[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f0nRbs-cd6qbWYGfHEtI8iaIy7oHIucxrG0R3naBsoso":8,"$fBNGkr1eCnaK5xTzgN683lU8oPon8-ZfT0Q4Q4gz0jxY":92,"$fZ1LG7cvQmT6F9JMUrNdTh30fu76B1GgJxvbE2KEt8Zw":93,"$fB32GW07kOCxsnA2oPgY0E9iVkQYMzDsIh7ECpmPvoE4":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},31328,870806,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//0CQvpv2YktGMzuvLsxZ3JWZGVMS7t91L.png","林佳",0,"高血压糖尿病及慢性病的诊治，普通内科常见病的诊治，心脑血管疾病","济南市市中区兴隆街道办事处社区卫生服务中心","全科医疗","主治医师",3,"劳累后胸闷别硬扛 糖尿病合并冠心病这样稳控","https://cdn.yishi-tong.com/console/3/qqgmsZFWexuukRwcGUeAeRBk3QTqU4Km.png","https://cdn.yishi-tong.com/console/3/fQ9X3re9yGvPX9-GMU85J94VUMrlOPCi.png",2,"\u003Cdiv style=\"max-width: 720px; margin: 0 auto; padding: 20px; font-family: 'PingFang SC', sans-serif;\">\n\u003Ch2 id=\"material_title\" style=\"color: #2c5aa0; text-align: center; margin-bottom: 24px;\">劳累后胸闷别硬扛 糖尿病合并冠心病这样稳控\u003C/h2>\n\u003Cdiv style=\"background: #f0f7ff; border-radius: 12px; padding: 18px; margin-bottom: 16px;\">\n我是济南市市中区兴隆街道社区卫生服务中心的全科医生林佳，平时坐诊总能碰到不少中老年朋友，把胸闷、口渴这些信号当成小毛病拖很久，最后给身体添了不必要的麻烦。\n\u003C/div>\n\u003Cdiv style=\"background: #f5f8ff; border-radius: 12px; padding: 18px; margin-bottom: 16px;\">\n前阵子门诊来了位66岁的阿姨，平时很少特意控制饮食，也没有规律运动的习惯。她这次来常规复诊取药，说自己口渴、胸闷的症状已经有好多年了，尤其最近半年干家务、逛菜市场走久了，胸口就隐隐发闷发疼，歇一会儿或者含服救心丸就能缓解，她一开始以为只是上了年纪体力差，根本没往心里去。我接诊时先排查了肋软骨炎、反流性食管炎这类也会引发胸闷的常见问题，做完基础查体和心电图，初步排除急性风险后，建议她到上级医院完善冠脉相关检查，结合她多年的糖尿病病史，最终确诊是2型糖尿病合并冠状动脉粥样硬化性心脏病。我们给她制定了低盐低脂低糖的饮食方案，配合降糖、活血、扩冠的药物治疗，现在她规律复诊调整方案，日常活动已经很少再出现明显的胸痛症状了。\n\u003C/div>\n\u003Cdiv style=\"background: #f7faff; border-radius: 12px; padding: 18px; margin-bottom: 16px;\">\n很多人不知道，长期血糖控制不佳，会逐步损伤全身血管，心脏的冠脉血管也会受影响，慢慢出现粥样硬化狭窄，活动后供血跟不上就会引发疼痛。要提醒大家的是，不是所有胸闷胸痛都是心脏出问题，比如近期熬夜劳累引发的肋间神经痛、吃多了反酸刺激食管，也会出现类似的胸部不适，但这类情况一般不会在固定活动强度下反复出现，休息后缓解的速度也更快。如果本身已经确诊糖尿病，活动后反复出现胸闷胸痛，千万别自己随便当成累到了硬扛，及时排查血管病变才能避免病情进展。\n\u003C/div>\n\u003Cdiv style=\"background: #fafcff; border-radius: 12px; padding: 18px; margin-bottom: 16px;\">\n日常居家管控要做好这几点：每日食盐摄入量控制在5克以内，添加糖摄入不超过25克，避免吃油炸、高糖的食物[1][2]；把体重指数BMI维持在18.5到23.9的正常区间[3]，每周累计完成至少150分钟的中等强度活动，比如慢走、打太极，不要突然做剧烈运动[4]；规律监测空腹和餐后血糖，记录胸痛发作的频率和持续时间，如果休息时也频繁出现胸痛，一定要第一时间到心内科和内分泌科就诊复查。日常还要注意规避情绪大幅波动、骤然受凉等容易刺激血管收缩的诱因，随身常备急救药物，不要自行随意调整降糖、扩冠类药物的服用剂量。\n\u003C/div>\n\u003Cdiv style=\"background: #f8fbff; border-radius: 12px; padding: 18px; margin-bottom: 16px;\">\n糖尿病和冠心病都是需要长期精细化管理的慢性病，早识别早干预，多数情况都能把病情稳定住，完全不影响日常的生活质量。\n\u003C/div>\n\u003Csection class=\"refs\" style=\"margin-top:24px;padding-top:12px;border-top:1px solid #e5e5e5;font-size:13px;color:#666;line-height:1.6;\">\n  \u003Cdiv style=\"font-weight:600;margin-bottom:6px;\">参考文献\u003C/div>\n  \u003Cdiv>[1] 中国营养学会. 中国居民膳食指南（2022）.\u003C/div>\n  \u003Cdiv>[2] 中华医学会糖尿病学分会. 中国 2 型糖尿病防治指南（2020 年版）.\u003C/div>\n  \u003Cdiv>[3] 中华人民共和国卫生部疾病控制司. 中国成人超重和肥胖症预防控制指南.\u003C/div>\n  \u003Cdiv>[4] World Health Organization. WHO 身体活动与久坐行为指南（2020）.\u003C/div>\n\u003C/section>\n\u003C/div>\n\u003Cstyle>\n* {box-sizing: border-box;}\n\u003C/style>","v0247cg10004da79vn27dld98495e9ug",186,1,761,"2026-08-26 15:14:48","糖尿病, 冠心病, 胸闷, 血糖控制, 生活质量, 饮食方案, 健康管理, 中老年人","糖尿病伴冠心病患者常感胸闷，拖延可能加重病情。了解饮食和运动调整，帮助有效控制病情，提升生活质量。","2026-08-27 13:45:04",[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/870806/a2568b3b-0cd0-4853-a925-34a15020cee5.tmp?a=0&auth_key=1790444914-7537a34b598e47b8a7e8ea5dc40b1b0b-0-1fc36ab9918e6a3ded4098c283fb3018&br=588&bt=588&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004da79vn27dld98495e9ug&er=0&l=20260827154528507A23D1B7DBC7A10ACF&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=ajw4NzxvOnE8ZDczNGY3M0ApeGg8O2dnNXk6ZzMzajo1eWdyYjY1YWEvczRhLS1kNC9zc2Q2MjE2aTRrNl4xLS5gMS06Yw%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},[],[]]