闈炲皬绱�(x矛)鑳炶偤鐧屾槸鐧�(f膩)鐢熶簬鑲洪儴鐨勪竴绋儭鎬ц叓鐦�锛屽付渚�(l谩i)鐨勫奖闊挎槸姣旇純澶х殑瑕佺⿳妤电敤钘�锛岃辰娌冩浛灏肩墖鐢ㄤ簬鍚墤鍖栫檪鍚庣柧鐥呴€�(j矛n)灞曟垨涓嶈€愬彈妯�(bi膩o)婧�(zh菙n)鍚墤鍖栫檪鐨勩€佸叿鏈夐枔璩�(zh矛)-涓婄毊杞�(zhu菐n)鍖栧洜瀛�(MET)澶栭’瀛�14璺宠畩鐨勫眬閮ㄦ櫄鏈熸垨杞�(zhu菐n)绉绘€ч潪灏忕窗(x矛)鑳炶偤鐧屾垚浜烘偅鑰�锛涙湰閬╂噳(y墨ng)鐧ユ槸鍩轰簬涓€闋�(xi脿ng)鍠噦鑷ㄥ簥瑭﹂(y脿n)鐨勫瑙€绶╄В鐜囧拰绶╄В鎸佺簩(x霉)鏅�(sh铆)闁撶祼(ji茅)鏋滅郸浜堢殑闄勬浠舵壒婧�(zh菙n)锛涗竴鑸�锛岃棩鎴垮拰閱�(y墨)闄㈤兘鏈夎棩鐗╁嚭鍞�銆� 瑭虫儏
鑳冨京(f霉)鏄ヨ啝鍥婂仴鑴剧泭姘�銆佹椿琛€瑙f瘨锛涚敤浜庢不鐧傝儍鐧岀檶鍓嶆湡鐥呰畩銆佽儍鐧屾墜琛�(sh霉)鍚庤紨鍔╂不鐧�銆佹參鎬ф泛琛ㄦ€ц儍鐐庡爆鑴捐儍铏涘急璀夎€�銆傚湪鎮f湁鑳冪檶鐤剧梾涔嬪悗锛屾偅鑰呭彲浠ュ強鏅�(sh铆)灏遍啱(y墨)锛屾牴鎿�(j霉)閱�(y墨)鐢熺殑鎸囧皫(d菐o)鍘婚伕鎿囨湰绋棩鍝佷締(l谩i)閫�(j矛n)琛屾湇鐢紝鑰屾钘ョ墿闇€瑕佸彛鏈�锛岀敤閲忔槸涓€娆� 4 绮�锛屼竴鏃� 3 娆�銆� 瑭虫儏
鑳冨京(f霉)鏄ヨ啝鍥婄偤纭啝鍥�,鍏�(n猫i)瀹圭墿鐐烘鑹茶嚦妫曡鑹茬殑绮夋湯鍜岀窗(x矛)灏忛绮�;鍛宠嫤銆佹線锛岃棩鐗╃殑鎴愪唤绲勬垚鏈夌磪鍙�銆侀鑼惰彍銆佹灣娈硷紙鐐掞級锛屾湰钘ョ墿鍙互鐢ㄤ簬鑳冪檶鍟�(w猫n)椤岀殑铏曠悊锛岃€屽湪浣跨敤閬�(gu貌)鍚庤棩鐗╃殑涓嶈壇鍙嶆噳(y墨ng)锛氬皻涓嶆槑纰�銆傚皪(du矛)浜庢偅鑰呮湰浜哄拰瀹跺爆鑰岃█锛岄兘鎳�(y墨ng)鐣�(d膩ng)鏈€闂�(gu膩n)娉ㄧ敤钘ヤ箣鍚庤韩楂旂殑琛ㄧ従(xi脿n)銆� 瑭虫儏
娉ㄥ皠鐢ㄧ挡瑁傞湁绱犳敞鎰忎簨闋�(xi脿ng)锛氱挡瑁傞湁绱犳噳(y墨ng)鍦ㄦ湁缍�(j墨ng)椹�(y脿n)鐨勮叓鐦ゅ寲鐧傞啱(y墨)甯寚灏�(d菐o)涓嬩娇鐢�銆�1锛庣敤钘ユ湡闁撴噳(y墨ng)瀵嗗垏闅ㄨí琛€甯歌(gu墨)鍙婅灏忔澘銆佽灏跨礌姘€佽倢閰�銆傛敞灏勭敤绲茶闇夌礌浣滅敤鐥呬汉瑕佷簡瑙f竻妤�锛岃鎺屾彙鍩烘湰鐨勪娇鐢ㄦ柟娉曚互鍙婅棩鐗╃殑鍏朵粬淇℃伅锛屾牴鎿�(j霉)韬珨鎯呮硜渚�(l谩i)灏�(du矛)鐧ラ€�(j矛n)琛�锛岃棩鐗╃殑浣跨敤鏄緢閲嶈鐨勩€� 瑭虫儏
姝d締(l谩i)娼為花锛堟綖榛ㄥ弮鍙f湇娑诧級娉ㄦ剰浜嬮爡(xi脿ng)锛氫笉瀹滆垏钘滆槅鍚岀敤銆傛綖榛ㄥ弮鍙f湇娑茶嫢鏈夊皯瑷辨矇娣€锛屾悥鍕诲悗鏈嶇敤锛屼笉褰遍熆鐧傛晥銆傛綖榛ㄥ弮鍙f湇娑茬殑瑷卞钘ョ墿淇℃伅鐥呬汉閮芥噳(y墨ng)瑭叉帉鎻℃竻妤氾紝鐩¢噺閰嶅悎閱�(y墨)甯粙绱圭殑鏂规硶鐢ㄨ棩锛屼絾鏄敤钘ュ墠瑕佸厛浜嗚В鑷韩鐨勬儏娉�锛岃閰嶅悎閱�(y墨)甯娇鐢ㄨ棩鐗╋紝鐢ㄦ硶鐢ㄩ噺涔熻鎺у埗锛屼笉鑳介毃鎰忕殑澧炴笡銆� 瑭虫儏
娉ㄥ皠鐢ㄧ挡瑁傞湁绱犳敞鎰忎簨闋�(xi脿ng)鏄挡瑁傞湁绱犳噳(y墨ng)鍦ㄦ湁缍�(j墨ng)椹�(y脿n)鐨勮叓鐦ゅ寲鐧傞啱(y墨)甯寚灏�(d菐o)涓嬩娇鐢ㄣ€�1.鐢ㄨ棩鏈熼枔鎳�(y墨ng)瀵嗗垏闅ㄨí琛€甯歌(gu墨)鍙婅灏忔澘銆佽灏跨礌姘€佽倢閰�銆傚寲鐧傝棩鐗╀篃瀛樺湪鍓綔鐢�锛岄啱(y墨)鐢熸渻(hu矛)鏍规摎(j霉)鎮h€呯殑鑰愬彈鎯呮硜瑾�(di脿o)鏁寸敤钘ユ柟妗�锛屼互鏈熷湪鎻愰珮鐧傛晥鐨勫悓鏅�(sh铆)锛岀洝閲忔笡灏戜笉鑹弽鎳�(y墨ng)銆� 瑭虫儏
钀庣府鎬ц儍鐐庨渶瑕佸強鏅�(sh铆)鐨勬不鐧�锛屽鏋滅梾鎯呯櫦(f膩)灞曞埌杓冪偤鍤�(y谩n)閲嶇殑闅庢鏄彲鑳芥渻(hu矛)瀛樺湪鏈夌檶璁婄巼鐨�锛屾不鐧傜殑闆e害涔熸渻(hu矛)澧炲姞銆傝€屼粊闈掑父瑕�(ju茅)鏄檿鏂硅棩锛岃(shu艒)鏄庢浉(sh奴)娉ㄦ剰浜嬮爡(xi脿ng)锛氭湇鐢ㄥ墠鍚庝笁澶╁繉椋熷悇椤�(l猫i)鑲�銆侀吀鎬ч鐗╋紱鏈嶈棩鏈熼枔锛岀椋熼吀銆佽厫銆佺敓鍐烽鐗�锛涢槻姝㈠彈娑�锛涚姝㈡埧浜嬨€� 瑭虫儏
钀庣府鎬ц儍鐐庣殑鐧�(f膩)鐢熷拰骞介杸(m茅n)铻烘】鑿屾劅鏌撴槸鐩搁棞(gu膩n)鐨�锛屽钩鏅�(sh铆)瑕佸皪(du矛)鐤剧梾寮曡捣閲嶈鍙婃檪(sh铆)鐨勬不鐧傚拰璀�(h霉)鐞�銆備粊闈掑父瑕�(ju茅)鎴愪唤锛氶檷棣�銆佹矇棣�銆佽ǘ瀛愶紙鍘绘牳锛夈€佸ぉ绔洪粌銆佽タ绱呰姳銆佹獉棣�銆佺墰榛�銆佷汉宸ラ簼棣�銆侀Μ閷�(qi谩n)瀛愶紙鍒讹級銆佹澗鐭�銆佸潗鑷�(t谩i)绛変竴鐧惧洓鍗佸懗銆� 瑭虫儏
姝d締(l谩i)娼為花锛堟綖榛ㄥ弮鍙f湇娑诧級绂佸繉锛氬皻涓嶆槑纰�銆傝(shu艒)鏄庢浉(sh奴)閲岄潰鏈夐棞(gu膩n)浜庤棩鐗╃蹇屼粙绱圭殑寤鸿锛岄珨璩�(zh矛)鐗规畩鐨勪汉瑕佹敞鎰忎笉鑳界洸鐩敤钘�锛岀洝閲忕祼(ji茅)鍚堣韩楂旀儏娉佷締(l谩i)灏�(du矛)鐧ラ€�(j矛n)琛岃棩鐗╃殑浣跨敤銆� 瑭虫儏
浣宠喅鎮犻伕鐗规畩閱�(y墨)瀛�(xu茅)鐢ㄩ€斿叏鐕�(y铆ng)椁�(y菐ng)閰嶆柟椋熷搧锛堥鑽夊彛鍛筹級閬╃敤浜虹兢鏄仼鐢ㄤ簬鎴愪汉鍙�10姝蹭互涓婄殑鍏掔銆傝珛(q菒ng)?ji膩n)鍗簍(y墨)鐢熸垨鑷ㄥ簥鐕�(y铆ng)椁�(y菐ng)甯寚灏�(d菐o)涓嬩娇鐢�銆傚皪(du矛)浜庝笉鍚屼汉缇�锛岀劇(w煤)璜栨槸鑰佸勾浜洪倓鏄柧鐥呮偅鑰�锛岄兘瑕佹牴鎿�(j霉)鑷韩鎯呮硜锛屽悎鐞嗕娇鐢ㄩ€欐閰嶆柟绮�锛屽苟涓斿仛濂界浉鎳�(y墨ng)鐨勬棩甯歌(h霉)鐞�銆� 瑭虫儏
娉ㄥ皠鐢ㄧ挡瑁傞湁绱犵敤娉曠敤閲忥細1锛庨潨鑴堟敞灏勶細姣忔6鈥斺€�8mg锛屼互姘寲閳夋敞灏勬恫婧惰В鍚庨潨鑴堟敞灏勶紝姣忓懆涓€娆�銆備篃鍙�10鈥斺€�20mg涓€娆�锛屾瘡6鈥斺€�8鍛ㄩ噸寰�(f霉)娌荤檪銆� 瑭虫儏
姝d締(l谩i)娼為花锛堟綖榛ㄥ弮鍙f湇娑诧級鍍�(ji脿)鏍煎彈寰堝鍥犵礌鐨勫奖闊�锛屼笉鍚屽湴鏂硅臣(g貌u)璨�(m菐i)钘ョ墿鍞児(ji脿)涓婃槸涓嶄竴妯g殑锛岀泭钘ュ悍寰锋▊(l猫)澶ц棩鎴跨洰鍓嶆槸鍙互璨�(m菐i)鍒拌棩鐗╃殑锛岄€欏€�(g猫)鍦版柟閫�(j矛n)琛岃棩鐗╃殑璩�(g貌u)璨�(m菐i)鐥呬汉鑳芥斁蹇冧娇鐢�銆� 瑭虫儏
灏�(du矛)浜庡鐧�(f膩)鎬ч楂撶槫鎮h€呬締(l谩i)瑾�(shu艒)锛岃浜嗚В绔嬬董瀵х敤娉曠敤閲忥細鎴愪汉锛屼竴鏃�30mg锛�3鐗囷級锛屼竴娆★紙鏃╂櫒绌鸿吂鍙f湇锛夋垨鍒�3娆″彛鏈�锛涘厭绔ラ厡娓涳紝鎴栭伒閱�(y墨)鍥�锛涘鐧ョ媭绶╄В锛屽彲姣忓懆鏈嶇敤2锝�3娆�锛涗竴鑸棩鐗╀娇鐢ㄤ箣鍚庡伓鏈夌毊鐤�銆佺槞鐧�銆侀牠鐥涖€侀潰閮ㄦ诞鑵拰涓€浜涙秷鍖栭亾鍙嶆噳(y墨ng)锛屽鎯″績銆佸様鍚愩€佽吂鐎�銆佽粺渚裤€� 瑭虫儏
鏇垮姞姘熺墖涓昏娌荤檪娑堝寲閬撹叓鐦�锛屽皪(du矛)鑳冪檶銆佺祼(ji茅)鑵哥檶銆佺洿鑵哥檶鏈変竴瀹氱檪鏁�锛涗篃鍙敤浜庢不鐧備钩鑵虹檶銆佹敮姘g鐧屽拰鑲濈檶绛�锛涢倓鍙敤浜庤唨鑳辩檶銆佸墠鍒楄吅鐧�銆佽厧鐧岀瓑锛涗笉閬�(gu貌)闇€瑕佹敞鎰忕殑鏄濞犲垵鏈�3鍊�(g猫)鏈堜互鍏�(n猫i)濠﹀コ绂佺敤閫欎竴钘ョ墿锛屽彟澶栧瓡濠﹀強鍝轰钩鏈熷│濂崇鐢�銆� 瑭虫儏
娉ㄥ皠鐢ㄧ挡瑁傞湁绱犵蹇岋細1锛庢按鐥樻垨甯剁媭鐨扮柟鎮h€呯鐢�銆�2锛庣敤钘ユ湡闁撶鐢ㄦ椿鐥呮瘨鐤嫍鎺ョó鍜岄伩鍏嶅彛鏈嶈剨楂撶伆璩�(zh矛)鐐庣柅鑻椼€傛敞灏勭敤绲茶闇夌礌鐨勪綔鐢�锛岀梾浜鸿浜嗚В涔熻娓呮钘ョ墿鐨勭敤娉曠敤閲忎互鍙婃敞鎰忎簨闋�(xi脿ng)锛屽缓璀版偅鑰呯敤钘ュ墠瑕佷粩绱�(x矛)闁辫畝瑾�(shu艒)鏄庢浉(sh奴)鐨勫収(n猫i)瀹�锛屽皪(du矛)钘ョ墿鍏�(n猫i)瀹逛笉浜嗚В涔熻鍜ㄨ閱�(y墨)甯€� 瑭虫儏
姝d締(l谩i)娼為花锛堟綖榛ㄥ弮鍙f湇娑诧級娉ㄦ剰浜嬮爡(xi脿ng)锛氫笉瀹滆垏钘滆槅鍚岀敤銆傛綖榛ㄥ弮鍙f湇娑茶嫢鏈夊皯瑷辨矇娣€锛屾悥鍕诲悗鏈嶇敤锛屼笉褰遍熆鐧傛晥銆傛綖榛ㄥ弮鍙f湇娑茬殑浣滅敤鐥呬汉瑕佸浜嗚В锛屽悓鏅�(sh铆)瑕佹帉鎻′娇鐢ㄧ殑鏂规硶浠ュ強钘ョ墿鐨勫叾浠栧収(n猫i)瀹�锛屽鐪嬩竴涓嬮€欎簺钘ョ墿淇℃伅锛屾纰虹殑閫�(j矛n)琛岃棩鐗╀娇鐢ㄦ槸姣旇純閲嶈鐨�銆� 瑭虫儏
鐢ㄨ棩鏅�(sh铆)闇€瑕佹牸澶栨敞鎰忓叾绂佸繉锛屾敞灏勭敤绲茶闇夌礌绂佸繉鏄�1.姘寸棙鎴栧付鐙€鐨扮柟鎮h€呯鐢�銆�2.鐢ㄨ棩鏈熼枔绂佺敤娲荤梾姣掔柅鑻楁帴绋拰閬垮厤鍙f湇鑴婇珦鐏拌唱(zh矛)鐐庣柅鑻椼€傛澶�锛屾偅鑰呴倓鎳�(y墨ng)瀹氭湡閫�(j矛n)琛岃甯歌(gu墨)妾㈡煡锛岀⒑淇濊绱�(x矛)鑳炶▓(j矛)鏁�(sh霉)鍦ㄦ甯歌寖鍦嶅収(n猫i)锛屼互閬垮厤鍥犲寲鐧傚紩璧风殑鐧界窗(x矛)鑳炴笡灏�銆佽钵琛€绛夊苟鐧�(f膩)鐧�銆傞澏鍚戞不鐧傚墖鏄嚌灏�(du矛)鐗瑰畾鑵槫妯�(bi膩o)蹇楃墿鐨勮棩鐗╋紝鍏舵噳(y墨ng)鐢ㄨ兘澶犻嚌灏�(du矛)鎬у湴鎶戝埗鑵槫绱�(x矛)鑳炵殑鐢熼暦(zh菐ng)锛屾笡杓曞皪(du矛)姝e父绲勭箶鐨勬悕鍌枫€� 瑭虫儏
钘ョ墿闇€瑕佹纰轰繚瀛�锛岃€岃嚜鐒堕2缍犳矃鍙f湇娑茶帛瀛樻柟娉曟槸甯告韩銆侀伩鍏夈€佸共鐕�銆傚皪(du矛)浜庡厤鐤姛鑳戒綆涓嬫偅鑰呬締(l谩i)瑾�(shu艒)锛岀敓娲绘柟寮忕殑瑾�(di脿o)鏁翠篃椤緱灏ょ偤閲嶈銆傛偅鑰呮噳(y墨ng)鐩¢噺閬垮厤浜虹兢瀵嗛泦鍜岀┖姘f祦閫氫笉鏆㈢殑鍦版柟锛屼互娓涘皯鎰熸煋鐨勯ⅷ(f膿ng)闅�(xi菐n)銆傚悓鏅�(sh铆)锛屾噳(y墨ng)瀹氭湡娲楁墜锛屼繚鎸佸€�(g猫)浜鸿(w猫i)鐢燂紝灏ゅ叾鍦ㄩ€�(j矛n)椋熷墠鍜屾帓渚垮悗銆� 瑭虫儏
姝d締(l谩i)娼為花锛堟綖榛ㄥ弮鍙f湇娑诧級鍔熻兘涓绘不锛氳(b菙)涓泭姘�锛屽仴鑴剧泭鑲�锛屾粙瑁�(b菙)寮�(qi谩ng)澹�锛屽寮�(qi谩ng)浜洪珨鍏嶇柅鑳藉姏銆傜敤浜庤劸鑲鸿櫅寮�锛屾埃鐭績鎮革紝椋熷皯渚挎簭锛岃櫅鍠樺挸鍡�銆傛偅鑰呴渶瑕佸姞寮�(qi谩ng)鐕�(y铆ng)椁�(y菐ng)璀�(h霉)鐞�锛屾敞鎰忓鍔犻珮铔嬬櫧鍜岄珮缍敓绱犵瓑椋熺墿鐨勬敐鍏ワ紝瑕佸爡(ji膩n)鎸佹竻娣℃槗娑堝寲鐨勯2椋熷師鍓�銆� 瑭虫儏
姝d締(l谩i)娼為花锛堟綖榛ㄥ弮鍙f湇娑诧級鐢ㄦ硶鐢ㄩ噺锛氬彛鏈�锛屼竴娆�10ml锛屼竴鏃�2娆°€傞€欐钘ョ墿鐨勭敤娉曠敤閲忕梾浜鸿浜嗚В娓呮锛岃(shu艒)鏄庢浉(sh奴)閲岄潰鏄湁闂�(gu膩n)浜庨€欐柟闈俊鎭粙绱癸紝鐥呬汉瑕佺洝閲忔牴鎿�(j霉)涓绘不閱�(y墨)甯瑳瑙g殑鏂规硶渚�(l谩i)閫�(j矛n)琛岃棩鐗╃殑浣跨敤锛岃棩鐗╃殑浣跨敤閲忚鍤�(y谩n)鏍肩殑閫�(j矛n)琛屾帶鍒�锛屼笉鑳介毃鎰忕殑閫�(j矛n)琛屽娓�銆� 瑭虫儏
姝e搧淇濋殰 鏀惧績閬歌臣(g貌u)
鐢ㄨ棩鍏ㄧ▼鎸囧皫(d菐o)
寤犲鎺堟瑠(qu谩n) 姝e搧娓犻亾
瀹夊叏鏀惧績 闅辩閰嶉€�