瀛愬鍏�(n猫i)鑶滅暟浣嶇櫏·鐭ヨ瓨榛�(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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鏂枫€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)鎺屾彙鐨勩€侫鍨嬮澶氳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)鑷村懆鍦嶇簴缍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�銆�

2.鍗靛发瀛愬鍏�(n猫i)鑶滅暟浣嶇櫏鏈€澶氳銆傚叾娆″楠堕煂甯�銆佺洿鑵稿瓙瀹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)鏈熷欢闀锋垨缍�(j墨ng)鍓嶉粸(di菐n)婊村嚭琛€;

(3)涓嶅瓡;

(4)鎬т氦鐥涖€�

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鏌ユ檪锛屽彲鐧�(f膩)鐝�(xi脿n)瀛愬澶氬悗鍌惧浐瀹氾紝鐩磋吀瀛愬闄峰嚬銆佸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)涓嶆椿鍕曞寘濉�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＄櫏鐙€锛屾湁鐧ョ媭鏅傚鏈夋寔绾�(x霉)鎬ц吂鐥涖€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�銆佺劇瑙哥棝绲�(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�锛岀柤鐥涚劇鍛ㄦ湡鎬�锛屽钩鏅備害鏈変笅鑵归儴闅辩棝锛屾偅鑰呭父鎰熻叞楠堕儴鑴圭棝鎴栫棝缍�(j墨ng)鍙婁笉瀛曪紝浣嗗叾鐥涚稉(j墨ng)绋嬪害杓冭紩锛屼篃涓嶅憟閫�(j矛n)琛屾€у姞鍔囷紝鍙即鐧�(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�锛岀柤鐥涘浣嶄簬涓嬭吂姝ｄ腑銆傚│绉戞鏌ュ瓙瀹鍧囧嫽鎬у澶э紝鍛堢悆鍨�锛岃唱(zh矛)纭�锛岀稉(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鍗靛发鍥婅叓褰㈡垚鎮ｈ€呫€�

闈炵斁楂旈鎶楃値钘�(NSAID) 涓昏浣滅敤姗�(j墨)鍒舵槸閫氶亷鎶戝埗鍓嶅垪鑵虹礌鐨勫悎鎴�锛屾笡杓曠柤鐥�銆傚彛鏈嶉伩瀛曡棩锛氬叾鐩殑鏄檷浣庡瀭楂斾績鎬ц吅婵€绱犳按骞�锛屽苟鐩存帴浣滅敤浜庡瓙瀹収(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�

瀛曟縺绱狅細鍠敤浜哄伐鍚堟垚楂樻晥瀛曟縺绱�锛岄€氶亷鎶戝埗鍨傞珨淇冩€ц吅婵€绱犲垎娉�锛岄€犳垚鐒″懆鏈熸€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�锛岄€ｇ簩(x霉)鎳�(y墨ng)鐢�6鍊嬫湀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曞姂(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ｃ€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�

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3)鏍规不鎬ф墜琛�(sh霉)锛氬皣瀛愬銆侀洐闄勪欢鍙婄泦鑵斿収(n猫i)鎵€鏈夌暟浣嶅収(n猫i)鑶滅梾鐏朵簣浠ュ垏闄ゅ拰娓呴櫎锛岄仼鐢ㄤ簬45姝蹭互涓婇噸鐧ユ偅鑰�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浉宸茬稉(j墨ng)鐧�(f膩)甯�

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