%e5%a4%a7%e9%a5%ae%e9%a3%9f%e8%a7%84%e8%8c%83%ef%bc%8c6%e7%b1%bb%e8%8d%af%e7%89%a9%e7%96%97%e6%95%88%e3%80%81%e9%80%82","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=32724","title":{"rendered":"\u5982\u4f55\u964d\u538b\u8fbe\u6807\uff1f\u7262\u8bb05\u5927\u996e\u98df\u89c4\u8303\uff0c6\u7c7b\u836f\u7269\u7597\u6548\u3001\u9002\u7528\u4eba\u7fa4\u53ca\u7528\u6cd5\u2026\u2026 | 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mmHg\uff0c\u6b7b\u4ea1\u98ce\u9669\u964d\u4f4e10%~15%\uff0c\u8111\u5352\u4e2d\u98ce\u9669\u964d\u4f4e35%\uff0c\u51a0\u5fc3\u75c5\u98ce\u9669\u964d\u4f4e20%\uff0c\u5fc3\u529b\u8870\u7aed\u98ce\u9669\u964d\u4f4e40%\u3002\u672c\u6587\u6211\u4eec\u4ece\u9ad8\u8840\u538b\u7684\u751f\u6d3b\u65b9\u5f0f\u5e72\u9884\u53ca\u836f\u7269\u6cbb\u7597\u65b9\u9762\u8fdb\u884c\u4ecb\u7ecd\u3002<\/p>\n<p><p>\u6210\u4eba\u9ad8\u8840\u538b5\u6761\u98df\u517b\u5efa\u8bae<\/p>\n<p>\u9ad8\u8840\u538b\u5371\u9669\u56e0\u7d20\u591a\u4e0e\u4e0d\u5408\u7406\u81b3\u98df\u76f8\u5173\uff0c\u5305\u62ec\u9ad8\u94a0\u3001\u4f4e\u94be\u81b3\u98df\u3001\u8fc7\u91cf\u996e\u9152\u7b49\u3002\u300a\u6210\u4eba\u9ad8\u8840\u538b\u98df\u517b\u6307\u5357\uff082023 \u5e74\u7248\uff09\u300b\u7ed9\u51fa\u4e865\u6761\u5173\u4e8e\u6210\u4eba\u9ad8\u8840\u538b\u98df\u517b\u539f\u5219\u548c\u5efa\u8bae\uff1a<\/p>\n<p>1. \u51cf\u94a0\u589e\u94be\uff0c\u996e\u98df\u6e05\u6de1<\/p>\n<ul>\n<li>\n<p>\u94a0\u76d0\u6444\u5165\u8fc7\u591a\u53ef\u589e\u52a0\u9ad8\u8840\u538b\u98ce\u9669\u3002\u6bcf\u4eba\u6bcf\u65e5\u98df\u76d0\u6444\u5165\u91cf\u9010\u6b65\u964d\u81f35 g\u4ee5\u4e0b\u3002<\/p>\n<\/li>\n<li>\n<p>\u589e\u52a0\u81b3\u98df\u4e2d\u94be\u6444\u5165\u91cf\u53ef\u964d\u4f4e\u8840\u538b\u3002\u6307\u5357\u5efa\u8bae\u589e\u52a0\u5bcc\u94be\u98df\u7269\uff08\u5982\u65b0\u9c9c\u852c\u83dc\u3001\u6c34\u679c\u548c\u8c46\u7c7b\u7b49\uff09\u7684\u6444\u5165\u91cf\u3002<\/p>\n<\/li>\n<li>\n<p>\u6e05\u6de1\u996e\u98df\uff0c\u5c11\u5403\u542b\u9ad8\u8102\u80aa\u3001\u9ad8\u80c6\u56fa\u9187\u7684\u98df\u7269\uff0c\u5305\u62ec\u6cb9\u70b8\u98df\u54c1\u548c\u52a8\u7269\u5185\u810f\u3002\u5c11\u5403\u52a0\u5de5\u7ea2\u8089\u5236\u54c1\uff0c\u5982\u57f9\u6839\u3001\u9999\u80a0\u3001\u814a\u80a0\u7b49\u3002<\/p>\n<\/li>\n<\/ul>\n<p>2. 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g\uff0c\u5c11\u98df\u7528\u6216\u4e0d\u98df\u7528\u9ad8\u76d0\u3001\u9ad8\u8102\u80aa\u3001\u9ad8\u80c6\u56fa\u9187\u7684\u52a8\u7269\u6027\u98df\u7269\u3002\u63a8\u8350\u5403\u5404\u7c7b\u5976\u5236\u54c1\uff0c\u6444\u5165\u91cf\u76f8\u5f53\u4e8e\u6bcf\u5929300 mL\u4ee5\u4e0a\u6db2\u6001\u5976\u3002<\/p>\n<\/li>\n<\/ul>\n<ul>\n<li>\n<p>\u5927\u8c46\u53ca\u5176\u5236\u54c1\uff1a\u6bcf\u65e5\u98df\u7528\u9002\u91cf\u7684\u5927\u8c46\u53ca\u5176\u5236\u54c1\uff0c\u5982\u5927\u8c46\u3001\u9752\u8c46\u3001\u8c46\u8150\u3001\u8c46\u6d46\u3001\u8c46\u8150\u5e72\u7b49\u3002\u63a8\u8350\u6bcf\u65e5\u6444\u5165\u5927\u8c4615 g~25 g\uff0c\u76f8\u5f53\u4e8e\u8c46\u6d46220 g~360 g\uff0c\u5176\u4ed6\u8c46\u5236\u54c1\u6309\u7167\u86cb\u767d\u8d28\u542b\u91cf\u6298\u7b97\u3002\u5c11\u98df\u8c46\u8c49\u3001\u8c46\u74e3\u9171\u3001\u8150\u4e73\u7b49\u3002<\/p>\n<\/li>\n<\/ul>\n<ul>\n<li>\n<p>\u852c\u83dc\u548c\u6c34\u679c\uff1a\u6bcf\u65e5\u65b0\u9c9c\u852c\u83dc\u6444\u5165\u4e0d\u5c11\u4e8e300 g\uff0c\u81f3\u5c113\u79cd\uff0c\u6700\u597d5\u79cd\u4ee5\u4e0a\uff0c\u4e14\u6df1\u8272\u852c\u83dc\u8981\u5360\u5230\u603b\u852c\u83dc\u91cf\u7684\u4e00\u534a\u4ee5\u4e0a\uff1b\u63a8\u8350\u5bcc\u94be\u852c\u83dc\uff0c\u5982\u83e0\u83dc\u3001\u83b4\u7b0b\u53f6\u3001\u7a7a\u5fc3\u83dc\u3001\u82cb\u83dc\u7b49\uff1b\u6c34\u679c\u6bcf\u65e5\u6444\u5165200 g~350 g\uff0c\u81f3\u5c111\u79cd\uff0c\u6700\u597d2\u79cd\u4ee5\u4e0a\u3002<\/p>\n<\/li>\n<\/ul>\n<ul>\n<li>\n<p>\u575a\u679c\uff1a\u63a8\u8350\u98df\u7528\u539f\u5473\u575a\u679c\uff0c\u6bcf\u546850 g~70 g\u3002<\/p>\n<\/li>\n<\/ul>\n<ul>\n<li>\n<p>\u6cb9\u8102\uff1a\u4f18\u5148\u9009\u62e9\u5bcc\u542b\u4e0d\u9971\u548c\u8102\u80aa\u9178\u7684\u83dc\u7c7d\u6cb9\u3001\u4e9a\u9ebb\u7c7d\u6cb9\u3001\u6a44\u6984\u6cb9\u3001\u8475\u82b1\u7c7d\u6cb9\u3001\u7389\u7c73\u6cb9\u7b49\u3002\u63a8\u8350\u4ea4\u66ff\u4f7f\u7528\u4e0d\u540c\u79cd\u7c7b\u7684\u690d\u7269\u6cb9\uff0c\u6bcf\u5929\u63a7\u5236\u572825 g~30 g\u3002<\/p>\n<\/li>\n<\/ul>\n<ul>\n<li>\n<p>\u6c34\u3001\u996e\u6599\uff1a\u4e0d\u5b9c\u996e\u7528\u542b\u7cd6\u996e\u6599\uff0c\u63a8\u8350\u767d\u6c34\uff0c\u4fdd\u8bc1\u6444\u5165\u5145\u8db3\u6c34\u5206\u3002\u5728\u6e29\u548c\u6c14\u5019\u6761\u4ef6\u4e0b\uff0c\u8f7b\u8eab\u4f53\u6d3b\u52a8\u6c34\u5e73\u6210\u4eba\u6bcf\u5929\u559d\u6c341500 mL~1700 mL\u3002<\/p>\n<\/li>\n<\/ul>\n<ul>\n<li>\n<p>\u8c03\u5473\u54c1\uff1a\u51cf\u5c11\u6444\u5165\u98df\u76d0\u53ca\u542b\u94a0\u8c03\u5473\u54c1\uff08\u9171\u6cb9\u3001\u869d\u6cb9\u3001\u9e21\u7cbe\u3001\u5473\u7cbe\u7b49\uff09\uff0c\u6bcf\u65e5\u94a0\u6444\u5165\u91cf\u4e0d\u8d85\u8fc72000 mg\uff08\u76f8\u5f53\u4e8e\u98df\u76d05 g\uff09\u3002<\/p>\n<\/li>\n<\/ul>\n<p>3. \u5403\u52a8\u5e73\u8861\uff0c\u5065\u5eb7\u4f53\u91cd<\/p>\n<p>\u63a8\u8350\u5c06\u4f53\u91cd\u7ef4\u6301\u5728\u5065\u5eb7\u8303\u56f4\u5185\uff1a\u4f53\u91cd\u6307\u6570\uff08BMI\uff09\u572818.5 kg\/m<sup>2<\/sup>\uff5e23.9 kg\/m<sup>2<\/sup>\uff0865\u5c81\u4ee5\u4e0a\u8001\u5e74\u4eba\u53ef\u9002\u5f53\u589e\u52a0\uff09\u8303\u56f4\uff1b\u7537\u6027\u8170\u56f4\uff1c85 cm\uff0c\u5973\u6027\u8170\u56f4\uff1c80 cm\u3002<\/p>\n<p>4. \u6212\u70df\u9650\u9152\uff0c\u5fc3\u7406\u5e73\u8861<\/p>\n<p>\u6212\u70df\uff0c\u907f\u514d\u88ab\u52a8\u5438\u70df\u3002\u4e0d\u996e\u9152\u6216\u9650\u5236\u996e\u9152\u3002\u6b64\u5916\uff0c\u51cf\u8f7b\u7cbe\u795e\u538b\u529b\uff0c\u4fdd\u6301\u5fc3\u7406\u5e73\u8861\u3002<\/p>\n<p>5. \u76d1\u6d4b\u8840\u538b\uff0c\u81ea\u6211\u7ba1\u7406<\/p>\n<p>\u5b9a\u671f\u76d1\u6d4b\u8840\u538b\uff0c\u4e86\u89e3\u8840\u538b\u6570\u503c\u53ca\u8fbe\u6807\u72b6\u6001\uff0c\u9075\u533b\u5631\u8fdb\u884c\u751f\u6d3b\u65b9\u5f0f\u5e72\u9884\uff0c\u575a\u6301\u957f\u671f\u6cbb\u7597\uff0c\u81ea\u6211\u7ba1\u7406\u3002<\/p>\n<p>\u8fd0\u52a8\u5e72\u9884<\/p>\n<p>\u89c4\u5f8b\u953b\u70bc\u6216\u589e\u52a0\u8eab\u4f53\u6d3b\u52a8\u6709\u5229\u4e8e\u63a7\u5236\u8840\u538b\uff0c\u964d\u4f4e\u5fc3\u8840\u7ba1\u6b7b\u4ea1\u98ce\u9669\u30022021\u5e74AHA\u79d1\u5b66\u58f0\u660e\u53ca2020\u5e74\u6b27\u6d32\u5fc3\u810f\u75c5\u5b66\u4f1a\uff08ESC\uff09\u8fd0\u52a8\u5fc3\u810f\u75c5\u5b66\u548c\u5fc3\u8840\u7ba1\u75be\u75c5\u60a3\u8005\u7684\u4f53\u80b2\u953b\u70bc\u6307\u5357\u5747\u5c06\u4f53\u80b2\u8fd0\u52a8\u4f5c\u4e3a\u9ad8\u8840\u538b\u60a3\u8005\u4e00\u7ea7\u9884\u9632\u7684\u91cd\u8981\u624b\u6bb5\uff0c\u5e76\u63a8\u8350\u9ad8\u8840\u538b\u4eba\u7fa4\u6bcf\u5468\u8fdb\u884c5\u5929~7\u5929\u3001\u6bcf\u6b21\u81f3\u5c1130\u5206\u949f\u7684\u4e2d\u7b49\u6216\u9ad8\u5f3a\u5ea6\u7684\u6709\u6c27\u8fd0\u52a8\uff0c\u4e14\u6bcf\u5468\u81f3\u5c11\u8fdb\u884c2\u6b21~3\u6b21\u6297\u963b\u529b\u91cf\u7ec3\u4e60\u3002\u800c\u7531\u4e8e\u8eab\u4f53\u539f\u56e0\u65e0\u6cd5\u5b8c\u6210\u4e0a\u8ff0\u63a8\u8350\u91cf\u7684\u9ad8\u8840\u538b\u60a3\u8005\uff0c\u5e94\u6839\u636e\u81ea\u8eab\u60c5\u51b5\u5c3d\u53ef\u80fd\u5730\u589e\u52a0\u5404\u79cd\u529b\u6240\u80fd\u53ca\u7684\u8eab\u4f53\u6d3b\u52a8\u3002<\/p>\n<p>\u836f\u7269\u6cbb\u7597<\/p>\n<p>\u9ad8\u8840\u538b\u6cbb\u7597\u7684\u6839\u672c\u76ee\u6807\u662f\u63a7\u5236\u8840\u538b\uff0c\u964d\u4f4e\u4e0e\u9ad8\u8840\u538b\u76f8\u5173\u7684\u5fc3\u3001\u8111\u3001\u80be\u53ca\u8840\u7ba1\u5e76\u53d1\u75c7\u7684\u53d1\u751f\u548c\u6b7b\u4ea1\u98ce\u9669\u3002\u6cbb\u7597\u4e09\u539f\u5219\u4e3a\uff1a\u9996\u5148\u8981\u964d\u538b\u8fbe\u6807\uff0c\u5176\u6b21\u4e3a\u5e73\u7a33\u964d\u538b\uff0c\u6700\u540e\u5bf9\u9ad8\u8840\u538b\u60a3\u8005\u8fdb\u884c\u7efc\u5408\u5e72\u9884\u7ba1\u7406\u3002\u6240\u6709\u9ad8\u8840\u538b\u60a3\u8005\u4e00\u65e6\u8bca\u65ad\uff0c\u5efa\u8bae\u5728\u751f\u6d3b\u65b9\u5f0f\u5e72\u9884\u7684\u540c\u65f6\u7acb\u5373\u542f\u52a8\u836f\u7269\u6cbb\u7597\u3002<\/p>\n<p>\u4e00\u3001\u964d\u538b\u836f\u7269\u9009\u62e9<\/p>\n<p>\u53ef\u5e94\u7528\u7684\u964d\u538b\u836f\u7269\u4e3b\u8981\u5305\u62ec\u4ee5\u4e0b6\u5927\u7c7b\uff1a\u8840\u7ba1\u7d27\u5f20\u7d202\u53d7\u4f53\u62ee\u6297\u5242\uff08ARB\uff09\u3001\u8840\u7ba1\u7d27\u5f20\u7d20\u8f6c\u5316\u9176\u6291\u5236\u5242\uff08ACEI\uff09\u3001\u9499\u62ee\u6297\u5242\uff08CCB\uff09\u3001\u5229\u5c3f\u5242\u3001\u03b2\u53d7\u4f53\u963b\u6ede\u5242\u3001\u8840\u7ba1\u7d27\u5f20\u7d20\u53d7\u4f53-\u8111\u5561\u80bd\u9176\u6291\u5236\u5242\uff08ARNI\uff09\u3002<\/p>\n<p>1. ACEI\u548cARB<\/p>\n<p>\u8fd9\u4e24\u7c7b\u836f\u7269\u964d\u538b\u4f5c\u7528\u660e\u786e\uff0c\u5c24\u5176\u9002\u7528\u4e8e\u4f34\u6709\u5fc3\u529b\u8870\u7aed\u3001\u5fc3\u808c\u6897\u6b7b\u3001\u7cd6\u5c3f\u75c5\u3001\u6162\u6027\u80be\u810f\u75c5\u7684\u60a3\u8005\uff0c\u6709\u5145\u8db3\u8bc1\u636e\u8bc1\u660e\u53ef\u6539\u5584\u9884\u540e\u3002\u7528\u4e8e\u86cb\u767d\u5c3f\u60a3\u8005\uff0c\u53ef\u964d\u4f4e\u5c3f\u86cb\u767d\uff0c\u5177\u6709\u80be\u810f\u4fdd\u62a4\u4f5c\u7528\u3002<\/p>\n<p>2. \u03b2\u53d7\u4f53\u963b\u6ede\u5242<\/p>\n<p>\u8fd9\u7c7b\u836f\u7269\u53ef\u964d\u4f4e\u5fc3\u7387\uff0c\u5c24\u5176\u9002\u7528\u4e8e\u5fc3\u7387\u504f\u5feb\u7684\u60a3\u8005\uff0c\u7528\u4e8e\u5408\u5e76\u5fc3\u808c\u6897\u6b7b\u6216\u5fc3\u529b\u8870\u7aed\u7684\u60a3\u8005\uff0c\u53ef\u6539\u5584\u9884\u540e\uff1b\u7528\u4e8e\u51a0\u5fc3\u75c5\u3001\u52b3\u529b\u6027\u5fc3\u7ede\u75db\u60a3\u8005\uff0c\u53ef\u51cf\u8f7b\u5fc3\u7ede\u75db\u75c7\u72b6\u3002<\/p>\n<p>3. CCB<\/p>\n<p>\u8be5\u7c7b\u836f\u7269\u964d\u538b\u4f5c\u7528\u5f3a\uff0c\u8010\u53d7\u6027\u597d\uff0c\u65e0\u7edd\u5bf9\u7981\u5fcc\u8bc1\uff0c\u9002\u7528\u8303\u56f4\u76f8\u5bf9\u5e7f\uff0c\u8001\u5e74\u5355\u7eaf\u6536\u7f29\u671f\u9ad8\u8840\u538b\u7b49\u66f4\u9002\u7528\u3002\u6700\u5e38\u7528\u4e8e\u964d\u538b\u7684\u662f\u4e8c\u6c22\u5421\u5576\u7c7bCCB\uff0c\u5982\u6c28\u6c2f\u5730\u5e73\u3001\u785d\u82ef\u5730\u5e73\u3001\u975e\u6d1b\u5730\u5e73\u7b49\u3002<\/p>\n<p>4. \u5229\u5c3f\u5242<\/p>\n<p>\u8fd9\u7c7b\u836f\u7269\u5c24\u5176\u9002\u7528\u4e8e\u8001\u5e74\u4eba\u3001\u5355\u7eaf\u6536\u7f29\u671f\u9ad8\u8840\u538b\u53ca\u5408\u5e76\u5fc3\u529b\u8870\u7aed\u7684\u60a3\u8005\u3002\u8f83\u4e3a\u5e38\u7528\u7684\u662f\u567b\u55ea\u7c7b\u5229\u5c3f\u5242\u3002<\/p>\n<p>5. ARNI<\/p>\n<p>ARNI\u662f\u8fd1\u5e74\u6765\u63a8\u51fa\u7684\u4f5c\u7528\u4e8e\u5c04\u8840\u5206\u6570\u964d\u4f4e\u7684\u5fc3\u8870\uff08HFrEF\uff09\u60a3\u8005\u7684\u4e00\u7c7b\u65b0\u578b\u836f\u7269\uff0c\u53ef\u4ee5\u63a7\u5236\u8840\u538b\u3001\u6539\u5584\u5fc3\u8840\u7ba1\u75c5\u9884\u540e\u3002\u4ee3\u8868\u836f\u7269\u4e3a\uff1a\u6c99\u5e93\u5df4\u66f2\u7f2c\u6c99\u5766\u3002<\/p>\n<p>\u4e8c\u3001\u836f\u7269\u6cbb\u7597\u65b9\u6848\u9009\u62e9<\/p>\n<p>\u6839\u636e\u60a3\u8005\u662f\u5426\u5b58\u5728\u5408\u5e76\u75c7\u53ca\u8840\u538b\u6c34\u5e73\uff0c\u9009\u62e9\u5408\u9002\u7684\u964d\u538b\u836f\u7269\uff0c\u4f18\u9009\u957f\u6548\u964d\u538b\u836f\u7269\u3002<\/p>\n<p>1. \u65e0\u5408\u5e76\u75c7\u9ad8\u8840\u538b\u836f\u7269\u6cbb\u7597\u65b9\u6848\uff08\u5408\u5e76\u75c7\uff1a\u6307\u4f34\u968f\u51a0\u5fc3\u75c5\u3001\u5fc3\u529b\u8870\u7aed\u3001\u8111\u5352\u4e2d\u3001\u7cd6\u5c3f\u75c5\u3001\u6162\u6027\u80be\u810f\u75be\u75c5\u6216\u5916\u5468\u52a8\u8109\u7ca5\u6837\u786c\u5316\u75c5\uff09<\/p>\n<p>\u5bf9\u4e8e\u65e0\u4e34\u5e8a\u5408\u5e76\u75c7\u7684\u9ad8\u8840\u538b\u60a3\u8005\uff0c\u591a\u6570\u9ad8\u8840\u538b\u6307\u5357\u63a8\u8350\u5c06\u5229\u5c3f\u5242\/ACEI\/ARB\/CCB\u4f5c\u4e3a\u521d\u59cb\u964d\u538b\u836f\u7269\uff0c\u4e5f\u6709\u5c11\u6570\u6307\u5357\u8fd8\u63a8\u8350\u5c06\u03b2\u53d7\u4f53\u963b\u6ede\u5242\u4f5c\u4e3a\u521d\u59cb\u964d\u538b\u836f\u7269\u3002\u603b\u4f53\u4e0a\uff0cARB\u3001ACEI\u3001CCB\u3001\u5229\u5c3f\u5242\u548c\u03b2\u53d7\u4f53\u963b\u6ede\u52425\u5927\u7c7b\u964d\u538b\u836f\u7269\u5bf9\u9ad8\u8840\u538b\u60a3\u8005\u7684\u4e34\u5e8a\u83b7\u76ca\u5747\u8d85\u8fc7\u6f5c\u5728\u98ce\u9669\u3002<\/p>\n<ul>\n<li>\n<p>\u9996\u5148\uff0c\u6536\u7f29\u538b\uff1c160 mmHg\u4e14\u8212\u5f20\u538b\uff1c100 mmHg\uff1a\u5355\u836f\u8d77\u59cb\uff0c\u53ef\u9009\u62e9CCB\u3001ACEI\/ARB\u3001\u5229\u5c3f\u5242\u6216\u03b2\u53d7\u4f53\u963b\u6ede\u5242\u3002\u03b2\u53d7\u4f53\u963b\u6ede\u5242\u5c24\u5176\u9002\u7528\u4e8e\u5fc3\u7387\u504f\u5feb\u8005\u3002\u6536\u7f29\u538b\u2265160 mmHg\u548c\uff08\u6216\uff09\u8212\u5f20\u538b\u2265100 mmHg\uff1a\u63a8\u8350\u4e24\u79cd\u836f\u7269\u8054\u5408\u4f7f\u7528\uff0c\u5982CCB+ACEI\/ARB\u3001ACEI\/ARB+\u5229\u5c3f\u5242\u3001CCB+\u5229\u5c3f\u5242\u6216CCB+\u03b2\u53d7\u4f53\u963b\u6ede\u5242\u3002<\/p>\n<\/li>\n<\/ul>\n<ul>\n<li>\n<p>\u5176\u6b21\uff0c\u4e0a\u8ff0\u4e24\u836f\u8054\u5408\u65b9\u6848\u5e94\u7528\u540e\uff0c\u8840\u538b\u4ecd\u672a\u8fbe\u6807\uff0c\u52a0\u7528\u7b2c3\u79cd\u836f\u7269, \u53ef\u9009CCB+ACEI\/ARB+\u5229\u5c3f\u5242\u6216CCB+ACEI\/ARB+\u03b2\u53d7\u4f53\u963b\u6ede\u5242\u3002<\/p>\n<\/li>\n<\/ul>\n<ul>\n<li>\n<p>\u7136\u540e\uff0c3\u79cd\u836f\u7269\u8db3\u91cf\uff08\u5373\u6307\u5357\u63a8\u8350\u7684\u6700\u5927\u5242\u91cf\uff09\uff0c\u4e14\u81f3\u5c11\u5305\u542b1\u79cd\u5229\u5c3f\u5242\uff0c\u89c2\u5bdf2~4\u5468\u4ecd\u672a\u8fbe\u6807\uff0c\u5efa\u8bae\u8f6c\u8bca\uff1b\u6216ACEI\/ARB\u3001\u03b2\u53d7\u4f53\u963b\u6ede\u5242\u3001CCB\u3001\u5229\u5c3f\u5242\u56db\u7c7b\u836f\u7269\u5408\u7528\uff0c2~4\u5468\u4ecd\u672a\u8fbe\u6807\uff0c\u5efa\u8bae\u8f6c\u8bca\u3002<\/p>\n<\/li>\n<\/ul>\n<p>2. \u6709\u5408\u5e76\u75c7\u9ad8\u8840\u538b\u836f\u7269\u6cbb\u7597\u65b9\u6848<\/p>\n<p>1) \u5408\u5e76\u5fc3\u808c\u6897\u6b7b\uff1a<\/p>\n<p>\u9996\u9009ACEI\/ARB+\u03b2\u53d7\u4f53\u963b\u6ede\u5242\uff0c\u5c0f\u5242\u91cf\u8054\u7528\uff0c\u907f\u514d\u51fa\u73b0\u4f4e\u8840\u538b\u3002\u82e5\u672a\u8fbe\u6807\u53ef\u52a0\u91cf\uff0c\u4ecd\u672a\u8fbe\u6807\u52a0\u7528\u957f\u6548CCB\u6216\u5229\u5c3f\u5242\u3002<\/p>\n<p>2) \u5408\u5e76\u5fc3\u7ede\u75db\uff1a<\/p>\n<p>\u53ef\u9009\u62e9\u03b2\u53d7\u4f53\u963b\u6ede\u5242\u3001ACEI\/ARB\u6216CCB\uff0c\u53ef\u8054\u7528\uff0c\u4ecd\u672a\u8fbe\u6807\u52a0\u7528\u5229\u5c3f\u5242\u3002<\/p>\n<p>3) \u5408\u5e76\u5fc3\u529b\u8870\u7aed\uff1a<\/p>\n<ul>\n<li>\n<p>\u9ad8\u8840\u538b\u5408\u5e76HFrEF\u60a3\u8005\uff0c\u53ef\u9009\u7528\u8840\u7ba1\u7d27\u5f20\u7d20\u53d7\u4f53-\u8111\u5561\u80bd\u9176\u6291\u5236\u5242\uff08ARNI\uff09\u66ff\u4ee3ACEI\/ARB\u4f5c\u4e3a\u9996\u9009\u7528\u836f\uff1b<\/p>\n<\/li>\n<li>\n<p>\u9ad8\u8840\u538b\u5408\u5e76\u5c04\u8840\u5206\u6570\u4fdd\u7559\u7684\u5fc3\u8870\uff08HFpEF\uff09\u60a3\u8005\uff0cARNI\/ARB\/ACEI\u5747\u53ef\u4f5c\u4e3a\u9996\u9009\u7528\u836f\u3002<\/p>\n<\/li>\n<\/ul>\n<p>4) \u5408\u5e76\u8111\u5352\u4e2d\uff1a<\/p>\n<ul>\n<li>\n<p>\u5bf9\u4e8e\u65e2\u5f80\u6709\u5352\u4e2d\u6216\u77ed\u6682\u6027\u8111\u7f3a\u8840\u53d1\u4f5c\uff08TIA\uff09\u75c5\u53f2\u7684\u9ad8\u8840\u538b\u60a3\u8005\uff0c\u53ef\u9009\u7528ACEI\u3001\u5229\u5c3f\u5242\u6216ACEI+\u5229\u5c3f\u5242\u8fdb\u884c\u964d\u538b\u6cbb\u7597\u3002\u82e5\u4ee5\u4e0a\u836f\u7269\u4e0d\u9002\u7528\u6216\u6548\u679c\u4e0d\u4f73\uff0c\u53ef\u9009\u7528CCB\u6216ARB\u3002<\/p>\n<\/li>\n<li>\n<p>\u5bf9\u4e8e\u65e2\u5f80\u6709\u5352\u4e2d\u6216TIA\u75c5\u53f2\u7684\u9ad8\u8840\u538b\u60a3\u8005\uff0c\u4e0d\u63a8\u8350\u03b2\u53d7\u4f53\u963b\u6ede\u5242\u4f5c\u4e3a\u4e00\u7ebf\u964d\u538b\u836f\u7269\u3002<\/p>\n<\/li>\n<\/ul>\n<p>5) \u9ad8\u8840\u538b\u5408\u5e76\u7cd6\u5c3f\u75c5\uff1a<\/p>\n<p>\u9ad8\u8840\u538b\u5408\u5e762\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\uff0c\u53ef\u9996\u9009ACEI\/ARB\u63a7\u5236\u8840\u538b\uff0c\u672a\u8fbe\u6807\u8005\u52a0\u7528CCB\u6216\u5229\u5c3f\u5242\u3002<\/p>\n<p>6) \u9ad8\u8840\u538b\u5408\u5e76\u6162\u6027\u80be\u810f\u75be\u75c5\uff1a<\/p>\n<p>\u8fd9\u7c7b\u60a3\u8005\u53ef\u9996\u9009ACEI\/ARB\uff0c\u672a\u8fbe\u6807\u8005\u52a0\u7528CCB\u6216\u5229\u5c3f\u5242\u3002<\/p>\n<p>7) \u9ad8\u8840\u538b\u5408\u5e76\u5916\u5468\u52a8\u8109\u7ca5\u6837\u786c\u5316\u75c5\uff1a<\/p>\n<p>\u8fd9\u7c7b\u60a3\u8005\u521d\u59cb\u9009\u62e9ACEI\/ARB\u3001CCB\u3001\u5229\u5c3f\u5242\u3001\u03b2\u53d7\u4f53\u963b\u6ede\u5242\u5747\u53ef\u3002\u5355\u836f\u672a\u8fbe\u6807\u53ef\u8054\u5408\u7528\u836f\u3002<\/p>\n<p>\u53c2\u8003\u8d44\u6599\uff08\u53ef\u4e0a\u4e0b\u6ed1\u52a8\u67e5\u770b\uff09<\/p>\n<p>[1] \u56fd\u5bb6\u536b\u751f\u5065\u5eb7\u59d4\u529e\u516c\u5385.\u6210\u4eba\u9ad8\u8840\u538b\u98df\u517b\u6307\u5357\uff082023 \u5e74\u7248\uff09.from&nbsp; http:\/\/www.\/sps\/s7887k\/202301\/0e55a01df50c47d9a4a43db026e3afc3\/files\/63f752a17cfd4b4781f744477561866f.pdf<\/p>\n<p>[2] \u56fd\u5bb6\u5fc3\u8840\u7ba1\u75c5\u4e2d\u5fc3, \u4e2d\u56fd\u533b\u5e08\u534f\u4f1a, \u4e2d\u56fd\u533b\u5e08\u534f\u4f1a\u9ad8\u8840\u538b\u4e13\u4e1a\u59d4\u5458\u4f1a, \u7b49. \u4e2d\u56fd\u9ad8\u8840\u538b\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357[J]. \u4e2d\u534e\u5fc3\u8840\u7ba1\u75c5\u6742\u5fd7, 2022, 50(11): 1050-1095.<\/p>\n<p>[3] \u4e2d\u534e\u533b\u5b66\u4f1a, \u4e2d\u534e\u533b\u5b66\u4f1a\u4e34\u5e8a\u836f\u5b66\u5206\u4f1a, \u4e2d\u534e\u533b\u5b66\u4f1a\u6742\u5fd7\u793e, \u7b49. \u9ad8\u8840\u538b\u57fa\u5c42\u5408\u7406\u7528\u836f\u6307\u5357[J]. \u4e2d\u534e\u5168\u79d1\u533b\u5e08\u6742\u5fd7, 2021, 20(1): 21-28.<\/p>\n<p>[4] \u56fd\u5bb6\u5fc3\u8840\u7ba1\u75c5\u4e2d\u5fc3, \u56fd\u5bb6\u57fa\u672c\u516c\u5171\u536b\u751f\u670d\u52a1\u9879\u76ee\u57fa\u5c42\u9ad8\u8840\u538b\u7ba1\u7406\u529e\u516c\u5ba4, \u56fd\u5bb6\u57fa\u5c42\u9ad8\u8840\u538b\u7ba1\u7406\u4e13\u5bb6\u59d4\u5458\u4f1a. \u56fd\u5bb6\u57fa\u5c42\u9ad8\u8840\u538b\u9632\u6cbb\u7ba1\u7406\u6307\u53572020\u7248[J]. \u4e2d\u56fd\u5faa\u73af\u6742\u5fd7, 2021, 36(3): 209-220.<\/p>\n<p>\u7f16\u8f91 | succy<\/p>\n<hr>\n<\/p>\n<p> #artContent h1#artContent p img#artContent table #artContent h1#artContent p img#artContent table<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u9ad8\u8840\u538b\u662f\u4ee5\u8840\u538b\u5347\u9ad8\u4e3a\u4e3b\u8981\u7279\u70b9\u7684\u5168\u8eab\u6027\u75be\u75c5\uff0c\u5b9a\u4e49\u4e3a\uff1a\u5728\u672a\u4f7f\u7528\u964d\u538b\u836f\u7269\u7684\u60c5\u51b5\u4e0b\uff0c\u975e\u540c &hellip; <a href=\"http:\/\/zydq.1006ss.com\/?p=32724\">\u7ee7\u7eed\u9605\u8bfb <span 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