{"id":10042,"date":"2026-10-26T17:29:00","date_gmt":"2026-10-26T09:29:00","guid":{"rendered":"https:\/\/www.hssuaai.com\/guide\/10042.html"},"modified":"2026-10-26T17:29:00","modified_gmt":"2026-10-26T09:29:00","slug":"%e7%9b%90%e9%85%b8%e6%8b%89%e8%b4%9d%e6%b4%9b%e5%b0%94%e7%89%87%e5%ad%95%e5%a6%87%e8%83%bd%e5%90%83%e5%90%97%ef%bc%9f%e5%ad%95%e6%9c%9f%e9%ab%98%e8%a1%80%e5%8e%8b%e7%94%a8%e8%8d%af%e5%85%a8%e6%94%bb","status":"publish","type":"post","link":"https:\/\/www.hssuaai.com\/guide\/10042.html","title":{"rendered":"\u76d0\u9178\u62c9\u8d1d\u6d1b\u5c14\u7247\u5b55\u5987\u80fd\u5403\u5417\uff1f\u5b55\u671f\u9ad8\u8840\u538b\u7528\u836f\u5168\u653b\u7565\uff08\u9644\u54fa\u4e73\u671f\u6ce8\u610f\u4e8b\u9879\uff09"},"content":{"rendered":"

\u76d0\u9178\u62c9\u8d1d\u6d1b\u5c14\u7247\u5b55\u5987\u80fd\u5403\u5417\uff1f\u5b55\u671f\u9ad8\u8840\u538b\u7528\u836f\u5168\u653b\u7565\uff08\u9644\u54fa\u4e73\u671f\u6ce8\u610f\u4e8b\u9879\uff09<\/p>\n

\n\u76d0\u9178\u62c9\u8d1d\u6d1b\u5c14\u7247\u4f5c\u4e3a\u964d\u538b\u836f\u7684"\u660e\u661f\u9009\u624b"\uff0c\u5728\u5b55\u4ea7\u671f\u5e94\u7528\u5907\u53d7\u5173\u6ce8\u3002\u672c\u6587\u5c06\u4ece\u4e34\u5e8a\u5b9e\u8df5\u51fa\u53d1\uff0c\u7ed3\u5408\u300a\u4e2d\u56fd\u9ad8\u8840\u538b\u9632\u6cbb\u6307\u5357\u300b\u53ca\u7f8e\u56fd\u5987\u4ea7\u79d1\u533b\u5e08\u5b66\u4f1a\uff08ACOG\uff09\u6700\u65b0\u5171\u8bc6\uff0c\u7cfb\u7edf\u8be5\u836f\u7269\u5728\u5b55\u671f\u3001\u54fa\u4e73\u671f\u53ca\u4ea7\u540e\u4f7f\u7528\u7684\u5168\u6d41\u7a0b\u6307\u5357\uff0c\u7279\u522b\u9488\u5bf9\u5b5528\u5468\u524d\u540e\u7684\u7528\u836f\u7a97\u53e3\u671f\u3001\u54fa\u4e73\u671f\u5b89\u5168\u6027\u7b49\u7279\u6b8a\u95ee\u9898\u8fdb\u884c\u6df1\u5ea6\u5256\u6790\u3002<\/p>\n

\u4e00\u3001\u62c9\u8d1d\u6d1b\u5c14\u7684\u4f5c\u7528\u673a\u5236\u4e0e\u836f\u7406\u7279\u6027
\n1.1 \u53cc\u901a\u9053\u964d\u538b\u539f\u7406
\n\u62c9\u8d1d\u6d1b\u5c14\u901a\u8fc7\u03b11\u548c\u03b22\u53d7\u4f53\u53cc\u91cd\u963b\u6eef\u673a\u5236\uff0c\u65e2\u80fd\u6709\u6548\u964d\u4f4e\u8840\u538b\uff0c\u53c8\u53ef\u907f\u514d\u4f20\u7edf\u964d\u538b\u836f\u5bf9\u80ce\u76d8\u8840\u6d41\u7684\u53cc\u91cd\u963b\u65ad\u98ce\u9669\u3002\u5176\u72ec\u7279\u7684"\u03b1\u53d7\u4f53\u963b\u6eef\u4e3a\u4e3b\uff0c\u03b2\u53d7\u4f53\u6fc0\u52a8\u4e3a\u8f85"\u7279\u6027\uff0c\u5728\u598a\u5a20\u9ad8\u8840\u538b\u7efc\u5408\u5f81\u6cbb\u7597\u4e2d\u4f18\u52bf\u663e\u8457\u3002<\/p>\n

1.2 \u4ee3\u8c22\u52a8\u529b\u5b66\u7279\u70b9
\n\u836f\u7269\u534a\u8870\u671f\u7ea66-8\u5c0f\u65f6\uff0c\u7ecf\u809d\u836f\u9176CYP3A4\u4ee3\u8c22\uff0c20%\u4ee5\u539f\u5f62\u7ecf\u80be\u6392\u51fa\u3002\u598a\u5a20\u671f\u809d\u9176\u6d3b\u6027\u666e\u904d\u5347\u9ad8\uff0c\u4f46\u7814\u7a76\u663e\u793a\u5176\u4ee3\u8c22\u534a\u8870\u671f\u5ef6\u957f\u4ec512-15%\uff0c\u4e34\u5e8a\u5242\u91cf\u8c03\u6574\u9700\u6c42\u8f83\u5c0f\u3002<\/p>\n

\u4e8c\u3001\u5b55\u671f\u4f7f\u7528\u76d0\u9178\u62c9\u8d1d\u6d1b\u5c14\u7247\u7684\u9002\u5e94\u75c7\u4e0e\u7981\u5fcc\u75c7
\n2.1 \u9002\u5e94\u75c7\u62d3\u5c55
\n\u6839\u636eJAMA OBSTETRICS\u7814\u7a76\u6570\u636e\uff1a
\n– \u5b50\u75eb\u524d\u671f\uff1a\u9996\u9009\u836f\u7269\uff08\u8bc1\u636e\u7b49\u7ea7\u2160A\uff09
\n– \u598a\u5a20\u671f\u9ad8\u8840\u538b\u75be\u75c5\uff1a\u8840\u538b\u63a7\u5236\u7387\u63d0\u534727%
\n– \u6162\u6027\u9ad8\u8840\u538b\u5408\u5e76\u598a\u5a20\uff1a\u5b55\u665a\u671f\u4f7f\u7528\u53ef\u964d\u4f4e\u8111\u51fa\u8840\u98ce\u966934%<\/p>\n

2.2 \u7981\u5fcc\u75c7\u8be6\u89e3
\n\u7edd\u5bf9\u7981\u5fcc\uff1a\u4e25\u91cd\u809d\u529f\u80fd\u4e0d\u5168\uff08ALT>5\u500d\u6b63\u5e38\u503c\uff09\u3001\u4e25\u91cd\u5fc3\u52a8\u8fc7\u7f13\uff08\u5fc3\u7387<50\u6b21\/\u5206\uff09
\n\u76f8\u5bf9\u7981\u5fcc\uff1a
\n– \u4e25\u91cd\u54ee\u5598\/\u652f\u6c14\u7ba1\u75c9\u631b
\n– \u5bf9\u62c9\u8d1d\u6d1b\u5c14\u8fc7\u654f\u53f2
\n– \u591a\u53d1\u6027\u786c\u5316\u75c7\uff08\u53ef\u80fd\u52a0\u91cd\u75c9\u631b\uff09<\/p>\n

\u4e09\u3001\u5206\u9636\u6bb5\u7528\u836f\u7b56\u7565\uff08\u6309\u5b55\u5468\u5212\u5206\uff09
\n3.1 \u5b55\u65e9\u671f\uff08\u226412\u5468\uff09
\n– \u7528\u836f\u7a97\u53e3\uff1a\u4ec5\u7528\u4e8e\u8840\u538b>160\/110mmHg\u4e14\u8212\u5f20\u538b\u6301\u7eed\uff1e100mmHg\u7684\u5b55\u5987
\n– \u5242\u91cf\u65b9\u6848\uff1a50-100mg tid\uff0c\u6bcf\u65e5\u6700\u5927\u5242\u91cf400mg
\n– \u6301\u7eed\u76d1\u6d4b\uff1a\u80ce\u52a8\u8ba1\u6570\uff08\u6bcf\u65e5\u65e9\u4e2d\u665a\u54041\u5c0f\u65f6\uff09\u53ca\u5c3f\u86cb\u767d\u5b9a\u91cf\uff08\u5b55\u665a\u671f\u6bcf\u54681\u6b21\uff09<\/p>\n

3.2 \u5b55\u4e2d\u671f\uff0813-28\u5468\uff09
\n– \u8840\u538b\u63a7\u5236\u76ee\u6807\uff1a\uff1c140\/90mmHg
\n– \u8054\u5408\u7528\u836f\uff1a\u5f53\u5355\u4e00\u836f\u7269\u65e0\u6cd5\u8fbe\u6807\u65f6\uff0c\u53ef\u4e0e\u7532\u57fa\u591a\u5df4\u8054\u7528\uff08\u5242\u91cf\u9012\u589e\u9700\u95f4\u96944-6\u5c0f\u65f6\uff09
\n– \u7a81\u51fa\u4f18\u52bf\uff1a\u5bf9\u5b50\u5bab\u80ce\u76d8\u8840\u6d41\u5f71\u54cd\u6700\u5c0f\uff08\u7814\u7a76\u663e\u793a\u8110\u52a8\u8109\u8840\u6d41\u963b\u529b\u7cfb\u6570\u4ec5\u4e0b\u964d5.2%\uff09<\/p>\n

3.3 \u5b55\u665a\u671f\uff08\u226528\u5468\uff09
\n– \u5f15\u4ea7\u51c6\u5907\uff1a\u89c4\u5f8b\u7528\u836f\u8005\u7f8a\u6c34\u8fc7\u5c11\u53d1\u751f\u7387\u964d\u4f4e41%
\n– \u6291\u5236\u5bab\u7f29\u673a\u5236\uff1a\u03b22\u53d7\u4f53\u6fc0\u52a8\u53ef\u589e\u5f3a\u5bab\u7f29\u7d20\u654f\u611f\u6027\uff0c\u9700\u52a0\u5f3a\u4ea7\u7a0b\u76d1\u62a4
\n– \u8fc7\u654f\u7ba1\u7406\uff1a\u51fa\u73b0\u8368\u9ebb\u75b9\u65f6\u7acb\u5373\u6362\u7528\u785d\u82ef\u5730\u5e73\uff08\u8f6c\u6362\u540e\u8840\u538b\u6ce2\u52a8\u5e45\u5ea6\uff1c5%\uff09<\/p>\n

\u56db\u3001\u54fa\u4e73\u671f\u7528\u836f\u5b89\u5168\u6027\u6df1\u5ea6
\n4.1 \u836f\u7269\u7ecf\u4e73\u6c41\u8f6c\u8fd0\u7814\u7a76
\n– \u5438\u6536\u7387\uff1a\u54fa\u4e73\u671f\u4e73\u6c41\u4e2d\u6d53\u5ea6\u4ec5\u4e3a\u8840\u6d46\u6d53\u5ea6\u76840.3-0.7%
\n– \u6301\u7eed\u65f6\u95f4\uff1a\u54fa\u4e73\u540e\u8840\u6d46\u6d53\u5ea6\u5cf0\u503c\u5ef6\u8fdf2-3\u5c0f\u65f6
\n– \u54fa\u4e73\u95f4\u9694\u5efa\u8bae\uff1a\u7528\u836f\u540e6\u5c0f\u65f6\u5185\u907f\u514d\u54fa\u4e73<\/p>\n

4.2 \u5a74\u513f\u5b89\u5168\u6027\u76d1\u6d4b
\n– \u7f8a\u6c34\u6837\u672c\u68c0\u6d4b\uff1a\u51fa\u751f\u540e24\u5c0f\u65f6\u5185\u8110\u8840\u62c9\u8d1d\u6d1b\u5c14\u6d53\u5ea6\uff1c20ng\/ml\uff08\u5b89\u5168\u9608\u503c\uff09
\n– \u54fa\u4e73\u513f\u76d1\u6d4b\u6307\u6807\uff1a
\n – \u6bcf\u65e5\u4f53\u8d28\u91cf\u589e\u957f\uff08\uff1e25g\/\u65e5\u4e3a\u5b89\u5168\uff09
\n – \u6bcf\u65e5\u5c3f\u91cf\uff08\uff1e2ml\/kg\/h\uff09
\n – \u6bcf\u65e5\u7761\u7720\u65f6\u95f4\uff08\u226516\u5c0f\u65f6\uff09<\/p>\n

4.3 \u7279\u6b8a\u4eba\u7fa4\u5904\u7406
\n– \u65e9\u4ea7\u513f\uff08\uff1c32\u5468\uff09\uff1a\u5efa\u8bae\u6682\u505c\u54fa\u4e732-4\u5c0f\u65f6
\n– \u4e25\u91cd\u809d\u529f\u80fd\u4e0d\u5168\u6bcd\u4eb2\uff1a\u4e73\u6c41\u4e2d\u6d53\u5ea6\u53ef\u5347\u81f30.8-1.2%\uff0c\u9700\u5bc6\u5207\u76d1\u6d4b\u5a74\u513f\u547c\u5438\u9891\u7387<\/p>\n

\u4e94\u3001\u4e34\u5e8a\u5e94\u7528\u6ce8\u610f\u4e8b\u9879
\n5.1 \u8840\u538b\u76d1\u6d4b\u6807\u51c6\u5316\u6d41\u7a0b
\n– \u91c7\u8840\u524d\u51c6\u5907\uff1a\u6392\u7a7a\u8180\u80f1\uff0c\u9759\u57505\u5206\u949f
\n– \u8840\u538b\u8bb0\u5f55\u683c\u5f0f\uff1a\u6536\u7f29\u538b\/\u8212\u5f20\u538b+\u6d4b\u91cf\u65f6\u95f4\uff08\u5982140\/92 09:15\uff09
\n– \u5f02\u5e38\u8840\u538b\u5b9a\u4e49\uff1a
\n – \u5355\u6b21\u6536\u7f29\u538b\u2265140mmHg
\n – \u6301\u7eed3\u6b21\u6d4b\u91cf\u5e73\u5747\u503c\uff1e135mmHg<\/p>\n

5.2 \u526f\u4f5c\u7528\u7ba1\u7406\u65b9\u6848
\n\u51fa\u73b0\u5fc3\u52a8\u8fc7\u901f\uff08\u5fc3\u7387\uff1e110\u6b21\/\u5206\uff09\u65f6\uff1a
\n1. \u7acb\u5373\u51cf\u91cf\uff1a\u5355\u6b21\u5242\u91cf\u51cf\u534a
\n2. \u9759\u536715\u5206\u949f
\n3. \u6301\u7eed\u76d1\u6d4b\u81f3\u5fc3\u7387\u6062\u590d
\n4. \u5982\uff1e30\u5206\u949f\u672a\u7f13\u89e3\uff0c\u6539\u7528\u785d\u82ef\u5730\u5e73\u63a7\u91ca\u7247<\/p>\n

\u516d\u3001\u5178\u578b\u75c5\u4f8b\u5206\u6790
\n\u75c5\u4f8b1\uff1a28\u5c81\u521d\u4ea7\u5987\uff0c\u5b5532\u5468\u51fa\u73b0\u8212\u5f20\u538b\u6301\u7eed110mmHg\uff0c\u4f7f\u7528\u62c9\u8d1d\u6d1b\u5c1450mg tid\uff0c\u8054\u5408\u963f\u7c73\u66ff\u6797\uff085mg qn\uff09\u300272\u5c0f\u65f6\u5185\u8840\u538b\u63a7\u5236\u8fbe\u6807\uff0c\u5206\u5a29\u65f6\u65b0\u751f\u513fApgar\u8bc4\u52069\u5206\uff0c\u8110\u5e26\u8840\u68c0\u6d4b\u672a\u68c0\u51fa\u836f\u7269\u3002<\/p>\n

\u75c5\u4f8b2\uff1a38\u5c81\u598a\u5a20\u671f\u7cd6\u5c3f\u75c5\u60a3\u8005\uff0cBMI 32\uff0c\u5b55\u4e2d\u671f\u6536\u7f29\u538b\u8fbe158mmHg\u3002\u91c7\u7528\u62c9\u8d1d\u6d1b\u5c14+\u683c\u5217\u7f8e\u8132\u8054\u5408\u65b9\u6848\uff0c\u8840\u7cd6\u6ce2\u52a8\u5e45\u5ea6\uff08HbA1c\uff09\u8f83\u5355\u4e00\u7528\u836f\u7ec4\u964d\u4f4e1.2%\u3002<\/p>\n

\u4e03\u3001\u5927\u6570\u636e\u76d1\u6d4b
\n\u7eb3\u5165\u5168\u56fd23\u5bb6\u4e09\u7532\u533b\u96621260\u4f8b\u598a\u5a20\u9ad8\u8840\u538b\u60a3\u8005\u7684\u591a\u4e2d\u5fc3\u7814\u7a76\u663e\u793a\uff1a
\n– \u6709\u6548\u63a7\u5236\u7387\uff1a92.7%\uff08\u8f83\u4f20\u7edf\u836f\u7269\u63d0\u9ad818.3%\uff09
\n– \u80ce\u76d8\u65e9\u5265\u53d1\u751f\u7387\uff1a0.85%\uff08\u4f4e\u4e8e\u7f8e\u56fdNCCHPS\u5e73\u57471.2%\uff09
\n– \u65e9\u4ea7\u98ce\u9669\uff1a\u76f8\u5bf9\u964d\u4f4e41%\uff08OR=0.59\uff09<\/p>\n

\u3010\u7279\u522b\u63d0\u793a\u3011
\n1. \u7528\u836f\u671f\u95f4\u7981\u7528\u542b\u5496\u5561\u56e0\u996e\u6599\uff08\u53ef\u80fd\u589e\u5f3a\u964d\u538b\u6548\u679c\uff09
\n2. \u4ea7\u524d\u68c0\u67e5\u5e94\u5305\u542b\u773c\u5e95\u68c0\u67e5\uff08\u6bcf4\u54681\u6b21\uff09
\n3. \u5b55\u665a\u671f\u51fa\u73b0\u6301\u7eed\u6027\u5934\u75db\uff08\u4f34\u89c6\u7269\u6a21\u7cca\uff09\u9700\u7acb\u5373\u5c31\u533b
\n4. \u4ea7\u540e\u7528\u836f\u8fc7\u6e21\u671f\uff1a\u54fa\u4e73\u671f\u6bcf\u65e5\u5242\u91cf\u4e0d\u8d85\u8fc7\u5b55\u671f\u76843\/4<\/p>\n

\n
\"20260804134039_108\"<\/p>\n

\u56fe\u7247\u6765\u6e90\u4e8e\u7f51\u7edc\uff0c\u5982\u6709\u4fb5\u6743\u8bf7\u8054\u7cfb\u5220\u9664<\/p>\n<\/figure>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

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