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\u4e8c\u3001\u8bca\u65ad\u6027\u8bc4\u4f30<\/p>\n

1\u3001\u8bca\u65ad\u6027\u8bc4\u4f30\u5305\u62ec\u4ee5\u4e0b\u4e09\u65b9\u9762\uff1a<\/p>\n

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2\u3001\u9ad8\u8840\u538b\u521d\u6b65\u8bca\u65ad\u8bc4\u4f30\u7b80\u6613\u6d41\u7a0b\u56fe\uff1a<\/p>\n

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3\u3001\u9ad8\u8840\u538b\u7684\u7684\u5b9a\u4e49\u4e0e\u5fc3\u8840\u7ba1\u5371\u9669\u5206\u5c42\uff1a<\/p>\n

\uff081\uff09\u8840\u538b\u5206\u7c7b\u4e0e\u9ad8\u8840\u538b\u5206\u7ea7\uff1a<\/p>\n

\u88681 \u8840\u538b\u5206\u7c7b\u4e0e\u9ad8\u8840\u538b\u5206\u7ea7<\/p>\n

\u6ce8\uff1a\u5f53\u6536\u7f29\u538b\u548c\u8212\u5f20\u538b\u5206\u5c5e\u4e8e\u4e0d\u540c\u7ea7\u522b\u65f6\uff0c\u4ee5\u8f83\u9ad8\u7684\u5206\u7ea7\u4e3a\u51c6\u3002<\/p>\n

\uff082\uff09\u9ad8\u8840\u538b\u8bca\u65ad\u6807\u51c6\uff1a<\/p>\n

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\u88682 \u9ad8\u8840\u538b\u8bca\u65ad\u6807\u51c6<\/p>\n

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\uff083\uff09\u9ad8\u8840\u538b\u7684\u8bca\u65ad\u6d41\u7a0b\uff1a<\/p>\n

\u56fe3 \u8840\u538b\u7684\u6d4b\u91cf\u4e0e\u9ad8\u8840\u538b\u7684\u8bca\u65ad\u6d41\u7a0b<\/p>\n

\uff084\uff09\u57fa\u4e8e\u8bca\u5ba4\u8840\u538b\u3001\u5371\u9669\u56e0\u7d20\u3001\u9776\u5668\u5b98\u635f\u5bb3\u3001\u4e34\u5e8a\u5408\u5e76\u75c7\u8fdb\u884c\u5fc3\u8840\u7ba1\u98ce\u9669\u6c34\u5e73\u5206\u5c42\uff1a<\/p>\n

\u88683 \u5fc3\u8840\u7ba1\u98ce\u9669\u6c34\u5e73\u5206\u5c42<\/p>\n

\uff085\uff09\u5f71\u54cd\u9ad8\u8840\u538b\u60a3\u8005\u9884\u540e\u7684\u91cd\u8981\u56e0\u7d20\uff1a<\/p>\n

\u88684 \u5371\u9669\u56e0\u7d20<\/p>\n

\u6ce8\uff1a\u7ea2\u5b57\u4e3a\u6307\u5357\u65b0\u589e\u90e8\u5206<\/p>\n

\u88685 \u9776\u5668\u5b98\u635f\u5bb3<\/p>\n

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\u88686 \u4e34\u5e8a\u5e76\u53d1\u75c7\u4e0e\u5408\u5e76\u75c7<\/p>\n

\u4e09\u3001\u964d\u538b\u7b56\u7565\u4e0e\u6cbb\u7597<\/p>\n

1\u3001\u63d0\u51fa\u4e86\u9ad8\u8840\u538b\u6cbb\u7597\u7684\u5206\u7ea7\u3001\u5206\u671f\u3001\u5206\u578b\u65b0\u7406\u5ff5\uff1a<\/p>\n

\uff081\uff09\u9488\u5bf9\u8840\u538b\u5347\u9ad8\u672c\u8eab\u7684\u964d\u538b\u6cbb\u7597\uff08\u5206\u7ea7\uff09\uff1b<\/p>\n

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\uff083\uff09\u9488\u5bf9\u9ad8\u8840\u538b\u7684\u75c5\u56e0\u7684\u7ea0\u6b63\u548c\u6cbb\u7597\uff08\u5206\u578b\uff09\u3002<\/p>\n

\u56fe4 \u9ad8\u8840\u538b\u6cbb\u7597\u7684\u5206\u7ea7\u3001\u5206\u671f\u3001\u5206\u578b\u57fa\u672c\u7406\u5ff5<\/p>\n

2\u3001\u57fa\u4e8e\u8840\u538b\u6c34\u5e73\u53ca\u5fc3\u8840\u7ba1\u98ce\u9669\u542f\u52a8\u964d\u538b\u6cbb\u7597\u7684\u65f6\u673a\uff1a<\/p>\n

\u56fe5 \u57fa\u4e8e\u8840\u538b\u6c34\u5e73\u53ca\u5fc3\u8840\u7ba1\u98ce\u9669\u542f\u52a8\u964d\u538b\u6cbb\u7597\u7684\u65f6\u673a<\/p>\n

3\u3001\u8bca\u5ba4\u8840\u538b\u76ee\u6807\uff1a<\/p>\n

\u56fe6 \u8bca\u5ba4\u8840\u538b\u76ee\u6807<\/p>\n

4\u30012024\u7248\u6307\u5357\u63a8\u8350\u66f4\u79ef\u6781\u7684\u964d\u538b\u76ee\u6807\uff1a<\/p>\n

\u88687 2024\u7248\u4e0e2018\u7248\u964d\u538b\u76ee\u6807\u5bf9\u6bd4<\/p>\n

\u56db\u3001\u964d\u538b\u6cbb\u7597\u65b9\u6cd5<\/p>\n

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1\u3001\u751f\u6d3b\u65b9\u5f0f\u5e72\u9884\uff1a\u65b0\u7248\u300a\u6307\u5357\u300b\u63a8\u8350\u6240\u6709\u9ad8\u8840\u538b\u60a3\u8005\u5e94\u8fdb\u884c\u6cbb\u7597\u6027\u751f\u6d3b\u65b9\u5f0f\u5e72\u9884\u3002\u8840\u538b\u6b63\u5e38\u9ad8\u503c\u7684\u4eba\u7fa4\uff0c\u5c24\u5176\u5e94\u8be5\u91cd\u89c6\u6539\u5584\u751f\u6d3b\u65b9\u5f0f\uff0c\u9884\u9632\u9ad8\u8840\u538b\u7684\u53d1\u751f\u3002\u751f\u6d3b\u65b9\u5f0f\u7684\u6539\u53d8\u4ecd\u7136\u662f\u9ad8\u8840\u538b\u9632\u6cbb\u7684\u57fa\u77f3\uff0c\u65b0\u7248\u300a\u6307\u5357\u300b\u5bf9\u6b64\u7ed9\u4e88\u4e86\u66f4\u9ad8\u7684\u5173\u6ce8\uff1a\u9996\u5148\u662f\u8981\u5065\u5eb7\u996e\u98df\uff0c\u51cf\u5c11\u6444\u5165\u76d0\u548c\u9971\u548c\u8102\u80aa\uff0c\u589e\u52a0\u6444\u5165\u86cb\u767d\u8d28\u3001\u4f18\u8d28\u78b3\u6c34\u5316\u5408\u7269\u3001\u94be\u53ca\u81b3\u98df\u7ea4\u7ef4\uff1b\u5176\u6b21\uff0c\u5efa\u8bae\u6240\u6709\u5438\u70df\u8005\u6212\u70df\uff0c\u5c3d\u91cf\u907f\u514d\u4f7f\u7528\u7535\u5b50\u70df\uff0c\u4ee5\u51cf\u5c11\u9690\u853d\u6027\u9ad8\u8840\u538b\uff0c\u964d\u4f4e\u5fc3\u8840\u7ba1\u75be\u75c5\u548c\u5168\u56e0\u6b7b\u4ea1\u98ce\u9669\uff08\u6307\u56e0\u4efb\u4f55\u539f\u56e0\u5bfc\u81f4\u7684\u6b7b\u4ea1\uff09\uff1b\u6b64\u5916\uff0c\u51cf\u8f7b\u7cbe\u795e\u538b\u529b\u4ea6\u662f\u91cd\u8981\u4e3e\u63aa\uff0c\u53ef\u4ee5\u901a\u8fc7\u591a\u79cd\u65b9\u6cd5\u6765\u5b9e\u73b0\uff0c\u4f8b\u5982\u8ba4\u77e5\u884c\u4e3a\u6cbb\u7597\u3001\u6b63\u5ff5\u548c\u51a5\u60f3\u3001\u745c\u4f3d\u3001\u6df1\u547c\u5438\u7ec3\u4e60\u7b49\u3002\u503c\u5f97\u6ce8\u610f\u7684\u662f\uff0c\u65b0\u7248\u300a\u6307\u5357\u300b\u5728\u6cbb\u7597\u6027\u751f\u6d3b\u65b9\u5f0f\u5e72\u9884\u7ae0\u8282\u4e2d\u65b0\u589e\u4e86\u5173\u4e8e\u7761\u7720\u7684\u76f8\u5173\u5efa\u8bae\uff0c\u9ad8\u8840\u538b\u60a3\u8005\u5e94\u4fdd\u6301\u5065\u5eb7\u7761\u7720\uff0c\u6539\u5584\u7761\u7720\u969c\u788d\u3002\u65b0\u7248\u300a\u6307\u5357\u300b\u5efa\u8bae\uff0c\u6210\u5e74\u4eba\u6bcf\u665a\u7761\u7720\u65f6\u95f4\u4e3a7~9\u5c0f\u65f6\uff0c\u786e\u4fdd\u7761\u7720\u8d28\u91cf\uff0c\u6309\u65f6\u4f5c\u606f\u3002<\/p>\n

\u56fe7\u6cbb\u7597\u6027\u751f\u6d3b\u65b9\u5f0f\u5e72\u9884<\/p>\n

2\u3001\u836f\u7269\u6cbb\u7597\uff1a<\/p>\n

\uff081\uff09\u836f\u7269\u5e94\u7528\u57fa\u672c\u539f\u5219<\/p>\n

\u56fe8 \u836f\u7269\u5e94\u7528\u539f\u5219\u66f4\u65b0\u6982\u51b5<\/p>\n

\uff082\uff09\u6cbb\u7597\u6d41\u7a0b\uff1a<\/p>\n

\u56fe9 \u5355\u836f\u6216\u8054\u5408\u6cbb\u7597\u6d41\u7a0b<\/p>\n

\uff083\uff09\u6cbb\u7597\u836f\u7269\u66f4\u65b0\uff1a\u66ff\u4ee3\u76d0\u3001\u963f\u9f50\u6c99\u5766\u3001ARNI\u3001MRA\u3001\u5185\u76ae\u7d20\u53cc\u53d7\u4f53\u62ee\u6297\u5242\u3001\u4e2d\u533b\u836f\u3001RDN\u3001SGLT2i\/GLP-1RA\u7b49\u3002 <\/p>\n

\uff084\uff09\u963f\u9f50\u6c99\u5766\u4e34\u5e8a\u7814\u7a76\u4ecb\u7ecd\uff1a<\/p>\n

a) \u72ec\u7279\u7684\u5641\u4e8c\u5511\u73af\u5e26\u6765\u7684\u836f\u4ee3\u52a8\u529b\u5b66\u4f18\u52bf<\/p>\n

\u56fe10 \u963f\u9f50\u6c99\u5766\u836f\u4ee3\u52a8\u529b\u5b66\u7814\u7a76<\/p>\n

b) \u963f\u9f50\u6c99\u5766\u964d\u538b\u901f\u5ea6\u5feb\u3001\u53ef\u5feb\u901f\u3001\u5f3a\u6548\u964d\u538b<\/p>\n

\u56fe11 ARB\u964d\u538b\u56de\u987e\u6027\u7814\u7a76<\/p>\n

c) \u963f\u9f50\u6c99\u5766\u52a9\u529b24h\u5e73\u7a33\u8fbe\u6807\uff0c\u957f\u6548\u5236\u5242\u4f18\u9009<\/p>\n

\u56fe12 \u963f\u9f50\u6c99\u5766\/\u574e\u5730\u6c99\u5766\u5bf9\u7167\u7814\u7a76<\/p>\n

3\u3001\u4e2d\u533b\u836f\u5e94\u7528\u4e0e\u5668\u68b0\u6cbb\u7597\uff1a<\/p>\n

a) \u5668\u68b0\u6cbb\u7597\uff1a\u5728\u6700\u8fd110\u591a\u5e74\u7684\u63a2\u7d22\u4e2d\uff0c\u5668\u68b0\u6cbb\u7597\u5728\u9650\u5b9a\u9ad8\u8840\u538b\u60a3\u8005\u4e2d\u79ef\u7d2f\u4e86\u91cd\u8981\u8bc1\u636e\u3002<\/p>\n

\u56fe13 \u5668\u68b0\u6cbb\u7597\u65b9\u6cd5<\/p>\n

b) \u4e2d\u533b\u836f\u5728\u964d\u538b\u6cbb\u7597\u4e2d\u7684\u5e94\u7528\uff1a\u65b0\u7248\u300a\u6307\u5357\u300b\u8fd8\u5c06\u4e00\u4e9b\u6709\u8bc1\u636e\u652f\u6301\u7684\u4e2d\u836f\u7eb3\u5165\u5230\u9ad8\u8840\u538b\u7684\u6cbb\u7597\u65b9\u6cd5\u4e2d\uff1a\u5bf9\u4e8e\u6b63\u5e38\u9ad8\u503c\u8840\u538b\u9700\u8981\u836f\u7269\u6cbb\u7597\u8005\u4ee5\u53ca1\u7ea7\u9ad8\u8840\u538b\u60a3\u8005\u53ef\u4ee5\u8003\u8651\u5e94\u7528\u5177\u6709\u5e73\u809d\u6f5c\u9633\u7b49\u529f\u7528\u4e14\u6709\u5faa\u8bc1\u8bc1\u636e\u7684\u4e2d\u6210\u836f\uff08\u5982\u5929\u9ebb\u94a9\u85e4\u9897\u7c92\u3001\u677e\u9f84\u8840\u8109\u5eb7\u80f6\u56ca\u7b49\uff09\uff0c\u4ee5\u6539\u5584\u9ad8\u8840\u538b\u76f8\u5173\u75c7\u72b6\uff0c\u5e76\u8d77\u5230\u4e00\u5b9a\u7684\u8f85\u52a9\u964d\u538b\u4f5c\u7528\uff0c\u4e5f\u53ef\u4ee5\u4f5c\u4e3a\u5e38\u7528\u964d\u538b\u836f\u7684\u8054\u5408\u7528\u836f\u3002\u201c\u8fd9\u4f53\u73b0\u4e86\u4e2d\u533b\u836f\u5728\u6211\u56fd\u8bca\u65ad\u6cbb\u7597\u4e2d\u7684\u72ec\u7279\u6027\uff0c\u65e2\u6709\u4f20\u627f\u53c8\u6709\u521b\u65b0\u3002<\/p>\n

\u4e94\u3001\u603b\u7ed3<\/p>\n

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\u7edf\u5eb7\u7ba1\u7406\u7ed9\u4e88\u6700\u79d1\u5b66\u7684\u9ad8\u8840\u538b\u5065\u5eb7\u7ba1\u7406\u65b9\u6848<\/p>\n

\u9ad8\u8840\u538b\u5065\u5eb7\u7ba1\u7406\u662f\u6307\u4e00\u79cd\u5bf9\u4e2a\u4eba\u6216\u4eba\u7fa4\u7684\u5065\u5eb7\u5371\u9669\u56e0\u7d20\u8fdb\u884c\u68c0\u6d4b\u3001\u5206\u6790\u3001\u8bc4\u4f30\u548c\u5e72\u9884\u7684\u5168\u9762\u7ba1\u7406\u7684\u8fc7\u7a0b\u3002<\/p>\n<\/p>\n

\u7b2c\u4e00\u6b65\u901a\u8fc7\u9ad8\u8840\u538b\u57fa\u56e0\u68c0\u6d4b\u548c\u4e2a\u6027\u5316\u5b89\u5168\u7528\u836f\u68c0\u6d4b\uff0c\u627e\u9ad8\u8840\u538b\u9057\u4f20\u56e0\u7d20\uff0c\u7528\u5bf9\u836f\u3002\u5e76\u901a\u8fc7\u4e13\u4e1a\u7684\u5065\u5eb7\u7ba1\u7406\u9884\u6d4b\u8bc4\u4f30\u7cfb\u7edf\uff0c\u627e\u51c6\u53d1\u751f\u75be\u75c5\u7684\u5371\u9669\u56e0\u7d20\u4ee5\u53ca\u6bcf\u4e2a\u4eba\u751f\u6d3b\u65b9\u5f0f\u5b58\u5728\u7684\u95ee\u9898\uff0c\u8fdb\u884c\u9488\u5bf9\u6027\u7684\u77eb\u6b63\u3002<\/p>\n<\/p>\n

\u7b2c\u4e8c\u6b65\u7ed9\u60a8\u7684\u5bb6\u4eba\u7ed1\u5b9a\u8fdc\u7a0b\u667a\u80fd\u8840\u538b\u8ba1\uff0c\u53ea\u9700\u5728\u5bb6\u4e2d\u6d4b\u91cf\uff0c\u8f7b\u8f7b\u4e00\u6309\uff0c\u6d4b\u91cf\u6570\u636e\u4fbf\u4f1a\u8fdc\u7a0b\u4e0a\u4f20\u5230\u6211\u4eec\u7684\u7ba1\u7406\u4e91\u7aef\uff0c\u79c1\u4eba\u533b\u751f\u6bcf\u5929\u90fd\u4f1a\u767b\u9646\u540e\u53f0\u67e5\u770b\u76d1\u6d4b\u6570\u636e\u7684\u53d8\u5316\u60c5\u51b5\uff0c\u627e\u5230\u8840\u538b\u5cf0\u503c\u65f6\u6bb5\u548c\u4f4e\u8c37\u65f6\u6bb5\uff0c\u5728\u79c1\u4eba\u533b\u751f\u6307\u5bfc\u4e0b\u5728\u5cf0\u503c\u65f6\u6bb5\u524d\u7528\u836f\uff0c\u5b9e\u65bd\u7cbe\u51c6\u7528\u836f\u3002<\/p>\n

\u5982\u679c\u4e00\u65e6\u51fa\u73b0\u6307\u6807\u5f02\u5e38\uff0c\u4f1a\u7b2c\u4e00\u65f6\u95f4\u8054\u7cfb\u60a8\u7684\u5bb6\u4eba\u8fdb\u884c\u9884\u8b66\uff0c\u98ce\u9669\u63d0\u793a\u5e76\u7ed9\u4e88\u6307\u5bfc\u3002\u8ba9\u4ed6\u4eec\u5728\u5bb6\u4e2d\u4e5f\u80fd\u4eab\u53d7\u8212\u9002\u7684\u533b\u7597\u5173\u6000\u670d\u52a1\uff0c\u540c\u65f6\u6d4b\u91cf\u7684\u6570\u636e\u4e5f\u53ef\u4f20\u7ed9\u60a8\u548c\u60a8\u5bb6\u4eba\u7ed1\u5b9a\u7684\u624b\u673a\u7aef\uff0c\u51fa\u73b0\u5f02\u5e38\u60a8\u4e5f\u53ef\u4ee5\u7b2c\u4e00\u65f6\u95f4\u6253\u7535\u8bdd\u8054\u7cfb\u5bb6\u4eba\u6216\u8005\u544a\u77e5\u6211\u4eec\u7684\u79c1\u4eba\u533b\u751f\uff0c\u8ba9\u60a8\u5bb6\u4eba\u4eab\u53d7\u5230\u60a8\u5bf9\u4ed6\u6ee1\u6ee1\u7684\u5173\u5fc3\u548c\u7231\uff0c\u867d\u7136\u8fdc\u884c\u5343\u91cc\u4e4b\u5916\uff0c\u4f46\u60a8\u7275\u6302\u5bb6\u4eba\u7684\u5fc3\u613f\uff0c\u6211\u4eec\u5e2e\u60a8\u5b88\u5019\uff01<\/p>\n<\/p>\n

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\u6700\u5148\u8fdb\u7684\u9ad8\u8840\u538b\u7ba1\u7406\u65b9\u6848\u9700\u8981\u4e13\u4e1a\u7684\u79c1\u4eba\u533b\u751f\u505a\u9488\u5bf9\u6027\u7684\u6307\u5bfc\uff0c\u9009\u62e9\u7edf\u5eb7\u5065\u5eb7\u7ba1\u7406\uff0c\u7ed9\u60a8\u63d0\u4f9b\u6700\u8d34\u5fc3\u7684\u6307\u5bfc\u670d\u52a1\u3002<\/p>\n

\u53c2\u8003\u6587\u732e\uff1a<\/p>\n

[1]. \u300a\u4e2d\u56fd\u9ad8\u8840\u538b\u9632\u6cbb\u6307\u5357(2024\u5e74\u4fee\u8ba2\u7248)\u300b<\/p>\n

[2]. Miura S, et al. Hypertens Res. 2013, 36: 134\u2013139.<\/p>\n

[3]. Bhuiyan MA, et al. Life Sci. 2009, 85: 136\u2013140.<\/p>\n

[4]. Ojima M, et al. J Pharmacol Exp Ther. 2011, 336(3): 801\u2013808.<\/p>\n

[5]. Hiromi Rakugi, et al. Hypertens Res. 2012,35(5): 552\u2013558.<\/p>\n

[6]. Michihiro Satoh, et al. J Hypertens. 2016, 34(6): 1218-1223.<\/p>\n","protected":false},"excerpt":{"rendered":"

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