[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fjHbrwk5PXh1XnrSvzM8qcraP5xBCmGROs30ArpJ11XU":8,"$frpxzepEWQ9_6EQf_Aj6xItumKdiwBwaLI3FzQ2U2dDs":92,"$fmjEcCsIq-4Fv_a9BTP_F7vikQXmyj-YXmk6N04DMcfA":93,"$f91xjDvaTsnzmf4gV0guWT0omTAHt2B0bXvZ12-jtnq8":97},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":91},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":17,"adept":18,"hospital":19,"department":20,"postsTitle":21,"materialTotal":17,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":29,"mediaType":30,"views":31,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":32,"seoTitle":23,"seoKeywords":33,"seoDescription":34,"shelvesTime":35,"menus":36,"menuId":77,"type":26,"quality":89,"commentCount":17,"isComment":30,"deviceType":40,"url":90},29848,869502,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//ftHqpFi04rnSUSfmjGgqWrlQZ4Nnfn1b.png","王平静",0,"内科常见病，慢性病","北京市西城区什刹海社区卫生服务中心","全科医疗","副主任医师",9,"87岁高血压伴冠心病、心悸与耳鸣：社区老年患者的综合管理实录","https://cdn.yishi-tong.com/console/3/fn4BVAeN--76--Q0zTViazzT5hFD0hme.png","https://cdn.yishi-tong.com/console/3/_UF4YPqOuMtVR2B2-F_19zYPgMDCe4sg.png",2,"\u003Cdiv id=\"material_title\">87岁高血压伴冠心病、心悸与耳鸣：社区老年患者的综合管理实录\u003C/div>\n\u003Cdiv class=\"shg-section-card\" style=\"background:linear-gradient(135deg,#f7f7fb 0%,#f8fafb 100%);\">\n  \u003Cp>有些老年朋友觉得血压不高、心跳平稳就没事，其实随着年龄增长，心脏、关节、耳朵等部位出现不适，常常不是单一原因。门诊中，常见八旬以上患者，不仅血压偏高，还常诉胸闷、心悸、耳鸣，这些症状背后可能隐藏多种问题。\u003C/p>\n\u003C/div>\n\u003Cdiv class=\"shg-section-card\" style=\"background:linear-gradient(135deg,#f8f8fd 0%,#f9fafc 100%);\">\n  \u003Cp>前阵子门诊复查，一位87岁女性患者，北方饮食，近年已减少油盐，无吸烟饮酒史。她因高血压复诊，近期反复胸闷、心跳加快、耳鸣，多关节酸痛。起初以为是“上火”，但症状持续两周，家人陪同来社区就诊。详细询问后，考虑除高血压外，还需排查冠心病、心律失常、焦虑、耳部及关节退行性病变。检查血压、心电图，结合既往史，诊断为高血压合并冠状动脉粥样硬化心脏病、心悸、耳鸣、多关节炎。因高龄多系统功能下降，调整药物并细化生活干预。复查后症状缓解，胸闷偶有，需持续随访。\u003C/p>\n\u003C/div>\n\u003Cdiv class=\"shg-section-card\" style=\"background:linear-gradient(135deg,#f9fafc 0%,#f6f8fa 100%);\">\n  \u003Cp>老年高血压常合并冠心病和心悸。高血压会使动脉变硬，心脏供血如水管老化，出现胸痛、心悸，但也可能由心律失常、焦虑、关节炎等引起。胸痛不一定是冠心病，还需排除贫血、胃食管疾病。耳鸣常见于血压波动、药物副作用、听力衰退，有时只是短暂现象，若持续耳鸣伴听力下降需警惕。关节疼痛多为退行性改变或风湿。社区诊疗以血压监测、心电图和问诊为主，复杂情况建议转上级医院进一步检查。每个人症状组合不同，诊断需综合分析。\u003C/p>\n\u003C/div>\n\u003Cdiv class=\"shg-section-card\" style=\"background:linear-gradient(135deg,#f8fafb 0%,#f7f7fb 100%);\">\n  \u003Cp>血压和心脏管理不能只靠药物。干预措施包括：一是每日盐摄入小于5克，油脂以植物油为主，减少动物油。二是保持BMI低于24，如本例患者体重偏重，适当减少主食、增加蔬菜有助心脏健康。三是每周进行中等强度运动至少150分钟，如快步走、体操、家务劳动。四是规律服药、定期监测血压，若反复胸痛、心悸、耳鸣超三天，及时就医做心电图和听力检查。五是关注关节变化，疼痛或活动受限可先由全科医生评估，必要时转骨科。及时识别多重症状并干预，有助延缓心血管并发症。\u003C/p>\n\u003C/div>\n\u003Cdiv class=\"shg-section-card\" style=\"background:linear-gradient(135deg,#f7f7fb 0%,#f8f8fd 100%);\">\n  \u003Cp>高龄患者身体信号需重视，症状复杂时不要自我判断，应及时与医生沟通，科学管理血压和心脏，慢性问题多能得到有效控制。\u003C/p>\n\u003C/div>\n\u003Cstyle>\n.shg-section-card {\n  box-sizing:border-box;\n  max-width:660px;\n  margin-left:auto;\n  margin-right:auto;\n  font-size:17px;\n  line-height:1.74;\n  word-break:break-all;\n  border:none;\n  background-repeat:no-repeat;\n  border-radius:12px;\n  padding:22px 22px 18px 22px;\n  margin-bottom:18px;\n}\n.shg-section-card p {\n  margin:0 0 12px 0;\n  padding:0;\n  color:#333;\n}\n#material_title {\n  font-family:\"Segoe UI\",Arial,sans-serif;\n  color:#222;\n  max-width:660px;\n  margin-left:auto;\n  margin-right:auto;\n  margin-top:18px;\n  font-size:24px;\n  font-weight:600;\n  margin-bottom:20px;\n  line-height:1.3;\n}\n\u003C/style>\n","v0247cg10004da20r227dld4rip1i8h0",226,1,939,"2026-08-17 12:00:48","高血压, 冠心病, 心悸, 耳鸣, 老年患者, 健康管理, 心脏病, 社区卫生服务","了解87岁老年患者心脏健康管理，综合高血压、冠心病及耳鸣的症状，提供实用干预方案，助力健康生活。","2026-08-19 15:09:47",[37,58,76],{"menuId":38,"menuName":39,"parentId":17,"orderNum":40,"path":41,"component":42,"isFrame":43,"isCache":44,"menuType":45,"visible":30,"status":17,"createDept":6,"remark":46,"createTime":47,"children":48,"columnImage":49,"columnLogo":50,"uncheckedLogo":51,"checkedLogo":52,"isHot":30,"isHome":17,"forceLogin":17,"color":53,"seoTitle":54,"seoKeywords":55,"seoDescription":55,"contentNum":6,"promotionalPoster":56,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":57,"routerPath":41,"componentInfo":42},"1997925012023775234","热门频道",4,"column","/column/tcm_index.html","1","0","T","","2025-12-08 15:03:37",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:18/ef345cdc-bb06-4db5-b74d-6ecfafabe83e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:21/81815950-9711-4b40-8543-421bd7701d0f.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:32/99452289-a401-4ab2-ae91-2a1a1f7442d1.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:29/f52b1198-7225-4f72-89f3-605e6a14f530.png","#42a5f6","sadf","asdf","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:25/cf4f002d-c534-4c28-b405-a2e504dc5188.png","Column",{"menuId":59,"menuName":60,"parentId":38,"orderNum":61,"path":62,"component":63,"isFrame":43,"isCache":44,"menuType":45,"visible":30,"status":17,"createDept":6,"remark":46,"createTime":64,"children":65,"columnImage":66,"columnLogo":67,"uncheckedLogo":68,"checkedLogo":69,"isHot":17,"isHome":17,"forceLogin":17,"color":70,"seoTitle":71,"seoKeywords":72,"seoDescription":73,"contentNum":6,"promotionalPoster":74,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":75,"routerPath":62,"componentInfo":63},"1989172310225670145","公益项目",6,"public","/column/public_index.html","2025-11-14 11:23:30",[],"https://ystcdn.venuertc.com/venue/undefined/2025-12-18-14:41:13/1b7a5e2b-9e7d-4769-851f-1c55c481fa82.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-18-14:41:18/b79a0a5e-411c-4282-8eaf-86fcc7e492bf.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-24-16:17:17/6f411ecf-82d8-4fb5-9371-fa7faba2cb8f.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-24-16:17:16/93f832c4-2264-4094-88fd-6fd80c8d9369.png","#80cbc4","健康科普工公益行——携手共建健康未来","健康,科普,公益行,健康知识,公众健康,社会健康,健康活动,健康意识","健康科普工公益行活动,传播健康知识,提高公众健康意识,共同促进社会健康发展,关注您和家人的健康！","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:12:46/1f2ac83a-c564-4aeb-ad97-5b5c4f09bfa5.png","Public",{"menuId":77,"menuName":78,"parentId":59,"orderNum":79,"path":80,"component":81,"isFrame":43,"isCache":44,"menuType":45,"visible":30,"status":17,"createDept":6,"remark":46,"createTime":82,"children":83,"columnImage":84,"columnLogo":6,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":85,"seoKeywords":86,"seoDescription":87,"contentNum":6,"promotionalPoster":6,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":88,"routerPath":80,"componentInfo":81},"2072205637084844033","医路相伴·健康同行-临床诊疗科普项目",7,"publicMJHPCD","/column/public_publicMJHPCD","2026-07-01 14:28:18",[],"https://ystcdn.venuertc.com/venue/undefined/2026-07-01-14:26:26/a2fbad44-1fd8-4b4b-a43a-15440f69c17e.png","医路相伴·健康同行:临床诊疗科普项目","临床诊疗,医路相伴,健康同行,诊疗科普,医学科普","医路相伴·健康同行临床诊疗科普项目,联合临床一线专家,普及常见疾病诊疗知识,帮助患者了解就医流程与治疗方案。","PublicMJHPCD","慢性病","https://vod.haohuanjiao.com/huanjiao/specialistVideo/869502/0be82194-5435-44da-9204-4863819cbe5a.tmp?a=0&auth_key=1789771046-b0ffee98e66045bcb76ed2ef0f5d3ef1-0-ed820775f9010df30907396419191a1f&br=645&bt=645&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004da20r227dld4rip1i8h0&er=0&l=202608192033411938708123CCC0A9BC38&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=Mzs0bDdvOjUzZDczNGY3M0Apa2xzdWdnNXU1ZzMzajo1eWdlZm1vYWEvby9hLS1kNC9zcy01LmYxaTQvLV4xLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":90,"message":6,"data":6,"success":91},{"code":9,"msg":10,"message":6,"data":94,"success":91},{"pageNo":30,"pageSize":95,"result":96,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":98,"success":91},{"authors":99,"appraiseDimensionScoresVos":100},[],[]]