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&nbsp; &nbsp; &nbsp;\u7eb3\u5165\u6807\u51c6\uff1a\u2460\u5e74\u9f84 &gt;18 \u5c81\uff1b\u2461\u4e3a\u5316\u7597\u540e\u53d1\u751f\u672b\u68a2\u795e\u7ecf\u708e\uff1b\u2462\u51fa\u73b0\u660e\u663e\u7684\u795e\u7ecf\u4f20\u5bfc\u901f\u5ea6\u964d\u4f4e\uff1b\u2463\u5361\u5f0f\u8bc4\u5206 \u226570 \u5206\uff1b\u2464\u795e\u5fd7\u6e05\u695a\u3001\u6c9f\u901a\u80fd\u529b\u6b63\u5e38\u3002<\/p>\n<p>\u6392\u9664\u6807\u51c6\uff1a\u2460\u60a3\u8005\u5b58\u5728\u7cbe\u795e\u969c\u788d\u3001\u610f\u8bc6\u969c\u788d\u6216\u8005\u65e0\u6cd5\u6b63\u5e38\u4ea4\u6d41\u3001\u914d\u5408\u5b8c\u6210\u8c03\u67e5\uff1b\u2461\u60a3\u8005\u5b58\u5728\u76ae\u80a4\u7834\u635f\uff1b\u2462\u60a3\u8005\u9884\u8ba1\u751f\u5b58\u671f &lt;3 \u4e2a\u6708\uff1b\u2463\u60a3\u8005\u5bf9\u672c\u6b21\u6cbb\u7597\u836f\u7269\u8fc7\u654f\u6216\u4e0d\u8010\u53d7\uff1b\u2464\u60a3\u8005\u4f34\u6709\u5176\u4ed6\u7c7b\u578b\u7684\u5468\u56f4\u795e\u7ecf\u75c5\u53d8\u3002<\/p>\n<p>1.3 \u65b9\u6cd5<\/p>\n<p>&nbsp; &nbsp; &nbsp; &nbsp;\u5bf9\u7167\u7ec4\u7ed9\u4e88\u60a3\u8005\u53e3\u670d\u7532\u94b4\u80fa\u7247\u6cbb\u7597\uff0c\u5242\u91cf 0.5 mg\/ \u6b21\uff0c3 \u6b21 \/d\uff0c\u53ef\u6839\u636e\u5e74\u9f84\u3001\u75c7\u72b6\u914c\u60c5\u589e\u51cf\u3002\u4e2d\u836f\u5916\u6d17\u7ec4\u5728\u5bf9\u7167\u7ec4\u57fa\u7840\u4e0a\u52a0\u7528\u9ec4\u82aa\u6842\u679d\u4e94\u7269\u6c64\u5916\u6d17\u6cd5\u6cbb\u7597\u3002\u8be5\u65b9\u836f\u7269\u5982\u4e0b\uff1a\u9e21\u8840\u85e4 45 g\uff0c\u751f\u9ec4\u82aa 30 g\uff0c\u832f\u82d3 15 g\uff0c\u6842\u679d\u3001\u5f53\u5f52\u3001\u767d\u828d\u5404 12 g\uff0c\u6843\u4ec1\u3001\u5ddd\u828e\u3001\u7ea2\u82b1\u5404 9 g\uff0c\u5927\u67a3 5 \u679a\uff0c\u751f\u59dc 5 \u7247\u3002\u5148\u7528\u4e0a\u65b9\u52a0\u51b7\u6c34 3 000 mL \u6d78\u6ce1\uff0c\u65f6\u95f4\u4e3a 30 min\u3002\u6587\u706b\u71ac\u716e\uff0c\u714e\u5236 20 min\uff0c\u628a\u836f\u6db2\u548c\u836f\u6e23\u5012\u5165\u6728\u6876\u5185\u5bf9\u60a3\u80a2\u5148\u718f\uff0c\u76f4\u81f3\u6e29\u5ea6\u4e0b\u964d\u5230 40\u2103\u7684\u65f6\u5019\u6d78\u6ce1\u60a3\u80a2\uff0c\u6d78\u6ce1 20 min\uff0c\u5982\u679c\u60a3\u8005\u7684\u624b\u90e8\u4e5f\u51fa\u73b0\u4e86\u75c7\u72b6\u5219\u4e5f\u53ef\u4ee5\u8fdb\u884c\u6d78\u6ce1\uff0c\u4e00\u822c\u60c5\u51b5\u4e0b\uff0c\u6d78\u6ce1\u90e8\u4f4d\u662f\u8e1d\u5173\u8282\u4ee5\u4e0a 25 cm\uff0c1 \u6b21 \/d\uff0c\u5176\u4f59\u6cbb\u7597\u4e0e\u5bf9\u7167\u7ec4\u76f8\u540c\u3002\u4e24\u7ec4\u6cbb\u7597\u5468\u671f\u5747\u4e3a 2 \u4e2a\u6708\u3002<\/p>\n<p>1.4 \u89c2\u5bdf\u6307\u6807<\/p>\n<p>&nbsp; &nbsp; &nbsp; &nbsp;\u5728\u60a3\u8005\u5b8c\u6210 2 \u4e2a\u6708\u6cbb\u7597\u540e\u8bc4\u4f30\u548c\u5bf9\u6bd4\u4e24\u7ec4\u60a3\u8005\u603b\u4f53\u7597\u6548\u548c\u6cbb\u7597\u524d\u540e\u75bc\u75db\u8bc4\u5206\u3001\u708e\u75c7\u72b6\u51b5 [ \u6307\u6807\u5305\u62ec\uff1a\u8840\u6e05\u767d\u7ec6\u80de\u4ecb\u7d20 -1\u03b2\uff08IL-1\u03b2\uff09\u3001\u80bf\u7624\u574f\u6b7b\u56e0\u5b50 -\u03b1\uff08TNF-\u03b1\uff09] \u53ca\u6539\u5584\u60c5\u51b5\uff0c\u8840\u6e05 IL-1\u03b2 \u68c0\u6d4b\u65b9\u6cd5\u4e3a\u9176\u8054\u514d\u75ab\u5438\u9644\u6cd5\uff0cTNF-\u03b1 \u68c0\u6d4b\u65b9\u6cd5\u4e3a\u514d\u75ab\u6bd4\u6d4a\u6cd5\u3002\u7597\u6548\u5224\u5b9a\u6807\u51c6\uff0c\u663e\u6548\uff1a\u60a3\u80a2\u75bc\u75db\u3001\u9ebb\u6728\u3001\u89e6\u7535\u611f\u7b49\u75c7\u72b6\u57fa\u672c\u6d88\u5931\uff1b\u6709\u6548\uff1a\u4e0a\u8ff0\u75c7\u72b6\u6709\u6240\u51cf\u8f7b\u4f46\u5e76\u672a\u6d88\u5931\uff1b\u65e0\u6548\uff1a\u65e0\u4ee5\u4e0a\u6539\u5584\u3002\u603b\u6709\u6548\u7387 =\uff08\u663e\u6548\uff0b\u6709\u6548\uff09\u4f8b\u6570 \/ \u603b\u4f8b\u6570 \u00d7100%\u3002\u7528\u89c6\u89c9\u6a21\u62df\u8bc4\u5206\u6cd5\uff08VAS\uff09\u8bc4\u4f30\u60a3\u8005\u7684\u75bc\u75db\u7a0b\u5ea6\uff0c0 \u5206\u4e3a\u65e0\u75db\uff0c1\uff5e3 \u5206\u4e3a\u8f7b\u5ea6\u75bc\u75db\uff0c4\uff5e6 \u5206\u4e3a\u4e2d\u5ea6\u75bc\u75db\uff0c7\uff5e10 \u5206\u4e3a\u91cd\u5ea6\u75bc\u75db\u3002<\/p>\n<p>1.5 \u7edf\u8ba1\u5b66\u5206\u6790<\/p>\n<p>&nbsp; &nbsp; &nbsp; &nbsp;\u91c7\u7528 SPSS 18.0 \u8f6f\u4ef6\u5bf9\u6570\u636e\u8fdb\u884c\u7edf\u8ba1\u5206\u6790\uff0c\u8ba1\u6570\u8d44\u6599\u7528 [n\uff08%\uff09] \u8868\u793a\uff0c\u6bd4\u8f83\u91c7\u7528\u68c0\u9a8c\uff1b\u8ba1\u91cf\u8d44\u6599\u4ee5\u8868\u793a\uff0c\u6bd4\u8f83\u91c7\u7528 t \u68c0\u9a8c\u3002\u4ee5 P&lt;0.05 \u8868\u793a\u5dee\u5f02\u6709\u7edf\u8ba1\u5b66\u610f\u4e49\u3002<\/p>\n<p>2 \u7ed3\u679c<\/p>\n<p>2.1 \u4e24\u7ec4\u603b\u6709\u6548\u7387\u6bd4\u8f83<\/p>\n<p>&nbsp; &nbsp; &nbsp; &nbsp;\u4e2d\u836f\u5916\u6d17\u7ec4\u60a3\u8005\u603b\u6709\u6548\u7387\u5747\u663e\u8457\u9ad8\u4e8e\u5bf9\u7167\u7ec4\uff0c\u5dee\u5f02\u6709\u7edf\u8ba1\u5b66\u610f\u4e49\uff08P&lt;0.05\uff09\uff0c\u89c1\u8868 1\u3002<\/p>\n<\/p>\n<p>2.2 \u4e24\u7ec4\u75bc\u75db\u8bc4\u5206\u548c\u708e\u75c7\u56e0\u5b50\u6539\u5584\u60c5\u51b5\u6bd4\u8f83<\/p>\n<p>&nbsp; &nbsp; &nbsp; &nbsp;\u4e24\u7ec4\u60a3\u8005\u6cbb\u7597\u524d\u8840\u6e05 IL-1\u03b2\u3001TNF-\u03b1 \u6c34\u5e73\u548c VAS \u8bc4\u5206\u6bd4\u8f83\uff0c\u5dee\u5f02\u65e0\u7edf\u8ba1\u5b66\u610f\u4e49\uff08P&gt;0.05\uff09\uff1b\u5e72\u9884\u540e\uff0c\u4e24\u7ec4\u8840\u6e05 IL-1\u03b2\u3001TNF-\u03b1 \u6c34\u5e73\u548c\u75bc\u75db\u8bc4\u5206\u5747\u8f83\u5e72\u9884\u524d\u660e\u663e\u4e0b\u964d\uff0c\u4e14\u4e2d\u836f\u5916\u6d17\u7ec4\u60a3\u8005\u8840\u6e05 IL-1\u03b2\u3001TNF-\u03b1 \u6c34\u5e73\u548c\u75bc\u75db\u8bc4\u5206\u5747\u663e\u8457\u4f4e\u4e8e\u5bf9\u7167\u7ec4\uff0c\u5dee\u5f02\u6709\u7edf\u8ba1\u5b66\u610f\u4e49\uff08P&lt;0.05\uff09\uff0c\u89c1\u8868 2\u3002<\/p>\n<\/p>\n<p>3 \u8ba8\u8bba<\/p>\n<p>&nbsp; &nbsp; &nbsp; &nbsp;\u6076\u6027\u80bf\u7624\u75c5\u6b7b\u7387\u5f88\u9ad8\uff0c\u4e34\u5e8a\u4e3b\u8981\u901a\u8fc7\u624b\u672f\u548c\u653e\u5316\u7597\u65b9\u5f0f\u6cbb\u7597\uff0c\u800c\u8fd9\u4e9b\u6cbb\u7597\u65b9\u6cd5\u5bb9\u6613\u5f15\u8d77\u591a\u79cd\u5e76\u53d1\u75c7\uff0c\u672b\u68a2\u795e\u7ecf\u708e\u4fbf\u662f\u5e38\u89c1\u7c7b\u578b\uff0c\u5982\u957f\u6625\u78b1\u7c7b\u836f\u7269\u4f1a\u5f15\u8d77\u810a\u9ad3\u80cc\u4fa7\u6839\u795e\u7ecf\u8282\u7ec6\u80de\u5185\u9499\u7a33\u6001\u51fa\u73b0\u5f02\u5e38\uff0c\u4ece\u800c\u9020\u6210\u795e\u7ecf\u8282\u7ec6\u80de\u4ee3\u8c22\u73af\u8282\u7d0a\u4e71\uff0c\u5e76\u8fdb\u4e00\u6b65\u5bfc\u81f4\u7ec6\u80de\u5185\u795e\u7ecf\u751f\u957f\u56e0\u5b50\u4e0d\u8db3\uff0c\u6700\u7ec8\u5f15\u53d1\u8f74\u7a81\u4fee\u590d\u969c\u788d\u3002\u672b\u68a2\u795e\u7ecf\u708e\u4f1a\u5f15\u53d1\u60a3\u8005\u51fa\u73b0\u624b\u8db3\u9ebb\u6728\u3001\u611f\u89c9\u8fdf\u949d\u7b49\u75c7\u72b6\uff0c\u751a\u81f3\u4f1a\u5bfc\u81f4\u60a3\u8005\u53d1\u751f\u611f\u89c9\u5f02\u5e38\u9020\u6210\u7cbe\u7ec6\u8fd0\u52a8\u969c\u788d\uff0c\u56e0\u6b64\u9700\u79ef\u6781\u6cbb\u7597\uff0c\u5f53\u524d\u4e34\u5e8a\u901a\u5e38\u91c7\u7528\u8fd8\u539f\u578b\u8c37\u80f1\u7518\u80bd\u3001\u795e\u7ecf\u751f\u957f\u56e0\u5b50\u3001\u7532\u94b4\u80fa\u7b49\u836f\u7269\u6cbb\u7597\uff0c\u5176\u4e2d\u4ee5\u7532\u94b4\u80fa\u6700\u4e3a\u5e38\u7528\u3002\u8be5\u836f\u662f\u4e00\u79cd\u5185\u6e90\u6027\u8f85\u9176 B12\uff0c\u53ef\u4fc3\u8fdb\u6838\u9178\u4ee3\u8c22\u548c\u53f6\u9178\u5229\u7528\uff0c\u8fd8\u53ef\u4fc3\u8fdb\u8f74\u7a81\u518d\u751f\u53ca\u8f74\u7a81\u8fd0\u8f93\u529f\u80fd\uff0c\u4f7f\u5ef6\u8fdf\u7684\u795e\u7ecf\u7a81\u89e6\u4f20\u9012\u6062\u590d\u6b63\u5e38\uff0c\u53ef\u7528\u4e8e\u6cbb\u7597\u591a\u79cd\u5468\u56f4\u795e\u7ecf\u75c5\u53d8\uff0c\u5728\u6cbb\u7597\u5316\u7597\u540e\u672b\u68a2\u795e\u7ecf\u708e\u4e2d\u80fd\u591f\u4ea7\u751f\u8f83\u597d\u7684\u6548\u679c\u3002\u5316\u7597\u836f\u7269\u5bfc\u81f4\u672b\u68a2\u795e\u7ecf\u75c5\u53d8\u4e34\u5e8a\u666e\u904d\u5b58\u5728\uff0c\u867d\u7136\u6709\u4e9b\u672b\u68a2\u795e\u7ecf\u75c5\u53d8\u662f\u53ef\u9006\u7684\uff0c\u5728\u505c\u836f\u540e\u75c7\u72b6\u4f1a\u9010\u6e10\u6d88\u5931\uff0c\u5982\u5965\u6c99\u5229\u94c2\u7684\u6025\u6027\u795e\u7ecf\u6bd2\u6027\uff0c\u4f46\u5176\u4ed6\u836f\u7269\u5468\u56f4\u795e\u7ecf\u6bd2\u6027\u662f\u4e0d\u53ef\u9006\u7684\uff0c\u4e25\u91cd\u5f71\u54cd\u60a3\u8005\u8fdb\u4e00\u6b65\u6cbb\u7597\u53ca\u751f\u6d3b\u8d28\u91cf\u3002<\/p>\n<p>&nbsp; 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