[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fKZFKB0oyJ7ak6HmVzlwxY-3hgZUiPURQMODm-LlXvE4":8,"$fU8taz3ZtB4jVfQ0kVaRDrPWHxisYk6f4M86VDqTt51s":17,"$fIjqOZGykVQF5Vhl-g3cU5hA5cO7w63KF0IosRg_GS7E":21,"$fwNgldk_KpEb6CagfBGQrmMVlhWtXD9IuWLM_zhJW6rk":98},{"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":16},200,"操作成功",{"pageNo":12,"pageSize":13,"result":14,"totalSize":15},1,10,[],0,true,{"code":9,"msg":10,"message":6,"data":18,"success":16},{"authors":19,"appraiseDimensionScoresVos":20},[],[],{"code":9,"msg":10,"message":6,"data":22,"success":16},{"id":23,"specialistId":24,"specialistAssistants":25,"profilePhoto":26,"specialistName":27,"roleType":15,"adept":6,"hospital":28,"department":29,"postsTitle":30,"materialTotal":15,"videoTotal":12,"isConcern":7,"title":31,"coverVertical":32,"coverAcross":33,"directionMarker":34,"description":35,"vid":36,"time":37,"mediaType":12,"views":38,"likes":15,"isThumbsUp":7,"isCollection":7,"collections":15,"createTime":39,"seoTitle":31,"seoKeywords":40,"seoDescription":41,"shelvesTime":42,"menus":43,"menuId":83,"type":34,"quality":95,"commentCount":15,"isComment":12,"deviceType":96,"url":97},37494,1073728,[],"","苑秀杰","沈阳市沈北新区中医院","疼痛科","主治医师","缺血性脑血管病的识别与规范药物治疗","https://ystcdn.venuertc.com/venue/ai-cover/cover_vertical/69012c31-513d-4ef9-96f5-40e2f0ae0b9e.png","https://ystcdn.venuertc.com/venue/ai-cover/cover_horizontal/7a23eb9d-9629-41d1-9c19-a5c2c5a10962.png",2,"\u003Cdiv style=\"--primary:#165DFF;--bg-soft:#f8faff;--bg-card:#ffffff;--text-main:#1d2129;--text-secondary:#4e5969;--radius:12px;--gap:16px;max-width:720px;margin:0 auto;padding:20px 16px;font-family:-apple-system,BlinkMacSystemFont,'Segoe UI',Roboto,sans-serif;color:var(--text-main);line-height:1.7;\">\n  \u003Ch1 id=\"material_title\" style=\"font-size:22px;font-weight:700;text-align:center;margin-bottom:24px;\">缺血性脑血管病的识别与规范药物治疗\u003C/h1>\n\n  \u003Cdiv style=\"background-color:var(--bg-soft);border-radius:var(--radius);padding:18px 20px;margin-bottom:var(--gap);\">\n    我是沈阳市沈北新区中医院疼痛科的苑秀杰医生，日常接诊中常会碰到急性面肌无力伴随头晕的中老年患者，很多人一开始没当回事，等到症状加重才来就诊，反而耽误了早期干预的最佳时机。\n  \u003C/div>\n\n  \u003Cdiv style=\"background-color:var(--bg-card);border-radius:var(--radius);padding:18px 20px;margin-bottom:var(--gap);box-shadow:0 2px 8px rgba(22,93,255,0.06);\">\n    前阵子接诊一位58岁男性，有长期吸烟习惯，BMI达27.6属于超重。他就诊前1天无诱因出现左侧面部活动不灵，自觉左侧眼睑闭合费力、口角歪斜，鼓腮时左侧漏气，起初以为只是普通面部受风，打算热敷好转，结果次日症状未缓解还伴随头晕恶心才来院。接诊后先排查特发性周围性面瘫、耳源性眩晕、前庭神经炎等常见病因，完善基础血生化和心电图检查，建议转诊上级医院做头颅磁共振平扫加弥散加权成像。最终提示脑白质高信号Fazekas1级，结合他1个月前曾出现左手麻木的既往史，明确诊断为缺血性脑血管病。我们制定抗血小板聚集、改善脑循环、神经保护的规范化药物治疗方案，经住院干预，他的面部活动不灵症状已明显缓解，目前仍在门诊定期随访调整用药。\n  \u003C/div>\n\n  \u003Cdiv style=\"background-color:var(--bg-card);border-radius:var(--radius);padding:18px 20px;margin-bottom:var(--gap);box-shadow:0 2px 8px rgba(22,93,255,0.06);\">\n    缺血性脑血管病的常见症状不只是口角歪斜，反复单侧手脚麻木也是典型表现之一，但该症状也可能是颈椎间盘突出压迫神经根引发，不能直接划等号；伴随的头晕症状，也有可能是耳石症、体位性低血压导致，需进一步做专科检查区分。它的核心病理是脑部供血动脉出现血栓形成，导致局部脑组织缺血坏死，该损伤不可逆，不能当成普通受风拖延，临床需结合影像学结果综合判断，不可仅凭单一症状自行下诊断。\n  \u003C/div>\n\n  \u003Cdiv style=\"background-color:var(--bg-soft);border-radius:var(--radius);padding:18px 20px;margin-bottom:var(--gap);\">\n    日常预防要严格控制每日盐摄入小于5克[1]，坚持低盐低脂饮食；每周完成至少150分钟中等强度有氧运动，比如快走、慢跑等，避免久坐不动[2]；把体重指数BMI尽量控制在24以下[3]，长期吸烟人群建议尽早完全戒烟；如果出现突发单侧面部活动不灵、手脚麻木、持续头晕的表现，首诊一定要前往神经内科就诊，完善头颅磁共振相关检查，避免延误早期干预时机。\n  \u003C/div>\n\n  \u003Cdiv style=\"text-align:center;color:var(--text-secondary);font-size:15px;padding:12px 0;\">\n    早识别早规范干预，缺血性脑血管病的大部分不良预后都是可以有效避免的😊\n  \u003C/div>\n\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] 世界卫生组织. 身体活动与久坐行为指南（2020）.\u003C/div>\n  \u003Cdiv>[3] 中华医学会内分泌学分会. 中国成人超重和肥胖症预防控制指南.\u003C/div>\n\u003C/section>\n\u003C/div>\n\n\u003Cstyle>\n* {\n  box-sizing: border-box;\n}\n\u003C/style>","v0d47cg10004dble53a7dld93lfdh3gg",242,767,"2026-10-29 11:00:20","缺血性脑血管病, 脑血管疾病, 头晕, 面瘫, 治疗, 预防, 中老年健康, 抗血小板治疗","认识缺血性脑血管病的症状与治疗方法，帮助中老年人早识别、早干预，避免病情加重，保持健康生活。","2026-11-04 16:05:47",[44,64,82],{"menuId":45,"menuName":46,"parentId":15,"orderNum":47,"path":48,"component":49,"isFrame":50,"isCache":51,"menuType":52,"visible":12,"status":15,"createDept":6,"remark":26,"createTime":53,"children":54,"columnImage":55,"columnLogo":56,"uncheckedLogo":57,"checkedLogo":58,"isHot":12,"isHome":15,"forceLogin":15,"color":59,"seoTitle":60,"seoKeywords":61,"seoDescription":61,"contentNum":6,"promotionalPoster":62,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":63,"routerPath":48,"componentInfo":49},"1997925012023775234","热门频道",5,"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":65,"menuName":66,"parentId":45,"orderNum":67,"path":68,"component":69,"isFrame":50,"isCache":51,"menuType":52,"visible":12,"status":15,"createDept":6,"remark":26,"createTime":70,"children":71,"columnImage":72,"columnLogo":73,"uncheckedLogo":74,"checkedLogo":75,"isHot":15,"isHome":15,"forceLogin":15,"color":76,"seoTitle":77,"seoKeywords":78,"seoDescription":79,"contentNum":6,"promotionalPoster":80,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":81,"routerPath":68,"componentInfo":69},"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":83,"menuName":84,"parentId":65,"orderNum":85,"path":86,"component":87,"isFrame":50,"isCache":51,"menuType":52,"visible":12,"status":15,"createDept":6,"remark":26,"createTime":88,"children":89,"columnImage":90,"columnLogo":6,"uncheckedLogo":6,"checkedLogo":6,"isHot":15,"isHome":15,"forceLogin":15,"color":6,"seoTitle":91,"seoKeywords":92,"seoDescription":93,"contentNum":6,"promotionalPoster":6,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":94,"routerPath":86,"componentInfo":87},"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,重大疾病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/1073728/932a8525-e381-4bb0-adf5-ebcd84a805cb.tmp?a=0&auth_key=1796416410-3df5381829314ea3969154afa40c26f4-0-b8ceff31cc98e4211a57715ae85b74a9&br=668&bt=668&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0d47cg10004dble53a7dld93lfdh3gg&er=0&l=2026110418292828A1CD71A081AC66D568&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=ajZnbzxvOjZoZTczNGY3M0ApamtpNmdnZDhvZzMzajpneWdkZWMwYWFeMmlhLS1kNGFzc2QwYWk2aTQwYl8xLS5gMS06Yw%3D%3D&vl=&vr=",{"code":9,"msg":97,"message":6,"data":6,"success":16}]