\u4f5c\u8005<\/p>\n
\u5b59\u5e0c\u624d<\/p>\n
\u590d\u65e6\u5927\u5b66\u9644\u5c5e\u773c\u8033\u9f3b\u5589\u79d1\u533b\u9662\u8033\u9f3b\u54bd\u5589\u79d1<\/p>\n
\u4e07\u7389\u67f1<\/p>\n
\u5c71\u4e1c\u5927\u5b66\u9644\u5c5e\u5c71\u4e1c\u7701\u8033\u9f3b\u5589\u533b\u9662\u8033\u9f3b\u54bd\u5589\u5934\u9888\u5916\u79d1<\/p>\n
\u53f6\u3000\u83c1<\/p>\n
\u5357\u660c\u5927\u5b66\u9644\u5c5e\u7b2c\u4e00\u533b\u9662\u8033\u9f3b\u54bd\u5589\u5934\u9888\u5916\u79d1<\/p>\n
\u8c2d\u56fd\u6797<\/p>\n
\u4e2d\u5357\u5927\u5b66\u6e58\u96c5\u4e09\u533b\u9662\u8033\u9f3b\u54bd\u5589\u5934\u9888\u5916\u79d1<\/p>\n
\u5218\u5251\u950b<\/p>\n
\u4e2d\u65e5\u53cb\u597d\u533b\u9662\u8033\u9f3b\u54bd\u5589\u79d1<\/p>\n
\u738b\u8273\u6770<\/p>\n
\u5c71\u897f\u533b\u79d1\u5927\u5b66\u7b2c\u4e8c\u533b\u9662\u8033\u9f3b\u54bd\u5589\u5934\u9888\u5916\u79d1<\/p>\n
\u7a0b\u51af\u4e3d<\/p>\n
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\u5b89\u4e91\u82b3\u5c71\u897f\u533b\u79d1\u5927\u5b66\u7b2c\u4e8c\u533b\u9662\u8033\u9f3b\u54bd\u5589\u5934\u9888\u5916\u79d1<\/p>\n
\u672c\u6587\u5df2\u9884\u51fa\u7248\uff0c\u5168\u6587\u53ef\u4f9b\u4e0b\u8f7d<\/p>\n
\u8bf7\u70b9\u51fb\u9605\u8bfb\u539f\u6587\u6216\u767b\u5f55\u672c\u520a\u5b98\u65b9\u7f51\u7ad9\u67e5\u770b<\/p>\n
\u5f15\u7528\u672c\u6587\uff1a\u8d75\u957f\u9752, \u5b59\u5e0c\u624d, \u4e07\u7389\u67f1, \u7b49. \u7ffc\u7ba1\u795e\u7ecf\u5207\u65ad\u672f\u7684\u539f\u7406\u4e0e\u5b9e\u8df5 [J\/OL] . \u4e2d\u534e\u8033\u9f3b\u54bd\u5589\u5934\u9888\u5916\u79d1\u6742\u5fd7, 2024,59\uff1a\u7f51\u7edc\u9884\u53d1\u8868. DOI: 10.3760\/cma.j.cn115330-20231010-00129<\/p>\n
\u3010\u6458\u8981\u3011\u501f\u52a9\u4f20\u7edf\u7684\u795e\u7ecf\u73af\u8def\u53ef\u4ee5\u5b9e\u73b0\u795e\u7ecf-\u514d\u75ab\u7684\u53cc\u5411\u8c03\u63a7\uff0c\u8fd9\u4e00\u53d1\u73b0\u4e3a\u91cd\u65b0\u8ba4\u8bc6\u7ffc\u7ba1\u795e\u7ecf\u5207\u65ad\u672f\uff08vidian neurectomy\uff0cVN\uff09\u63d0\u4f9b\u4e86\u7406\u8bba\u4f9d\u636e\u3002\u672c\u6587\u5c31VN\u7684\u53d1\u5c55\u5386\u53f2\u3001\u795e\u7ecf-\u514d\u75ab\u76f8\u4e92\u4f5c\u7528\u7684\u539f\u7406\u3001VN\u7684\u5e94\u7528\u89e3\u5256\u4ee5\u53ca\u5185\u955c\u672f\u5f0f\u8fdb\u884c\u91cd\u70b9\u4ecb\u7ecd\uff0c\u65e8\u5728\u4e3a\u4e34\u5e8a\u5c55\u73b0\u4e00\u5e45\u8f83\u4e3a\u5168\u9762\u7684\u4ece\u7406\u8bba\u5230\u5b9e\u8df5\u7684VN\u753b\u56fe\u3002<\/p>\n
\u4e00\u3001\u524d\u8a00<\/p>\n
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3\uff3d<\/sup>\u3002\u76ee\u524d\uff0c\u5f00\u5c55\u6b64\u7c7b\u624b\u672f\u7684\u5355\u4f4d\u8d8a\u6765\u8d8a\u591a\uff0c\u4f46\u4ece\u5df2\u53d1\u8868\u7684\u6587\u732e\u5206\u6790\uff0c\u624b\u672f\u6709\u6548\u6027\u53c2\u5dee\u4e0d\u9f50\uff0c\u5e76\u53d1\u75c7\u4e5f\u65f6\u6709\u53d1\u751f\uff0c\u8868\u660e\u8be5\u624b\u672f\u6280\u672f\u8fd8\u6ca1\u6709\u88ab\u4ece\u4e8b\u8fd9\u4e00\u9886\u57df\u7684\u5916\u79d1\u533b\u751f\u5e7f\u6cdb\u638c\u63e1\u3002\u4e3a\u4e86\u5b9e\u73b0\u624b\u672f\u6280\u672f\u7684\u540c\u8d28\u5316\uff0c\u672c\u6587\u4eceAR\u7684\u795e\u7ecf-\u514d\u75ab\u8c03\u8282\u673a\u5236\u3001\u7ffc\u7ba1\u795e\u7ecf\u5207\u65ad\u672f\uff08vidian neurectomy\uff0cVN\uff09\u7684\u89e3\u5256\u57fa\u7840\u548c\u624b\u672f\u6280\u672f\u7b49\u65b9\u9762\uff0c\u8fdb\u884c\u7ec6\u81f4\u3001\u6df1\u5165\u7684\u9610\u8ff0\uff0c\u65e8\u5728\u66f4\u65b0\u7406\u5ff5\u3001\u63d0\u9ad8\u7597\u6548\u3001\u51cf\u5c11\u5e76\u53d1\u75c7\uff0c\u6700\u7ec8\u4f7f\u5e7f\u5927\u60a3\u8005\u53d7\u76ca\u3002<\/p>\n \u4e8c\u3001\u624b\u672f\u6cbf\u9769\u4e0e\u624b\u672f\u539f\u7406<\/p>\n 20\u4e16\u7eaa60\u5e74\u4ee3\uff0cGolding-Wood\uff3b4\uff3d<\/sup>\u53d7Fowler\u62a5\u9053\u7684\u201c\u540c\u4fa7\u661f\u72b6\u795e\u7ecf\u8282\u5207\u9664\u53ef\u4ee5\u8bf1\u53d1\u5355\u4fa7\u8840\u7ba1\u8fd0\u52a8\u6027\u9f3b\u708e\u201d\uff081943\uff09\u7684\u542f\u53d1\uff0c\u7387\u5148\u53d1\u6587\u4ecb\u7ecdVN\u3002\u6587\u7ae0\u63cf\u8ff0\u4e86\u4e24\u79cd\u624b\u672f\u8def\u5f84\uff0c\u5373\u7ecf\u5f00\u9885\u5b9a\u4f4d\u5207\u65ad\u5ca9\u6d45\u5927\u795e\u7ecf\u4ee5\u963b\u65ad\u9f3b\u8154\u7684\u526f\u4ea4\u611f\u795e\u7ecf\u652f\u914d\uff0c\u4ee5\u53ca\u7ecf\u4e0a\u988c\u7aa6\u540e\u58c1-\u7ffc\u816d\u7a9d\u5b9a\u4f4d\u5207\u65ad\u7ffc\u7ba1\u795e\u7ecf\u3002\u524d\u8005\u624b\u672f\u96be\u5ea6\u5927\uff0c\u526f\u635f\u4f24\u591a\uff08\u5982\u9762\u795e\u7ecf\u9ebb\u75f9\uff09\uff0c\u540e\u8005\u662f\u7814\u7a76\u91cd\u70b9\uff0c\u4e24\u8005\u624b\u672f\u4f8b\u6570\u4e3a3\/40\u300220\u4e16\u7eaa80\u5e74\u4ee3\uff0c\u56fd\u5185\u535c\u56fd\u94c9\u5f00\u5c55\u4e86\u989d\u955c\u4e0b\/\u663e\u5fae\u955c\u4e0b\u7ecf\u4e0a\u988c\u7aa6VN\uff3b5\uff3d<\/sup>\u3002\u6b64\u540e\uff0c\u9646\u7eed\u6709\u591a\u4e2a\u56e2\u961f\u5f00\u5c55\u4e86\u6b64\u9879\u5de5\u4f5c\uff3b6, 7\uff3d<\/sup>\u3002<\/p>\n 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\u300a\u4e2d\u56fd\u53d8\u5e94\u6027\u9f3b\u708e\u8bca\u65ad\u548c\u6cbb\u7597\u6307\u5357\uff082022\u5e74\uff0c\u4fee\u8ba2\u7248\uff09\u300b\u4e2d\u7b80\u8981\u4ecb\u7ecd\u4e86VN\u7684\u624b\u672f\u539f\u7406\u4e0e\u65b9\u6cd5\uff3b1\uff3d<\/sup>\uff0c\u672c\u6587\u5728\u6b64\u57fa\u7840\u4e0a\u62d3\u5c55\u548c\u5ef6\u4f38\u3002\u5c31VN\u6cbb\u7597AR\u7684\u539f\u7406\u800c\u8a00\uff0c\u5386\u7ecf\u534a\u4e2a\u4e16\u7eaa\uff0c\u4eba\u4eec\u5bf9\u5176\u8ba4\u8bc6\u4ece\u6700\u521d\u7684\u795e\u7ecf\u53cd\u5c04\uff3b4\uff3d<\/sup>\u5230\u540e\u6765\u7684\u795e\u7ecf\u6e90\u6027\u708e\u75c7\uff08neurogenic inflammation\uff09\uff3b10\uff3d<\/sup>\uff0c\u518d\u5230\u5982\u4eca\u7684\u795e\u7ecf-\u514d\u75ab\u76f8\u4e92\u4f5c\u7528\uff0c\u8fd9\u79cd\u8f6c\u53d8\u662f\u79d1\u5b66\u8ba4\u77e5\u7684\u98de\u8dc3\uff0c\u5e76\u5bf9\u4e34\u5e8a\u4ea7\u751f\u4e86\u91cd\u8981\u5f71\u54cd\u3002VN\u201c\u5355\u4fa7\u624b\u672f\u3001\u53cc\u4fa7\u53d7\u76ca\u201d\u7406\u8bba\u7684\u63d0\u51fa\u548c\u4e34\u5e8a\u5b9e\u8df5\uff0c\u57fa\u4e8e\u53d8\u6001\u53cd\u5e94\u53d7\u5916\u5468\u548c\u4e2d\u67a2\u5171\u540c\u8c03\u63a7\u7684\u7814\u7a76\u7ed3\u679c\uff3b11\uff3d<\/sup>\u3002<\/p>\n \u7814\u7a76\u8005\u6700\u521d\u8ba4\u4e3a\uff0cVN\u53ef\u5f71\u54cd\u9f3b\u8154\u526f\u4ea4\u611f\u795e\u7ecf\u672b\u68a2\u4e59\u9170\u80c6\u78b1\u9012\u8d28\u7684\u91ca\u653e\u53ca\u5176\u5bf9\u9776\u5668\u5b98\u548c\u9776\u7ec4\u7ec7\u7684\u4f5c\u7528\uff0c\u5982\u51cf\u5c11\u9f3b\u9ecf\u819c\u817a\u4f53\u548c\u4e0a\u76ae\u4e2d\u676f\u72b6\u7ec6\u80de\u7684\u5206\u6ccc\uff0c\u7531\u6b64\u90e8\u5206\u963b\u65ad\u9f3b\u5206\u6ccc\u4ea2\u8fdb\u7684\u53d1\u75c5\u57fa\u7840\u3002\u8fd9\u79cd\u75c5\u7406\u6539\u53d8\u501f\u52a9\u4f20\u5165\u795e\u7ecf\u8fdb\u4e00\u6b65\u5f71\u54cd\u4e2d\u67a2\uff0c\u968f\u540e\u5f71\u54cd\u5916\u5468\uff0c\u662f\u4e00\u79cd\u7ecf\u5178\u7684\u795e\u7ecf\u53cd\u5c04\u4f5c\u7528\u6a21\u5f0f\uff3b12\uff3d<\/sup>\u3002\u540e\u6765\u7814\u7a76\u8005\u9010\u6e10\u8ba4\u8bc6\u5230\uff0cVN\u624b\u672f\u5b9e\u65bd\u8fc7\u7a0b\u4e2d\u540c\u65f6\u963b\u65ad\u4e86\u90e8\u5206\u611f\u89c9\u795e\u7ecf\uff0c\u5982\u7a7f\u884c\u4e8e\u8776\u816d\u5b54\u7684\u6e90\u4e8e\u4e09\u53c9\u795e\u7ecf\u611f\u89c9\u652f\u7684\u5206\u652f\uff0c\u8fdb\u800c\u5f71\u54cd\u9f3b\u8154\u795e\u7ecf\u672b\u68a2\u7ec4\u80fa\u53d7\u4f53\u7684\u4f5c\u7528\uff0c\u4ea6\u53ef\u5f71\u54cd\u6e90\u4e8e\u9f3b\u9ecf\u819c\u5c40\u90e8\u611f\u89c9\u795e\u7ecf\u672b\u68a2\u501f\u52a9\u8f74\u7d22\u53cd\u5c04\uff08axon reflex\uff09\u5f62\u6210\u7684\u3001\u7531\u795e\u7ecf\u80bd\u9006\u5411\u91ca\u653e\u8bf1\u5bfc\u7684\u795e\u7ecf\u6e90\u6027\u708e\u75c7\uff3b11\uff3d<\/sup>\u3002\u8be5\u75c5\u7406\u673a\u5236\u53ef\u524a\u5f31\u9f3b\u90e8\u9ad8\u53cd\u5e94\u6027\u75be\u75c5\u4e2d\u80a5\u5927\u7ec6\u80de\u8131\u9897\u7c92\u91ca\u653e\u7684\u7ec4\u80fa\u5bf9\u611f\u89c9\u795e\u7ecf\u672b\u68a2\u7684\u4f5c\u7528\uff0c\u7ee7\u800c\u51cf\u5f31\u5c40\u90e8\u795e\u7ecf\u6e90\u6027\u708e\u75c7\uff3b13\uff3d<\/sup>\u3002VN\u7684\u7efc\u5408\u6cbb\u7597\u6548\u679c\u6e90\u4e8e\u526f\u4ea4\u611f\u795e\u7ecf\u963b\u65ad\u5bf9\u9776\u7ec4\u7ec7\u5206\u6ccc\u7684\u5f71\u54cd\uff0c\u4ee5\u53ca\u611f\u89c9\u795e\u7ecf\u963b\u65ad\u5bf9\u795e\u7ecf\u6e90\u6027\u708e\u75c7\u7684\u4f5c\u7528\u4e24\u4e2a\u65b9\u9762\u3002<\/p>\n \u5982\u4eca\u7814\u7a76\u8005\u5bf9VN\u7684\u624b\u672f\u539f\u7406\u89e3\u8bfb\u8fdb\u4e00\u6b65\u4e0a\u5347\u81f3\u795e\u7ecf-\u514d\u75ab\u76f8\u4e92\u4f5c\u7528\uff0c\u8fd9\u4e00\u8ba4\u8bc6\u7684\u98de\u8dc3\u5f97\u76ca\u4e8e\u57fa\u7840\u7814\u7a76\u7684\u8fdb\u5c55\uff0c\u5176\u4e2d\u4e00\u4e2a\u5178\u578b\u7684\u6848\u4f8b\u662f\u5173\u4e8e\u8111\u813e\u8f74\u7684\u7814\u7a76\uff3b14, 15\uff3d<\/sup>\u3002\u8be5\u7814\u7a76\u6307\u51fa\uff0c\u4fc3\u80be\u4e0a\u817a\u76ae\u8d28\u6fc0\u7d20\u91ca\u653e\u6fc0\u7d20\u795e\u7ecf\u5143\u7684\u795e\u7ecf\u73af\u8def\uff0c\u53ef\u76f4\u63a5\u4f5c\u7528\u4e8e\u813e\u7684\u514d\u75ab\u589e\u5f3a\u4f5c\u7528\uff0c\u52a0\u6df1\u4e86\u4eba\u4eec\u5bf9\u6dcb\u5df4\u7ec6\u80de\u4ecb\u5bfc\u7684\u9002\u5e94\u6027\u514d\u75ab\u5e94\u7b54\u7684\u4e2d\u67a2-\u5916\u5468\u795e\u7ecf\u73af\u8def\u76f4\u63a5\u8c03\u63a7\u673a\u5236\u7684\u8ba4\u8bc6\u3002\u6700\u65b0\u7684\u4e00\u9879\u7814\u7a76\u53d1\u73b0\uff0c\u5375\u6e05\u86cb\u767d\uff08OVA\uff09\u81f4\u654f\u5c0f\u9f20\u5bf9OVA\u7684\u56de\u907f\u884c\u4e3a\u6d89\u53ca\u4e2d\u67a2\u8bf8\u591a\u6838\u56e2\uff0c\u5982\u5b64\u675f\u6838\u3001\u81c2\u65c1\u6838\u548c\u4e2d\u592e\u674f\u4ec1\u6838\uff0c\u63d0\u793a\u53d8\u6001\u53cd\u5e94\u5b58\u5728\u4e2d\u67a2\u8c03\u63a7\u673a\u5236\uff3b16\uff3d<\/sup>\u3002<\/p>\n \u6e90\u4e8e\u4e34\u5e8a\u7684\u7814\u7a76\u4e5f\u63d0\u793a\uff0cVN\u7684\u6cbb\u7597\u6548\u679c\u4e0e\u795e\u7ecf-\u514d\u75ab\u76f8\u4e92\u4f5c\u7528\u5bc6\u5207\u76f8\u5173\uff0c\u5982VN\u540e\u53ef\u51fa\u73b0\u7ee7\u53d1\u6027\u7684\u80a5\u5927\u7ec6\u80de\u8131\u9897\u7c92\u51cf\u5c11\u30011\u578b\u8f85\u52a9\u6027T\u7ec6\u80de\uff08Th1\u7ec6\u80de\uff09\/2\u578b\u8f85\u52a9\u6027T\u7ec6\u80de\uff08Th2\u7ec6\u80de\uff09\u548c2\u578b\u56fa\u6709\u6dcb\u5df4\u7ec6\u80de\uff08ILC2\uff09\u7b49\u514d\u75ab\u7ec6\u80de\u53ca\u5176\u7ec6\u80de\u56e0\u5b50\u5e73\u8861\u7684\u518d\u8c03\u6574\uff3b17, 18\uff3d\uff1b\u53c8\u5982\u529f\u80fd\u6027MRI\u7684\u7814\u7a76\u63d0\u793a\uff0c\u7528\u7ec4\u80fa\u8fdb\u884c\u9f3b\u8154\u9ecf\u819c\u5c40\u90e8\u6fc0\u53d1\uff0c\u53ef\u4ee5\u8bf1\u5bfc\u4e2d\u67a2\u76f8\u5173\u76ae\u5c42\u548c\u6838\u56e2\u7684\u53d8\u5316\uff3b19\uff3d<\/sup>\u3002AR\u60a3\u8005\u53ef\u540c\u65f6\u6216\u5148\u540e\u51fa\u73b0\u7126\u8651\u3001\u6291\u90c1\u3001\u55c5\u89c9\u969c\u788d\u6216\u8ba4\u77e5\u969c\u788d\u7b49\uff0c\u8fd9\u4e9b\u73b0\u8c61\u63d0\u793a\u8fc7\u654f\u539f\u548c\/\u6216\u5176\u4ed6\u7406\u5316\u7b49\u5916\u754c\u523a\u6fc0\u9664\u4e86\u8bf1\u5bfc\u514d\u75ab\u7cfb\u7edf\u4ea7\u751f\u75c5\u7406\u53cd\u5e94\u5916\uff0c\u8fd8\u53ef\u5f71\u54cd\u4e2d\u67a2\u795e\u7ecf\u7cfb\u7edf\u53ca\u5176\u76f8\u5173\u76ae\u5c42\u4e0e\u6838\u56e2\uff3b20, 21, 22\uff3d<\/sup>\u3002<\/p>\n \u9664\u4e86\u524d\u8ff0\u8111\u813e\u8f74\u548c\u5bf9\u8fc7\u654f\u539f\u56de\u907f\u884c\u4e3a\u673a\u5236\u7684\u7814\u7a76\u5916\uff3b14, 15, 16\uff3d<\/sup>\uff0c\u5176\u4ed6\u5982\u80ba\u8111\u8f74\u3001\u80a0\u8111\u8f74\u4ee5\u53ca\u52a8\u8109\u7ca5\u6837\u786c\u5316\u4e0e\u8111\u7684\u5173\u7cfb\u3001\u8102\u80aa\u4ee3\u8c22\u4e0e\u795e\u7ecf\u652f\u914d\u7b49\uff0c\u90fd\u4ece\u4e0d\u540c\u89d2\u5ea6\u63ed\u793a\u4e86\u5916\u5468\u514d\u75ab\u7cfb\u7edf\u4e0e\u4e2d\u67a2\u795e\u7ecf\u7ec6\u80de\u4e4b\u95f4\u5b58\u5728\u53cc\u5411\u8c03\u63a7\uff3b23, 24, 25, 26\uff3d<\/sup>\u3002\u57fa\u4e8e\u4ee5\u4e0a\u7814\u7a76\uff0c\u9f3b\u8111\u8f74\uff08nose-brain axis\uff09\u7684\u6982\u5ff5\u5df2\u547c\u4e4b\u6b32\u51fa\uff3b22\uff3d<\/sup>\uff0c\u540e\u7eed\u7814\u7a76\u5c06\u63d0\u4f9b\u66f4\u591a\u8bc1\u636e\u3002<\/p>\n \u4e09\u3001\u89e3\u5256<\/p>\n \u65b9\u5bf8\u4e4b\u95f4\u6709\u4e7e\u5764\u3002\u65e0\u8bba\u91c7\u7528\u4f55\u79cd\u5185\u955c\u624b\u672f\u5165\u8def\uff0c\u9996\u5148\u5747\u9700\u660e\u786e\u7ffc\u816d\u7a9d\u53ca\u5176\u9644\u8fd1\u7ed3\u6784\u7684\u89e3\u5256\uff0c\u4ee5\u53ca\u816d\u9aa8\u5782\u76f4\u677f\u53ca\u5176\u9644\u5c5e\u7ed3\u6784\u2014\u2014\u8776\u7a81\u3001\u7736\u7a81\u4e0e\u6bd7\u90bb\u7684\u8776\u7aa6\u524d\u58c1\u3001\u7281\u9798\u7ba1\u3001\u816d\u9798\u7ba1\u548c\u7ffc\u7ba1\u4e4b\u95f4\u7684\u76f8\u4e92\u5173\u7cfb\u3002\u4f9d\u636e\u8d70\u884c\u4e8e\u8776\u7aa6\u5e95\u7684\u7ffc\u7ba1\u89e3\u5256\u53ca\u5f71\u50cf\u5b66\u6240\u89c1\uff0c\u53ef\u5c06\u7ffc\u7ba1\u5206\u4e3a3\u578b\uff1a\u2160\u578b\u5b8c\u5168\u7a81\u51fa\u4e8e\u8776\u7aa6\u8154\uff1b\u2161\u578b\u90e8\u5206\u7a81\u51fa\u4e8e\u8776\u7aa6\u8154\uff1b\u2162\u578b\u5b8c\u5168\u5305\u57cb\u4e8e\u8776\u9aa8\u4f53\u5185\uff3b11\uff3d<\/sup>\u3002<\/p>\n 1. \u7ffc\u816d\u7a9d\uff1a\u7ffc\u816d\u7a9d\u540e\u754c\u4e3a\u8776\u9aa8\u7ffc\u7a81\uff0c\u5185\u754c\u4e3a\u816d\u9aa8\u5782\u76f4\u677f\u3002\u7a9d\u5185\u542b\u6709\u88ab\u8102\u80aa\u7ec4\u7ec7\u5305\u7ed5\u7684\u4e0a\u988c\u795e\u7ecf\u3001\u8776\u816d\u795e\u7ecf\u8282\u3001\u4e0a\u988c\u52a8\u8109\u53ca\u5176\u5206\u652f\u3002\u7ffc\u816d\u7a9d\u4e0b\u90e8\u5448\u96a7\u9053\u5f62\uff0c\u5c16\u7aef\u5f00\u53e3\u4e8e\u816d\u5927\u7ba1\u548c\u816d\u5c0f\u7ba1\uff0c\u5176\u5185\u5206\u522b\u6709\u816d\u5927\u795e\u7ecf\u548c\u816d\u5c0f\u795e\u7ecf\u53ca\u5176\u4f34\u884c\u8840\u7ba1\uff0c\u6700\u540e\u8fdb\u5165\u53e3\u8154\uff08\u56fe1\uff09\u3002\u7ffc\u816d\u7a9d\u540e\u58c1\u4ece\u5185\u5411\u5916\u4f9d\u6b21\u6709\u5982\u4e0b\u5f00\u53e3\uff1a\u7281\u9798\u7ba1\u3001\u816d\u9798\u7ba1\u3001\u7ffc\u7ba1\u548c\u5706\u5b54\uff08\u56fe2\uff09\u3002<\/p>\n \u56fe1 \u7ffc\u816d\u7a9d\u89e3\u5256 \u663e\u793a\u8776\u7aa6\u3001\u7ffc\u7ba1\u3001\u7ffc\u816d\u7a9d\u8840\u7ba1\u3001\u98a7\u795e\u7ecf\u7b49\uff08\u4e0a\u988c\u7aa6\u540e\u5916\u4fa7\u58c1\u53ca\u816d\u9aa8\u5782\u76f4\u677f\u76f8\u5173\u7ed3\u6784\u5df2\u7ecf\u90e8\u5206\u78e8\u9664\uff09<\/p>\n \u56fe2 \u8776\u816d\u5b54\u53ca\u5176\u5468\u56f4\u89e3\u5256 \u663e\u793a\u816d\u9aa8\u5782\u76f4\u677f\u9644\u5c5e\u7ed3\u6784\u2014\u2014\u7b5b\u5d74\u3001\u7281\u9798\u7ba1\u548c\u816d\u9798\u7ba1<\/p>\n \u56fe3 \u7281\u9798\u7ba1\u89e3\u5256 A\uff1a\u663e\u793a\u7281\u9aa8\u7ffc\uff1bB\uff1a\u663e\u793a\u7281\u9798\u7ba1\uff08\u7ea2\u8272\u3001\u9ec4\u8272\u548c\u84dd\u8272\u865a\u7ebf\u5206\u522b\u793a\u7281\u9798\u7ba1\u3001\u816d\u9798\u7ba1\u548c\u7ffc\u7ba1\uff09<\/p>\n \u56fe4 \u9f3b\u90e8CT\u4e2d\u7684\u76f8\u5173\u7ba1\u9053\u7ed3\u6784 A\uff1a\u84dd\u8272\u7bad\u5934\u793a\u7281\u9798\u7ba1\uff0c\u767d\u8272\u7bad\u5934\u793a\u7ffc\u7ba1\uff1bB\u3001C\uff1a\u9ec4\u8272\u7bad\u5934\u793a\u816d\u9798\u7ba1\uff0c\u767d\u8272\u7bad\u5934\u793a\u7ffc\u7ba1\uff1bD\uff1a\u767d\u8272\u7bad\u5934\u793a\u7ffc\u7ba1<\/p>\n 2. \u816d\u9aa8\u53ca\u5176\u9644\u5c5e\u7ed3\u6784\u2014\u2014\u8776\u7a81\u548c\u7736\u7a81\uff1a\u816d\u9aa8\u4f4d\u4e8e\u9f3b\u8154\u540e\u7aef\uff0c\u5904\u4e8e\u4e0a\u988c\u9aa8\u548c\u8776\u9aa8\u7ffc\u7a81\u4e4b\u95f4\uff0c\u5448L\u5f62\uff0c\u7531\u6c34\u5e73\u677f\u548c\u5782\u76f4\u677f\u6784\u6210\uff0c\u6709\u9525\u7a81\u3001\u7736\u7a81\u548c\u8776\u7a81\u3002\u816d\u9aa8\u5782\u76f4\u677f\u6709\u4e24\u4e2a\u9762\uff0c\u5206\u522b\u4e3a\u9f3b\u9762\u548c\u4e0a\u988c\u9762\uff1b\u9f3b\u9762\u6709\u4e24\u4e2a\u5d74\uff0c\u5206\u522b\u4e3a\u9f3b\u7532\u5d74\u548c\u7b5b\u5d74\uff0c\u53c2\u4e0e\u4e0b\u3001\u4e2d\u3001\u4e0a\u9f3b\u9053\u7684\u6784\u6210\u3002\u816d\u9aa8\u4e0a\u988c\u9762\u8f83\u7c97\u7cd9\u4e14\u4e0d\u89c4\u5219\uff0c\u4e0e\u4e0a\u988c\u9aa8\u9f3b\u9762\u76f8\u63a5\u3002\u816d\u9aa8\u5782\u76f4\u677f\u4e0a\u90e8\u6709\u8776\u7a81\u548c\u7736\u7a81\uff0c\u4e24\u8005\u4e4b\u95f4\u4e3a\u8776\u816d\u5207\u8ff9\uff0c\u5411\u4e0a\u4e0e\u8776\u9aa8\u4f53\u76f8\u63a5\uff0c\u5f62\u6210\u8776\u816d\u5b54\u3002\u7b5b\u5d74\u4e3a\u4e2d\u9f3b\u7532\u57fa\u677f\u9644\u7740\u4e8e\u816d\u9aa8\u7684\u5c0f\u9aa8\u5d74\uff0c\u662fVN\u4e2d\u5b9a\u4f4d\u8776\u816d\u5b54\u7684\u53ef\u9760\u6807\u5fd7\uff08\u56fe2\uff09\u3002<\/p>\n 3. \u8776\u816d\u5b54\uff1a\u4f4d\u4e8e\u4e2d\u9f3b\u9053\u540e\u65b9\u3001\u8776\u9aa8\u4f53\u4e0b\u65b9\u3001\u816d\u9aa8\u5782\u76f4\u677f\u4e0a\u65b9\uff0c\u4ecb\u4e8e\u816d\u9aa8\u7736\u7a81\u548c\u8776\u7a81\u4e4b\u95f4\uff08\u56fe1\u30012\uff09\uff0c\u6709\u8776\u816d\u795e\u7ecf\u3001\u8840\u7ba1\u7531\u6b64\u8fdb\u5165\u4e0a\u9f3b\u9053\u3002<\/p>\n 4. \u8776\u816d\u52a8\u8109\uff1a\u662f\u4e0a\u988c\u52a8\u8109\u7684\u7ec8\u672b\u652f\u4e4b\u4e00\uff0c\u662f\u9f3b\u9ecf\u819c\u7684\u4e3b\u8981\u4f9b\u8840\u52a8\u8109\u3002\u8776\u816d\u52a8\u8109\u7ecf\u8776\u816d\u5b54\u7531\u4e0a\u9f3b\u9053\u540e\u65b9\u8fdb\u5165\u9f3b\u8154\uff0c\u968f\u540e\u53d1\u51fa\u9f3b\u540e\u5916\u4fa7\u652f\u652f\u914d\u9f3b\u7532\u548c\u9f3b\u9053\uff0c\u5e76\u4e0e\u7b5b\u52a8\u8109\u548c\u816d\u5927\u52a8\u8109\u9f3b\u652f\u76f8\u543b\u5408\u3002\u8776\u816d\u52a8\u8109\u7684\u5185\u4fa7\u652f\u6a2a\u884c\u7a7f\u8d8a\u8776\u7aa6\u524d\u4e0b\uff0c\u8fdb\u5165\u9f3b\u4e2d\u9694\uff0c\u79f0\u4e3a\u9f3b\u540e\u4e2d\u9694\u52a8\u8109\u3002<\/p>\n 5. \u7281\u9798\u7ba1\uff1a\u4f4d\u4e8e\u816d\u9798\u7ba1\u5185\u4fa7\u3001\u7281\u9aa8\u7ffc\u53ca\u8776\u9aa8\u9798\u7a81\u4e4b\u95f4\uff0c\u7531\u7281\u9aa8\u7ffc\u4e0e\u8776\u9aa8\u9798\u7a81\u56f4\u6210\uff0c\u5bb9\u6613\u4e0e\u7ffc\u7ba1\u3001\u816d\u9798\u7ba1\u6df7\u6dc6\u3002\u7281\u9798\u7ba1\u5185\u5bb9\u7269\u4e3a\u7281\u9798\u795e\u7ecf\u548c\u7281\u9798\u52a8\u8109\u3002\u7281\u9798\u7ba1\uff08\u6709\u65f6\u7f3a\u5982\uff09\u5411\u524d\u6c47\u5165\u816d\u9798\u7ba1\uff08\u56fe2, 3, 4\uff09\u3002<\/p>\n 6. \u816d\u9798\u7ba1\uff1a\u7531\u816d\u9aa8\u8776\u7a81\u3001\u8776\u9aa8\u9798\u7a81\u53ca\u8776\u9aa8\u7ffc\u7a81\u5185\u677f\u56f4\u6210\uff0c\u5f00\u53e3\u4e8e\u7ffc\u816d\u7a9d\u540e\u58c1\u3001\u7ffc\u7ba1\u5f00\u53e3\u5185\u4fa7\uff08\u56fe2\u30014B\u30014C\uff09\u3002\u5176\u5165\u53e3\u4f4d\u4e8e\u7ffc\u816d\u7a9d\u540e\u58c1\u3001\u7ffc\u7ba1\u5f00\u53e3\u5185\u4fa7\uff0c\u51fa\u53e3\uff08\u5373\u540e\u53e3\uff09\u4f4d\u4e8e\u9f3b\u54bd\u9876\u58c1\uff0c\u9010\u6e10\u79fb\u884c\u4e3a\u4e00\u4e0d\u5c01\u95ed\u7684\u534a\u7ba1\u6216\u6d45\u6c9f\u3002\u816d\u9798\u7ba1\u5185\u8d70\u884c\u8776\u816d\u795e\u7ecf\u8282\u7684\u5206\u652f\uff08\u54bd\u652f\uff09\u53ca\u8776\u816d\u52a8\u8109\u7684\u5206\u652f\uff08\u54bd\u652f\uff09\u3002\u4e86\u89e3\u816d\u9798\u7ba1\u4e0e\u7ffc\u7ba1\u7684\u89e3\u5256\u4f4d\u7f6e\u5173\u7cfb\uff0c\u6709\u52a9\u4e8eVN\u4e2d\u7ffc\u7ba1\u7684\u5b9a\u4f4d\u3002\u816d\u9798\u7ba1\u5e73\u5747\u76f4\u5f84\u4e3a1.7 mm\uff08\u8303\u56f4\uff1a1.4~2.2 mm\uff09\uff0c\u5176\u4e0e\u7ffc\u7ba1\u7684\u5e73\u5747\u8ddd\u79bb\u4e3a3.78 mm\uff08\u8303\u56f4\uff1a2.9~4.8 mm\uff09\uff3b27\uff3d<\/sup>\u3002<\/p>\n 7. \u7ffc\u7ba1\uff1a\u662f\u4e2d\u9885\u5e95\u4e00\u4e2a\u524d\u540e\u65b9\u5411\u7684\u9aa8\u6027\u901a\u9053\uff0c\u59cb\u4e8e\u7834\u88c2\u5b54\uff0c\u5411\u524d\u5916\u4fa7\u8d70\u884c\u4e8e\u8776\u7aa6\u5e95\u58c1\uff0c\u5176\u5185\u5bb9\u7269\u4e3a\u7ffc\u7ba1\u795e\u7ecf\u53ca\u7ffc\u7ba1\u52a8\u8109\uff0c\u591a\u5448\u5587\u53ed\u5f62\u5f00\u53e3\u4e8e\u7ffc\u816d\u7a9d\u540e\u58c1\uff0c\u4f4d\u7f6e\u8f83\u6052\u5b9a\uff08\u56fe4D\uff09\u3002<\/p>\n 8. \u7ffc\u7ba1\u795e\u7ecf\uff1a\u5305\u542b\u611f\u89c9\u3001\u4ea4\u611f\u548c\u526f\u4ea4\u611f\u795e\u7ecf\u7ea4\u7ef4\uff0c\u901a\u8fc7\u7ffc\u7ba1\u5f00\u53e3\u8fdb\u5165\u7ffc\u816d\u7a9d\u7684\u8776\u816d\u795e\u7ecf\u8282\u3002\u5176\u4e2d\u526f\u4ea4\u611f\u795e\u7ecf\u5728\u6b64\u4ea4\u6362\u795e\u7ecf\u5143\u5f62\u6210\u7a81\u89e6\u540e\u7ea4\u7ef4\uff0c\u800c\u611f\u89c9\u795e\u7ecf\uff08\u5982\u4e0a\u988c\u795e\u7ecf\uff09\u53ca\u4ea4\u611f\u795e\u7ecf\u5219\u7a7f\u884c\u4e8e\u8776\u816d\u795e\u7ecf\u8282\u3002\u98a7\u795e\u7ecf\u662f\u4e0a\u988c\u795e\u7ecf\u7a7f\u884c\u8776\u816d\u795e\u7ecf\u8282\u540e\u53d1\u51fa\u7684\u5206\u652f\uff0c\u5176\u4e2d\u5305\u542b\u6765\u81ea\u8776\u816d\u795e\u7ecf\u8282\u7684\u526f\u4ea4\u611f\u8282\u540e\u7ea4\u7ef4\uff0c\u8be5\u7ea4\u7ef4\u501f\u9053\u98a7\u795e\u7ecf\u901a\u8fc7\u7736\u4e0b\u88c2\u8fdb\u5165\u773c\u7736\uff0c\u968f\u5373\u52a0\u5165\u7531\u4e09\u53c9\u795e\u7ecf\u8282\u53d1\u51fa\u7684\u773c\u795e\u7ecf\u7b2c\u4e00\u652f\u2014\u2014\u6cea\u817a\u795e\u7ecf\uff0c\u652f\u914d\u6cea\u817a\u5206\u6ccc\uff08\u56fe1\uff09\u3002<\/p>\n \u626b\u63cf\u4e8c\u7ef4\u7801\uff0c\u89c2\u770bVN\u89e3\u5256\u89c6\u9891<\/p>\n \u56db\u3001\u624b\u672f\u65b9\u6cd5<\/p>\n \u5728\u4ecb\u7ecd\u624b\u672f\u65b9\u6cd5\u524d\uff0c\u6211\u4eec\u5148\u5f3a\u8c03\u4e00\u4e2a\u6982\u5ff5\u2014\u2014\u6a21\u5f0f\u8bc6\u522b\uff08pattern recognition\uff09\u3002\u5728\u663e\u5fae\u955c\u3001\u5185\u955c\u6216\u4f20\u7edf\u610f\u4e49\u4e0a\u7684\u76f4\u89c6\u624b\u672f\u73af\u5883\u4e2d\uff0c\u89e3\u5256\u6807\u5fd7\u7684\u8bc6\u522b\u5bf9\u4e8e\u624b\u672f\u6210\u8d25\u4e3e\u8db3\u8f7b\u91cd\uff0c\u800c\u8fd9\u4e00\u8fc7\u7a0b\u66f4\u591a\u5730\u4f9d\u8d56\u4e8e\u5927\u8111\u5bf9\u76f8\u5173\u4fe1\u606f\u7684\u5904\u7406\uff0c\u800c\u975e\u4ec5\u4ec5\u89c6\u89c9\u4fe1\u53f7\u3002\u5bf9\u5927\u8111\u4e00\u65e0\u6240\u77e5\u7684\u4e1c\u897f\uff0c\u773c\u775b\u53ef\u80fd\u201c\u89c6\u800c\u4e0d\u89c1\u201d\u3002\u4e66\u672c\u6216\u89e3\u5256\u6807\u672c\u4e0a\u7684\u6807\u5fd7\uff0c\u4ece\u89c6\u89c9\u89d2\u5ea6\u770b\u53ef\u80fd\u6709\u522b\u4e8e\u624b\u672f\u73af\u5883\u4e0b\u7684\u540c\u4e00\u7ed3\u6784\uff0c\u8fd9\u662f\u7531\u89c2\u5bdf\u89c6\u89d2\u4e0d\u540c\u3001\u6709\u65e0\u8f6f\u7ec4\u7ec7\u8840\u7ba1\u4ee5\u53ca\u662f\u5426\u51fa\u8840\u7b49\u591a\u56e0\u7d20\u51b3\u5b9a\u7684\uff3b28\uff3d<\/sup>\u3002\u5c31VN\u800c\u8a00\uff0c\u89e3\u5256\u91cd\u70b9\u5728\u4e8e\u7ffc\u7ba1\u795e\u7ecf\u3001\u8776\u816d\u795e\u7ecf\u8282\u53ca\u5176\u5206\u652f\uff0c\u5305\u62ec\u624b\u672f\u9700\u8981\u5904\u7406\u7684\u795e\u7ecf\u5206\u652f\uff0c\u5982\u7ecf\u7531\u8776\u816d\u5b54\u8fdb\u5165\u9f3b\u8154\u7684\u7ffc\u7ba1\u795e\u7ecf\u4e0a\u3001\u4e2d\u3001\u4e0b\u9f3b\u7532\u652f\u548c\u4f4d\u4e8e\u816d\u9798\u7ba1\u3001\u7281\u9798\u7ba1\u7684\u5206\u652f\u7b49\uff0c\u540c\u65f6\u4e5f\u5305\u62ec\u501f\u9053\u98a7\u652f\u6c47\u5165\u4e09\u53c9\u795e\u7ecf\u7b2c\u4e8c\u652f\uff08V2\u5206\u652f\uff09\u3001\u6700\u7ec8\u8fdb\u5165\u6cea\u817a\u7684\u526f\u4ea4\u611f\u795e\u7ecf\uff08\u56fe5\uff09\uff3b9\uff3d<\/sup>\u3002\u8fd9\u4e9b\u89e3\u5256\u77e5\u8bc6\u53ca\u5176\u6a21\u5f0f\u8bc6\u522b\uff0c\u6709\u52a9\u4e8e\u4ece\u7406\u8bba\u4e0e\u5b9e\u8df5\u4e24\u4e2a\u5c42\u9762\u56de\u7b54\u4e34\u5e8a\u9047\u5230\u7684\u95ee\u9898\u3002<\/p>\n \u56fe5 \u7ffc\u7ba1\u795e\u7ecf\u5207\u65ad\u672f\u4e2d\u7684\u90e8\u5206\u89e3\u5256\u6807\u5fd7 A\uff1a\u816d\u9aa8\u5782\u76f4\u677f\u53ca\u5176\u9644\u5c5e\u7ed3\u6784\u2014\u2014\u8776\u7a81\uff1bB\uff1a\u816d\u9aa8\u8776\u7a81\u4e0e\u816d\u9798\u7ba1\u7684\u89e3\u5256\u5173\u7cfb\uff1bC\uff1a\u816d\u9798\u7ba1\u548c\u7281\u9798\u7ba1\u7684\u89e3\u5256\u5173\u7cfb\uff1bD\uff1a\u7ffc\u7ba1\u795e\u7ecf\u4e0a\u3001\u4e2d\u3001\u4e0b\u9f3b\u7532\u652f\uff08\u4e0e\u8840\u7ba1\u4f34\u884c\uff09\uff1bE\uff1a\u7ffc\u7ba1\u795e\u7ecf\u4e0a\u9f3b\u7532\u652f<\/p>\n \u56fe6 \u9f3b\u5185\u955c\u4e0b\u7ecf\u4e2d\u9f3b\u9053\u7ffc\u7ba1\u795e\u7ecf\u5207\u65ad\u672f\u6b65\u9aa4 A\uff1a\u5728\u6b63\u5bf9\u4e2d\u9f3b\u7532\u5c3e\u7aef\u7684\u4e2d\u9f3b\u9053\u505a\u5f27\u5f62\u5207\u53e3\uff0c\u4f9d\u6b21\u66b4\u9732\u816d\u9aa8\u5782\u76f4\u677f\u7b5b\u5d74\uff08\u767d\u8272\u7bad\u5934\uff09\u3001\u8776\u816d\u8840\u7ba1\u795e\u7ecf\u675f\u548c\u7ffc\u816d\u7a9d\uff1bB\uff1a\u9ed1\u8272\u5706\u5708\u793a\u7ffc\u7ba1\u795e\u7ecf\u65ad\u7aef<\/p>\n \u56fe7 \u9f3b\u5185\u955c\u4e0b\u7ecf\u8776\u7aa6\u7ffc\u7ba1\u795e\u7ecf\u5207\u65ad\u672f\u6b65\u9aa4 \u56fe\u793a\u816d\u9798\u7ba1\uff08PVC\uff0c\u9ed1\u8272\u7bad\u5934\uff09\u548c\u7ffc\u7ba1\uff08VNC\uff0c\u84dd\u8272\u7bad\u5934\uff09\u5df2\u7ecf\u66b4\u9732<\/p>\n VN\u5c31\u5185\u5bb9\u800c\u8a00\u5305\u62ec\u603b\u5e72\u5207\u65ad\u672f\u548c\u5206\u652f\u5207\u65ad\u672f\uff1b\u5c31\u8def\u5f84\u800c\u8a00\u5305\u62ec\u7ecf\u4e2d\u9f3b\u9053\u624b\u672f\u548c\u7ecf\u8776\u7aa6\u624b\u672f\uff0c\u524d\u8005\u53c8\u53ef\u8fdb\u4e00\u6b65\u5206\u4e3a\u4ee5\u7b5b\u5d74\u548c\u816d\u9798\u7ba1\u4e3a\u6807\u5fd7\u7684\u672f\u5f0f\u3002\u5982\u679c\u8fdb\u884c\u9009\u62e9\u6027\u5206\u652f\u5207\u65ad\u672f\uff0c\u5219\u901a\u5e38\u4e0d\u66b4\u9732\u7ffc\u816d\u7a9d\u540e\u58c1\u51fa\u53e3\u5904\u7684\u7ffc\u7ba1\u795e\u7ecf\u603b\u5e72\u3002\u4e0b\u9762\u5206\u522b\u4ecb\u7ecdVN\u7684\u4e24\u79cd\u624b\u672f\u65b9\u6cd5\u3002<\/p>\n \uff08\u4e00\uff09\u7ffc\u7ba1\u795e\u7ecf\u5206\u652f\u5207\u65ad\u672f<\/p>\n 1. \u4ee5\u7b5b\u5d74\u4e3a\u6807\u5fd7\u7684\u624b\u672f\u5165\u8def\uff1a\u5185\u955c\u4e0b\u5728\u4e2d\u9f3b\u7532\u540e\u7aef\u5bf9\u5e94\u7684\u4e2d\u9f3b\u9053\u5916\u4fa7\u3001\u4e0a\u988c\u7aa6\u540e\u56df\u4e4b\u540e\uff0c\u7531\u5185\u4e0a\u81f3\u5916\u4e0b\u505a\u4e00\u76f4\u8fbe\u9aa8\u8d28\u7684\u9ecf\u9aa8\u819c\u5782\u76f4\u6216\u5f27\u5f62\u5207\u53e3\uff0c\u5148\u5b9a\u4f4d\u816d\u9aa8\u5782\u76f4\u677f\uff0c\u7136\u540e\u5b9a\u4f4d\u5176\u9644\u5c5e\u7ed3\u6784\u2014\u2014\u8776\u7a81\u548c\u7736\u7a81\uff0c\u7b5b\u5d74\u4f4d\u4e8e\u7736\u7a81\u4e0b\u65b9\u3001\u8776\u816d\u5b54\u524d\u5185\u4fa7\uff0c\u662f\u5b9a\u4f4d\u8776\u816d\u5b54\u7684\u91cd\u8981\u6807\u5fd7\u3002\u4ee5\u7b5b\u5d74\u4e3a\u6807\u5fd7\uff0c\u5411\u540e\u3001\u5411\u4e0b\u9010\u6e10\u66b4\u9732\u8776\u816d\u5b54\u53ca\u5176\u8840\u7ba1\u795e\u7ecf\u675f\uff0c\u7535\u51dd\u6b62\u8840\u3002\u4ee5\u7535\u94bb\u3001\u54ac\u9aa8\u94b3\u6216\u5265\u79bb\u5b50\uff0c\u4e8e\u816d\u9aa8\u8776\u7a81\u4e0e\u8776\u9aa8\u524d\u58c1\u4ea4\u754c\u5904\u659c\u5411\u8d70\u884c\u7684\u9aa8\u7f1d\u5904\u53bb\u9664\u8776\u7a81\u9aa8\u8d28\uff0c\u66b4\u9732\u816d\u9798\u7ba1\u53ca\u5176\u5185\u5bb9\u7269\uff0c\u786e\u8ba4\u540e\u4ee5\u9488\u72b6\u7535\u5200\u6216\u795e\u7ecf\u94a9\u5207\u65ad\uff08\u56fe2\u30015A~C\uff09\u3002<\/p>\n \u816d\u9798\u7ba1\u5185\u4e0a\u5373\u4e3a\u7281\u9798\u7ba1\uff0c\u540e\u8005\u901a\u5e38\u4e3a\u4e00\u4e0d\u5b8c\u6574\u9aa8\u7ba1\uff0c\u6709\u65f6\u4ec5\u4e3a\u4e00\u88c2\u9699\u72b6\u7ed3\u6784\u3002\u786e\u8ba4\u5176\u4e2d\u7684\u8840\u7ba1\u795e\u7ecf\u5e76\u4e88\u4ee5\u5207\u65ad\uff08\u56fe5C\uff09\u3002<\/p>\n \u91cd\u65b0\u5b9a\u4f4d\u8776\u816d\u5b54\uff0c\u4ee5\u8776\u816d\u5b54\u4e3a\u4e2d\u5fc3\uff0c360\u00b0\u73af\u5f62\u5207\u65ad\u7ffc\u7ba1\u795e\u7ecf\u501f\u9053\u8776\u816d\u8840\u7ba1\u795e\u7ecf\u675f\u8fdb\u5165\u9f3b\u8154\u7684\u5206\u652f\uff0c\u5373\u4e0a\u9f3b\u7532\u652f\u3001\u4e2d\u9f3b\u7532\u652f\u548c\u4e0b\u9f3b\u7532\u652f\u3002\u89e3\u5256\u66b4\u9732\u7684\u8303\u56f4\u6d89\u53ca\u4e2d\u9f3b\u7532\u57fa\u677f\u3001\u8776\u7aa6\u524d\u58c1\u3001\u4e0b\u9f3b\u7532\u540e\u7f18\u4e0a\u65b9\uff0c\u6df1\u5ea6\u5fc5\u987b\u8fbe\u9aa8\u8d28\u3002\u6700\u540e\u7684\u5207\u9664\u8303\u56f4\u72b9\u5982\u56f4\u7ed5\u8776\u816d\u5b54\u5468\u56f4\u7684\u4e00\u4e2a\u8611\u83c7\u4e91\u3002<\/p>\n 2. \u4ee5\u816d\u9798\u7ba1\u4e3a\u6807\u5fd7\u7684\u624b\u672f\u5165\u8def\uff1a\u5207\u53e3\u540c\u4e0a\u3002\u66b4\u9732\u816d\u9aa8\u5782\u76f4\u677f\u540e\u5148\u5b9a\u4f4d\u8776\u7a81\uff0c\u4e88\u4ee5\u53bb\u9664\u3002\u66b4\u9732\u816d\u9798\u7ba1\uff0c\u786e\u8ba4\u5e76\u5207\u65ad\u5176\u5185\u5bb9\u7269\u3002\u968f\u540e\u6269\u5927\u624b\u672f\u89c6\u91ce\uff0c\u66b4\u9732\u8776\u816d\u5b54\u53ca\u5176\u8840\u7ba1\u795e\u7ecf\u675f\uff0c\u4e88\u4ee5\u5207\u65ad\u3002\u5176\u4ed6\u6b65\u9aa4\uff08\u7281\u9798\u7ba1\u66b4\u9732\u53ca\u5176\u5185\u5bb9\u7269\u5207\u9664\u3001\u8611\u83c7\u4e91\u72b6\u5206\u652f\u5207\u65ad\u672f\uff09\u540c\u201c\u4ee5\u7b5b\u5d74\u4e3a\u6807\u5fd7\u7684\u624b\u672f\u5165\u8def\u201d\uff08\u56fe5\uff09\u3002<\/p>\n \uff08\u4e8c\uff09\u7ffc\u7ba1\u795e\u7ecf\u603b\u5e72\u5207\u65ad\u672f<\/p>\n 1. \u7ecf\u4e2d\u9f3b\u9053-\u7ffc\u816d\u7a9d\u624b\u672f\u5165\u8def\uff1a\u5185\u955c\u4e0b\u4e2d\u9f3b\u9053\u5207\u53e3\u540c\u4e0a\u3002\u5148\u66b4\u9732\u7b5b\u5d74\uff0c\u7136\u540e\u78e8\u9664\u6216\u54ac\u9664\u90e8\u5206\u9aa8\u8d28\uff0c\u6269\u5927\u624b\u672f\u89c6\u91ce\uff1b\u968f\u540e\u5411\u540e\u5916\u4fa7\u5206\u79bb\u66b4\u9732\u8776\u816d\u5b54\u53ca\u5176\u8840\u7ba1\u795e\u7ecf\u675f\uff0c\u7535\u51dd\u5207\u65ad\u3002\u4e8e\u8776\u7aa6\u524d\u58c1\u4e4b\u524d\u3001\u5411\u7ffc\u816d\u7a9d\u65b9\u5411\u5206\u79bb\u66b4\u9732\u7ffc\u7ba1\u795e\u7ecf\uff0c\u786e\u8ba4\u5e76\u5207\u65ad\u3002\u786e\u8ba4\u65b9\u6cd5\uff1a\u6cbf\u7740\u7ffc\u816d\u7a9d\u540e\u58c1\u51fa\u53e3\u5411\u524d\u5916\u4fa7\u8ffd\u8e2a\uff0c\u518d\u7528\u795e\u7ecf\u52fe\u6216\u9488\u72b6\u7535\u5200\u6311\u8d77\uff1b\u4e5f\u53ef\u4ee5\u5148\u66b4\u9732\u816d\u9798\u7ba1\uff0c\u7136\u540e\u6cbf\u7740\u816d\u9798\u7ba1\u7531\u5185\u5411\u5916\u201c\u987a\u85e4\u6478\u74dc\u201d\uff0c\u5373\u53ef\u627e\u5230\u4f4d\u4e8e\u7ffc\u816d\u7a9d\u540e\u58c1\u7684\u7ffc\u7ba1\u795e\u7ecf\uff08\u56fe6\uff09\u3002<\/p>\n 2. \u7ecf\u8776\u7aa6\u624b\u672f\u5165\u8def\uff1a\u5982\u5355\u7eaf\u884c\u7ffc\u7ba1\u795e\u7ecf\u603b\u5e72\u5207\u65ad\u672f\uff0c\u591a\u91c7\u7528\u4e2d\u9f3b\u9053\u5165\u8def\u3002\u5bf9\u4e8e\u5408\u5e76\u9f3b\u7aa6\u708e\u3001\u9f3b\u606f\u8089\uff0c\u7279\u522b\u662f\u6d89\u53ca\u8776\u7aa6\u75c5\u53d8\u7684\u75c5\u4f8b\uff0c\u5219\u591a\u5728\u5904\u7406\u8776\u7aa6\u75c5\u53d8\u540e\uff0c\u5c31\u8fd1\u4e8e\u8776\u7aa6\u5e95\u58c1\u4e0e\u524d\u4e0b\u58c1\u4ea4\u754c\u5904\u7684\u7ffc\u7ba1\u51fa\u53e3\u5904\u6216\u4e4b\u524d\uff0c\u6a2a\u65ad\u7ffc\u7ba1\u795e\u7ecf\u603b\u5e72\u3002\u5982\u679c\u7ffc\u7ba1\u89e3\u5256\u5206\u578b\u5c5e\u4e8e\u51f8\u8d77\u4e8e\u8776\u7aa6\u5e95\u58c1\u7684\u2160\u578b\uff0c\u53ef\u4ee5\u53c2\u7167\u8776\u7aa6\u5e95\u58c1\u7ffc\u7ba1\u8d70\u884c\u3001\u7531\u540e\u5411\u524d\u8ffd\u8e2a\uff0c\u76f4\u81f3\u5176\u5728\u7ffc\u816d\u7a9d\u540e\u58c1\u7684\u51fa\u53e3\u524d\u6216\u540e\u4e88\u4ee5\u5207\u65ad\uff08\u56fe7\uff09\u3002<\/p>\n \u626b\u63cf\u4e8c\u7ef4\u7801\uff0c\u89c2\u770bVN\u624b\u672f\u89c6\u9891<\/p>\n \u4e94\u3001\u672f\u540e\u6cea\u6db2\u5206\u6ccc\u60c5\u51b5<\/p>\n VN\u7684\u4e0d\u826f\u53cd\u5e94\u4e3b\u8981\u662f\u672f\u540e\u6cea\u6db2\u5206\u6ccc\u7684\u6539\u53d8\uff0c\u76ee\u524d\u6d89\u53ca\u5e72\u773c\u7684\u76f8\u5173\u6307\u5357\u5c1a\u672a\u7eb3\u5165\u8fd9\u4e00\u56e0\u7d20\uff3b29, 30\uff3d<\/sup>\u3002<\/p>\n \u4e00\u822c\u8ba4\u4e3a\uff0c\u6cea\u6db2\u7684\u5206\u6ccc\u5206\u4e3a\u57fa\u7840\u5206\u6ccc\u548c\u53cd\u5c04\u6027\u5206\u6ccc\u4e24\u4e2a\u90e8\u5206\uff0c\u524d\u8005\u4e3b\u8981\u9760\u7ed3\u819c\u7684\u526f\u6cea\u817a\u5b8c\u6210\uff0c\u540e\u8005\u5219\u4e3b\u8981\u9760\u4e09\u53c9\u795e\u7ecf\u773c\u652f\u7684\u53cd\u5c04\u6027\u523a\u6fc0\u5b9e\u73b0\uff3b31\uff3d<\/sup>\u3002\u5176\u4e2d\uff0c\u5206\u5e03\u4e8e\u89d2\u819c\u7684\u4e09\u53c9\u795e\u7ecf\u773c\u652f\u5177\u6709\u91cd\u8981\u7684\u611f\u89c9\u4f20\u5165\u4f5c\u7528\uff0c\u627f\u62c5\u7740\u63a7\u5236\u6cea\u6db2\u5206\u6ccc\u3001\u77ac\u76ee\u7b49\u4f5c\u7528\uff3b<\/sup>32, 33, 34\uff3d<\/sup>\u3002\u7ecf\u89d2\u819c\u505a\u5207\u53e3\u7684\u624b\u672f\uff08\u5982\u89d2\u819c\u5c48\u5149\u624b\u672f\u7b49\uff09\u6240\u5bfc\u81f4\u6216\u52a0\u91cd\u7684\u5e72\u773c\u6709\u522b\u4e8eVN\uff1a\u524d\u8005\u662f\u611f\u89c9\u795e\u7ecf\u7684\u635f\u4f24\uff0c\u5373\u7531\u4e8e\u89d2\u819c\u611f\u89c9\u4f20\u5165\u51cf\u9000\uff0c\u5bfc\u81f4\u53cd\u5c04\u6027\u6cea\u6db2\u5206\u6ccc\u51cf\u5c11\uff0c\u4ee5\u53ca\u77ac\u76ee\u9891\u7387\u51cf\u5c11\uff0c\u773c\u8868\u66b4\u9732\u65f6\u95f4\u589e\u52a0\uff0c\u6cea\u6db2\u84b8\u53d1\u8fc7\u5f3a\uff0c\u540c\u65f6\u77ac\u76ee\u51cf\u5c11\u5c06\u4f7f\u7751\u916f\u6392\u653e\u4e0b\u964d\uff0c\u52a0\u901f\u6cea\u6db2\u84b8\u53d1\uff3b35\uff3d<\/sup>\uff1b\u540e\u8005\u5219\u56e0\u652f\u914d\u6cea\u817a\u5206\u6ccc\u7684\u526f\u4ea4\u611f\u795e\u7ecf\u88ab\u5207\u65ad\uff0c\u5bfc\u81f4\u6cea\u6db2\u5206\u6ccc\u51cf\u5c11\u3002\u56e0\u6b64\u8be5\u4e24\u7c7b\u624b\u672f\u540e\u5e72\u773c\u7684\u6062\u590d\u673a\u5236\u4e0d\u540c\uff1a\u524d\u8005\u4e3a\u611f\u89c9\u795e\u7ecf\u518d\u751f\uff0c\u540e\u8005\u5219\u6709\u5f85\u9610\u660e\u3002\u968f\u7740\u7ffc\u7ba1\u795e\u7ecf\u5206\u652f\u5207\u65ad\u672f\u7684\u5f00\u5c55\uff0c\u6b64\u7c7b\u5e72\u773c\u95ee\u9898\u5c06\u5f97\u5230\u660e\u663e\u6539\u5584\u3002<\/p>\n \u516d\u3001\u5c0f\u7ed3\u4e0e\u5c55\u671b<\/p>\n \u5386\u7ecf\u534a\u4e2a\u591a\u4e16\u7eaa\u7684\u53d1\u5c55\uff0c\u4eba\u4eec\u5bf9VN\u624b\u672f\u539f\u7406\u7684\u8ba4\u8bc6\u4e0d\u65ad\u52a0\u6df1\u3002\u4f8b\u5982\uff0c\u5c31\u795e\u7ecf\u514d\u75ab\u76f8\u4e92\u4f5c\u7528\u800c\u8a00\uff0c\u8fd1\u5e74\u6765\u7684\u7814\u7a76\u6d89\u53ca\u4e86\u751f\u7269\u949f\u7d0a\u4e71\u5f15\u53d1\u514d\u75ab\u5931\u8861\u52a0\u91cdAR\uff3b36, 37\uff3d<\/sup>\u3001\u795e\u7ecf\u672b\u68a2\u91ca\u653e\u795e\u7ecf\u80bd\uff08\u795e\u7ecf\u4ecb\u7d20U\uff0cNMU\uff09\u8bf1\u5bfcILC2\u91ca\u653e2\u578b\u708e\u6027\u56e0\u5b50\u52a0\u91cdAR\u7b49\uff3b38\uff3d<\/sup>\uff0c\u90fd\u662f\u8fd9\u65b9\u9762\u91cd\u8981\u7684\u8fdb\u5c55\u3002\u5bf9\u795e\u7ecf\u514d\u75ab\u673a\u5236\u7684\u7814\u7a76\u4e0d\u4ec5\u53ef\u9610\u660eVN\u624b\u672f\u539f\u7406\uff0c\u8fd8\u6709\u52a9\u4e8e\u52a0\u6df1\u4eba\u4eec\u5bf9\u4e0a\u6c14\u9053\u708e\u75c7\u673a\u5236\u7684\u8ba4\u8bc6\uff0c\u8fdb\u800c\u8f6c\u5316\u4e3a\u4e34\u5e8a\u5e72\u9884\u63aa\u65bd\u3002<\/p>\n VN\u5728\u524d\u5185\u955c\u65f6\u4ee3\u7531\u4e8e\u8bbe\u5907\u6240\u9650\uff0c\u7cbe\u51c6\u5b9a\u4f4d\u9762\u4e34\u6311\u6218\uff0c\u968f\u7740\u5185\u955c\u6280\u672f\u7684\u4e0d\u65ad\u53d1\u5c55\uff0c\u5982\u4eca\u8fd9\u4e00\u95ee\u9898\u5df2\u8fce\u5203\u800c\u89e3\u3002VN\u672f\u5f0f\u8f83\u591a\uff0c\u672c\u6587\u96be\u514d\u6302\u4e00\u6f0f\u4e07\uff0c\u5e0c\u671b\u5728\u4e34\u5e8a\u5b9e\u8df5\u4e2d\u65e5\u81fb\u5b8c\u5584\u3002\u624b\u672f\u9002\u5e94\u8bc1\u3001\u7981\u5fcc\u8bc1\u5728\u6307\u5357\u4e2d\u5df2\u6709\u8bba\u8ff0\uff3b1\uff3d<\/sup>\uff0c\u624b\u672f\u7597\u6548\u5219\u6709\u5f85\u786e\u5207\u7684\u524d\u77bb\u6027\u968f\u673a\u5bf9\u7167\u8bd5\u9a8c\u7b49\u5faa\u8bc1\u533b\u5b66\u8bc1\u636e\u52a0\u4ee5\u9a8c\u8bc1\u3002\u9700\u8981\u5f3a\u8c03\u7684\u662f\uff0c\u5c31\u76ee\u524d\u7684\u8ba4\u77e5\u800c\u8a00\uff0c\u624b\u672f\u663e\u7136\u8fd8\u4e0d\u80fd\u6210\u4e3a\u4e3b\u6d41\u7684\u6cbb\u7597\u65b9\u6cd5\u3002<\/p>\n \u5fd7\u8c22<\/p>\n \u4e0a\u6d77\u79d1\u6280\u5927\u5b66\u751f\u547d\u79d1\u5b66\u4e0e\u6280\u672f\u5b66\u9662 \u80e1\u9701\u6559\u6388<\/p>\n \u4e2d\u5c71\u5927\u5b66\u4e2d\u5c71\u773c\u79d1\u4e2d\u5fc3 \u8881\u8fdb\u6559\u6388<\/p>\n \u53c2\u8003\u6587\u732e<\/p>\n [1] \u4e2d\u534e\u8033\u9f3b\u54bd\u5589\u5934\u9888\u5916\u79d1\u6742\u5fd7\u7f16\u8f91\u59d4\u5458\u4f1a\u9f3b\u79d1\u7ec4, \u4e2d\u534e\u533b\u5b66\u4f1a\u8033\u9f3b\u54bd\u5589\u5934\u9888\u5916\u79d1\u5b66\u5206\u4f1a\u9f3b\u79d1\u5b66\u7ec4. \u4e2d\u56fd\u53d8\u5e94\u6027\u9f3b\u708e\u8bca\u65ad\u548c\u6cbb\u7597\u6307\u5357(2022\u5e74, \u4fee\u8ba2\u7248)[J]. \u4e2d\u534e\u8033\u9f3b\u54bd\u5589\u5934\u9888\u5916\u79d1\u6742\u5fd7, 2022, 57(2): 106-129. DOI: 10.3760\/cma.j.cn115330-20211228-00828.<\/p>\n [2] ZhaoC, JiY, AnY, et al. An alternative method of endoscopic intrasphenoidal vidian neurectomy[J]. OTO Open, 2018, 2(1): 2473974X18764862. DOI: 10.1177\/2473974X18764862.<\/p>\n [3] SenanayakeP, WongE, McBrideK, et al. Efficacy of vidian neurectomy and posterior nasal neurectomy in the management of nonallergic rhinitis: A systematic review[J]. Am J Rhinol Allergy, 2022, 36(6): 849-871. DOI: 10.1177\/19458924221105933.<\/p>\n [4] Golding-WoodPH. Observations on petrosal and vidian neurectomy in chronic vasomotor rhinitis[J]. J Laryngol Otol, 1961, 75: 232-247. DOI: 10.1017\/s0022215100057716.<\/p>\n [5] \u5c39\u5c45\u4e2d, \u5b59\u6811\u5ca9, \u535c\u56fd\u94c9. \u7ffc\u7ba1\u795e\u7ecf\u5207\u65ad\u672f\u6cbb\u7597\u5e38\u5e74\u6027\u9f3b\u708e\u7684\u8fdc\u671f\u7597\u6548\u89c2\u5bdf[J]. \u4e2d\u534e\u8033\u9f3b\u54bd\u5589\u79d1\u6742\u5fd7, 1990, 25(4): 225-226.<\/p>\n [6] \u5218\u8fd0\u7ae0, \u5b5f\u662d\u548c, \u865e\u5b9d\u5357, \u7b49. \u624b\u672f\u663e\u5fae\u955c\u4e0b\u7ffc\u7ba1\u795e\u7ecf\u5207\u65ad\u672f(\u964443\u4f8b\u521d\u6b65\u62a5\u544a)[J]. \u4e2d\u534e\u8033\u9f3b\u54bd\u5589\u79d1\u6742\u5fd7, 1981, 16(1): 29-32.<\/p>\n [7] \u55bb\u59ae, \u738b\u5fe0\u690d, \u6768\u7ee7\u751f, \u7b49. \u7ffc\u7ba1\u795e\u7ecf\u7535\u707c\u672f\u6cbb\u7597\u53d8\u5e94\u6027\u9f3b\u708e\u8fdc\u671f\u7597\u6548\u89c2\u5bdf[J]. \u4e2d\u534e\u8033\u9f3b\u54bd\u5589\u79d1\u6742\u5fd7, 1997, 32(1): 41.<\/p>\n [8] Golding-WoodPH. Vidian neurectomy: its results and complications[J]. Laryngoscope, 1973, 83(10): 1673-1683. DOI: 10.1288\/00005537-197310000-00008.<\/p>\n [9] ZubairA, LasradoS. Vidian neurectomy[M]. Treasure Island (FL): StatPearls Publishing, 2023.<\/p>\n [10] \u8d75\u957f\u9752, \u738b\u8273\u6770, \u7a0b\u51af\u4e3d, \u7b49. \u4e0a\u6c14\u9053\u9ad8\u53cd\u5e94\u6027\u75be\u75c5\u7684\u795e\u7ecf\u514d\u75ab\u673a\u5236\u53ca\u5176\u7814\u7a76\u8fdb\u5c55[J]. \u4e2d\u534e\u8033\u9f3b\u54bd\u5589\u5934\u9888\u5916\u79d1\u6742\u5fd7, 2022, 57(4): 510-514. DOI: 10.3760\/cma.j.cn115330-20210629-00387.<\/p>\n [11] \u8d75\u957f\u9752, \u5f20\u8273\u5ef7, \u4f55\u654f. \u7ffc\u7ba1\u795e\u7ecf\u5207\u65ad\u672f\u5728\u53d8\u5e94\u6027\u9f3b\u708e\u6cbb\u7597\u4e2d\u7684\u4f5c\u7528[J]. \u4e2d\u534e\u8033\u9f3b\u54bd\u5589\u5934\u9888\u5916\u79d1\u6742\u5fd7, 2017, 52(7): 484-490. DOI: 10.3760\/cma.j.issn.1673-0860.2017.07.002.<\/p>\n [12] UndemBJ, Taylor-ClarkT. Mechanisms underlying the neuronal-based symptoms of allergy[J]. J Allergy Clin Immunol, 2014, 133(6): 1521-1534. DOI: 10.1016\/j.jaci.2013.11.027.<\/p>\n [13] \u8d75\u957f\u9752, \u674e\u8d85. \u53d8\u5e94\u6027\u9f3b\u708e\u65f6\u80a5\u5927\u7ec6\u80de\u8131\u9897\u7c92\u7684\u795e\u7ecf\u5185\u5206\u6ccc\u673a\u5236\u53ca\u5176\u7814\u7a76\u8fdb\u5c55[J]. \u4e2d\u534e\u8033\u9f3b\u54bd\u5589\u5934\u9888\u5916\u79d1\u6742\u5fd7, 2018, 53(10): 730-732. DOI: 10.3760\/cma.j.issn.1673-0860.2018.10.003.<\/p>\n [14] InoueT, AbeC, SungSS, et al. Vagus nerve stimulation mediates protection from kidney ischemia-reperfusion injury through \u03b17nAChR+splenocytes[J]. J Clin Invest, 2016, 126(5): 1939-1952. DOI: 10.1172\/JCI83658.<\/p>\n [15] WhalleyK. Brain-spleen link tunes immunity[J]. Nat Rev Immunol, 2020, 20(7): 406-407. DOI: 10.1038\/s41577-020-0347-9.<\/p>\n [16] FlorsheimEB, BachtelND, CullenJL, et al. Immune sensing of food allergens promotes avoidance behaviour[J]. Nature, 2023, 620(7974): 643-650. DOI: 10.1038\/s41586-023-06362-4.<\/p>\n [17] \u738b\u4e66\u656c. \u7ffc\u7ba1\u795e\u7ecf\u5207\u65ad\u672f\u5bf9\u9f3b\u9ecf\u819c\u80a5\u5927\u7ec6\u80de\u7684\u5f71\u54cd[D]. \u592a\u539f: \u5c71\u897f\u533b\u79d1\u5927\u5b66, 2013.<\/p>\n [18] NishijimaH, KondoK, Toma-HiranoM, et al. Prolonged denervation induces remodeling of nasal mucosa in rat model of posterior nasal neurectomy[J]. Int Forum Allergy Rhinol, 2017, 7(7): 670-678. DOI: 10.1002\/alr.21952.<\/p>\n [19] CallebautI, SteelantB, BackaertW, et al. Brain activation after nasal histamine provocation in house dust mite allergic rhinitis patients[J]. Allergy, 2021, 76(6): 1879-1882. DOI: 10.1111\/all.14677.<\/p>\n [20] ParsazadeganT, SalimiM, GhazvinehS, et al. Cognitive disorders in allergic rhinitis may be induced by decline of respiration entrained rhythm in the brain[J]. Med Hypotheses, 2018, 121: 89-90. DOI: 10.1016\/j.mehy.2018.09.037.<\/p>\n [21] TonelliLH, KatzM, KovacsicsCE, et al. Allergic rhinitis induces anxiety-like behavior and altered social interaction in rodents[J]. Brain Behav Immun, 2009, 23(6): 784-793. DOI: 10.1016\/j.bbi.2009.02.017.<\/p>\n [22] WangY, SongXY, WeiSZ, et al. Brain response in allergic rhinitis: Profile and proposal[J]. J Neurosci Res, 2023, 101(4): 480-491. DOI: 10.1002\/jnr.25159.<\/p>\n [23] JiangH, DingX, CaoY, et al. Dense intra-adipose sympathetic arborizations are essential for cold-induced beiging of mouse white adipose tissue[J]. Cell Metab, 2017, 26(4): 686-692.e3. DOI: 10.1016\/j.cmet.2017.08.016.<\/p>\n [24] Gholami-MahtajL, MooziriM, DehdarK, et al. ACC-BLA functional connectivity disruption in allergic inflammation is associated with anxiety[J]. Sci Rep, 2022, 12(1): 2731. DOI: 10.1038\/s41598-022-06748-w.<\/p>\n [25] TakeuchiH, TakiY, NouchiR, et al. Allergic tendencies are associated with larger gray matter volumes[J]. Sci Rep, 2018, 8(1): 3694. DOI: 10.1038\/s41598-018-21985-8.<\/p>\n [26] DowlingLR, StrazzariMR, KeelyS, et al. Enteric nervous system and intestinal epithelial regulation of the gut-brain axis[J]. J Allergy Clin Immunol, 2022, 150(3): 513-522. DOI: 10.1016\/j.jaci.2022.07.015.<\/p>\n [27] HerzallahIR, AminS, El-HaririMA, et al. Endoscopic identification of the pharyngeal (palatovaginal) canal: an overlooked area[J]. J Neurol Surg B Skull Base, 2012, 73(5): 352-357. DOI: 10.1055\/s-0032-1322798.<\/p>\n [28] \u5468\u5175, \u5f20\u7f57, \u4e3b\u8bd1. \u7ecf\u9f3b\u5185\u955c\u9885\u5e95\u53ca\u5468\u8fb9\u89e3\u5256: \u5b9e\u9a8c\u5ba4\u89e3\u5256\u4e0e\u5f71\u50cf\u56fe\u8c31[M]. \u5317\u4eac: \u4e2d\u56fd\u79d1\u5b66\u6280\u672f\u51fa\u7248\u793e, 2021: \u539f\u4e66\u5e8f\u4e8c.<\/p>\n [29] AkpekEK, AmescuaG, FaridM, et al. Dry eye syndrome preferred practice pattern\u00ae[J]. Ophthalmology, 2019, 126(1): P286-P334. DOI: 10.1016\/j.ophtha.2018.10.023.<\/p>\n [30] WangEW, GardnerPA, FraserS, et al. Reduced tearing with stable quality of life after vidian neurectomy: A prospective controlled trial[J]. Laryngoscope, 2021, 131(7): 1487-1491. DOI: 10.1002\/lary.29287.<\/p>\n [31] NakamuraS. Neural circuit of tear secretion[J]. Brain Nerve, 2021, 73(11): 1217-1223. DOI: 10.11477\/mf.1416201920.<\/p>\n [32] Labb\u00e9A, LiangQ, WangZ, et al. Corneal nerve structure and function in patients with non-sjogren dry eye: clinical correlations[J]. Invest Ophthalmol Vis Sci, 2013, 54(8): 5144-5150. DOI: 10.1167\/iovs.13-12370.<\/p>\n [33] Labb\u00e9A, AlalwaniH, Van WentC, et al. The relationship between subbasal nerve morphology and corneal sensation in ocular surface disease[J]. Invest Ophthalmol Vis Sci, 2012, 53(8): 4926-4931. DOI: 10.1167\/iovs.11-8708.<\/p>\n [34] LagaliN, PolettiE, PatelDV, et al. Focused tortuosity definitions based on expert clinical assessment of corneal subbasal nerves[J]. Invest Ophthalmol Vis Sci, 2015, 56(9): 5102-5109. DOI: 10.1167\/iovs.15-17284.<\/p>\n [35] ErieJC, McLarenJW, HodgeDO, et al. Recovery of corneal subbasal nerve density after PRK and LASIK[J]. Am J Ophthalmol, 2005, 140(6): 1059-1064. DOI: 10.1016\/j.ajo.2005.07.027.<\/p>\n [36] ChengFL, AnYF, XueJM, et al. Circadian rhythm disruption exacerbates Th2-like immune response in murine allergic airway inflammation[J]. Int Forum Allergy Rhinol, 2022, 12(5): 757-770. DOI: 10.1002\/alr.22914.<\/p>\n [37] ChengFL, AnYF, HanZQ, et al. Period2 gene regulates diurnal changes of nasal symptoms in an allergic rhinitis mouse model[J]. Int Forum Allergy Rhinol, 2020, 10(11): 1236-1248. DOI: 10.1002\/alr.22607.<\/p>\n [38] QiX, ZhuoH, WangY, et al. Neuromedin U induces activation of peripheral group 2 innate lymphoid cells through the ERK pathway in allergic rhinitis patients[J]. Int Arch Allergy Immunol, 2023, 184(1): 1-11. DOI: 10.1159\/000526271.<\/p>\n \u5411\u4e0b\u6ed1\u52a8\u67e5\u770b\u66f4\u591a<\/p>\n \u5c01\u9762\u4f9b\u56fe \u8d75\u957f\u9752\u6559\u6388<\/p>\n \u672c\u6587\u5df2\u9884\u51fa\u7248\uff0c\u5168\u6587\u53ef\u4f9b\u4e0b\u8f7d<\/p>\n","protected":false},"excerpt":{"rendered":" \u4f5c\u8005 \u5b59\u5e0c\u624d \u590d\u65e6\u5927\u5b66\u9644\u5c5e\u773c\u8033\u9f3b\u5589\u79d1\u533b\u9662\u8033\u9f3b\u54bd\u5589\u79d1 \u4e07\u7389\u67f1 \u5c71\u4e1c\u5927\u5b66\u9644\u5c5e\u5c71\u4e1c\u7701\u8033 … \u7ee7\u7eed\u9605\u8bfb