{"id":53947,"date":"2025-07-03T05:10:05","date_gmt":"2025-07-03T05:10:05","guid":{"rendered":"http:\/\/zydq.1006ss.com\/?p=53947"},"modified":"2025-07-03T05:10:05","modified_gmt":"2025-07-03T05:10:05","slug":"%e5%b8%b8%e7%94%a8%e9%99%8d%e5%8e%8b%e8%8d%af%e7%89%a9%e6%b1%87%e6%80%bb%ef%bc%8c%e7%94%a8%e6%b3%95%e7%94%a8%e9%87%8f%e5%8f%8a%e6%b3%a8%e6%84%8f%e4%ba%8b%e9%a1%b9%ef%bc%8c%e9%83%bd%e5%9c%a8%e8%bf%99","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=53947","title":{"rendered":"\u5e38\u7528\u964d\u538b\u836f\u7269\u6c47\u603b\uff0c\u7528\u6cd5\u7528\u91cf\u53ca\u6ce8\u610f\u4e8b\u9879\uff0c\u90fd\u5728\u8fd9\u91cc\u4e86\uff01"},"content":{"rendered":"

\u5e38\u7528\u964d\u538b\u836f\u7269\u5305\u62ec\u9499\u901a\u9053\u963b\u6ede\u5242\uff08CCB\uff09\u3001\u8840\u7ba1\u7d27\u5f20\u7d20\u8f6c\u6362\u9176\u6291\u5236\u836f\uff08ACEI\uff09\u3001\u8840\u7ba1\u7d27\u5f20\u7d20\u53d7\u4f53\u963b\u6ede\u836f\uff08ARB\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\u3001\u03b1\u53d7\u4f53\u963b\u6ede\u5242\u7b49\u3002\u5e94\u6839\u636e\u60a3\u8005\u7684\u5371\u9669\u56e0\u7d20\u3001\u9776\u5668\u5b98\u635f\u5bb3\u53ca\u5408\u5e76\u4e34\u5e8a\u75be\u75c5\u60c5\u51b5\uff0c\u5408\u7406\u4f7f\u7528\u836f\u7269\uff0c\u4f18\u5148\u9009\u62e9\u67d0\u7c7b\u964d\u538b\u836f\u7269\u3002\u5e38\u7528\u5404\u79cd\u7c7b\u964d\u538b\u836f\u7269\u53ca\u5176\u7528\u6cd5\u7528\u91cf\u89c1\u56fe1\u3002<\/p>\n

\u56fe1 \u5e38\u7528\u964d\u538b\u836f\u7269\u53ca\u7528\u91cf<\/p>\n

\u4e00\u3001CCB<\/p>\n

\u6839\u636e\u4e0e\u52a8\u8109\u8840\u7ba1\u548c\u5fc3\u810f\u7684\u4eb2\u548c\u529b\u53ca\u4f5c\u7528\u6bd4\uff0c\u53ef\u5c06CCB\u5206\u4e3a\u4e8c\u6c22\u5421\u5576\u7c7bCCB\u4e0e\u975e\u4e8c\u6c22\u5421\u5576\u7c7bCCB\u30021. \u4e8c\u6c22\u5421\u5576\u7c7bCCB\u4e8c\u6c22\u5421\u5576\u7c7bCCB\u5305\u62ec\u785d\u82ef\u5730\u5e73\u3001\u6c28\u6c2f\u5730\u5e73\u3001\u5de6\u65cb\u6c28\u6c2f\u5730\u5e73\u3001\u975e\u6d1b\u5730\u5e73\u3001\u62c9\u897f\u5730\u5e73\u7b49\u3002\u4e0d\u540c\u5236\u5242\u4f5c\u7528\u6301\u7eed\u65f6\u95f4\u3001\u8840\u7ba1\u7684\u9009\u62e9\u6027\u53ca\u836f\u4ee3\u52a8\u529b\u5b66\u4e0d\u540c\uff0c\u5176\u964d\u538b\u6548\u679c\u548c\u4e0d\u826f\u53cd\u5e94\u5b58\u5728\u5f02\u8d28\u6027\u3002<\/p>\n

\uff081\uff09\u65e0\u7edd\u5bf9\u7981\u5fcc\u8bc1\u3002<\/p>\n

\uff082\uff09\u5242\u91cf\u76f8\u5173\u7684\u8e1d\u90e8\u6c34\u80bf\u3001\u989c\u9762\u6f6e\u7ea2\u3001\u4fbf\u79d8\u3001\u7259\u9f88\u589e\u751f\uff0c\u5973\u6027\u591a\u89c1\u4e8e\u7537\u6027\u3002<\/p>\n

\uff083\uff09\u5de6\u65cb\u6c28\u6c2f\u5730\u5e73\u8e1d\u90e8\u6c34\u80bf\u7b49\u4e0d\u826f\u53cd\u5e94\u76f8\u5bf9\u5c11\u3002<\/p>\n

2. \u975e\u4e8c\u6c22\u5421\u5576\u7c7bCCB\u5305\u62ec\u7ef4\u62c9\u5e15\u7c73\u3001\u5730\u5c14\u786b\u44ec\u7b49\u3002\uff081\uff09\u907f\u514d\u4e0e\u03b2\u53d7\u4f53\u963b\u6ede\u5242\u5e38\u89c4\u5408\u7528\uff0c\u4f1a\u589e\u52a0\u5fc3\u52a8\u8fc7\u7f13\u548c\u4f20\u5bfc\u963b\u6ede\u3002<\/p>\n

\uff082\uff09\u4e0d\u7528\u4e8e\u6536\u7f29\u6027\u5fc3\u529b\u8870\u7aed\u3002<\/p>\n

ACEI<\/p>\n

\u5305\u62ec\u8d1d\u90a3\u666e\u5229\u3001\u5361\u6258\u666e\u5229\u3001\u4f9d\u90a3\u666e\u5229\u3001\u798f\u8f9b\u666e\u5229\u7b49\u3002<\/p>\n

ACEI\u5177\u6709\u826f\u597d\u7684\u9776\u5668\u5b98\u4fdd\u62a4\u548c\u5fc3\u8840\u7ba1\u7ec8\u70b9\u4e8b\u4ef6\u9884\u9632\u4f5c\u7528\uff0c\u5c24\u5176\u9002\u7528\u4e8e\u4f34\u6162\u6027\u5fc3\u529b\u8870\u7aed\u548c\u5fc3\u808c\u6897\u6b7b\u7684\u8001\u5e74\u9ad8\u8840\u538b\u60a3\u8005\u3002<\/p>\n

ACEI\u5bf9\u7cd6\u8102\u4ee3\u8c22\u65e0\u4e0d\u826f\u5f71\u54cd\uff0c\u4e34\u5e8a\u7814\u7a76\u8bc1\u5b9e\u5176\u53ef\u6709\u6548\u51cf\u5c11\u5c3f\u767d\u86cb\u767d\u6392\u6cc4\u91cf\uff0c\u5ef6\u7f13\u80be\u810f\u75c5\u53d8\u8fdb\u5c55\uff0c\u9002\u7528\u4e8e\u5408\u5e76\u7cd6\u5c3f\u75c5\u80be\u75c5\u3001\u4ee3\u8c22\u7efc\u5408\u5f81\u3001\u6162\u6027\u80be\u810f\u75c5\uff08CKD\uff09\u3001\u86cb\u767d\u5c3f\u6216\u5fae\u91cf\u767d\u86cb\u767d\u5c3f\u7684\u8001\u5e74\u9ad8\u8840\u538b\u60a3\u8005\u3002<\/p>\n

\uff081\uff09ACEI\u7981\u6b62\u4e0eARB\u5408\u7528\u3002<\/p>\n

\uff082\uff09\u56e0\u5e72\u54b3\u800c\u4e0d\u80fd\u8010\u53d7ACEI\u8005\u53ef\u6362\u7528ARB\u3002<\/p>\n

\uff083\uff09\u5408\u5e76CKD\u60a3\u8005\u6216\u4f7f\u7528\u8865\u94be\u6216\u4fdd\u94be\u836f\u7269\u8005\u589e\u52a0\u9ad8\u94be\u98ce\u9669\u3002<\/p>\n

\uff084\uff09\u4e25\u91cd\u53cc\u4fa7\u80be\u52a8\u8109\u72ed\u7a84\u60a3\u8005\u589e\u52a0\u6025\u6027\u80be\u529f\u80fd\u8870\u7aed\u98ce\u9669\u3002<\/p>\n

\uff085\uff09\u670d\u7528ACEI\u53d1\u751f\u8840\u7ba1\u6027\u6c34\u80bf\u75c5\u53f2\u7684\u60a3\u8005\u7981\u7528\u3002<\/p>\n

\uff086\uff09\u8840\u808c\u9150\u6c34\u5e73>3 mg\/dl\uff081 mg\/dl=88.4 \u03bcmol\/L\uff09\u8005\u7981\u7528\u3002<\/p>\n

ARB<\/p>\n

\u5305\u62ec\u574e\u5730\u6c99\u5766\u3001\u5384\u8d1d\u6c99\u5766\u3001\u6c2f\u6c99\u5766\u3001\u5965\u7f8e\u6c99\u5766\u7b49\u3002ARB\u53ef\u964d\u4f4e\u7cd6\u5c3f\u75c5\u6216\u80be\u810f\u75c5\u60a3\u8005\u7684\u86cb\u767d\u5c3f\u53ca\u5fae\u91cf\u767d\u86cb\u767d\u5c3f\uff0c\u5c24\u5176\u9002\u7528\u4e8e\u4f34\u5de6\u5fc3\u5ba4\u80a5\u539a\u3001\u5fc3\u529b\u8870\u7aed\u3001\u7cd6\u5c3f\u75c5\u80be\u75c5\u3001\u4ee3\u8c22\u7efc\u5408\u5f81\u3001\u5fae\u91cf\u767d\u86cb\u767d\u5c3f\u6216\u86cb\u767d\u5c3f\u60a3\u8005\uff0c\u4ee5\u53ca\u4e0d\u80fd\u8010\u53d7ACEI\u7684\u60a3\u8005\u3002ARB\u4e0e\u8840\u7ba1\u7d27\u5f20\u7d20\u21611\u578b\u53d7\u4f53\uff08AT1R\uff09\u7ed3\u5408\u7684\u9009\u62e9\u6027\u8d8a\u9ad8\u3001\u4eb2\u548c\u529b\u8d8a\u5f3a\u3001\u7ed3\u5408\u65f6\u95f4\u8d8a\u6301\u4e45\uff0c\u5176\u963b\u65adAT1R\u7684\u4f5c\u7528\u8d8a\u5f3a\uff0c\u964d\u538b\u6548\u679c\u8d8a\u663e\u8457\u3002<\/p>\n

\u6ce8\u610f\u4e8b\u9879\uff1a\u540cACEI\u3002<\/p>\n

\u5229\u5c3f\u5242<\/p>\n

\u5229\u5c3f\u5242\u5c24\u5176\u9002\u5408\u8001\u5e74\u9ad8\u8840\u538b\u3001\u96be\u6cbb\u6027\u9ad8\u8840\u538b\u3001\u5fc3\u529b\u8870\u7aed\u5408\u5e76\u9ad8\u8840\u538b\u548c\u76d0\u654f\u611f\u6027\u9ad8\u8840\u538b\u7b49\u60a3\u8005\u30021. \u567b\u55ea\u7c7b\u5229\u5c3f\u5242\u6839\u636e\u5206\u5b50\u7ed3\u6784\u53c8\u53ef\u5206\u4e3a\u567b\u55ea\u578b\u5229\u5c3f\u5242\uff08\u5982\u6c22\u6c2f\u567b\u55ea\uff09\u548c\u567b\u55ea\u6837\u5229\u5c3f\u5242\uff08\u5982\u5432\u8fbe\u5e15\u80fa\uff09\u3002\uff081\uff09\u76d1\u6d4b\u94a0\u3001\u94be\u3001\u5c3f\u9178\u548c\u9499\u6d53\u5ea6\u3002<\/p>\n

\uff082\uff09\u6709\u75db\u98ce\u75c5\u53f2\u8005\u614e\u7528\uff0c\u9664\u975e\u5df2\u63a5\u53d7\u964d\u5c3f\u9178\u6cbb\u7597\u3002<\/p>\n

2. \u88a2\u5229\u5c3f\u5242<\/p>\n

\u5305\u62ec\u5e03\u7f8e\u4ed6\u5c3c\u3001\u544b\u585e\u7c73\u3001\u6258\u62c9\u585e\u7c73\u7b49\u3002\uff081\uff09\u5408\u5e76\u75c7\u72b6\u6027\u5fc3\u529b\u8870\u7aed\u4f18\u9009\u88a2\u5229\u5c3f\u5242\u3002<\/p>\n

\uff082\uff09\u4e2d\u91cd\u5ea6CKD\u60a3\u8005\u4f18\u9009\u88a2\u5229\u5c3f\u5242\u3002<\/p>\n

3. \u4fdd\u94be\u5229\u5c3f\u5242<\/p>\n

\u4e00\u7c7b\u4e3a\u919b\u56fa\u916e\u53d7\u4f53\u62ee\u6297\u5242\uff0c\u4ee3\u8868\u836f\u7269\u4e3a\u87ba\u5185\u916f\u548c\u4f9d\u666e\u5229\u916e\u3002\u53e6\u4e00\u7c7b\u4f5c\u7528\u4e0d\u4f9d\u8d56\u919b\u56fa\u916e\uff0c\u4ee3\u8868\u836f\u7269\u5305\u62ec\u6c28\u82ef\u8776\u5576\u548c\u963f\u7c73\u6d1b\u5229\u3002\uff081\uff09\u963f\u7c73\u6d1b\u5229\u4e0e\u6c28\u82ef\u8776\u5576\u5355\u7528\u964d\u538b\u6548\u679c\u4e0d\u660e\u663e\u3002\uff082\uff09\u87ba\u5185\u916f\u589e\u52a0\u7537\u6027\u4e73\u817a\u589e\u751f\u548c\u52c3\u8d77\u529f\u80fd\u969c\u788d\u98ce\u9669\u3002\u907f\u514d\u8054\u5408\u5e94\u7528\u8865\u94be\u3001\u4fdd\u94be\u836f\u3002\uff083\uff09\u4e25\u91cdCKD\u60a3\u8005\u907f\u514d\u5e94\u7528\u3002<\/p>\n

\u03b2\u53d7\u4f53\u963b\u6ede\u5242<\/p>\n

\u03b2\u53d7\u4f53\u963b\u6ede\u5242\u9002\u7528\u4e8e\u4f34\u5feb\u901f\u6027\u5fc3\u5f8b\u5931\u5e38\u3001\u5fc3\u7ede\u75db\u3001\u6162\u6027\u5fc3\u529b\u8870\u7aed\u7684\u8001\u5e74\u9ad8\u8840\u538b\u60a3\u8005\u3002\uff081\uff09\u6709\u6c14\u9053\u75c9\u631b\u6027\u75be\u75c5\u60a3\u8005\u7981\u7528\uff0c\u5fc5\u987b\u5e94\u7528\u65f6\u5e94\u9009\u9ad8\u9009\u62e9\u6027\u03b21<\/sub>\u53d7\u4f53\u963b\u6ede\u5242\uff08\u7f8e\u6258\u6d1b\u5c14\u3001\u6bd4\u7d22\u6d1b\u5c14\uff09\u3002<\/p>\n

\uff082\uff09\u907f\u514d\u7a81\u7136\u505c\u836f\u3002<\/p>\n

ARNI<\/p>\n

\u8111\u5561\u80bd\u9176\u6291\u5236\u5242\u6c99\u5e93\u5df4\u66f2\u53ef\u6291\u5236\u8111\u5561\u80bd\u9176\uff08NEP\uff09\u5bf9\u5229\u94a0\u80bd\u7684\u964d\u89e3\uff0c\u53d1\u6325\u5229\u5c3f\u3001\u5229\u94a0\u548c\u6269\u8840\u7ba1\u3001\u6297\u4ea4\u611f\u795e\u7ecf\u7684\u6548\u5e94\u3002ARB\u53ef\u907f\u514dNEP\u88ab\u6291\u5236\u540e\u5bf9\u80be\u7d20-\u8840\u7ba1\u7d27\u5f20\u7d20\u7cfb\u7edf\uff08RAS\uff09\u7684\u4ee3\u507f\u6fc0\u6d3b\uff0c\u8d77\u5230\u534f\u540c\u964d\u538b\u4f5c\u7528\u3002\u4e24\u8005\u7ed3\u5408\u6784\u6210\u5171\u6676\u7ed3\u6784\uff0c\u4fdd\u969c\u4e86\u836f\u6548\u53d1\u6325\u7684\u540c\u6b65\u6027\u3002\u5c24\u5176\u9002\u7528\u4e8e\u8001\u5e74\u9ad8\u8840\u538b\u5408\u5e76\u5fc3\u529b\u8870\u7aed\u548cCKD\u7684\u60a3\u8005\u3002\uff081\uff09\u4e0d\u80fd\u4e0eACEI\u3001ARB\u3001\u963f\u5229\u5409\u4ed1\u8054\u7528\u3002\uff082\uff09\u5982\u679c\u4eceACEI\u8f6c\u6362\u6210ARNI\uff0c\u5fc5\u987b\u5728\u505c\u6b62ACEI\u6cbb\u7597\u226536 h\u4e4b\u540e\u624d\u80fd\u5f00\u59cb\u5e94\u7528\u3002<\/p>\n

\u03b1\u53d7\u4f53\u963b\u6ede\u5242<\/p>\n

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