澶氶叾娓呮礂鍓傜敤 浜庢垚鎵瑰櫒姊版竻娲楃殑鏁堟灉瑙傚療
鍙戝竷鏃堕棿锛
2022-12-02
闅忕潃鍖婚櫌鐜颁唬鍖栫鐞 鐨勫彂灞 锛岄泦 涓鐞嗘ā寮 宸 鎴愪负娑堟瘨渚涘簲 涓績 (CSSD)鍔垮湪蹇呰 鐨勫伐浣滄ā寮 锛 鎵嬫湳鍣ㄦ 鐨勫洖鏀跺鐞嗘槸 CSSD閲嶈 鐨勫伐浣 锛岃淇濊瘉 鎴愭壒鍖荤枟鍣ㄦ娓呮礂銆佹秷姣掋€佺伃鑿 鐨勮川閲 锛屾竻娲楁槸鍩 纭€ 鏇存槸鍏抽敭…銆傝皟鏌ヨ〃 鏄庝复搴婁娇鐢ㄥ悗 鐨勫櫒姊拌〃闈㈡簿 鏈夊ぇ閲忕殑琛€娑 銆佺矘娑茬瓑鏈夋満鐗 锛屼笉褰诲簳娓呮礂灏嗗舰鎴愮敓 鐗╄啘 锛岄樆姝㈢伃鑿屽墏 鐨勭┛閫忔垨 闃荤寰敓鐗╀笌楂樻俯姘斾綋 鐨勬湁鏁堟帴瑙 锛屽奖 鍝嶇伃鑿屾晥鏋 锛岃嚧鍖绘簮鎬т氦鍙夋劅鏌 锛屽奖 鍝嶅尰鐤楄川閲忓拰鎮h€呯殑鍖荤枟瀹夊叏銆傛煇鍖婚櫌 CSSD浣跨敤 澶氶叾娓呮礂鍓傛寜姝h娴佺▼瀵规墜鏈櫒姊拌繘琛屽鐞 锛屽彇寰 鑹ソ鏁堟灉 锛屼繚璇佷簡鐏弻璐ㄩ噺 銆侟/p>
1 鏂规硶 1锛?娓呮礂鏂规硶 鎶藉彇 1296浠舵薄鏌 绋嬪害鐩 鍚岀殑澶嶇敤鎵嬫湳鍣ㄦ 锛 闅忔満鍒嗘垚 3缁 锛屾瘡缁 432浠 锛屽垎鍒负澶氶叾娓呮礂鍓傛竻娲 缁勩€佸崟閰舵竻娲楀墏娓呮礂缁勫拰鍚隘娑堟瘨鍓傛竻娲楃粍 锛屾墍鏈夊櫒 姊版竻娲楀墠鍧囨墦寮€杞磋妭鎷 鍗搞€傚閰 娓呮礂鍓傛竻娲楃粍灏 432浠舵薄鏌撳櫒姊扮殑杞磋妭鍏ㄩ儴鎵撳紑鍏呭垎娴告场鍦ㄩ厤缃ソ 鐨 1锛?70澶氶叾娓呮礂鍓 涓紝5min鍚庣敤娴佸姩姘存紓娲 锛屾湁 鍏宠妭 銆佺紳闅欍€侀娇妲藉櫒姊 锛岀敤姣涘埛鍒峰噣 锛岀劧鍚庣敤娴佸姩姘存紓 娲椼€佺函姘寸粓鏈啿娲 锛涘崟閰舵竻娲楀墏娓呮礂缁勫皢 432浠舵薄鏌 鍣ㄦ鐨勮酱鑺傚叏閮ㄦ墦寮€鍏呭垎娴告场浜庝紶缁熸竻娲佸墏 1锛?00娲楁磥绮炬竻娲楀墏 涓紝30min鍚庣敤娴佸姩姘存紓娲 锛屾湁鍏宠妭銆 缂濋殭銆侀娇妲藉櫒姊 锛岀敤姣涘埛鍒峰噣 锛岀劧鍚庣敤绾按杩涜缁堟湯 鍐叉礂 锛涘惈姘秷姣掑墏娓呮礂缁勫皢 432浠舵薄鏌撳櫒姊扮殑杞磋妭 鍏ㄩ儴鎵撳紑鍏呭垎娴告场浜庢湁鏁堟隘 2000m#L鐨勫惈姘 娑 姣掑墏涓紝30min鍚庣敤娴佸姩姘存紓娲椼€佺函姘村啿娲楀共鍑€ 锛屾竻 娲楁楠ゅ叏閮ㄧ粨鏉熷悗 锛屽彇 鍑哄櫒姊 锛岃瀵熸竻娲楁晥鏋溿€ 1锛? 閲囨牱 鏂 娉 娓呮礂鍚庣殑鍣ㄦ杩涜閲囨牱 锛岀敤娑堟瘨妫夌 涓拰鍓傛秱 鎶瑰櫒姊扮殑琛ㄩ潰 銆侀娇妲 銆佽酱鍏 鑺傜瓑閮ㄤ綅 锛屾瘡浠跺櫒姊颁负 1 涓噰鏍峰崟浣 鍗冲埢閫佹 銆 1锛? 娓 娲楁晥鏋 鍒ゅ畾 鏂规硶 鐢 鐩祴娉曘€佹澃鍔涜瘯绾告娴嬫硶鍜屽厜婧愭斁澶ч暅妫€鏌 鍣ㄦ娲佸噣搴 锛屾竻娲楀悗寰呭寘瑁呯殑鍣ㄦ琛ㄩ潰鍙婂叧鑺傞娇鐗欏簲娲佸噣 锛屽厜浜棤琛€娓 銆佹薄娓 銆佹按鍨㈢瓑娈嬬暀鐗╁拰閿堟枒 锛岀櫧 绾卞竷鎿︽嫮娌℃湁閿堟笉姹℃煋涓烘磥鍑€ 锛涚洰娴嬫礂鍚庣殑鍣ㄦ琛 闈㈠彂姹 锛屽彲瑙侀浂鏄熸枒鐐圭姸姹$棔 锛岀敤绾卞竷鎿︽嫮鍙娴呴攬 娓嶄负涓嶆磥鍑€銆侟/p>
2 缁撴灉 澶氶叾娓呮礂鍓傛竻娲 鐨勫櫒姊版磥鍑€鐜 涓 99锛?7锛 锛屾澃 鍔涜瘯绾告娴嬪悎鏍肩巼涓 93锛?5锛呫€傚崟閰舵竻娲楁硶娓呮礂 鐨 鍣ㄦ 娲佸噣 鐜 涓 75锛?3锛咃紝鏉 鍔涜瘯 绾告 娴 鍚堟牸 鐜 涓 70锛?3锛 锛屽惈姘秷姣掑墏缁勬竻娲楁硶娓呮礂鐨勫櫒姊版磥鍑€鐜囦负 69锛?8锛 锛屾澃鍔涜瘯绾告娴嬪悎鏍肩巼 涓 53锛?7锛 锛屽閰 娓 娲 娉 鏄 鏄 浼 浜 甯 瑙 娓 娲 娉 锛屽樊 寮 鏈 鏄 钁 鎬 (P<0锛嶰1)(琛 1)銆侟/p>
3 璁ㄨ 浠讳綍娈嬬暀鐨勬湁鏈虹墿濡傝娑层€侀粡娑 銆佽創娑查兘浼 闃茬 娑堟瘨鐏弻 鍥犲瓙涓庡井鐢 鐗╃殑鏈夋晥鎺ヨЕ 锛屽舰鎴愮粏鑿屾垨鑺 鑳炵殑淇濇姢鑶滆€屽奖鍝嶇伃鑿屾晥鏋 ]銆傚惈姘秷姣掑墏鍏锋湁寮 鐑堢殑鍒烘縺鎬ф皵鍛炽€佸閲戝睘鏈夎厫铓€鎬с€佸缁囩墿鏈夋紓 鐧戒綔 鐢 銆佸彈鏈 鏈虹墿褰卞搷澶с€佹秷姣掓恫涓嶇ǔ瀹氱瓑鐗圭偣… 锛屼笉鑳 鍒嗚В浜轰綋鍒嗘硨鐗 锛屽浜轰綋鏈変竴瀹 鐨勫嵄 瀹虫€ 锛屼笖姣忔搴 鐢ㄥ墠瑕佸鍚隘娑堟瘨娑叉祿搴﹁繘琛岀洃娴 锛屼互杈惧埌娓呮礂娑 姣掑姛鑳姐€傞叾鏈夊崟閰 鍜屽閰 锛屽墠鑰 鍙兘鍘婚櫎姹$墿 涓殑 铔 鐧借川 锛屽悗鑰呭彲鍒嗚В 鎵€鏈夋満姹$墿 J銆傚閰 娓呮礂鍓傝兘 鏈夋晥鍒嗚В鍜屽幓闄ら粡闄勫湪鍣ㄦ涓 鐨勮泲鐧姐€侀粡澶氱硸 銆佽剛鑲 鍜岀⒊姘村寲鍚堢墿锛屼娇娈嬬暀鍦ㄥ櫒姊颁笂 鐨勬湁鏈虹墿 銆佸井鐢熺墿鏁 閲忓敖鍙兘鍑忚嚦鏈€灏 ]锛屼粠鑰屽揩閫熷鐞嗘帀姹℃煋鍣ㄦ涓 鐨勮娑插拰浣撴恫銆傚閰舵竻娲楀墏鏄 涓€ф礂娑ゅ墏 锛屾棤姣掋€佹棤 鑵愯殌 锛屼笉浼氭崯浼や换浣曢噾灞炪€佸鏂 銆佹鑳跺埗鍝侊紝閫傜敤浜庢墜 宸ャ€佹満姊般€佽秴澹版尝鍜屽叏 鑷姩娓呮礂鏈虹殑娓呮礂 锛屽彧闇€娴告场 2 — 5min鍗冲彲鍒嗚В铔 鐧借川绛夋湁鏈虹墿 锛岃嫢鍣ㄦ姹℃煋涓ラ噸 鍒欓渶寤堕暱娴告场鏃堕棿浠ヨ揪鍒拌壇濂界殑娓呮礂鏁堟灉 J銆傚閰 娓呮磥鍓傚簲鐜扮敤鐜伴厤 锛屾蹈娉$殑鍣ㄦ杞磋妭搴斿叏閮ㄦ墦寮€ 锛屾墍 鏈夊櫒姊板簲鎷嗗嵏鍒伴浂 锛屼娇鍏跺厖鍒嗕笌澶氶叾婧舵恫鎺ヨЕ銆傚 閰舵憾娑查厤缃椂姘存俯鎺у埗鍦 30锛 锝?O鈩冧箣闂达紝娓╁害浣 鏃跺簲寤堕暱娴告场鏃堕棿 锛屾俯搴﹁繃楂樹細浣块叾 鐨勬椿鎬 涓уけ 鑰 闄嶄綆閰剁殑鏁堣兘銆 涓轰簡浣垮悇绉嶅尰鐤楀櫒姊般€佺墿鍝佽揪鍒拌鑼冭姹 锛屾垜浠粠 2010骞村紑濮嬫牴鎹悇绫荤墿 鍝佹薄鏌撶▼搴 銆佺绫 銆佺粨鏋 鍙婄簿瀵嗗害 锛屼娇鐢ㄥ閰舵竻娲楀墏杩涜娓呮礂 锛屼繚璇 浜嗘竻娲楄川 閲 锛屽ぇ澶ф彁楂樹簡宸ヤ綔鏁堢巼銆備粠缁撴灉鍙互鐪嬪嚭 锛岀敤甯歌 娓呮礂娉曟竻娲 鐨勫櫒姊板叾娲佸噣搴 銆佺粏鑿屽鐩戞祴鍚堟牸鐜囧潎 杩滆繙浣庝簬浣跨敤澶氶叾娓呮磥鍓 锛屽洜姝 锛屽交搴曟竻娲楀尰鐤楀櫒 姊板繀椤讳娇鐢ㄥ閰舵竻娲佸墏 銆傚閰舵竻娲佸墏涓嶄粎娓呮礂鏁堟灉 鍙潬 锛屼笖鏈夋姂鑿屼笌闃查攬鏁堣兘 锛屾棤鑵愯殌鏃 姣掓棤鍛 銆佸畨鍏 鍗敓鐜繚 锛屽閰舵竻娲佸墏瀵规墜鏈櫒姊版棤鑵愯殌鎬 锛岀粡杩囬 鍝佹娴嬪浜轰綋鏃犳瘨 锛屾槸淇濇姢鎵嬫湳鍣ㄦ 锛屾彁楂樼伃鑿屾晥鏋 鐨勫ソ鏂规硶 銆侟/p>
鐩稿叧璧勮