瀛愬鍏�(n猫i)鑶滅暟浣嶇櫏·鐭ヨ瓨(sh铆)榛�(di菐n)鍒嗘瀽

绻肩櫦(f膩)鎬х棝缍�(j墨ng)鏄瓙瀹収(n猫i)鑶滅暟浣嶇櫏鐨勫吀鍨嬬櫏鐙€銆備竴鑸(ji脿n)鍒拌偛榻℃湡濠﹀コ锛岀辜鐧�(f膩)鎬х棝缍�(j墨ng)閫�(j矛n)琛屾€у姞閲�锛屽熀鏈彲浠ョ洿鎺ヨê鏂�銆傚彟澶�锛岄閬哥殑妾㈡煡銆佹不鐧傛柟寮忓強鍏�(n猫i)鑶滅Щ浣嶅ソ鐧�(f膩)閮ㄤ綅閮芥槸闇€瑕侀噸榛�(di菐n)鎺屾彙鐨�銆侫鍨嬮澶氳(ji脿n)锛孊鍨嬮杓冨皯鑰冩牳銆�

瀛愬鍏�(n猫i)鑶滅暟浣嶇櫏·鐭ヨ瓨(sh铆)榛�(di菐n)瑭宠В

1.鐥呯悊

涓昏鐥呯悊璁婂寲鐐虹暟浣嶅瓙瀹収(n猫i)鑶滈毃鍗靛发婵€绱犺畩鍖栬€岀櫦(f膩)鐢熷懆鏈熸€у嚭琛€锛屽皫(d菐o)鑷村懆?ch膿)顚弚缍祫绻斿鐢熷拰鍥婅叓銆佺矘閫ｅ舰鎴�锛屽湪鐥呰畩鍗€(q奴)鍑虹従(xi脿n)绱鑹叉枒榛�(di菐n)鎴栧皬娉�锛屾渶绲傜櫦(f膩)灞曠偤澶у皬涓嶇瓑鐨勭传瑜愯壊瀵�(sh铆)璩�(zh矛)鎬х祼(ji茅)绡€(ji茅)鎴栧寘濉娿€�

2.鍗靛发瀛愬鍏�(n猫i)鑶滅暟浣嶇櫏鏈€澶氳(ji脿n)銆傚叾娆″楠堕煂甯躲€佺洿鑵稿瓙瀹櫡鍑瑰拰瀛愬鍚庡涓嬫鐐哄収(n猫i)鑶滅暟浣嶇櫏鐨勫ソ鐧�(f膩)閮ㄤ綅銆�

3.鐧ョ媭

(1)鐥涚稉(j墨ng)鍜屾寔绾�(x霉)涓嬭吂鐥涳細绻肩櫦(f膩)鎬х棝缍�(j墨ng)鏄瓙瀹収(n猫i)鑶滅暟浣嶇櫏鐨勫吀鍨嬬櫏鐙€銆傜柤鐥涚殑绋嬪害鑸囩梾鐏跺ぇ灏忓苟涓嶄竴瀹氭垚姝ｆ瘮;

(2)鏈堢稉(j墨ng)澶辫(di脿o)锛氫富瑕佺偤缍�(j墨ng)閲忓澶�銆佺稉(j墨ng)鏈熷欢闀�(zh菐ng)鎴栫稉(j墨ng)鍓嶉粸(di菐n)婊村嚭琛€;

(3)涓嶅瓡;

(4)鎬т氦鐥�銆�

4.楂斿緛

鍏稿瀷鐨勭泦鑵斿瓙瀹収(n猫i)鑶滅暟浣嶇櫏鍦ㄧ泦鑵旀鏌ユ檪(sh铆)锛屽彲鐧�(f膩)鐝�(xi脿n)瀛愬澶氬悗鍌惧浐瀹�锛岀洿鑵稿瓙瀹櫡鍑�銆佸楠堕煂甯舵垨瀛愬鍚庡涓嬫绛夐儴浣嶆崼鍙婅Ц鐥涙€х祼(ji茅)绡€(ji茅)锛屽湪瀛愬鐨勪竴鍋�(c猫)鎴栭洐鍋�(c猫)闄勪欢铏曟崼鍒拌垏瀛愬鐩搁€ｇ殑鍥婃€у亸瀵�(sh铆)涓嶆椿鍕�(d貌ng)鍖呭锛屽線寰€鏈夎紩澹撶棝銆傝嫢鐥呰畩绱強鐩磋吀闄伴亾闅�锛屽彲鍦ㄩ櫚閬撳悗绌归殕閮ㄦ崼鍙婄敋鑷冲彲鐪嬪埌闅嗚捣鐨勭传钘�(l谩n)鑹叉枒榛�(di菐n)銆佸皬绲�(ji茅)绡€(ji茅)鎴栧寘濉�銆�

5.鑵硅厰閺℃鏌�——鐩墠瑷烘柗瀛愬鍏�(n猫i)鑶滅暟浣嶇櫏鐨勬渶浣虫柟娉曘€傛槸纰鸿ê鐩嗚厰鍏�(n猫i)鐣扮櫏鐨勬(bi膩o)婧�(zh菙n)鏂规硶銆�

6.閼掑垾瑷烘柗

鈶犲嵉宸㈡儭鎬ц叓鐦�

鏃╂湡鐒�(w煤)鐧ョ媭锛屾湁鐧ョ媭鏅�(sh铆)澶氭湁鎸佺簩(x霉)鎬ц吂鐥�銆佽吂鑴�锛岀梾鎯呯櫦(f膩)灞曞揩锛屼竴鑸儏娉佸樊銆傚│绉戞鏌ラ櫎瑙稿強鑵锛屽瓙瀹洿鑵哥瑙稿強璩�(zh矛)纭€佺劇(w煤)瑙哥棝绲�(ji茅)绡€(ji茅)澶�锛屽浼存湁鑵规按锛孋A125鍜孒E4鍊煎椤憲鍗囬珮锛屽繀瑕佹檪(sh铆)鎶藉彇鑵规按琛岀窗(x矛)鑳炲(xu茅)妾㈡煡銆傝吂鑵旈彙妾㈡煡鎴栧墫鑵规帰鏌ュ彲閼掑垾銆�

鈶＄泦鑵旂値鎬ц叓濉�

澶氭湁鎬ユ€ф垨鍙嶅京(f霉)鐧�(f膩)浣滅殑鐩嗚厰鎰熸煋鍙�锛岀柤鐥涚劇(w煤)鍛ㄦ湡鎬э紝骞虫檪(sh铆)浜︽湁涓嬭吂閮ㄩ毐鐥�锛屾偅鑰呭父鎰熻叞楠堕儴鑴圭棝鎴栫棝缍�(j墨ng)鍙婁笉瀛�锛屼絾鍏剁棝缍�(j墨ng)绋嬪害杓冭紩锛屼篃涓嶅憟閫�(j矛n)琛屾€у姞鍔�锛屽彲浼寸櫦(f膩)鐔卞拰鐧界窗(x矛)鑳炲楂樼瓑锛屾姉鐢熺礌娌荤檪鏈夋晥銆�

鈶㈠瓙瀹吅鑲岀梾

鐥涚稉(j墨ng)鐧ョ媭鑸囧収(n猫i)鐣扮櫏鐩镐技锛屼絾閫氬父鏇村妵鐑堬紝鐤肩棝澶氫綅浜庝笅鑵规涓�銆傚│绉戞鏌ュ瓙瀹鍧囧嫽鎬у澶�锛屽憟鐞冨瀷锛岃唱(zh矛)纭紝缍�(j墨ng)鏈熸鏌ュ瓙瀹Ц鐥涙槑椤�銆傛湰鐥呭父鑸囧収(n猫i)鐣扮櫏鍚堝苟瀛樺湪銆�

7.娌荤檪鍘熷墖

(1)钘ョ墿娌荤檪

閬╃敤浜庢湁鎱㈡€х泦鑵旂棝銆佺稉(j墨ng)鏈熺棝缍�(j墨ng)鐧ョ媭鏄庨’銆佹湁鐢熻偛瑕佹眰鍙婄劇(w煤)鍗靛发鍥婅叓褰㈡垚鎮ｈ€呫€�

闈炵斁楂旈(l猫i)鎶楃値钘�(NSAID) 涓昏浣滅敤姗�(j墨)鍒舵槸閫氶亷(gu貌)鎶戝埗鍓嶅垪鑵虹礌鐨勫悎鎴�锛屾笡杓曠柤鐥�?锛熻瘻顟歌寜鍏村覆娴╂窢搴锋皷澧欐。鐥涜吹w淇冩€ц吅婵€绱犳按骞筹紝骞剁洿鎺ヤ綔鐢ㄤ簬瀛愬鍏�(n猫i)鑶滃拰鐣颁綅鍏�(n猫i)鑶�锛屽皫(d菐o)鑷村収(n猫i)鑶滆悗绺拰缍�(j墨ng)閲忔笡灏�銆傞仼鐢ㄤ簬杓曞害鍏�(n猫i)鐣扮櫏鎮ｈ€�銆�

瀛曟縺绱狅細?ji菐n)鏂¤悓鏂仛閾ｇ瓫鍜澬冲睉銇�?锛岄€氶亷(gu貌)鎶戝埗鍨傞珨淇冩€ц吅婵€绱犲垎娉�锛岄€犳垚鐒�(w煤)鍛ㄦ湡鎬х殑浣庨泴婵€绱犵媭鎱�(t脿i)锛屽苟鑸囧収(n猫i)婧愭€ч泴婵€绱犲叡鍚屼綔鐢紝閫犳垚楂樺瓡婵€绱犳€ч枆缍�(j墨ng)鍜屽収(n猫i)鑶滆浕鑶滃寲褰㈡垚鍋囧瓡銆傛墍鐢ㄥ姂閲忕偤閬垮瓡鍔戦噺3锝�4鍊嶏紝閫ｇ簩(x霉)鎳�(y墨ng)鐢�6鍊�(g猫)鏈�銆傚壇浣滅敤鏈夋儭蹇�銆佽紩搴︽姂閮�銆佹按閳夋酱鐣欍€侀珨閲嶅鍔犲強闄伴亾涓嶈(gu墨)鍓囬粸(di菐n)婊村嚭琛€绛�銆�

鍏朵粬钘ョ墿閭勬湁锛氬瓡婵€绱犲彈楂旀嫯鎶楀姂(绫抽潪鍙搁叜)銆佸瓡涓夌儻閰�銆侀仈(d谩)閭ｅ攽銆佷績鎬ц吅婵€绱犻噵鏀炬縺绱犳縺鍕�(d貌ng)鍔�(GnRH-a)銆�

(2)鎵嬭(sh霉)娌荤檪

閬╃敤浜庤棩鐗╂不鐧傚悗鐧ョ媭涓嶇珐瑙�銆佸眬閮ㄧ梾璁婂姞鍔囨垨鐢熻偛鍔熻兘鏈仮寰�(f霉)鑰�銆佽純澶х殑鍗靛发鍏�(n猫i)鑶滅暟浣嶅泭鑵€呫€傝吂鑵旈彙鎵嬭(sh霉)鏄閬哥殑鎵嬭(sh霉)鏂规硶锛岀洰鍓嶈獚(r猫n)鐐鸿吂鑵旈彙纰鸿ê銆佹墜琛�(sh霉)+钘ョ墿鐐哄収(n猫i)鐣扮櫏鐨�“閲戞(bi膩o)婧�(zh菙n)”娌荤檪銆�

1)淇濈暀鐢熻偛鍔熻兘鎵嬭(sh霉)锛氬垏鍑堟垨鐮村鎵€鏈夊彲瑕�(ji脿n)鐨勭暟浣嶅収(n猫i)鑶滅梾鐏�銆佸垎闆㈢矘閫�銆佹仮寰�(f霉)姝ｅ父鐨勮В鍓栫祼(ji茅)妲�(g貌u)锛屼絾淇濈暀瀛愬銆佷竴鍋�(c猫)鎴栭洐鍋�(c猫)鍗靛发锛岃嚦灏戜繚鐣欓儴鍒嗗嵉宸㈢祫绻�銆傞仼鐢ㄤ簬钘ョ墿娌荤檪鐒�(w煤)鏁堛€佸勾杓曞拰鏈夌敓鑲茶姹傜殑鎮ｈ€�銆�

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绶ㄨ集鎺ㄨ枽锛�

2021骞村│鐢�(ch菐n)绉戜富娌婚啱(y墨)甯€冭│澶х侗

涓湅(gu贸)琛�(w猫i)鐢熶汉鎵嶇恫(w菐ng)2021骞村│鐢�(ch菐n)绉戜富娌婚啱(y墨)甯€冭│鐢ㄦ浉(sh奴)宸茬稉(j墨ng)鐧�(f膩)甯�

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