[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$fEqNKFGhAi19SF_8scnbxfOd1jDxcxKs2Zg35vX8fpZY":3,"$fqD2CeclFvaYHwetuBAsSMicDxJ-QpXqpMoIRmVJBbOo":11,"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":17,"$fyZo_1diskQZEC_eBgeMivDR3IbEjkEUNAEsanfqcl-Q":21,"$fq6w-3ayEgFgb3NjkK9F2biSj0sGrIfUj22LB7n80a-o":100},{"code":4,"msg":5,"message":6,"data":7,"success":10},200,"操作成功",null,{"authors":8,"appraiseDimensionScoresVos":9},[],[],true,{"code":4,"msg":5,"message":6,"data":12,"success":10},{"pageNo":13,"pageSize":14,"result":15,"totalSize":16},1,10,[],0,{"code":18,"msg":19,"message":6,"data":6,"success":20},401,"认证失败，无法访问系统资源",false,{"code":4,"msg":5,"message":6,"data":22,"success":10},{"id":23,"specialistId":24,"specialistAssistants":25,"profilePhoto":26,"specialistName":27,"roleType":16,"adept":28,"hospital":29,"department":30,"postsTitle":31,"materialTotal":16,"videoTotal":32,"isConcern":20,"title":33,"coverVertical":34,"coverAcross":35,"directionMarker":36,"description":37,"vid":38,"time":39,"mediaType":13,"views":40,"likes":16,"isThumbsUp":20,"isCollection":20,"collections":16,"createTime":41,"seoTitle":33,"seoKeywords":42,"seoDescription":43,"shelvesTime":44,"menus":45,"menuId":86,"type":36,"quality":98,"commentCount":16,"isComment":13,"deviceType":49,"url":99},37208,870526,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//bGqF4cMMvDd7JzzpXNshe4W6Jhcg66S8.png","周彦彬","男科‌：功能障碍、前列腺疾病、不育症。\n妇科‌：月经不调、痛经、不孕症。\n脾胃‌：胃炎、胃溃疡、消化不良。\n心脑血管‌：高血压、冠心病、脑卒中。","北京市丰台区云岗街道大灰厂社区卫生服务站","中医科","主治医师",8,"耳鸣合并缺血性脑血管病的临床干预原则","https://ystcdn.venuertc.com/venue/ai-cover/cover_vertical/714f7dcf-242d-4b9f-94dd-a6ba56b0b9ce.png","https://ystcdn.venuertc.com/venue/ai-cover/cover_horizontal/8c1a9d97-435c-4279-bd7e-6dfc396c36d6.png",2,"\u003Cdiv class=\"inner-card\">\n  \u003Ch1 id=\"material_title\">耳鸣合并缺血性脑血管病的临床干预原则\u003C/h1>\n\u003C/div>\n\u003Cdiv class=\"inner-card\">\n  我是社区卫生服务站中医科的周彦彬，坐诊时常遇到不少因耳鸣来咨询的中老年朋友，多数人第一反应都觉得是上火或休息不好，很少有人会把耳鸣和脑血管健康联系起来。\n\u003C/div>\n\u003Cdiv class=\"inner-card\">\n  之前接诊过一位68岁女性居民，BMI约26.2kg/㎡[1]，属于超重范围，有明确缺血性脑血管病相关病史，此次因持续耳鸣影响日常作息就诊，她一开始以为只是年纪大了听力退化，自行喝了几天清火茶也没好转。我先做了基础血压血糖血常规排查，排除急性感染、血压大幅波动、耳道局部炎症等常见诱因，结合她既往脑梗死后遗症病史，判断耳鸣属于瘀血阻络证表现，同时合并眩晕综合征，我先在社区完成基础体征评估，建议她到上级医院完善专科检查，后续结合整体状态开具银杏叶提取物片，要求她遵医嘱规范服用，目前患者耳鸣眩晕症状已明显缓解，仍在定期随访。\n\u003C/div>\n\u003Cdiv class=\"inner-card\">\n  很多人出现耳鸣第一反应先掏耳朵或吃去火药，但耳鸣本身是典型非特异性症状，除缺血性脑血管病相关病例外，常见诱因还有外耳道耵聍栓塞、中耳炎、近期熬夜休息不足、长期接触高分贝噪音甚至焦虑情绪刺激。生理性短暂耳鸣一般持续几分钟就能自行缓解，不会反复频繁发作，如果耳鸣持续超过一周，还时不时伴随天旋地转的眩晕，就要格外警惕是否和脑血管血流灌注不足有关，具体机制较为复杂，临床上需结合专科检查才能明确区分。若把脑血管因素引发的耳鸣当成普通耳病处理，很可能错过早期干预时机。\n\u003C/div>\n\u003Cdiv class=\"inner-card\">\n  日常做好几点能有效降低相关症状发作风险，每日盐摄入量控制在5克以内[2]，每周完成至少150分钟中等强度快走运动[3]，把体重BMI尽量维持在24kg/㎡以下[1]。如果反复出现不明原因耳鸣，优先到耳鼻喉科排查耳部局部病变，必要时到神经内科完善相关检查评估动脉粥样硬化性心血管疾病（ASCVD）风险，所有药物服用都必须严格遵医嘱，不要自行增减药量。\n\u003C/div>\n\u003Cdiv class=\"inner-card\">\n  中老年朋友出现持续耳鸣千万不要硬扛，早排查早干预，大部分不适症状都能得到很好的改善。\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>[2] 中国营养学会. 中国居民膳食指南（2022）.\u003C/div>\n  \u003Cdiv>[3] World Health Organization. WHO 身体活动与久坐行为指南（2020）.\u003C/div>\n\u003C/section>\n\u003Cstyle>\n  .inner-card {\n    background: linear-gradient(135deg, #f8fafc 0%, #f0f4f8 100%);\n    border-radius: 12px;\n    padding: 20px 24px;\n    margin-bottom: 16px;\n    box-shadow: 0 2px 8px rgba(0,0,0,0.06);\n    line-height: 1.7;\n    color: #334155;\n  }\n  #material_title {\n    margin: 0;\n    font-size: 22px;\n    font-weight: 600;\n    color: #1e293b;\n  }\n\u003C/style>","v0247cg10004dbcqr927dldaqhn3rb70",136,877,"2026-10-22 14:25:27","耳鸣,缺血性脑血管病,耳鸣治疗,脑血管健康,中老年人耳鸣","此文深入探讨耳鸣与缺血性脑血管病的关联，提供实用的干预建议和生活指南，帮助中老年人改善耳鸣症状，及早预防脑血管疾病。","2026-10-22 15:00:00",[46,67,85],{"menuId":47,"menuName":48,"parentId":16,"orderNum":49,"path":50,"component":51,"isFrame":52,"isCache":53,"menuType":54,"visible":13,"status":16,"createDept":6,"remark":55,"createTime":56,"children":57,"columnImage":58,"columnLogo":59,"uncheckedLogo":60,"checkedLogo":61,"isHot":13,"isHome":16,"forceLogin":16,"color":62,"seoTitle":63,"seoKeywords":64,"seoDescription":64,"contentNum":6,"promotionalPoster":65,"menuFrame":20,"innerLink":20,"parentView":20,"routeName":66,"routerPath":50,"componentInfo":51},"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":68,"menuName":69,"parentId":47,"orderNum":70,"path":71,"component":72,"isFrame":52,"isCache":53,"menuType":54,"visible":13,"status":16,"createDept":6,"remark":55,"createTime":73,"children":74,"columnImage":75,"columnLogo":76,"uncheckedLogo":77,"checkedLogo":78,"isHot":16,"isHome":16,"forceLogin":16,"color":79,"seoTitle":80,"seoKeywords":81,"seoDescription":82,"contentNum":6,"promotionalPoster":83,"menuFrame":20,"innerLink":20,"parentView":20,"routeName":84,"routerPath":71,"componentInfo":72},"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":86,"menuName":87,"parentId":68,"orderNum":88,"path":89,"component":90,"isFrame":52,"isCache":53,"menuType":54,"visible":13,"status":16,"createDept":6,"remark":55,"createTime":91,"children":92,"columnImage":93,"columnLogo":6,"uncheckedLogo":6,"checkedLogo":6,"isHot":16,"isHome":16,"forceLogin":16,"color":6,"seoTitle":94,"seoKeywords":95,"seoDescription":96,"contentNum":6,"promotionalPoster":6,"menuFrame":20,"innerLink":20,"parentView":20,"routeName":97,"routerPath":89,"componentInfo":90},"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/870526/1273041b-db42-477b-8ff5-fbb0ba384cc7.tmp?a=0&auth_key=1795286086-a6d992386b4c4114aa203b6661b655a0-0-944e44cc5a6ff08034323a567e5dd63d&br=911&bt=911&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004dbcqr927dldaqhn3rb70&er=0&l=202610221632251710DD8F537CB76EA3D5&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M2U2a2RvOjx0ZTczNGY3M0ApOnVxdGdnNXVmZzMzajo1eWc0b2tuYWEvb2BhLS1kNC9zcy1fMGVeaTQ2bl8xLS5gMS06Yw%3D%3D&vl=&vr=",{"code":4,"msg":99,"message":6,"data":6,"success":10}]