{"id":37332,"date":"2024-06-17T12:02:22","date_gmt":"2024-06-17T12:02:22","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=37332"},"modified":"2024-06-17T12:02:22","modified_gmt":"2024-06-17T12:02:22","slug":"%e4%b8%89%e9%bb%84%e6%95%a3%e5%90%88%e5%86%b0%e7%89%87%e8%8a%92%e7%a1%9d%e5%a4%96%e6%95%b7%e6%b2%bb%e7%96%97%e6%80%a5%e6%80%a7%e7%97%9b%e9%a3%8e%e6%80%a7%e5%85%b3%e8%8a%82%e7%82%8e45%e4%be%8b","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=37332","title":{"rendered":"\u4e09\u9ec4\u6563\u5408\u51b0\u7247\u8292\u785d\u5916\u6577\u6cbb\u7597\u6025\u6027\u75db\u98ce\u6027\u5173\u8282\u708e45\u4f8b"},"content":{"rendered":"

<\/h2>\n

\u9ec4\u78a7\u4ed9 1 \u9ec4\u5b5f\u9f99 1( 1.\u798f\u5efa\u4e2d\u533b\u836f\u5927\u5b66\u9644\u5c5e\u4eba\u6c11\u533b\u9662 )<\/p>\n

\u75db\u98ce\u662f\u560c\u5464\u4ee3\u8c22\u7d0a\u4e71\u81f4\u8840\u5c3f\u9178\u589e\u9ad8\u5f15\u8d77\u7684\u4e00\u7ec4\u75be\u75c5, \u4e3b\u8981\u89c1\u4e8e\u4e2d\u8001\u5e74\u7537\u6027\u548c\u5c11\u6570\u7edd\u7ecf\u540e\u7684\u5987\u5973, \u75c5\u56e0\u4e3a\u5c3f\u9178\u76d0\u7ed3\u6676\u5728\u5173\u8282\u8154\u6c89\u79ef\u800c\u9020\u6210\u5173\u8282\u708e, \u5176\u4e34\u5e8a\u7279\u70b9\u4e3a\u9ad8\u5c3f\u9178\u8840\u75c7, \u6025\u6027\u5173\u8282\u708e\u53cd\u590d\u53d1\u4f5c, \u5e38\u6613\u7d2f\u53ca\u80be\u810f\u3002 \u6025\u6027\u75db\u98ce\u6027\u5173\u8282\u708e\u662f\u75db\u98ce\u6700\u5e38\u89c1\u7684\u75c7\u72b6, \u5178\u578b\u53d1\u4f5c\u8d77\u75c5\u6025, \u591c\u95f4\u6613\u72af, \u7ea2\u80bf\u70ed\u75db, \u6d3b\u52a8\u53d7\u9650, \u6570\u5c0f\u65f6\u5185\u75c7\u72b6\u53d1\u5c55\u81f3\u9ad8\u5cf0 [1] , \u4e25\u91cd\u5f71\u54cd\u60a3\u8005\u7684\u751f\u6d3b\u5de5\u4f5c\u3002 <\/p>\n

\u8fd1\u5e74\u6765, \u6211\u4eec\u91c7\u7528\u4e09\u9ec4\u6563\u5408\u51b0\u7247\u8292\u785d\u5916\u6577\u914d\u5408\u897f\u836f\u6cbb\u7597\u672c\u75c5, \u80fd\u7f29\u77ed\u80bf\u75db\u65f6\u95f4, \u51cf\u5c11\u7528\u836f, \u53d6\u5f97\u8f83\u6ee1\u610f\u7597\u6548, \u73b0\u62a5\u544a\u5982\u4e0b\u3002<\/p>\n

1\u4e34\u5e8a\u8d44\u6599<\/p>\n

1.1\u4e00\u822c\u8d44\u6599<\/p>\n

\u9009\u53d62013\u5e7410\u6708\u20142014\u5e7411\u6708\u6211\u9662\u98ce\u6e7f\u75c5\u79d1\u4f4f\u9662\u53ca\u95e8\u8bca90\u4f8b\u60a3\u8005, \u6309\u6570\u5b57\u8868\u6cd5\u968f\u673a\u5206\u4e3a2\u7ec4\u3002 <\/p>\n

\u6cbb\u7597\u7ec445\u4f8b, \u753740\u4f8b, \u59735\u4f8b; \u5e74\u9f8422 ~79\u5c81, \u5e73\u5747 (40.2\u00b14.6) \u5c81;\u75c5\u7a0b5 d~10 a, \u5e73\u5747 (33.5\u00b17.9) \u4e2a\u6708 \u3002 <\/p>\n

\u5bf9\u7167\u7ec445\u4f8b , \u753741\u4f8b, \u59734\u4f8b ; \u5e74\u9f8426~68\u5c81 , \u5e73\u5747 (43.2\u00b14.9) \u5c81 ; \u75c5\u7a0b10 d~8 a, \u5e73\u5747 (32.8\u00b16.3) \u4e2a\u6708 \u3002 2\u7ec4\u6027\u522b \u3001\u5e74\u9f84 \u3001\u75c5\u7a0b\u6bd4\u8f83, \u5dee\u5f02\u65e0\u7edf\u8ba1\u5b66\u610f\u4e49 (P>0.05) , \u5177\u6709\u53ef\u6bd4\u6027\u3002<\/p>\n

1.2\u8bca\u65ad\u6807\u51c6<\/p>\n

\u897f\u533b\u8bca\u65ad\u7b26\u54081990\u5e74\u7f8e\u56fd\u98ce\u6e7f\u75c5\u5b66\u4f1a\u6025\u6027\u75db\u98ce\u5173\u8282\u708e\u5206\u7c7b\u6807\u51c6 [2] :1\u6025\u6027\u5173\u8282\u708e\u53d1\u4f5c1\u6b21\u4ee5\u4e0a;2 1 d\u5185\u5173\u8282\u708e\u75c7\u8fbe\u9ad8\u5cf0;3\u5be1\u5173\u8282\u708e\u53d1\u4f5c;4\u5173\u8282\u53d1\u7ea2;5\u7b2c\u4e00\u8dd6\u8dbe\u5173\u8282 (MTPJ) \u80bf\u80c0\u6216\u75bc\u75db;6\u5355\u4fa7\u7b2c\u4e00MTPJ\u53d1\u4f5c;7\u5355\u4fa7\u8dd7\u9aa8\u5173\u8282\u708e\u53d1\u4f5c;8\u53ef\u4ee5\u6216\u8bc1\u5b9e\u7684\u75db\u98ce\u77f3;9\u9ad8\u5c3f\u9178\u8840\u75c7;10\u7ecf\u5f71\u50cf\u5b66\u8bc1\u5b9e\u7684\u4e0d\u5bf9\u79f0\u6027\u5173\u8282\u5185\u80bf\u80c0;11\u5173\u8282\u708e\u7684\u53d1\u4f5c\u53ef\u5b8c\u5168\u7f13\u89e3\u3002 \u7b26\u5408\u4ee5\u4e0a11\u9879\u4e2d\u76846\u9879\u53ef\u786e\u8bca\u3002<\/p>\n

1.3\u6392\u9664\u6807\u51c6<\/p>\n

\u76ae\u80a4\u8fc7\u654f\u8005;\u75db\u98ce\u53d1\u4f5c\u95f4\u6b47\u671f;\u5408\u5e76\u5fc3\u8111\u3001\u809d\u80be\u53ca\u9020\u8840\u7cfb\u7edf\u75be\u75c5;\u5408\u5e76\u5316\u8113\u6027\u5173\u8282\u708e\u7b49\u3002<\/p>\n

2\u6cbb\u7597\u65b9\u6cd5<\/p>\n

2.1\u6cbb\u7597\u7ec4\u91c7\u7528\u6211\u9662\u4e2d\u836f\u5236\u5242\u4e09\u9ec4\u6563 (\u6279\u53f7: 141010) , \u4e3b\u8981\u6210\u5206\u5927\u9ec4 \u3001 \u9ec4\u67cf \u3001 \u9ec4\u8fde\u6309\u4e00\u5b9a\u6bd4\u4f8b\u6253\u7c89, \u53d620 g\u52a0\u51b0\u72475 g, \u8292\u785d10 g, \u7528\u8336\u6cb9\u6216\u8702\u871c\u8c03\u6210\u7cca\u72b6, \u5747\u5300\u6577\u5728\u80bf\u75db\u60a3\u5904, \u6301\u7eed\u6e7f\u65774~8 h\u540e\u63ed\u53bb\u5e76\u6e05\u6d01\u60a3\u8005\u76ae\u80a4, \u6bcf\u65e52\u6b21\u3002 <\/p>\n

\u6577\u836f\u671f\u95f4\u914d\u5408\u670d\u7528\u79cb\u6c34\u4ed9\u78b1 (\u4e91\u5357\u897f\u53cc\u7248\u7eb3\u836f\u4e1a\u6709\u9650\u516c\u53f8, \u6279\u53f7: 150103) 0.5 mg, \u6bcf\u65e53\u6b21\u3002<\/p>\n

2.2\u5bf9\u7167\u7ec4\u53e3\u670d\u79cb\u6c34\u4ed9\u78b10.5mg, \u6bcf\u65e53\u6b21\u3002<\/p>\n

3\u89c2\u5bdf\u65b9\u6cd5<\/p>\n

\u6cbb\u7597\u524d\u548c\u6cbb\u7597\u540e4 h\u30018 h\u8fdb\u884c\u75bc\u75db\u8bc4\u5206\u3002 2\u7ec4\u6cbb\u75973 d\u540e\u518d\u884c\u7597\u6548\u5224\u5b9a\u3002<\/p>\n

3.1\u7597\u6548\u5224\u5b9a\u6807\u51c6<\/p>\n

\u6839\u636e\u300a\u4e2d\u533b\u75c5\u8bc1\u8bca\u65ad\u7597\u6548\u6807\u51c6\u300b [3] \u62df\u5b9a:\u5173\u8282\u7ea2\u80bf\u70ed\u75db\u6d88\u5931, \u5c40\u90e8\u65e0\u4efb\u4f55\u5f02\u5e38\u53cd\u5e94, \u6d3b\u52a8\u5982\u5e38\u4e3a\u663e\u6548;\u5173\u8282\u80bf\u80c0\u6d88\u5931, \u75bc\u75db\u51cf\u8f7b\u4e3a\u6709\u6548;\u5173\u8282\u7ea2\u80bf\u70ed\u75db\u65e0\u6539\u5584, \u6d3b\u52a8\u4ecd\u53d7\u5f71\u54cd\u4e3a\u65e0\u6548\u3002<\/p>\n

3.2\u5173\u8282\u75bc\u75db\u8bc4\u5224\u65b9\u6cd5<\/p>\n

\u91c7\u7528\u75bc\u75db\u89c6\u89c9\u6a21\u62df\u8bc4\u5206\u6cd5 (VAS) [4] \u8bc4\u5206, 0\u5206:\u65e0\u75db;3\u5206\u4ee5\u4e0b:\u6709\u8f7b\u5fae\u7684\u75bc\u75db, \u80fd\u5fcd\u53d7;4~6\u5206:\u60a3\u8005\u75bc\u75db\u5e76\u5f71\u54cd\u7761\u7720, \u5c1a\u80fd\u5fcd\u53d7;7~10\u5206:\u60a3\u8005\u6709\u6e10\u5f3a\u70c8\u7684\u75bc\u75db, \u75bc\u75db\u96be\u5fcd, \u5f71\u54cd\u98df\u6b32, \u5f71\u54cd\u7761\u7720\u3002<\/p>\n

3.3\u7edf\u8ba1\u5b66\u5904\u7406\u8ba1\u6570\u8d44\u6599<\/p>\n

\u4ee5\u4f8b \/ \u767e\u5206\u7387\u8868\u793a, \u6bd4\u8f83\u7528 \u03c7 2 \u68c0\u9a8c, \u8ba1\u91cf\u8d44\u6599\u7528t\u68c0\u9a8c, \u91c7\u7528SPSS 17.0\u7edf\u8ba1\u8f6f\u4ef6\u5305\u8fdb\u884c\u5206\u6790\u3002<\/p>\n

4\u6cbb\u7597\u7ed3\u679c<\/p>\n

4.12\u7ec4\u7597\u6548\u6bd4\u8f83\u89c1\u88681\u3002<\/p>\n

\u88681   2 \u7ec4\u7597\u6548\u6bd4\u8f83\u6ce8:\u4e0e\u5bf9\u7167\u7ec4\u6bd4\u8f83, 1) P<0.05\u30024.2 2\u7ec4VAS\u8bc4\u5206\u6bd4\u8f83\u89c1\u88682\u3002\u5206\u88682 2 \u7ec4 VAS \u8bc4\u5206\u6bd4\u8f83 (\ue0af\u00b1s)\u6ce8:\u4e0e\u5bf9\u7167\u7ec4\u6bd4\u8f83, 1) P<0.05\u3002<\/p>\n

5 \u8ba8\u8bba<\/p>\n

\u672c\u75c5\u5728\u6025\u6027\u5173\u8282\u708e\u671f\u8bc1\u578b\u591a\u5c5e\u6e7f\u70ed\u8bc1\u8303\u7574, \u6cbb\u4ee5\u6e05\u70ed\u795b\u6e7f, \u51c9\u8840\u89e3\u6bd2, \u6d88\u80bf\u6b62\u75db\u3002 \u4e09\u9ec4\u6563\u4e2d\u5927\u9ec4\u51c9\u8840\u89e3\u6bd2, \u6cfb\u70ed\u901a\u80a0, \u9010\u7600\u901a\u7ecf, \u5916\u6577\u6e05\u706b\u89e3\u6bd2\u3001\u6d88\u80bf; \u9ec4\u8fde\u6e05\u70ed\u71e5\u6e7f, \u6cfb\u706b\u89e3\u6bd2 ;\u9ec4\u67cf\u6e05\u70ed\u71e5\u6e7f, \u6cfb\u706b\u9664\u84b8, \u89e3\u6bd2\u7597\u75ae;\u51b0\u7247\u5473\u8f9b\u82e6, \u6027\u5fae\u5bd2, \u5177\u6709\u5f00\u7a8d\u9192\u795e\u3001 \u6e05\u70ed\u6b62\u75db\u7684\u529f\u6548;\u8292\u785d\u6027\u5473\u54b8\u82e6\u5bd2, \u529f\u4e3a\u6cfb\u4e0b\u653b\u79ef\u3001 \u6da6\u71e5\u8f6f\u575a, \u5916\u7528\u80fd\u6e05\u70ed\u89e3\u6bd2\u3001\u6d88\u80bf\u6563\u7ed3\u3002 \u73b0\u4ee3\u836f\u7406\u7814\u7a76\u663e\u793a:\u5927\u9ec4\u4f7f\u82b1\u751f\u56db\u70ef\u9178\u4ee3\u8c22\u9014\u5f84\u5185\u73af\u6c27\u5316\u9176\u901a\u9053\u53d7\u963b, \u540c\u65f6\u7f9f\u57fa\u82b1\u751f\u56db\u70ef\u9178\u751f\u6210\u589e\u52a0, \u800c\u6d3b\u8dc3\u8102\u5316\u9176\u901a\u8def, \u56e0\u6b64\u53d1\u6325\u6297\u708e\u4f5c\u7528;\u9ec4\u67cf\u4e3b\u8981\u542b\u5c0f\u6a97\u78b1, \u53e6\u542b\u9ec4\u67cf\u916e\u3001\u9ec4\u67cf\u5185\u916f\u53ca\u8102\u80aa\u3001\u753e\u9187\u7c7b\u5316\u5408\u7269\u7b49, \u5177\u6709\u6e05\u70ed \u71e5\u6e7f\u53ca\u5e7f \u8c31\u6297\u83cc\u4f5c \u7528 [5 ] ; \u9ec4\u8fde\u4e3b\u8981 \u542b\u6709\u5c0f\u6a97\u78b1, \u5177\u6709\u4fdd\u6cf0\u677e\u6837\u7684\u6297\u708e\u3001\u89e3\u70ed\u4f5c\u7528, \u80fd\u589e\u5f3a\u767d\u7ec6\u80de\u7684\u541e\u566c\u4f5c\u7528, \u6fc0\u6d3b\u5de8\u566c\u7ec6\u80de, \u589e\u5f3a\u7f51\u72b6\u5185\u76ae\u7cfb\u7edf\u7684\u541e\u566c\u4f5c\u7528, \u6291\u5236\u7ec6\u80de\u5206\u88c2, \u4e0e\u79cb\u6c34\u4ed9\u78b1\u6709\u534f\u540c\u4f5c\u7528 [6 ] ; \u51b0\u7247\u6709\u6b62\u75db \u3001 \u9632\u8150 \u3001 \u6297\u708e\u53ca\u9547\u9759\u4f5c\u7528 , \u5bf9\u75bc\u75db\u4f20\u5bfc\u7684\u7b2c\u4e00\u4e2a\u73af\u8282\u6709\u5e72\u9884\u4f5c\u7528, \u80fd\u591f\u51cf\u5c11\u635f\u4f24\u7ec4\u7ec7\u5904\u4f24\u5bb3\u6027\u611f\u53d7\u5668\u4f20\u4eba\u810a\u9ad3\u7684\u4f24\u5bb3\u6027\u523a\u6fc0\u4fe1\u53f7 [7] , \u5177\u6709\u8f83\u597d\u7684\u4fc3\u6e17\u900f\u4f5c\u7528, \u6545\u4e0e\u5176\u4ed6\u836f\u7269\u914d\u5408\u5916\u7528\u53ef\u63d0\u9ad8\u5916\u7528\u836f\u7684\u6cbb\u7597\u6548\u679c;\u8292\u785d\u53ef\u6b62\u75db\u6d88\u708e, \u6539\u5584\u5c40\u90e8\u5faa\u73af, \u8c03\u52a8\u673a\u4f53\u5185\u5728\u7684\u6297\u75c5\u80fd\u529b, \u52a0\u5feb\u6dcb\u5df4\u7ec6\u80de\u751f\u6210\u3002 \u8bf8\u836f\u5408\u7528, \u6e05\u70ed\u89e3\u6bd2, \u6d88\u80bf\u6b62\u75db, \u51c9\u8840\u901a\u7edc, \u900f\u76ae\u8fbe\u91cc, \u76f4\u8fbe\u75c5\u6240, \u65e0\u80c3\u80a0\u523a\u6fc0\u4f5c\u7528, \u64cd\u4f5c\u7b80\u4fbf, \u4ef7\u683c\u4f4e\u5ec9, \u5bf9\u65e0\u6cd5\u8010\u53d7\u79cb\u6c34\u4ed9\u78b1\u6bd2\u526f\u4f5c\u7528\u7684\u60a3\u8005, \u5728\u75db\u98ce\u6025\u6027\u671f\u5e94\u7528\u5c24\u4e3a\u9002\u5b9c\u3002 \u60a3\u8005\u6577\u836f\u540e\u5373\u611f\u51c9\u723d\u8212\u9002, \u75bc\u75db\u51cf\u8f7b\u3002<\/p>\n

\u53c2\u8003\u6587\u732e[1]\u9648\u704f\u73e0, \u6797\u4e3a\u679c.\u5b9e\u7528\u5185\u79d1\u5b66[M].\u5317\u4eac:\u51fa\u7248\u793e\u4eba\u6c11\u536b\u751f, 2009:2769.<\/p>\n

[3]\u56fd\u5bb6\u4e2d\u533b\u836f\u7ba1\u7406\u5c40.\u4e2d\u533b\u75c5\u8bc1\u8bca\u65ad\u7597\u6548\u6807\u51c6[S].\u5357\u4eac:\u5357\u4eac\u5927\u5b66\u51fa\u7248\u793e, 1994:51.<\/p>\n

[4]\u5b8b\u6587\u9601, \u738b\u4f1a\u4ead, \u5085\u5fd7\u4f20, \u7b49, \u5b9e\u7528\u4e34\u5e8a\u75bc\u75db\u5b66[M].\u90d1\u5dde:\u6cb3\u5357\u79d1\u5b66\u6280\u672f\u51fa\u7248\u793e, 2008:2-28.<\/p>\n

[5]\u738b\u6d74\u751f.\u4e2d\u836f\u836f\u7406\u4e0e\u5e94\u7528[M].\u5317\u4eac:\u51fa\u7248\u793e\u4eba\u6c11\u536b\u751f, 1998:991-992.<\/p>\n

[6]\u90ed\u5170\u5fe0.\u73b0\u4ee3\u5b9e\u7528\u4e2d\u836f\u5b66[M].\u5317\u4eac:\u51fa\u7248\u793e\u4eba\u6c11\u536b\u751f, 1999:148.<\/p>\n

[7]\u8d75\u96e8\u5343, \u5415\u5c0f\u661f, \u8d75\u806a\u9896, \u7b49.\u51b0\u7247\u5916\u7528\u5bf9\u5927\u9f20\u540e\u80a2\u7a7f\u523a\u4f24\u6025\u6027\u75bc\u75db\u7684\u6291\u5236\u4f5c\u7528[J].\u534e\u5317\u56fd\u9632\u533b\u836f, 2010, 12 (22) :509-511.<\/p>\n

\u4f5c\u8005\u7b80\u4ecb: \u9ec4\u78a7\u4ed9 (1974\u2014) , \u5973, \u4e3b\u6cbb\u533b\u5e08, \u4e3b\u8981\u4ece\u4e8b\u98ce\u6e7f\u514d\u75ab\u6027\u75be\u75c5\u7814\u7a76\u3002 <\/p>\n

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