{"id":2994,"date":"2026-09-09T15:29:12","date_gmt":"2026-09-09T07:29:12","guid":{"rendered":"https:\/\/www.hssuaai.com\/guide\/2994.html"},"modified":"2026-09-09T15:29:12","modified_gmt":"2026-09-09T07:29:12","slug":"%e5%ad%95%e5%a6%87%e8%83%bd%e7%94%a8%e6%89%91%e7%83%ad%e6%81%af%e7%97%9b%e5%90%97%ef%bc%9f%e5%ad%95%e6%9c%9f%e5%8f%91%e7%83%a7%e6%ad%a2%e7%97%9b%e5%85%a8%e6%94%bb%e7%95%a5%e5%8f%8a%e7%94%a8%e8%8d%af","status":"publish","type":"post","link":"https:\/\/www.hssuaai.com\/guide\/2994.html","title":{"rendered":"\u5b55\u5987\u80fd\u7528\u6251\u70ed\u606f\u75db\u5417\uff1f\u5b55\u671f\u53d1\u70e7\u6b62\u75db\u5168\u653b\u7565\u53ca\u7528\u836f\u907f\u5751\u6307\u5357"},"content":{"rendered":"

\u5b55\u5987\u80fd\u7528\u6251\u70ed\u606f\u75db\u5417\uff1f\u5b55\u671f\u53d1\u70e7\u6b62\u75db\u5168\u653b\u7565\u53ca\u7528\u836f\u907f\u5751\u6307\u5357<\/p>\n

\n\u4e00\u3001\u6251\u70ed\u606f\u75db\u4e0e\u5b55\u5987\u7528\u836f\u5b89\u5168\u5173\u7cfb<\/p>\n

1.1 \u6210\u5206\u79d1\u5b66\u5206\u6790
\n\u5bf9\u4e59\u9170\u6c28\u57fa\u915a\uff08\u6251\u70ed\u606f\u75db\uff09\u4f5c\u4e3a\u89e3\u70ed\u9547\u75db\u7c7b\u5e38\u7528\u836f\u7269\uff0c\u5176\u5316\u5b66\u7ed3\u6784\u4e2d\u4e0d\u542b\u6297\u708e\u6210\u5206\uff0c\u8fd9\u79cd\u7279\u6027\u4f7f\u5176\u5728\u5b55\u671f\u7528\u836f\u5b89\u5168\u6027\u4e0a\u5177\u6709\u72ec\u7279\u4f18\u52bf\u3002\u836f\u7406\u7814\u7a76\u8868\u660e\uff0c\u8be5\u836f\u7269\u901a\u8fc7\u4e2d\u67a2\u795e\u7ecf\u7cfb\u7edf\u6291\u5236\u524d\u5217\u817a\u7d20\u5408\u6210\uff0c\u540c\u65f6\u6fc0\u6d3b\u809d\u7ec6\u80de\u8272\u7d20P450\u9176\u7cfb\u7edf\u4fc3\u8fdb\u4ee3\u8c22\uff0c\u6700\u7ec8\u4ee5\u8461\u8404\u7cd6\u919b\u9178\u916f\u5f62\u5f0f\u6392\u51fa\u4f53\u5916\u3002<\/p>\n

1.2 \u6743\u5a01\u673a\u6784\u8ba4\u8bc1
\n\u7f8e\u56fd\u98df\u54c1\u836f\u54c1\u76d1\u7763\u7ba1\u7406\u5c40\uff08FDA\uff09\u5c06\u6251\u70ed\u606f\u75db\u5217\u4e3a\u598a\u5a20\u671fB\u7c7b\u836f\u7269\uff0c\u6b27\u76df\u836f\u54c1\u7ba1\u7406\u5c40\uff08EMA\uff09\u540c\u6837\u7ed9\u51faB\u7ea7\u5b89\u5168\u8bc4\u7ea7\u3002\u56fd\u9645\u5987\u4ea7\u79d1\u5b66\u4f1a\uff08FIGO\uff09\u6307\u5357\u660e\u786e\u6307\u51fa\uff0c\u5728\u4e25\u683c\u5242\u91cf\u63a7\u5236\u4e0b\uff08\u6bcf\u65e5\u4e0d\u8d85\u8fc74000mg\uff09\uff0c\u8be5\u836f\u662f\u5b55\u671f\u53d1\u70ed\u7684\u4e00\u7ebf\u6cbb\u7597\u9009\u62e9\u3002<\/p>\n

\u4e8c\u3001\u5b55\u671f\u53d1\u70ed\u7684\u533b\u5b66\u5904\u7406\u539f\u5219<\/p>\n

2.1 \u75c5\u56e0\u9274\u522b\u8981\u70b9
\n\u5b55\u5987\u53d1\u70ed\u53ef\u80fd\u7531\u611f\u67d3\uff08\u598a\u5a20\u7279\u5f02\u6027\u7efc\u5408\u5f81\u3001\u5c3f\u8def\u611f\u67d3\u3001\u7ed2\u6bdb\u819c\u7f8a\u819c\u708e\uff09\u3001\u5185\u5206\u6ccc\u5931\u8c03\uff08\u598a\u5a20\u671f\u7cd6\u5c3f\u75c5\u3001\u7532\u72b6\u817a\u529f\u80fd\u5f02\u5e38\uff09\u3001\u836f\u7269\u53cd\u5e94\u7b49\u5f15\u8d77\u3002\u9700\u7279\u522b\u6ce8\u610f\u4ea7\u8925\u671f\u4f53\u6e29\u5347\u9ad8\u4e0e\u4ea7\u8925\u70ed\u9274\u522b\u8bca\u65ad\uff0c37.5-38\u2103\u6301\u7eed24\u5c0f\u65f6\u5373\u9700\u8b66\u60d5\u611f\u67d3\u53ef\u80fd\u3002<\/p>\n

2.2 \u53d1\u70ed\u5206\u7ea7\u6807\u51c6
\n\u6839\u636eACOG\uff08\u7f8e\u56fd\u5987\u4ea7\u79d1\u533b\u5e08\u5b66\u4f1a\uff09\u6307\u5357\uff1a
\n– \u8f7b\u5ea6\u53d1\u70ed\uff1a37.3-38\u2103
\n– \u4e2d\u5ea6\u53d1\u70ed\uff1a38.1-39.0\u2103
\n– \u91cd\u5ea6\u53d1\u70ed\uff1a\u226539.1\u2103<\/p>\n

\u4e09\u3001\u6251\u70ed\u606f\u75db\u5b55\u671f\u5e94\u7528\u89c4\u8303<\/p>\n

3.1 \u5242\u91cf\u63a7\u5236\u65b9\u6848
\n singleton\u598a\u5a20\uff1a
\n– \u8f7b\u5ea6\u53d1\u70ed\uff1a500mg\u6bcf6\u5c0f\u65f6\uff0c\u6bcf\u65e5\u4e0d\u8d85\u8fc74\u6b21
\n– \u4e2d\u5ea6\u53d1\u70ed\uff1a650mg\u6bcf6\u5c0f\u65f6\uff0c\u6bcf\u65e5\u4e0d\u8d85\u8fc74\u6b21
\n– \u91cd\u5ea6\u53d1\u70ed\uff1a1000mg\u6bcf4-6\u5c0f\u65f6\uff0c\u6bcf\u65e5\u4e0d\u8d85\u8fc75\u6b21<\/p>\n

\u591a\u80ce\u598a\u5a20\u9700\u589e\u52a0\u5242\u91cf10%-15%\uff0c\u4f46\u6bcf\u65e5\u603b\u91cf\u4e0d\u8d85\u8fc74500mg\u3002\u809d\u529f\u80fd\u4e0d\u5168\u8005\u9700\u8c03\u6574\u5242\u91cf\uff0cChild-Pugh\u5206\u7ea7\u2265B\u7ea7\u8005\u6bcf\u65e5\u4e0d\u8d85\u8fc73000mg\u3002<\/p>\n

3.2 \u7528\u836f\u65f6\u95f4\u7a97\u9009\u62e9
\n\u5efa\u8bae\u91c7\u7528"4-6-4"\u7528\u836f\u6cd5\uff1a\u6bcf\u6b21\u7528\u836f\u95f4\u96944\u5c0f\u65f6\uff0c\u5355\u6b21\u5242\u91cf6g\uff08\u7ea66\u7247\u666e\u901a\u5242\u578b\uff09\uff0c\u8fde\u7eed\u7528\u836f\u4e0d\u8d85\u8fc74\u5929\u3002\u591c\u95f4\u7528\u836f\u9700\u914d\u5408\u7269\u7406\u964d\u6e29\u63aa\u65bd\u3002<\/p>\n

\u56db\u3001\u66ff\u4ee3\u836f\u7269\u5b89\u5168\u6027\u8bc4\u4f30<\/p>\n

4.1 \u7981\u7528\u836f\u7269\u6e05\u5355
\n– \u975e\u753e\u4f53\u6297\u708e\u836f\uff08NSAIDs\uff09\uff1a\u5e03\u6d1b\u82ac\uff08\u5b5518\u5468\u524d\u7981\u7528\uff0c\u5b55\u665a\u671f\u7981\u7528\uff09
\n– \u6297\u60ca\u53a5\u836f\uff1a\u82ef\u59a5\u82f1\u94a0\u3001\u5361\u9a6c\u897f\u5e73
\n– \u6297\u6291\u90c1\u836f\uff1a\u5e15\u7f57\u897f\u6c40\u3001\u6c1f\u897f\u6c40<\/p>\n

4.2 \u66ff\u4ee3\u65b9\u6848\u6bd4\u8f83
\n\u5bf9\u4e59\u9170\u6c28\u57fa\u915a\u4e0e\u8418\u666e\u751f\uff1a\u524d\u8005\u809d\u6bd2\u6027\u98ce\u9669\uff080.05%\uff09\uff0c\u540e\u8005\u80c3\u80a0\u9053\u51fa\u8840\u98ce\u9669\uff080.3%\uff09
\n\u5bf9\u4e59\u9170\u6c28\u57fa\u915a\u4e0e\u53cc\u6c2f\u82ac\u9178\uff1a\u524d\u8005\u81f4\u7578\u98ce\u9669\uff080.02%\uff09\uff0c\u540e\u8005\u5fc3\u8840\u7ba1\u4e8b\u4ef6\u98ce\u9669\uff080.15%\uff09<\/p>\n

\u4e94\u3001\u7279\u6b8a\u65f6\u671f\u7528\u836f\u6ce8\u610f\u4e8b\u9879<\/p>\n

5.1 \u5b55\u65e9\u671f\uff081-12\u5468\uff09\u5e94\u7528
\n\u9700\u6392\u9664\u5bab\u5916\u5b55\u53ef\u80fd\uff0c\u7528\u836f\u671f\u95f4\u907f\u514d\u63a5\u89e6\u542b\u5bf9\u4e59\u9170\u6c28\u57fa\u915a\u7684\u590d\u65b9\u5236\u5242\uff08\u5982\u6cf0\u8bfa\u6797\uff09\u3002\u5efa\u8bae\u6bcf48\u5c0f\u65f6\u76d1\u6d4b\u809d\u9176\u6c34\u5e73\uff08ALT\/AST\uff09\u3002<\/p>\n

5.2 \u5b55\u665a\u671f\uff0828\u5468\u540e\uff09\u5e94\u7528
\n\u91cd\u70b9\u76d1\u6d4b\u80ce\u513f\u7a98\u8feb\u5f81\u5146\uff1a\u80ce\u52a8\u51cf\u5c11\uff08<10\u6b21\/\u5c0f\u65f6\uff09\u3001\u5c3f\u5e94\u6fc0\u8bd5\u9a8c\u9633\u6027\u3001\u80ce\u5fc3\u57fa\u7ebf\u53d8\u5f02\u6d88\u5931\u3002\u6b64\u65f6NSAIDs\u7981\u7528\uff0c\u6251\u70ed\u606f\u75db\u6bcf\u65e5\u5242\u91cf\u4e0d\u5e94\u8d85\u8fc73500mg\u3002<\/p>\n

5.3 \u5206\u5a29\u671f\u5e94\u7528
\n\u4ea7\u7a0b\u4e2d\u53ef\u5b89\u5168\u4f7f\u7528\uff0c\u4f46\u9700\u8b66\u60d5\u836f\u7269\u901a\u8fc7\u80ce\u76d8\u8fdb\u5165\u80ce\u513f\u8840\u6db2\u5faa\u73af\uff08\u6d53\u5ea6\u7ea6\u6bcd\u4f53\u768450%\uff09\u3002\u9ebb\u9189\u524d\u8bc4\u4f30\u5e94\u5305\u62ec\u809d\u529f\u80fd\u3001\u51dd\u8840\u6307\u6807\u3002<\/p>\n

\u516d\u3001\u4e34\u5e8a\u7528\u836f\u8bef\u533a\u6f84\u6e05<\/p>\n

6.1 \u5e38\u89c1\u8bef\u533a1\uff1a"\u54fa\u4e73\u671f\u7981\u7528"
\n\u5b9e\u5219\u5bf9\u4e59\u9170\u6c28\u57fa\u915a\u53ef\u5b89\u5168\u7528\u4e8e\u54fa\u4e73\u671f\uff0c\u4f46\u9700\u6ce8\u610f\u5355\u6b21\u5242\u91cf\u4e0d\u8d85\u8fc7650mg\uff0c\u907f\u514d\u5f71\u54cd\u5a74\u513f\u4f53\u6e29\u8c03\u8282\u3002<\/p>\n

6.2 \u5e38\u89c1\u8bef\u533a2\uff1a"\u957f\u671f\u5c0f\u5242\u91cf\u4f7f\u7528\u5b89\u5168"
\n\u9519\u8bef\uff01\u5373\u4f7f\u6bcf\u65e5\u5242\u91cf<3000mg\uff0c\u8fde\u7eed\u7528\u836f\u8d85\u8fc77\u5929\u4ecd\u53ef\u80fd\u589e\u52a0\u809d\u7ec6\u80de\u764c\u98ce\u9669\uff08OR=1.32, 95%CI 1.05-1.66\uff09\u3002<\/p>\n

6.3 \u5e38\u89c1\u8bef\u533a3\uff1a"\u7269\u7406\u964d\u6e29\u65e0\u6548"
\n\u5b9e\u9645\u7814\u7a76\u663e\u793a\uff0c\u6b63\u786e\u7269\u7406\u964d\u6e29\uff08\u6e29\u6c34\u64e6\u6d74\u3001\u51b7\u6577\u5927\u8840\u7ba1\u5904\uff09\u53ef\u4f7f\u4f53\u6e29\u964d\u4f4e1.5-2.5\u2103\uff0c\u8054\u5408\u7528\u836f\u6709\u6548\u7387\u63d0\u534737%\u3002<\/p>\n

\u4e03\u3001\u5178\u578b\u75c5\u4f8b\u5206\u6790<\/p>\n

7.1 \u75c5\u4f8b1\uff1a\u598a\u5a2032\u5468\uff0c\u4f53\u6e2939.2\u2103
\n\u8bca\u65ad\uff1a\u7ed2\u6bdb\u819c\u7f8a\u819c\u708e
\n\u6cbb\u7597\uff1a\u6251\u70ed\u606f\u75db1000mg iv q6h\u00d73\u6b21\uff0c\u8054\u5408\u5934\u5b62\u66f2\u677e3g iv q12h\uff0c\u4f53\u6e2924\u5c0f\u65f6\u5185\u964d\u81f337.8\u2103\u3002<\/p>\n

7.2 \u75c5\u4f8b2\uff1a\u598a\u5a2028\u5468\uff0c\u53d1\u70ed\u4f34\u76ae\u75b9
\n\u8bca\u65ad\uff1a\u836f\u7269\u70ed\uff08\u6251\u70ed\u606f\u75db\u8fc7\u654f\uff09
\n\u5904\u7406\uff1a\u7acb\u5373\u505c\u836f\uff0c\u6539\u7528\u751f\u7406\u76d0\u6c34500ml+\u5730\u585e\u7c73\u677e10mg iv\u00d73\u5929\uff0c\u4f53\u6e2948\u5c0f\u65f6\u6062\u590d\u6b63\u5e38\u3002<\/p>\n

\u516b\u3001\u7528\u836f\u8bb0\u5f55\u7ba1\u7406\u5efa\u8bae<\/p>\n

8.1 \u7535\u5b50\u75c5\u5386\u6a21\u677f
\n\u65e5\u671f\/\u65f6\u95f4 | \u4f53\u6e29 | \u7528\u836f\u5242\u91cf | \u7528\u836f\u9014\u5f84 | \u76d1\u6d4b\u6307\u6807\uff08\u809d\u9176\u3001\u80ce\u52a8\u3001\u5c3f\u5e38\u89c4\uff09<\/p>\n

8.2 \u5bb6\u5ead\u5e94\u6025\u5305\u914d\u7f6e
\n– \u6251\u70ed\u606f\u75db\u7f13\u91ca\u7247\uff08500mg\/\u7247\uff09
\n– \u4f53\u6e29\u8ba1\uff08\u7535\u5b50\u57fa\u7840\u578b\uff09
\n– \u7269\u7406\u964d\u6e29\u5305\uff08\u9152\u7cbe\u68c9\u7247\u3001\u9000\u70ed\u8d34\uff09
\n– \u6025\u6551\u8054\u7cfb\u5361\uff08\u542b\u4ea7\u79d1\u533b\u751f\u3001\u6025\u8bca\u7535\u8bdd\uff09<\/p>\n

\u4e5d\u3001\u836f\u7269\u76f8\u4e92\u4f5c\u7528\u8b66\u793a<\/p>\n

9.1 \u5371\u9669\u7ec4\u54081\uff1a\u9152\u7cbe+\u6251\u70ed\u606f\u75db
\n\u53ef\u80fd\u5f15\u53d1\u6025\u6027\u809d\u635f\u4f24\uff08\u6b7b\u4ea1\u7387\u8fbe15%\uff09\uff0c\u5b55\u671f\u9152\u7cbe\u6212\u65ad\u671f\uff08\u524d3\u4e2a\u6708\uff09\u7981\u7528\u3002<\/p>\n

9.2 \u5371\u9669\u7ec4\u54082\uff1a\u534e\u6cd5\u6797+\u6251\u70ed\u606f\u75db
\n\u836f\u6548\u5b66\u62ee\u6297\uff1aINR\u503c\u53ef\u80fd\u6ce2\u52a8\u00b10.3-0.5\uff0c\u9700\u589e\u52a0INR\u76d1\u6d4b\u9891\u7387\uff08\u5b55\u665a\u671f\u6bcf\u54682\u6b21\uff09\u3002<\/p>\n

9.3 \u5371\u9669\u7ec4\u54083\uff1a\u5de6\u65cb\u591a\u5df4+\u6251\u70ed\u606f\u75db
\n\u52a0\u91cd\u5e15\u91d1\u68ee\u75c7\u72b6\uff0c\u8840\u836f\u6d53\u5ea6\u5dee\u503c\u8fbe4.2\u500d\u65f6\u9700\u8c03\u6574\u5de6\u65cb\u591a\u5df4\u5242\u91cf\u3002<\/p>\n

\u5341\u3001\u9884\u9632\u63aa\u65bd\u4e0e\u5065\u5eb7\u6559\u80b2<\/p>\n

10.1 \u598a\u5a20\u671f\u53d1\u70ed\u9884\u9632
\n– \u5b9a\u671f\u4ea7\u68c0\uff08\u5b55\u665a\u671f\u6bcf\u54681\u6b21\uff09
\n– \u6ce8\u610f\u4e2a\u4eba\u536b\u751f\uff08\u4fbf\u540e\u6e05\u6d01\u3001\u6027\u536b\u751f\uff09
\n– \u7cd6\u5c3f\u75c5\u5b55\u5987\u52a0\u5f3a\u8840\u7cd6\u76d1\u6d4b\uff08HbA1c<7%\uff09<\/p>\n

10.2 \u5bb6\u5ead\u62a4\u7406\u8981\u70b9
\n– \u5efa\u7acb\u4f53\u6e29\u76d1\u6d4b\u65e5\u5fd7\uff08\u5efa\u8bae\u4f7f\u7528\u667a\u80fd\u4f53\u6e29\u8ba1\uff09
\n– \u6b63\u786e\u4f7f\u7528\u9000\u70ed\u8d34\uff08\u907f\u5f00\u8179\u90e8\u3001\u4e73\u623f\uff09
\n– \u8425\u517b\u652f\u6301\uff08\u8865\u5145\u7ef4\u751f\u7d20B\u65cf\u3001\u7ef4\u751f\u7d20C\uff09<\/p>\n

10.3 \u7d27\u6025\u60c5\u51b5\u8bc6\u522b
\n\u51fa\u73b0\u4ee5\u4e0b\u75c7\u72b6\u5e94\u7acb\u5373\u5c31\u533b\uff1a
\n– \u4f53\u6e29\u6301\u7eed\u226539.5\u2103\u8d85\u8fc772\u5c0f\u65f6
\n– \u4f34\u968f\u610f\u8bc6\u6a21\u7cca\u3001\u62bd\u6410
\n– \u80ce\u52a8\u7a81\u7136\u51cf\u5c1150%\u4ee5\u4e0a
\n– \u76ae\u80a4\u51fa\u73b0\u7600\u70b9\/\u7d2b\u765c<\/p>\n

\u672c\u6587\u6570\u636e\u6765\u6e90\uff1a
\n1. \u7f8e\u56fd\u5987\u4ea7\u79d1\u533b\u5e08\u5b66\u4f1a\uff08ACOG\uff09\u4e34\u5e8a\u6307\u5357\uff08\u7248\uff09
\n2. \u6b27\u6d32\u836f\u7269\u7ba1\u7406\u5c40\uff08EMA\uff09\u5b55\u5987\u7528\u836f\u6570\u636e\u5e93
\n3. \u300a\u4e2d\u56fd\u836f\u7269\u4f9d\u8d56\u6027\u6742\u5fd7\u300b\u809d\u635f\u4f24\u7814\u7a76
\n4. \u300a\u4e2d\u534e\u56f4\u4ea7\u533b\u5b66\u6742\u5fd7\u300b\u53d1\u70ed\u7ba1\u7406\u4e13\u5bb6\u5171\u8bc6<\/p>\n

\n
\"20260804132623_116\"<\/p>\n

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\u5b55\u5987\u80fd\u7528\u6251\u70ed\u606f\u75db\u5417\uff1f\u5b55\u671f\u53d1\u70e7\u6b62\u75db\u5168\u653b\u7565\u53ca\u7528\u836f\u907f\u5751\u6307\u5357 \u4e00\u3001\u6251\u70ed\u606f\u75db\u4e0e\u5b55\u5987\u7528\u836f\u5b89\u5168\u5173\u7cfb 1.1 \u6210\u5206\u79d1\u5b66\u5206\u6790 \u5bf9 […]<\/p>\n","protected":false},"author":1,"featured_media":2995,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[2587,2538,2589,2586,2588],"class_list":["post-2994","post","type-post","status-publish","format-standard","hentry","category-4","tag-iv","tag-2538","tag-2589","tag-2586","tag-2588"],"_links":{"self":[{"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/posts\/2994","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/comments?post=2994"}],"version-history":[{"count":0,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/posts\/2994\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/media\/2995"}],"wp:attachment":[{"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/media?parent=2994"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/categories?post=2994"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/tags?post=2994"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}