{"id":52540,"date":"2025-06-03T05:10:41","date_gmt":"2025-06-03T05:10:41","guid":{"rendered":"http:\/\/zydq.1006ss.com\/?p=52540"},"modified":"2025-06-03T05:10:41","modified_gmt":"2025-06-03T05:10:41","slug":"%e6%8c%87%e5%8d%97%e5%85%b1%e8%af%86%e4%b8%a8%e8%8b%b1%e5%9b%bd%e6%9b%b4%e6%96%b0%e5%a6%8a%e5%a8%a0%e6%9c%9f%e6%81%b6%e5%bf%83%e5%91%95%e5%90%90%e5%8f%8a%e5%a6%8a%e5%a8%a0%e5%89%a7%e5%90%90%e7%ae%a1","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=52540","title":{"rendered":"\u6307\u5357\u5171\u8bc6\u4e28\u82f1\u56fd\u66f4\u65b0\u598a\u5a20\u671f\u6076\u5fc3\u5455\u5410\u53ca\u598a\u5a20\u5267\u5410\u7ba1\u7406\u6307\u5357\uff0c\u8981\u70b9\u4e00\u89c8"},"content":{"rendered":"<\/p>\n<p>\u9ad8\u8fbe90%\u7684\u5b55\u5987\u4f1a\u53d7\u5230\u598a\u5a20\u671f\u6076\u5fc3\u5455\u5410\uff08NVP\uff09\u7684\u5f71\u54cd\uff0c\u598a\u5a20\u5267\u5410\uff08HG\uff09\u662fNVP\u7684\u4e25\u91cd\u5f62\u5f0f\u30022016\u5e74\uff0c\u82f1\u56fd\u7687\u5bb6\u5987\u4ea7\u79d1\u533b\u5e08\u5b66\u4f1a\uff08RCOG\uff09\u53d1\u5e03\u4e86\u9488\u5bf9NVP\u53caHG\u7684\u7ba1\u7406\u6307\u5357\uff0c\u4e3b\u8981\u5c31NVP\u6216HG\u60a3\u8005\u7684\u8bca\u65ad\u548c\u540e\u7eed\u7ba1\u7406\u63d0\u51fa\u5faa\u8bc1\u5efa\u8bae\u30022024\u5e742\u6708\uff0cRCOG\u66f4\u65b0\u4e86NVP\u53caHG\u7ba1\u7406\u6307\u5357\uff0c\u5373\u7b2c69\u53f7\u82f1\u56fd\u7eff\u9876\u6307\u5357\uff08Green-top Guideline No. 69\uff09\u3002\u4ee5\u4e0b\u662f\u8be5\u6307\u5357\u7684\u4e3b\u8981\u63a8\u8350\u5efa\u8bae\u3002<\/p>\n<p>\u4f5c\u8005\uff1a\u5f90\u9759<\/p>\n<p>\u5355\u4f4d\uff1a\u6c5f\u82cf\u7701\u9547\u6c5f\u5e02\u5987\u5e7c\u4fdd\u5065\u9662\u4ea7\u79d1<\/p>\n<\/p>\n<p>\u8bc1\u636e\u8d28\u91cf\u5206\u7c7b<\/p>\n<\/p>\n<p>\u63a8\u8350\u5f3a\u5ea6\u7ea7\u522b<\/p>\n<p>\u4e3b\u8981\u63a8\u8350\u5efa\u8bae\uff1a<\/p>\n<ul>\n<li>\u598a\u5a20\u671f\u6076\u5fc3\u5455\u5410\u4e13\u9879\u91cf\u5316\u8bc4\u5206\uff08PUQE\uff09\u3001\u598a\u5a20\u5267\u5410\u6c34\u5e73\u9884\u6d4b\uff08HELP\uff09\u662f\u8bc4\u4f30\u598a\u5a20\u671f\u6076\u5fc3\u548c\u5455\u5410\u7684\u5ba2\u89c2\u4e14\u6709\u6548\u7684\u6307\u6807\uff0c\u53ef\u7528\u4e8e\u5bf9NVP\u53caHG\u7684\u4e25\u91cd\u7a0b\u5ea6\u8fdb\u884c\u5206\u7c7b\uff08C\u7ea7\uff09\u3002<\/li>\n<li>\u5c3f\u916e\u4f53\u4e0d\u662f\u8131\u6c34\u7684\u6307\u6807\uff0c\u4e0d\u5e94\u7528\u4e8e\u8bc4\u4f30\u75c7\u72b6\u7684\u4e25\u91cd\u7a0b\u5ea6\uff08A\u7ea7\uff09\u3002<\/li>\n<li>\u4e00\u7ebf\u6b62\u5410\u836f\uff0c\u5982\u6297H1\u7ec4\u80fa\u7c7b\u3001\u5429\u567b\u55ea\u7c7b\u3001\u591a\u897f\u62c9\u654f\/\u7ef4\u751f\u7d20B6\uff0c\u5177\u6709\u5b89\u5168\u6027\u548c\u6709\u6548\u6027\u7684\u6570\u636e\uff1b\u5f53NVP\u548cHG\u5b55\u5987\u9700\u8981\u7528\u836f\u65f6\uff0c\u5e94\u9996\u5148\u5904\u65b9\u8fd9\u4e9b\u836f\u7269\uff08A\u7ea7\uff09\u3002<\/li>\n<li>\u6709\u8bc1\u636e\u8868\u660e\uff0c\u6602\u4e39\u53f8\u743c\u662f\u5b89\u5168\u6709\u6548\u7684\u3002\u5982\u679c\u4e00\u7ebf\u6b62\u5410\u836f\u7269\u65e0\u6548\uff0c\u5219\u5e94\u5c06\u5176\u7528\u4f5c\u4e8c\u7ebf\u6b62\u5410\u5242\u3002\u56e0\u4e3a\u5728\u598a\u5a20\u65e9\u671f\u4f7f\u7528\u6602\u4e39\u53f8\u743c\u81f4\u5507\u816d\u88c2\u7684\u7edd\u5bf9\u98ce\u9669\u589e\u52a0\u5f88\u5c0f\uff0c\u5b55\u5987\u53ef\u4ee5\u653e\u5fc3\u4f7f\u7528\uff0c\u4e0eHG\u7ba1\u7406\u4e0d\u5584\u7684\u98ce\u9669\u76f8\u5e73\u8861\uff08B\u7ea7\uff09\u3002<\/li>\n<li>\u7532\u6c27\u6c2f\u666e\u80fa\u5b89\u5168\u6709\u6548\uff0c\u53ef\u5355\u72ec\u6216\u8054\u5408\u5176\u4ed6\u6b62\u5410\u836f\u4f7f\u7528\uff08B\u7ea7\uff09\u3002<\/li>\n<li>\u7531\u4e8e\u7532\u6c27\u6c2f\u666e\u80fa\u5b58\u5728\u9525\u4f53\u5916\u7cfb\u526f\u4f5c\u7528\u98ce\u9669\uff0c\u5e94\u4f5c\u4e3a\u4e8c\u7ebf\u6cbb\u7597\u836f\u7269\u3002\u9759\u8109\u6ce8\u5c04\u65f6\u5e94\u7f13\u6162\u63a8\u6ce8\u81f3\u5c113\u5206\u949f\uff0c\u4f7f\u526f\u4f5c\u7528\u964d\u81f3\u6700\u4f4e\uff08C\u7ea7\uff09\u3002<\/li>\n<li>\u7528\u836f\u524d\u5148\u8be2\u95ee\u5b55\u5987\u4ee5\u524d\u5bf9\u6b62\u5410\u836f\u7269\u7684\u4e0d\u826f\u53cd\u5e94\u3002\u4e00\u65e6\u51fa\u73b0\u4e0d\u826f\u53cd\u5e94\uff0c\u7acb\u5373\u505c\u836f\uff08GPP\uff09\u3002<\/li>\n<li>\u6700\u9002\u5408\u7684\u9759\u8109\u8865\u6db2\u6cbb\u7597\u662f\u751f\u7406\u76d0\u6c34\uff080.9% NaCl\uff09\u548c\u6c2f\u5316\u94be\uff0c\u6bcf\u65e5\u76d1\u6d4b\u7535\u89e3\u8d28\u6307\u5bfc\u7ed9\u836f\uff08C\u7ea7\uff09\u3002<\/li>\n<li>\u6b62\u5410\u836f\u5355\u836f\u6cbb\u7597\u65e0\u6548\u7684\u5b55\u5987\u5e94\u8054\u5408\u7528\u836f\uff08GPP\uff09\u3002<\/li>\n<li>\u6240\u6709\u56e0\u5455\u5410\u6216\u996e\u98df\u6444\u5165\u4e25\u91cd\u51cf\u5c11\u800c\u5165\u9662\u7684\u5b55\u5987\uff0c\u5728\u5f00\u59cb\u8461\u8404\u7cd6\u6216\u80a0\u5916\u8425\u517b\u4e4b\u524d\uff0c\u5e94\u8865\u5145\u7ef4\u751f\u7d20B1\uff08\u53e3\u670d100 mg tds\u6216\u9759\u6ce8\u590d\u5408\u7ef4\u751f\u7d20B\uff09\uff08D\u7ea7\uff09\u3002<\/li>\n<li>\u5728\u8003\u8651\u7ec8\u6b62\u598a\u5a20\u4e4b\u524d\uff0c\u5e94\u5c1d\u8bd5\u6240\u6709\u6cbb\u7597\u63aa\u65bd\uff08C\u7ea7\uff09\u3002<\/li>\n<\/ul>\n<p>\u793e\u533a\u533b\u9662\u7ba1\u7406NVP\/HG\u5b55\u5987\u7684\u7b80\u5316\u6d41\u7a0b<\/p>\n<p>1\u3001\u5982\u4f55\u5b9a\u4e49\u548c\u8bca\u65adNVP\u548cHG\uff1f<\/p>\n<\/p>\n<p>\u88681.\u75c5\u53f2\u3001\u4f53\u68c0\u548c\u8f85\u52a9\u68c0\u67e5\u7684\u7279\u5f81\uff0c\u5e2e\u52a9\u8bca\u65ad\u598a\u5a20\u671f\u4e25\u91cd\u6076\u5fc3\u5455\u5410\u5e76\u6392\u9664\u5176\u4ed6\u539f\u56e0<\/p>\n<\/p>\n<p>2\u3001\u5e94\u8fdb\u884c\u54ea\u4e9b\u521d\u6b65\u8bc4\u4f30\u548c\u57fa\u7840\u68c0\u67e5\uff1f<\/p>\n<\/p>\n<p>3\u3001\u5bf9\u4e8eNVP\u548cHG\u5b55\u5987\uff0c\u54ea\u4e9b\u836f\u7269\u6cbb\u7597\u65b9\u6848\u53ef\u7528\u4e14\u6709\u6548\uff1f<\/p>\n<\/p>\n<p>4\u3001\u7528\u4e8e\u6cbb\u7597NVP\u548cHG\u7684\u836f\u7269\u5b89\u5168\u6027\u5982\u4f55\uff1f<\/p>\n<\/p>\n<p>5\u3001NVP\u548cHG\u6709\u54ea\u4e9b\u4e0d\u826f\u5f71\u54cd\uff1f\u5982\u4f55\u9884\u9632\uff1f<\/p>\n<\/p>\n<p>6\u3001\u5982\u4f55\u4e3a\u60a3\u6709NVP\u548cHG\u7684\u5b55\u5987\u63d0\u4f9b\u4ea7\u524d\u7ba1\u7406\uff1f<\/p>\n<\/p>\n<p>7\u3001\u95e8\u8bca\u548c\u4f4f\u9662\u6cbb\u7597\u53ef\u9009\u62e9\u7684\u8865\u6db2\u65b9\u6848\u662f\u4ec0\u4e48\uff1f<\/p>\n<\/p>\n<p>8\u3001NVP\u548cHG\u5bf9\u5b55\u5987\u53ca\u5176\u5bb6\u5ead\u7684\u751f\u6d3b\u8d28\u91cf\u6709\u4ec0\u4e48\u5f71\u54cd\uff1f<\/p>\n<\/p>\n<p>9\u3001\u591a\u5b66\u79d1\u56e2\u961f\u6709\u54ea\u4e9b\u4f5c\u7528\uff1f<\/p>\n<\/p>\n<p>10\u3001\u4ec0\u4e48\u65f6\u5019\u8003\u8651\u80a0\u5185\u548c\u80a0\u5916\u8425\u517b\uff1f\u5bf9\u5b55\u5987\u548c\u80ce\u513f\u6709\u4ec0\u4e48\u98ce\u9669\uff1f<\/p>\n<\/p>\n<p>11\u3001\u4ec0\u4e48\u65f6\u5019\u8ba8\u8bba\u7ec8\u6b62\u598a\u5a20\uff1f<\/p>\n<\/p>\n<p>12\u3001NVP\u548cHG\u5bf9\u5b55\u5987\u6709\u54ea\u4e9b\u957f\u671f\u5f71\u54cd\uff1f<\/p>\n<\/p>\n<p>13\u3001\u5bf9\u672a\u6765\u7684\u598a\u5a20\u6709\u54ea\u4e9b\u5efa\u8bae\uff1f<\/p>\n<\/p>\n<p>\u9644\u5f552a. \u598a\u5a20\u671f\u6076\u5fc3\u5455\u5410\u4e13\u9879\u91cf\u5316\u8bc4\u5206\uff08PUQE\uff09<\/p>\n<p>\u603b\u5206\u662f\u5bf9\u4e09\u4e2a\u95ee\u9898\u56de\u7b54\u7684\u8bc4\u5206\u603b\u548c\u3002<\/p>\n<p>PUQE-24\u8bc4\u5206\uff1a\u8f7b\u5ea6\uff0c6\u5206\uff1b\u4e2d\u5ea6\uff0c7~12\u5206\uff1b\u91cd\u5ea6\uff0c13~15\u5206\u3002\uff081\uff0924\u5c0f\u65f6\u4e2d\u4f60\u7761\u4e86\u591a\u5c11\u5c0f\u65f6\uff1f\u4e3a\u4ec0\u4e48\uff1f\uff082\uff09\u4ece0\u5206\uff08\u53ef\u80fd\u6700\u7cdf\u7cd5\uff09\u523010\u5206\uff08\u6000\u5b55\u524d\u6700\u597d\u7684\u611f\u89c9\uff09\uff0c\u5982\u4f55\u8bc4\u4ef7\u4f60\u7684\u5e78\u798f\u611f\uff1f\uff083\uff09\u662f\u4ec0\u4e48\u60c5\u51b5\u8ba9\u4f60\u6709\u8fd9\u79cd\u611f\u89c9\uff1f<\/p>\n<p>\u9644\u5f552b. \u598a\u5a20\u5267\u5410\u6c34\u5e73\u9884\u6d4b\uff08HELP\uff09<\/p>\n<\/p>\n<p>HELP\u8bc4\u5206\uff1a\u65e0\u75c7\u72b6\u6216\u8f7b\u5ea6\uff0c\u226419\u5206\uff1b\u4e2d\u5ea6\uff0c20~32\u5206\uff1b\u91cd\u5ea6\uff0c33~60\u5206\u3002<\/p>\n<p>\u9644\u5f553\uff1a\u63a8\u8350\u7684\u6b62\u5410\u6cbb\u7597\u836f\u7269\u53ca\u5176\u5242\u91cf<\/p>\n<p>\u4e00\u7ebf\u836f\u7269\u591a\u897f\u62c9\u654f\/\u7ef4\u751f\u7d20B6\uff1a20\/20 mg\u665a\u4e0aPO\uff0c\u5982\u679c\u9700\u8981\uff0c\u65e9\u4e0a\u518d\u589e\u52a010\/10 mg\uff0c\u5348\u9910\u65f6\u95f4\u589e\u52a010\/10 mg\u3002\u8d5b\u514b\u529b\u55ea\uff1a\u6bcf8\u5c0f\u65f650 mg PO\u3001IM\u6216IV\u3002\u4e19\u6c2f\u62c9\u55ea\uff1a\u6bcf6~8\u5c0f\u65f65~10 mg PO\uff08\u62163 mg\u53e3\u542b\uff09\uff1b\u6bcf8\u5c0f\u65f612.5 mg IM\/IV\uff1b\u6bcf\u592925 mg\u76f4\u80a0\u7528\u836f\u3002\u5f02\u4e19\u55ea\uff1a\u6bcf4~8\u5c0f\u65f612.5~25 mg PO\u3001IM\u6216IV\u3002\u6c2f\u4e19\u55ea\uff1a\u6bcf4~6\u5c0f\u65f610~25 mg PO\u3001IM\u6216IV\u3002\u4e8c\u7ebf\u836f\u7269\u7532\u6c27\u6c2f\u666e\u80fa\uff1a\u6bcf8\u5c0f\u65f65~10 mg PO\u3001IV\/IM\/SC\u3002\u591a\u6f58\u7acb\u916e\uff1a\u6bcf8\u5c0f\u65f610 mg PO\uff1b\u6bcf12\u5c0f\u65f630 mg\u76f4\u80a0\u7528\u836f\u3002\u6602\u4e39\u53f8\u743c\uff1a\u6bcf8\u5c0f\u65f64 mg PO\u6216\u6bcf12\u5c0f\u65f68 mg PO\uff1b\u6bcf12\u5c0f\u65f68 mg IV\u8f93\u6ce815\u5206\u949f\uff1b\u6bcf\u592916 mg\u76f4\u80a0\u7528\u836f\uff08\u5982\u679c\u51fa\u73b0\u4fbf\u79d8\uff0c\u670d\u7528\u6602\u4e39\u53f8\u743c\u7684\u5b55\u5987\u53ef\u80fd\u9700\u8981\u6cfb\u836f\uff09\u3002\u4e09\u7ebf\u836f\u7269\u6c22\u5316\u53ef\u7684\u677e100 mg bid IV\uff0c\u4e00\u65e6\u4e34\u5e8a\u75c7\u72b6\u6539\u5584\uff0c\u8f6c\u4e3a\u6cfc\u5c3c\u677e\u6bcf\u592940~50 mg PO\uff0c\u9010\u6e10\u51cf\u91cf\uff08\u6bcf\u54685~10 mg\uff09\uff0c\u76f4\u81f3\u8fbe\u5230\u80fd\u63a7\u5236\u75c7\u72b6\u7684\u6700\u4f4e\u7ef4\u6301\u5242\u91cf\uff08\u76ae\u8d28\u7c7b\u56fa\u9187\u5e94\u7528\u4e8e\u6807\u51c6\u6cbb\u7597\u5931\u8d25\u7684\u75c5\u4f8b\uff1b\u9664\u4e86\u4e4b\u524d\u5f00\u59cb\u7684\u6709\u6548\u6b62\u5410\u836f\u5916\uff0c\u8fd8\u53ef\u5904\u65b9\u76ae\u8d28\u7c7b\u56fa\u9187\u3002\u670d\u7528\u76ae\u8d28\u7c7b\u56fa\u9187\u7684\u5b55\u5987\u5e94\u76d1\u6d4b\u8840\u538b\u5e76\u7b5b\u67e5\u7cd6\u5c3f\u75c5\uff09\u3002<\/p>\n<p>\u6765\u6e90\uff1a<\/p>\n<p>The Management of Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum (Green-top Guideline No. 69).<\/p>\n<p>\u4e13\u5bb6\u7b80\u4ecb<\/p>\n<p>&nbsp;<\/p>\n<p>\u5f90\u9759 \u4e3b\u4efb\u533b\u5e08<\/p>\n<p>\u5f90\u9759\uff0c\u6c5f\u82cf\u7701\u9547\u6c5f\u5e02\u5987\u5e7c\u4fdd\u5065\u9662\u4ea7\u79d1\u4e3b\u4efb\u533b\u5e08\uff1b\u4ece\u4e8b\u5987\u4ea7\u79d1\u5de5\u4f5c\u591a\u5e74\uff0c\u5176\u4e2d\u4ea7\u79d1\u4e13\u79d1\u4e34\u5e8a\u5de5\u4f5c\u5341\u4f59\u5e74\uff0c\u8fd15\u5e74\u6765\u4e00\u76f4\u5728\u4ea7\u623f\u5de5\u4f5c\uff0c\u5bf9\u598a\u5a20\u5e76\u53d1\u75c7\u3001\u5408\u5e76\u75c7\u3001\u5371\u91cd\u75c7\u7684\u8bca\u6cbb\u7ecf\u9a8c\u4e30\u5bcc\u5e76\u6709\u72ec\u7279\u7684\u89c1\u89e3\uff0c\u64c5\u957f\u5404\u79cd\u4ea7\u79d1\u624b\u672f\uff0c\u719f\u7ec3\u638c\u63e1\u4ea7\u94b3\u672f\u3001\u4f1a\u9634III\u5ea6\u88c2\u4f24\u4fee\u8865\u672f\u3001\u4ea7\u79d1\u5b50\u5bab\u5207\u9664\u672f\u7b49\uff1b\u5728\u6838\u5fc3\u671f\u520a\u3001\u7edf\u8ba1\u6e90\u671f\u520a\u53d1\u8868\u6587\u7ae0\u591a\u7bc7\uff0c\u5728\u5f53\u5730\u5927\u5b66\u517c\u804c\u7559\u5b66\u751f\u7684\u5987\u4ea7\u79d1\u82f1\u6587\u6559\u5b66\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u9ad8\u8fbe90%\u7684\u5b55\u5987\u4f1a\u53d7\u5230\u598a\u5a20\u671f\u6076\u5fc3\u5455\u5410\uff08NVP\uff09\u7684\u5f71\u54cd\uff0c\u598a\u5a20\u5267\u5410\uff08HG\uff09\u662fNVP\u7684 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