{"id":19060,"date":"2020-11-11T14:33:48","date_gmt":"2020-11-11T06:33:48","guid":{"rendered":"https:\/\/www.finddoc.com\/health\/?post_type=hip&#038;p=19060"},"modified":"2022-08-04T12:47:25","modified_gmt":"2022-08-04T04:47:25","slug":"%e5%86%87%e6%95%b4%e8%a6%aa%e4%bd%86%e5%bf%bd%e7%84%b6%e6%84%9f%e7%97%9b%e6%a5%9a%ef%bc%9f%e5%8f%af%e8%83%bd%e4%bf%82%e5%91%a8%e9%82%8a%e7%a5%9e%e7%b6%93%e7%97%9b%ef%bc%81","status":"publish","type":"hip","link":"https:\/\/www.finddoc.com\/health\/zh-cn\/guides\/%e5%86%87%e6%95%b4%e8%a6%aa%e4%bd%86%e5%bf%bd%e7%84%b6%e6%84%9f%e7%97%9b%e6%a5%9a%ef%bc%9f%e5%8f%af%e8%83%bd%e4%bf%82%e5%91%a8%e9%82%8a%e7%a5%9e%e7%b6%93%e7%97%9b%ef%bc%81\/","title":{"rendered":"\u5187\u6574\u89aa\u4f46\u5ffd\u7136\u611f\u75db\u695a\uff1f\u53ef\u80fd\u4fc2\u5468\u908a\u795e\u7d93\u75db\uff01"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<div class=\"wp-block-group hip__header\"><div class=\"wp-block-group__inner-container\">\n<div class=\"wp-block-group container\"><div class=\"wp-block-group__inner-container\">\n        <h1 class=\"entry-title mb-4\">\n            \u5187\u6574\u89aa\u4f46\u5ffd\u7136\u611f\u75db\u695a\uff1f\u53ef\u80fd\u4fc2\u5468\u908a\u795e\u7d93\u75db\uff01\n        <\/h1>\n    \n\n\n\n<p>\u5468\u908a\u795e\u7d93\u7cfb\u7d71\uff0c\u5373\u4e2d\u6a1e\u795e\u7d93\u7cfb\u7d71\uff08\u5927\u8166\u548c\u810a\u9ad3\uff09\u4ee5\u5916\u7684\u795e\u7d93\u7dda\uff0c\u8ca0\u8cac\u63a5\u6536\u4e26\u57f7\u884c\u4e2d\u6a1e\u795e\u7d93\u7684\u6307\u4ee4\uff0c\u5728\u4e2d\u6a1e\u795e\u7d93\u7cfb\u7d71\u548c\u5176\u4ed6\u8eab\u9ad4\u90e8\u5206\u4e4b\u9593\u50b3\u9001\u8a0a\u606f\uff0c\u5305\u62ec\u56db\u80a2\u548c\u5167\u81df\u5668\u5b98\u3002\u5468\u908a\u795e\u7d93\u75db\uff0c\u5c31\u662f\u90a3\u4e9b\u795e\u7d93\u51fa\u73fe\u640d\u50b7\u6216\u75c5\u8b8a\uff0c\u9020\u6210\u9ebb\u75f9\u548c\u75db\u695a\u7b49\u75c7\u72c0\u3002<sup>1<\/sup><\/p>\n\n\n\n<div class=\"wp-block-columns has-2-columns mb-0\">\n<div class=\"wp-block-column\">\n<p class=\"has-text-align-center\"> 50%\u7cd6\u5c3f\u75c5\u60a3\u8005<\/p>\n\n\n\n<h3 class=\"has-text-align-center text-melon\" id=\"h-2\">\u51fa\u73fe\u5468\u908a\u795e\u7d93\u75c5\u8b8a\u4f75\u767c\u75c7<sup>2<\/sup><\/h3>\n<\/div>\n\n\n\n<div class=\"wp-block-column\">\n<p class=\"has-text-align-center\">  \u8d85\u904e40%\u5468\u908a\u795e\u7d93\u75c5\u8b8a\u500b\u6848 <\/p>\n\n\n\n<h3 class=\"has-text-align-center text-macaroni-and-cheese\" id=\"h-3\"> \u6210\u56e0\u4e0d\u660e<sup>3<\/sup><\/h3>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<p><\/p>\n<\/div><\/div>\n\n\n\n    <nav class=\"hip__nav\">\n        <div class=\"hip__navbar js-hip-nav\">\n            <button class=\"hip__navbar-arrow hip__navbar-arrow--left js-hip__navbar-arrow--left d-none\">\n                <img src=\"https:\/\/www.finddoc.com\/health\/wp-content\/themes\/finddoc\/resources\/assets\/images\/arrows-left.svg\" \/>\n            <\/button>\n            <ul class=\"container nav nav-tabs pr-0\">\n                <li class=\"nav-item\">\n                    <a\n                        class=\"nav-link\"\n                        href=\"#\u75c7\u72c0\"\n                        data-ga-event-category=\"HIP_navbar_click\"\n                        data-ga-event-action=\"WP19060\"\n                        data-ga-event-label=\"\u75c7\u72c0\"\n                    >\n                        \u75c7\u72c0\n                    <\/a>\n                <\/li>\n        \n                <li class=\"nav-item\">\n                    <a\n                        class=\"nav-link\"\n                        href=\"#\u6210\u56e0\"\n                        data-ga-event-category=\"HIP_navbar_click\"\n                        data-ga-event-action=\"WP19060\"\n                        data-ga-event-label=\"\u6210\u56e0\"\n                    >\n                        \u6210\u56e0\n                    <\/a>\n                <\/li>\n        \n                <li class=\"nav-item\">\n                    <a\n                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class=\"js-social-sharing-widget social-sharing-widget btn \"\n  style=\"\"\n  type=\"button\"\n  data-ga-event-category=\"Content_social_share_click\"\n  data-ga-event-action=\"undefined\"\n  data-mobile-share=\"{&quot;title&quot;:&quot;FindDoc \\u5065\\u5eb7\\u5b66\\u5802&quot;,&quot;text&quot;:&quot;\\u5468\\u908a\\u795e\\u7d93\\u7cfb\\u7d71\\uff0c\\u5373\\u4e2d\\u6a1e\\u795e\\u7d93\\u7cfb\\u7d71\\uff08\\u5927\\u8166\\u548c\\u810a\\u9ad3\\uff09\\u4ee5\\u5916\\u7684\\u795e\\u7d93\\u7dda\\uff0c\\u8ca0\\u8cac\\u63a5\\u6536\\u4e26\\u57f7\\u884c\\u4e2d\\u6a1e\\u795e\\u7d93\\u7684\\u6307\\u4ee4\\uff0c\\u5728\\u4e2d\\u6a1e\\u795e\\u7d93\\u7cfb\\u7d71\\u548c\\u5176\\u4ed6\\u8eab\\u9ad4&amp;hellip;&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.finddoc.com\\\/health\\\/zh-cn\\\/guides\\\/%e5%86%87%e6%95%b4%e8%a6%aa%e4%bd%86%e5%bf%bd%e7%84%b6%e6%84%9f%e7%97%9b%e6%a5%9a%ef%bc%9f%e5%8f%af%e8%83%bd%e4%bf%82%e5%91%a8%e9%82%8a%e7%a5%9e%e7%b6%93%e7%97%9b%ef%bc%81\\\/&quot;}\"\n>\n  <svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M17.333 15.723c-.675 0-1.28.271-1.742.696l-6.338-3.75c.045-.208.08-.416.08-.633 0-.217-.035-.425-.08-.632L15.52 7.69c.48.452 1.111.732 1.813.732C18.81 8.422 20 7.21 20 5.71 20 4.21 18.809 3 17.333 3c-1.475 0-2.666 1.21-2.666 2.71a3 3 0 00.08.633L8.48 10.057a2.632 2.632 0 00-1.813-.732C5.19 9.325 4 10.536 4 12.036c0 1.5 1.191 2.711 2.667 2.711.702 0 1.333-.28 1.813-.732l6.329 3.76c-.045.189-.071.388-.071.586 0 1.455 1.164 2.639 2.595 2.639 1.431 0 2.596-1.184 2.596-2.639 0-1.454-1.165-2.638-2.596-2.638z\" fill=\"currentColor\"\/><\/svg>\n  <span class=\"social-sharing-widget__text\">\u5206\u4eab\u6587\u7ae0<\/span>\n<\/button>\n\n                <\/li>\n            <\/ul>\n            <button class=\"hip__navbar-arrow hip__navbar-arrow--right js-hip__navbar-arrow--right\">\n                <img src=\"https:\/\/www.finddoc.com\/health\/wp-content\/themes\/finddoc\/resources\/assets\/images\/arrows-right.svg\" \/>\n            <\/button>\n        <\/div>\n    <\/nav>\n    <div class=\"d-flex d-md-none\" style=\"background-color: #f2f8ff\">\n        <button\n  class=\"js-social-sharing-widget social-sharing-widget btn \"\n  style=\"\"\n  type=\"button\"\n  data-ga-event-category=\"Content_social_share_click\"\n  data-ga-event-action=\"undefined\"\n  data-mobile-share=\"{&quot;title&quot;:&quot;FindDoc \\u5065\\u5eb7\\u5b66\\u5802&quot;,&quot;text&quot;:&quot;\\u5468\\u908a\\u795e\\u7d93\\u7cfb\\u7d71\\uff0c\\u5373\\u4e2d\\u6a1e\\u795e\\u7d93\\u7cfb\\u7d71\\uff08\\u5927\\u8166\\u548c\\u810a\\u9ad3\\uff09\\u4ee5\\u5916\\u7684\\u795e\\u7d93\\u7dda\\uff0c\\u8ca0\\u8cac\\u63a5\\u6536\\u4e26\\u57f7\\u884c\\u4e2d\\u6a1e\\u795e\\u7d93\\u7684\\u6307\\u4ee4\\uff0c\\u5728\\u4e2d\\u6a1e\\u795e\\u7d93\\u7cfb\\u7d71\\u548c\\u5176\\u4ed6\\u8eab\\u9ad4&amp;hellip;&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.finddoc.com\\\/health\\\/zh-cn\\\/guides\\\/%e5%86%87%e6%95%b4%e8%a6%aa%e4%bd%86%e5%bf%bd%e7%84%b6%e6%84%9f%e7%97%9b%e6%a5%9a%ef%bc%9f%e5%8f%af%e8%83%bd%e4%bf%82%e5%91%a8%e9%82%8a%e7%a5%9e%e7%b6%93%e7%97%9b%ef%bc%81\\\/&quot;}\"\n>\n  <svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M17.333 15.723c-.675 0-1.28.271-1.742.696l-6.338-3.75c.045-.208.08-.416.08-.633 0-.217-.035-.425-.08-.632L15.52 7.69c.48.452 1.111.732 1.813.732C18.81 8.422 20 7.21 20 5.71 20 4.21 18.809 3 17.333 3c-1.475 0-2.666 1.21-2.666 2.71a3 3 0 00.08.633L8.48 10.057a2.632 2.632 0 00-1.813-.732C5.19 9.325 4 10.536 4 12.036c0 1.5 1.191 2.711 2.667 2.711.702 0 1.333-.28 1.813-.732l6.329 3.76c-.045.189-.071.388-.071.586 0 1.455 1.164 2.639 2.595 2.639 1.431 0 2.596-1.184 2.596-2.639 0-1.454-1.165-2.638-2.596-2.638z\" fill=\"currentColor\"\/><\/svg>\n  <span class=\"social-sharing-widget__text\">\u5206\u4eab\u6587\u7ae0<\/span>\n<\/button>\n\n    <\/div>\n\n\n\n<div id=\"\u75c7\u72c0\" class=\"wp-block-group hip-section _odd\"><div class=\"wp-block-group__inner-container\">\n<div class=\"wp-block-columns has-2-columns hip__content-section container flex-column flex-lg-row\">\n<div class=\"wp-block-column\" style=\"flex-basis:35%\">\n<figure class=\"wp-block-image text-center text-lg-left\"><img width=\"313\" height=\"380\" src=\"https:\/\/d1odbeb14fc0ti.cloudfront.net\/wp-content\/uploads\/2020\/10\/15115201\/%E5%91%A8%E9%82%8A%E7%A5%9E%E7%B6%93%E7%97%9B%E7%A8%AE%E9%A1%9E_update2.jpg\" alt=\"\" class=\"wp-image-19082\"\/><\/figure>\n\n\n\n<p><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column ml-0 ml-lg-5\" style=\"flex-basis:65%\">\n<h2 id=\"h-\">\u5468\u908a\u795e\u7d93\u75db\u75c7\u72c0<\/h2>\n\n\n\n<p>\u75c7\u72c0\u96a8\u51fa\u73fe\u75c5\u8b8a\u7684\u5468\u908a\u795e\u7d93\u7a2e\u985e\u800c\u7570\uff0c\u4e3b\u8981\u5f71\u97ff\u4e09\u500b\u65b9\u9762\u7684\u795e\u7d93\uff1a<\/p>\n\n\n\n<h4 id=\"h-i-4\"><strong>i. \u904b\u52d5\u795e\u7d93\u969c\u7919<\/strong><sup>4<\/sup><\/h4>\n\n\n\n<p>\u808c\u8089\u6703\u8b8a\u5f97\u8edf\u5f31\u7121\u529b\uff0c\u4e5f\u6709\u6a5f\u6703\u51fa\u73fe\u75bc\u75db\u7684\u75d9\u6523\u548c\u808c\u675f\u986b\u52d5\u3002<\/p>\n\n\n\n<h4 id=\"h-ii-4\"><strong>ii. \u611f\u89ba\u795e\u7d93\u969c\u7919<\/strong><sup>4<\/sup><\/h4>\n\n\n\n<p>\u611f\u5b98\u80fd\u529b\u88ab\u524a\u5f31\u751a\u81f3\u5b8c\u5168\u5931\u53bb\uff0c\u53d7\u5f71\u97ff\u90e8\u4f4d\u6703\u8b8a\u5f97\u9ebb\u6728\uff0c\u96e3\u4ee5\u611f\u53d7\u5230\u9707\u52d5\u3001\u89f8\u6478\u3001\u6eab\u5ea6\u3001\u75db\u695a\u7b49\u3002\u5176\u689d\u4ef6\u53cd\u5c04\u80fd\u529b\u4e5f\u56e0\u800c\u8b8a\u6162\u6216\u6d88\u5931\uff0c\u5f71\u97ff\u904b\u52d5\u795e\u7d93\u548c\u5e73\u8861\u529b\u7b49\u3002<\/p>\n\n\n\n<h4 id=\"h-iii-4\"><strong>iii. \u81ea\u4e3b\u795e\u7d93\u969c\u7919<\/strong><sup>4<\/sup><\/h4>\n\n\n\n<p>\u6703\u6709\u51fa\u6c57\u3001\u6015\u71b1\u3001\u8840\u58d3\u4e0d\u7a69\uff0c\u4ee5\u53ca\u8179\u7009\u3001<a href=\"https:\/\/www.finddoc.com\/health\/guides\/%E4%BE%BF%E7%A7%98\/\">\u4fbf\u79d8<\/a>\u7b49\u8178\u80c3\u554f\u984c\u3002\u7f55\u898b\u7684\u60c5\u6cc1\u4e0b\uff0c\u6709\u60a3\u8005\u6703\u51fa\u73fe\u9032\u98df\u53ca\u541e\u56a5\u56f0\u96e3\u3002<\/p>\n\n\n\n        <div class=\"mb-3 text-center\">\n            <a\n                class=\"btn btn-primary btn-cta\"\n                href=\"https:\/\/finddoc.com\/zh-cn\/doctors\/\u8111\u795e\u7ecf\u79d1\u533b\u751f\"\n            >\n                \u9810\u7d04\u8166\u795e\u7d93\u79d1\u91ab\u751f\u4e86\u89e3\u60a8\u7684\u60c5\u6cc1\n            <\/a>\n        <\/div>\n    \n\n\n\n        <div class=\"mb-3 text-center\">\n            <a\n                class=\"btn btn-primary btn-cta\"\n                href=\"https:\/\/finddoc.com\/zh-cn\/doctors\/\u9aa8\u79d1\u533b\u751f\"\n            >\n                \u9810\u7d04\u9aa8\u79d1\u91ab\u751f\u4e86\u89e3\u60a8\u7684\u60c5\u6cc1\n            <\/a>\n        <\/div>\n    \n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"hip__section-border-lower\"><\/div>\n\n\n\n<div id=\"\u6210\u56e0\" class=\"wp-block-group\"><div class=\"wp-block-group__inner-container\">\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container\">\n<div class=\"wp-block-columns has-2-columns hip__content-section container flex-column-reverse flex-lg-row\">\n<div class=\"wp-block-column\" style=\"flex-basis:65%\">\n<h2 id=\"h--1\">\u5468\u908a\u795e\u7d93\u75c5\u8b8a\u6210\u56e0<\/h2>\n\n\n\n<p>\u5468\u908a\u795e\u7d93\u75c5\u8b8a\u5206\u70ba\u5148\u5929\u6027\u548c\u5f8c\u5929\u6027\uff0c\u7576\u4e2d\u5f8c\u5929\u6027\u500b\u6848\u4e2d\uff0c\u70ba\u6578\u4e0d\u5c11\u90fd\u662f\u6210\u56e0\u4e0d\u660e\u3002<sup>3<\/sup><\/p>\n\n\n\n<h4 id=\"h-a-1-5\"><strong>a. \u5c0e\u81f4\u5468\u908a\u795e\u7d93\u75db\u7684\u907a\u50b3\u56e0\u7d20<\/strong><sup>1,5<\/sup><\/h4>\n\n\n\n<p>\u6700\u5e38\u898b\u6709\u8153\u9aa8\u808c\u840e\u7e2e\u75c7\uff08Charcot-Marie-Tooth Disease , CMT\uff09\u3002\u60a3\u8005\u901a\u5e38\u5728\u5e74\u5e7c\u81f3\u6210\u5e74\u521d\u6bb5\u767c\u75c5\uff0c\u4f46\u56e0\u70ba\u75c7\u72c0\u4e0d\u660e\u986f\uff0c\u5982\u624b\u8173\u7121\u529b\u7b49\uff0c\u800c\u96e3\u4ee5\u5bdf\u89ba\u3002\u90e8\u5206\u60a3\u8005\u6703\u6709\u624b\u8173\u672b\u7aef\u80a2\u9ad4\u840e\u7e2e\u7684\u60c5\u6cc1\uff0c\u6709\u6a5f\u6703\u9020\u6210\u884c\u52d5\u4e0d\u4fbf\uff0c\u9808\u7528\u95dc\u7bc0\u56fa\u5b9a\u8853\u4f86\u9632\u6b62\u8dcc\u5012\u3002\u4f46\u5927\u591a\u6578\u60a3\u8005\u7684\u75c7\u72c0\u6975\u8f15\u751a\u81f3\u6c92\u75c7\u72c0\uff0c\u4e14\u6b64\u75c5\u4e0d\u6703\u5a01\u8105\u6027\u547d\uff0c\u6bcb\u9808\u904e\u65bc\u7126\u616e\uff0c\u60df\u61c9\u5b9a\u671f\u505a\u795e\u7d93\u5b78\u6aa2\u67e5\u3002<\/p>\n\n\n\n<h4 id=\"h-b\"><strong>b. \u5c0e\u81f4\u5468\u908a\u795e\u7d93\u75db\u7684\u5f8c\u5929\u56e0\u7d20<\/strong><\/h4>\n\n\n\n<p>i. <strong>\u7f3a\u4e4fB12<\/strong><\/p>\n\n\n\n<p>\u7dad\u4ed6\u547dB12\u662f\u5408\u6210\u5375\u78f7\u8102\u7684\u5fc5\u8981\u5143\u7d20\uff0c\u800c\u5375\u78f7\u8102\u662f\u4fdd\u8b77\u795e\u7d93\u7684\u9ad3\u9798\uff08myelin sheath\uff09\u7684\u4e3b\u8981\u6210\u5206\uff0c\u56e0\u6b64\u7dad\u4ed6\u547dB12\u4e0d\u8db3\u6703\u8b93\u9ad3\u9798\u53d7\u5230\u7834\u58de\uff0c\u9020\u6210\u810a\u690e\u53ca\u5176\u4ed6\u795e\u7d93\u53d7\u640d\uff0c\u5c0e\u81f4\u5468\u908a\u795e\u7d93\u75db\u3002\u5373\u4f7f\u7dad\u4ed6\u547dB12\u4e0d\u8db3\u7684\u60c5\u6cc1\u8f15\u5fae\uff0c\u4e0d\u53ca\u65e9\u6cbb\u7642\u4e5f\u6709\u6a5f\u6703\u5c0d\u795e\u7d93\u9020\u6210\u6c38\u4e45\u640d\u50b7\uff0c\u4f8b\u5982\u56db\u80a2\u5354\u8abf\u80fd\u529b\u6e1b\u5f31\uff1b\u9577\u671f\u75bc\u75db\u3001\u767c\u9ebb\u3001\u523a\u75db\uff1b\u77e5\u89ba\u6e1b\u5f31\u548c\u7121\u529b\u7b49\u3002<sup>6<\/sup><\/p>\n\n\n\n<p>ii. <strong>\u7cd6\u5c3f\u75c5<\/strong><\/p>\n\n\n\n<p>\u516d\u81f3\u4e03\u6210<a href=\"https:\/\/www.finddoc.com\/health\/guides\/%E7%B3%96%E5%B0%BF%E7%97%85\/\">\u7cd6\u5c3f\u75c5<\/a>\u60a3\u8005\u90fd\u6709\u6a5f\u6703\u51fa\u73fe\u7cd6\u5c3f\u75c5\u6027\u5468\u908a\u795e\u7d93\u75db\u3002<sup>7<\/sup>\u8840\u7cd6\u904e\u9ad8\u6703\u9020\u6210\u591a\u5143\u9187\u3001\u8102\u80aa\u9178\u548c\u808c\u8089\u8102\u8cea\u4ee3\u8b1d\u4ee3\u8b1d\u7570\u5e38\u3002\u9664\u6b64\u4e4b\u5916\uff0c\u81ea\u7531\u57fa\uff08free radical\uff09\u548c\u7cd6\u5316\u4f5c\u7528(glycosylation) \u6703\u589e\u52a0\u3002\u9019\u4e9b\u554f\u984c\u76f4\u63a5\u5f71\u97ff\u795e\u7d93\u8ef8\u7a81\u6216\u9593\u63a5\u9020\u6210\u5176\u8840\u6d41\u548c\u6c27\u4e0d\u8db3\uff0c\u65bc\u662f\u51fa\u73fe\u5468\u908a\u795e\u7d93\u75db\u3002\u7cd6\u5c3f\u75c5\u5468\u908a\u795e\u7d93\u75c5\u8b8a\u5927\u591a\u7531\u8173\u90e8\u5411\u4e0a\u5ef6\u4f38\uff0c\u5f71\u97ff\u5176\u654f\u611f\u5ea6\uff0c\u4ee4\u60a3\u8005\u6216\u56e0\u4e0d\u70ba\u610f\u8173\u90e8\u6709\u50b7\u53e3\uff0c\u4efb\u7531\u5b83\u53cd\u8986\u611f\u67d3\u548c\u6f70\u760d\uff0c\u56b4\u91cd\u8d77\u4f86\u751a\u81f3\u9700\u8981\u622a\u80a2\uff0c\u56b4\u91cd\u5f71\u97ff\u60a3\u8005\u7684\u751f\u6d3b\u8cea\u7d20\u3002<sup>8-10<\/sup><\/p>\n\n\n\n<p>\u6b64\u5916\uff0c\u4e8c\u7532\u96d9\u80cd\uff08Metformin\uff09\u662f\u6cbb\u7642\u7cd6\u5c3f\u75c5\u7684\u5e38\u898b\u85e5\u7269\uff0c\u60df\u9577\u671f\u670d\u7528\u6703\u5f71\u97ff\u7dad\u4ed6\u547dB12\u7684\u5438\u6536\uff0c\u7e7c\u800c\u5f15\u81f4\u5468\u908a\u795e\u7d93\u75db\uff0c\u53ef\u80fd\u9700\u8981\u900f\u904e\u53e3\u670d\u6216\u6ce8\u5c04\u88dc\u5145\u5291\u4f86\u589e\u52a0\u7dad\u4ed6\u547dB12\u7684\u651d\u53d6\u3002<sup>11<\/sup><\/p>\n\n\n\n<p>iii. <strong>\u767c\u708e\u578b\u795e\u7d93\u75c5\u8b8a<\/strong><\/p>\n\n\n\n<p>\u7576\u53d7\u75c5\u6bd2\u548c\u7d30\u83cc\u611f\u67d3\uff0c\u514d\u75ab\u7cfb\u7d71\u6216\u6703\u653b\u64ca\u795e\u7d93\uff0c\u9020\u6210\u75c5\u8b8a\u3002<\/p>\n\n\n\n<p>\u8f03\u5e38\u898b\u7684\u75c5\u75c7\u6709\uff1a\u840a\u59c6\u75c5(Lyme Disease)\u3001\u5e36\u72c0\u76b0\u75b9 (Herpes zoster)\u3001\u827e\u4f2f\u65af\u5766-\u5df4\u723e\u75c5\u75c5\u6bd2(Epstein-Barr Virus)\u3001 \u4e59\u548c\u4e19\u578b\u809d\u708e\u75c5\u6bd2\u3001 \u9ebb\u98a8\u75c5\u3001\u767d\u5589\u548c<a href=\"https:\/\/www.finddoc.com\/health\/finddoctv\/%e6%84%9b%e6%bb%8b%e7%97%85\/\">\u611b\u6ecb\u75c5<\/a>\u7b49\u3002\u4ee5\u5e36\u72c0\u75b1\u75b9\u70ba\u4f8b\uff0c\u66fe\u60a3\u6c34\u75d8\u7684\u75c5\u4eba\u7684\u795e\u7d93\u5167\u6f5b\u85cf\u7740\u6c34\u75d8\u75c5\u6bd2\uff0c\u7576\u75c5\u6bd2\u518d\u6b21\u88ab\u6d3b\u5316\u6642\uff0c\u4fbf\u6703\u51fa\u73fe\u6240\u8b02\u300c\u751f\u86c7\u300d\u7684\u60c5\u6cc1\u3002\u75c5\u6bd2\u6709\u6a5f\u6703\u5f15\u8d77\u611f\u89ba\u795e\u7d93\u7684\u767c\u708e\u548c\u53d7\u640d\u5bb3\uff0c\u4ee4\u60a3\u8005\u6703\u611f\u5230\u5f37\u70c8\u75bc\u75db\u3002 <sup>1<\/sup><\/p>\n\n\n\n<p>iv. <strong>\u81ea\u9ad4\u514d\u75ab\u75be\u75c5<\/strong><\/p>\n\n\n\n<p>\u5982\u60a3\u4e0a\u985e\u8089\u7624\u75c5 \uff08sarcoidosis\uff09\/\u859b\u683c\u9023\u6c0f\u75c7\u5019\u7fa4\uff08Sj\u00f6gren&#8217;s syndrome\uff0c\u53c8\u540d\u4e7e\u71e5\u7d9c\u5408\u75c7\uff09\/\u7d05\u6591\u72fc\u7621\/\u985e\u98a8\u6fd5\u6027\u95dc\u7bc0\u708e\/\u683c\u6797-\u5df4\u5229\u7d9c\u5408\u75c7 \uff08Guillain-Barr\u00e9 syndrome\uff09\/\u6162\u6027\u812b\u9ad3\u9798\u6027\u795e\u7d93\u708e\uff08CIDP\uff09\/\u8840\u7ba1\u708e\/\u4e73\u7cdc\u7009 \uff08\u9ea9\u8cea\u904e\u654f\uff09\/\u591a\u767c\u6027\u904b\u52d5\u795e\u7d93\u75c5\u8b8a\u7b49\uff0c\u8eab\u9ad4\u7684\u514d\u75ab\u7cfb\u7d71\u4ea6\u6709\u6a5f\u6703\u653b\u64ca\u795e\u7d93\uff0c\u9020\u6210\u75c5\u8b8a\u3002 \u82e5\u9ad4\u5167\u67d0\u985e\u514d\u75ab\u7403\u86cb\u767d\u91cf\u51fa\u984c\u7570\u5e38\uff0c\u5982\u60a3\u4e0a\u51b7\u51dd\u7403\u86cb\u767d\u8840\u75c7\uff08cryoglobulinemia\uff09\uff0c\u6216\u60a3\u6709\u9aa8\u764c\u3001\u6dcb\u5df4\u7624\u6216\u985e\u6fb1\u7c89\u6c89\u7a4d\u75c7 \uff08amyloidosis\uff09\u7b49\u7f55\u898b\u75c5\uff0c\u4e5f\u6709\u6a5f\u6703\u60a3\u4e0a\u5468\u908a\u795e\u7d93\u75db\u3002<sup>12<\/sup><\/p>\n\n\n\n<p>v. <strong>\u816b\u7624<\/strong><\/p>\n\n\n\n<p>\u826f\u6027\u6216\u60e1\u6027\u7684\u816b\u7624\u90fd\u6709\u6a5f\u6703\u9577\u5728\u5468\u908a\u795e\u7d93\u6216\u5176\u9644\u8fd1\uff0c\u56e0\u800c\u64e0\u58d3\u5230\u795e\u7d93\u9020\u6210\u75db\u695a\u7684\u611f\u89ba\u3002<sup>1<\/sup><\/p>\n\n\n\n<p>vi. <strong>\u6cbb\u7642\u526f\u4f5c\u7528<\/strong><\/p>\n\n\n\n<p>\u5468\u908a\u795e\u7d93\u75db\u4e5f\u662f\u4e00\u4e9b\u6cbb\u7642\u7684\u526f\u4f5c\u7528\uff0c\u5982\u6cbb\u7642\u764c\u75c7\u7684\u5316\u7642\uff0c\u670d\u98df\u6297\u611b\u6ecb\u85e5\u7269\/\u6297\u7672\u7647\u85e5\u7b49\u3002\u4e00\u822c\u800c\u8a00\uff0c\u9019\u4e9b\u526f\u4f5c\u7528\u6703\u5728\u505c\u6b62\u76f8\u95dc\u6cbb\u7642\u6216\u63db\u85e5\u5f8c\u6d88\u5931\u3002<sup>1<\/sup> \u800c\u4e00\u4e9b\u7528\u4f86\u6cbb\u7642\u8178\u80c3\u75be\u75c5\uff0c\u5982\u91ab\u6cbb\u80c3\u9178\u5012\u6d41\u7684\u85e5\u7269\u8cea\u5b50\u6cf5\u6291\u5236\u85e5\uff08Proton pump inhibitors,PPI\uff09\u6703\u6e1b\u5c11\u80c3\u9178\u5206\u6ccc\uff0c\u524a\u5f31\u60a3\u8005\u5f9e\u98df\u7269\u5438\u53d6\u7dad\u4ed6\u547d\u7684\u80fd\u529b\uff0c\u6709\u6a5f\u6703\u9020\u6210B12\u4e0d\u8db3\uff0c\u56e0\u800c\u5c0e\u81f4\u5468\u908a\u795e\u7d93\u75db\u3002<sup>13<\/sup><\/p>\n\n\n\n<p>vii. <strong>\u52de\u640d<\/strong><\/p>\n\n\n\n<p>\u5de5\u4f5c\u751f\u6d3b\u4e0a\u9577\u671f\u91cd\u8907\u540c\u4e00\u52d5\u4f5c\uff0c\u6253\u4e86\u77f3\u818f\uff0c\u6216\u9577\u671f\u9808\u7528\u67b4\u6756\u7684\u4eba\u58eb\uff1b\uff0c\u90fd\u6709\u6a5f\u6703\u9020\u6210\u67d0\u4e9b\u795e\u7d93\u9577\u671f\u53d7\u58d3\u3001\u52de\u640d\u548c\u75bc\u75db\uff0c\u56e0\u800c\u60a3\u4e0a\u5982\u8155\u7ba1\u7d9c\u5408\u75c7\uff08\u6ed1\u9f20\u624b\uff09\u7b49\u75be\u75c5\u3002 <sup>1<\/sup><\/p>\n\n\n\n<p>viii. <strong>\u98f2\u98df\u7fd2\u6163<\/strong><\/p>\n\n\n\n<p>\u7d20\u98df\uff0c\u9157\u9152\u6216\u504f\u98df\u7684\u4eba\u58eb\u6709\u6a5f\u6703\u5c0e\u81f4\u7f3a\u4e4f\u7dad\u4ed6\u547dB1\u3001B3\u3001B12\u3001E\u548c\u9223\u3002\u7576\u4e2d\uff0c\u4ee5\u7f3a\u4e4f\u7dad\u4ed6\u547dB12\u98a8\u96aa\u6700\u9ad8\uff0c\u56e0\u5b83\u662f\u4fdd\u8b77\u9ad3\u78f7\u8102\uff08\u4fdd\u8b77\u795e\u7d93\u7e96\u7dad\u7684\u7269\u8cea\uff09\u7684\u4e3b\u8981\u71df\u990a\u7d20\u3002<sup>1<\/sup><\/p>\n\n\n\n<p>viiii. <strong>\u5916\u50b7<\/strong><\/p>\n\n\n\n<p>\u5982\u8eca\u798d\u3001\u8dcc\u5012\u6216\u904b\u52d5\u5275\u50b7\uff0c\u6709\u6a5f\u6703\u7834\u58de\u795e\u7d93\u3002<sup>1<\/sup><\/p>\n\n\n\n<p>x. <strong>\u63a5\u89f8\u6709\u6bd2\u7269\u8cea<\/strong><\/p>\n\n\n\n<p>\u63a5\u89f8\u5230\u5de5\u696d\u6216\u74b0\u5883\u5316\u5b78\u54c1\uff0c\u5305\u62ec\u925b\u3001\u6c34\u9280\u3001\u7837\u3001\u9248\u7b49\u3002\u6709\u4e9b\u6bba\u87f2\u5291\u6216\u6eb6\u5291\u91cb\u51fa\u7684\u5316\u5b78\u7269\u4e5f\u6703\u9020\u6210\u795e\u7d93\u75c5\u8b8a\u3002 1b<\/p>\n\n\n\n<p>xi. <strong>\u5176\u4ed6\u75be\u75c5<\/strong><\/p>\n\n\n\n<p>\u5982\u60a3\u4e0a\u814e\u75c5\u3001\u809d\u75c5\uff0c\u6703\u4ee4\u6709\u5bb3\u7269\u8cea\u7a4d\u5b58\u5728\u9ad4\u5167\uff0c\u6216\u7834\u58de\u795e\u7d93\u3002<sup>1<\/sup>\u6b64\u5916\uff0c\u8840\u7ba1\u6216\u816b\u7624\u58d3\u4f4f\u4e09\u53c9\u795e\u7d93\u7dda\u3001\u591a\u767c\u6027\u786c\u5316\u75c7\u7684\u60a3\u8005\u4e5f\u53ef\u80fd\u51fa\u73fe\u75c7\u72c0\u3002\u4ee5\u53ca\u624b\u8853\u548c\u4e2d\u98a8\u5f8c\u6216\u9762\u90e8\u53d7\u50b7\u9020\u6210\u795e\u7d93\u7dda\u53d7\u640d\u90fd\u6703\u5f15\u767c\u9762\u90e8\u795e\u7d93\u75db\u3002<sup>14<\/sup><\/p>\n\n\n\n<h4 id=\"h-c\"><strong>c. \u7279\u767c\u6027\u795e\u7d93\u75c5\u8b8a<\/strong><\/h4>\n\n\n\n<p>\u6709\u4e9b\u60a3\u8005\u7684\u75c5\u56e0\u672a\u660e\uff0c\u91ab\u751f\u6703\u6b78\u985e\u70ba\u7279\u767c\u6027\u795e\u7d93\u75c5\u8b8a\uff0c\u4e00\u822c\u51fa\u73fe\u572860\u6b72\u4ee5\u4e0a\u4eba\u58eb\u3002 <sup>15<\/sup><\/p>\n\n\n\n<h4 id=\"h--2\"><strong>\u5468\u908a\u795e\u7d93\u75db\u8ddf\u50b7\u5bb3\u6027\u75bc\u75db\u6709\u4ec0\u9ebc\u5206\u5225\uff1f<\/strong><\/h4>\n\n\n\n<p>\u4e00\u822c\u800c\u8a00\uff0c\u6211\u5011\u7684\u75db\u695a\u7d93\u9a57\u4e3b\u8981\u7531\u50b7\u5bb3\u6027\u75bc\u75db\u800c\u4f86\u3002\u7576\u6211\u5011\u89f8\u78b0\u5230\u6efe\u71d9\u7684\u71b1\u6c34\uff0c\u6216\u8e22\u5230\u51f3\u8173\uff0c\u6216\u5272\u50b7\u6642\uff0c\u6703\u611f\u5230\u5373\u6642\u7684\u75db\u695a\uff0c\u800c\u75db\u695a\u6703\u96a8\u8457\u53d7\u5f71\u97ff\u90e8\u4f4d\u5eb7\u5fa9\uff0c\u5982\u6d88\u816b\u3001\u50b7\u53e3\u7652\u5408\u800c\u6d88\u5931\u3002\u8eab\u9ad4\u5668\u5b98\u53d7\u50b7\u5bb3\u6642\uff0c\u4e5f\u6703\u5f15\u767c\u50b7\u5bb3\u6027\u75bc\u75db\uff0c\u53ea\u662f\u6709\u6642\u96e3\u4ee5\u6e96\u78ba\u5b9a\u9ede\u75db\u6e90\u6216\u75db\u695a\u4e0d\u660e\u986f\u800c\u88ab\u5ffd\u7565\u3002<sup>16<\/sup><\/p>\n\n\n\n<p>\u76f8\u6bd4\u4e4b\u4e0b\uff0c\u5468\u908a\u795e\u7d93\u75db\u4e26\u975e\u7531\u50b7\u5bb3\u6216\u5916\u4f86\u523a\u6fc0\u89f8\u767c\uff0c\u800c\u662f\u7531\u65bc\u90a3\u4e9b\u795e\u7d93\u53d7\u640d\u6216\u4e0d\u80fd\u6b63\u5e38\u904b\u4f5c\u3002<sup>4, 16<\/sup><\/p>\n\n\n\n<h4 id=\"h--3\"><strong>\u5468\u908a\u795e\u7d93\u75db\u53ef\u5f15\u81f4\u7684\u5f8c\u679c<\/strong><\/h4>\n\n\n\n<p>\u5468\u908a\u795e\u7d93\u75db\u7684\u60a3\u8005\u4e3b\u8981\u9762\u5c0d\u4e09\u985e\u969c\u7919\u3002\u904b\u52d5\u795e\u7d93\u969c\u7919\u6703\u4ee4\u60a3\u8005\u9748\u6d3b\u5ea6\u548c\u5e73\u8861\u529b\u4e0b\u964d\uff0c\u5bb9\u6613\u8dcc\u5012\u53d7\u50b7\u3002\u611f\u89ba\u795e\u7d93\u969c\u7919\u9020\u6210\u7684\u7121\u611f\u6703\u56b4\u91cd\u5247\u5f71\u97ff\u751f\u6d3b\uff0c\u5982\u6703\u56e0\u7121\u6cd5\u6b63\u5e38\u611f\u53d7\u6eab\u5ea6\u548c\u75db\u695a\u800c\u71d9\u50b7\u6216\u649e\u50b7\uff0c\u5371\u6a5f\u610f\u8b58\u8b8a\u76f8\u6e1b\u5f31\u3002<sup>1,17<\/sup> \u82e5\u56e0\u611f\u89ba\u4e0d\u5230\u800c\u5ffd\u7565\u50b7\u53e3\uff0c\u66f4\u6703\u9020\u6210\u7d30\u83cc\u611f\u67d3\u3002<\/p>\n\n\n\n<p>\u6b64\u5916\uff0c\u7531\u65bc\u60a3\u8005\u7684\u611f\u77e5\u8207\u4ed6\u4eba\u6709\u5dee\u8ddd\uff0c\u751a\u81f3\u611f\u89ba\u4e0d\u5230\u65e5\u5e38\u8eab\u9ad4\u63a5\u89f8\uff0c\u4ed6\u5011\u7684\u60c5\u7dd2\u548c\u4eba\u969b\u95dc\u4fc2\u4e5f\u6703\u53d7\u5f71\u97ff\u3002<sup>4<\/sup><\/p>\n\n\n\n        <div class=\"mb-3 text-center\">\n            <a\n                class=\"btn btn-primary btn-cta\"\n                href=\"https:\/\/finddoc.com\/zh-cn\/doctors\/\u8111\u795e\u7ecf\u79d1\u533b\u751f\"\n            >\n                \u9810\u7d04\u8166\u795e\u7d93\u79d1\u91ab\u751f\u4e86\u89e3\u60a8\u7684\u60c5\u6cc1\n            <\/a>\n        <\/div>\n    \n\n\n\n        <div class=\"mb-3 text-center\">\n            <a\n                class=\"btn btn-primary btn-cta\"\n                href=\"https:\/\/finddoc.com\/zh-cn\/doctors\/\u9aa8\u79d1\u533b\u751f\"\n            >\n                \u9810\u7d04\u9aa8\u79d1\u91ab\u751f\u4e86\u89e3\u60a8\u7684\u60c5\u6cc1\n            <\/a>\n        <\/div>\n    \n<\/div>\n\n\n\n<div class=\"wp-block-column ml-0 ml-lg-5\" style=\"flex-basis:35%\">\n<figure class=\"wp-block-image text-center text-lg-right\"><img width=\"313\" height=\"380\" src=\"https:\/\/d1odbeb14fc0ti.cloudfront.net\/wp-content\/uploads\/2020\/10\/15115223\/%E5%91%A8%E9%82%8A%E7%A5%9E%E7%B6%93%E7%97%9B_update.jpg\" alt=\"\" class=\"wp-image-19085\"\/><\/figure>\n\n\n\n<p><\/p>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"hip__section-border-upper\"><\/div>\n\n\n\n<div id=\"\u8a3a\u65b7\" class=\"wp-block-group hip-section _odd\"><div class=\"wp-block-group__inner-container\">\n<div class=\"wp-block-columns has-2-columns hip__content-section container flex-column flex-lg-row\">\n<div class=\"wp-block-column\" style=\"flex-basis:35%\">\n<figure class=\"wp-block-image text-center text-lg-left\"><img width=\"313\" height=\"380\" src=\"https:\/\/d1odbeb14fc0ti.cloudfront.net\/wp-content\/uploads\/2020\/10\/15115235\/%E5%91%A8%E9%82%8A%E7%A5%9E%E7%B6%93%E7%97%9B%E8%A8%BA%E6%96%B7_update2.jpg\" alt=\"\" class=\"wp-image-19088\"\/><\/figure>\n\n\n\n<p><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column ml-0 ml-lg-5\" style=\"flex-basis:65%\">\n<h2 id=\"h--4\"><strong>\u5468\u908a\u795e\u7d93\u75db\u6aa2\u67e5\u53ca\u8a3a\u65b7\u65b9\u6cd5<\/strong><\/h2>\n\n\n\n<h4 id=\"h-a\"><strong>a. \u75c5\u6b77\u8a55\u4f30<\/strong><\/h4>\n\n\n\n<p>\u91ab\u751f\u6703\u900f\u904e\u6aa2\u8996\u5b8c\u6574\u75c5\u6b77\uff0c\u7d9c\u5408\u75c5\u4eba\u7684\u751f\u6d3b\u7fd2\u6163\uff0c\u5982\u98f2\u98df\u3001\u98f2\u9152\u3001\u5bb6\u65cf\u75c5\u53f2\u3001\u63a5\u89f8\u6bd2\u7269\u7684\u6a5f\u6703\u7b49\u4f5c\u8a3a\u65b7\u3002<sup>4,18<\/sup><\/p>\n\n\n\n<h4 id=\"h-b-1\"><strong>b. \u7406\u5b78\u6aa2\u67e5<\/strong><\/h4>\n\n\n\n<p>\u91ab\u751f\u6703\u70ba\u75c5\u4eba\u9a57\u8840\u3001\u7167\u78c1\u529b\u5171\u632f\u6216\u96fb\u8166\u65b7\u5c64\u6383\u63cf\u3002\u9019\u4e9b\u5e38\u898b\u7684\u7406\u5b78\u6aa2\u67e5\u80fd\u8b93\u4ed6\u5011\u5f97\u77e5\u75c5\u4eba\u7684\u8eab\u9ad4\u72c0\u6cc1\uff0c\u5305\u62ec\u7dad\u4ed6\u547d\u6307\u6578\u3001\u6709\u5426\u60a3\u4e0a\u7cd6\u5c3f\u75c5\u3001\u514d\u75ab\u7cfb\u7d71\u904b\u4f5c\u60c5\u6cc1\u3001\u6709\u5426\u51fa\u73fe\u816b\u7624\u6216\u5176\u4ed6\u7570\u5e38\uff0c\u5c0d\u8a3a\u65b7\u548c\u627e\u51fa\u75c5\u56e0\u5f88\u91cd\u8981\u3002<sup>4,19<\/sup><\/p>\n\n\n\n<h4 id=\"h-c-19\"><strong>c. \u795e\u7d93\u6aa2\u67e5<\/strong><sup>19<\/sup><\/h4>\n\n\n\n<p><strong>\u611f\u89ba\u795e\u7d93\u529f\u80fd\u6aa2\u67e5\uff1a <\/strong>\u900f\u904e\u70ba\u76ae\u819a\u63d0\u4f9b\u51b7\u3001\u71b1\u3001\u75db\u7684\u523a\u6fc0\uff0c\u4f86\u8861\u91cf\u8eab\u9ad4\u5404\u90e8\u4f4d\u795e\u7d93\u7684\u611f\u5b98\u529f\u80fd\u3002\u4e5f\u53ef\u80fd\u6703\u6aa2\u67e5\u51fa\u6c57\u7684\u60c5\u6cc1\u3002<sup>4,18<\/sup><\/p>\n\n\n\n<p><strong>\u795e\u7d93\u50b3\u5c0e\u6aa2\u67e5\uff1a<\/strong> \u900f\u904e\u77ed\u66ab\u96fb\u64ca\u4f86\u6e2c\u8a66\u65bc\u8868\u76ae\u4e0b\u8f03\u6dfa\u4f4d\u7f6e\u7684\u795e\u7d93\u529f\u80fd\uff0c\u4e26\u4e0d\u6703\u9020\u6210\u4efb\u4f55\u50b7\u5bb3\u3002\u540c\u6642\uff0c\u4e5f\u53ef\u900f\u904e\u808c\u96fb\u5716Electromyography\uff08EMG\uff09\u8a18\u9304\u808c\u8089\u4f38\u5f35\u6642\u6240\u7522\u751f\u7684\u96fb\u6ce2\uff0c\u4ee5\u8a55\u4f30\u795e\u7d93\u7684\u60c5\u6cc1\u3002<sup>4,18-19<\/sup><\/p>\n\n\n\n<p><strong>\u795e\u7d93\u53ca\u76ae\u819a\u5207\u7247\u6aa2\u67e5\uff1a<\/strong> \u900f\u904e\u5207\u9664\u4e00\u5c0f\u90e8\u5206\u795e\u7d93\u548c\u76ae\u819a\u4f86\u5316\u9a57\uff0c\u89c0\u5bdf\u795e\u7d93\u6709\u5426\u7570\u5e38\u3002<sup>4, 18<\/sup><\/p>\n\n\n\n        <div class=\"mb-3 text-center\">\n            <a\n                class=\"btn btn-primary btn-cta\"\n                href=\"https:\/\/finddoc.com\/zh-cn\/doctors\/\u8111\u795e\u7ecf\u79d1\u533b\u751f\"\n            >\n                \u9810\u7d04\u8166\u795e\u7d93\u79d1\u91ab\u751f\u4e86\u89e3\u60a8\u7684\u60c5\u6cc1\n            <\/a>\n        <\/div>\n    \n\n\n\n        <div class=\"mb-3 text-center\">\n            <a\n                class=\"btn btn-primary btn-cta\"\n                href=\"https:\/\/finddoc.com\/zh-cn\/doctors\/\u9aa8\u79d1\u533b\u751f\"\n            >\n                \u9810\u7d04\u9aa8\u79d1\u91ab\u751f\u4e86\u89e3\u60a8\u7684\u60c5\u6cc1\n            <\/a>\n        <\/div>\n    \n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"hip__section-border-lower\"><\/div>\n\n\n\n<div id=\"\u6cbb\u7642\" class=\"wp-block-group\"><div class=\"wp-block-group__inner-container\">\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container\">\n<div class=\"wp-block-columns has-2-columns hip__content-section container flex-column-reverse flex-lg-row\">\n<div class=\"wp-block-column\" style=\"flex-basis:65%\">\n<h2 id=\"h--5\"><strong>\u5468\u908a\u795e\u7d93\u75db\u6cbb\u7642<\/strong><\/h2>\n\n\n\n<p>\u6cbb\u7642\u6709\u4e09\u5927\u65b9\u5411\uff0c(a) \u91ab\u6cbb\u795e\u7d93\u75db\u7684\u75c5\u56e0\uff0c(b) \u63a7\u5236\u548c\u7d13\u7de9\u75c5\u5fb5\uff0c(c) \u6e1b\u4f4e\u75c5\u60c5\u60e1\u5316\u53ca\u5c0d\u65e5\u5e38\u751f\u6d3b\u7684\u5f71\u97ff\u3002\u73fe\u8a73\u8ff0\u5982\u4e0b\uff1a<\/p>\n\n\n\n<h4 id=\"h-a-1\"><strong>a. \u91dd\u5c0d\u6210\u56e0\u7684\u6cbb\u7642<\/strong><\/h4>\n\n\n\n<p>i. \u7531\u7cd6\u5c3f\u75c5\u5f15\u8d77\u7684\u795e\u7d93\u75db\uff0c\u63a7\u5236\u8840\u7cd6\uff0c\u75c5\u60c5\u5c31\u6703\u6709\u6240\u6539\u5584\u3002<sup>20<\/sup><\/p>\n\n\n\n<p>ii. \u7531\u98f2\u98df\u7fd2\u6163\u5f15\u8d77\u7684\u795e\u7d93\u75db\uff0c \u53ef\u900f\u904e\u6ce8\u5c04\u6216\u670d\u7528\u7dad\u4ed6\u547dB12\uff1b\u6216\u6e1b\u5c11\u9152\u7cbe\u651d\u53d6\u91cf\uff1b\u6e1b\u80a5\u548c\u904b\u52d5\u7b49\u4f86\u6539\u5584\u75c5\u60c5\u3002<sup>18,21<\/sup><\/p>\n\n\n\n<p>iii. \u7531\u52de\u640d\u5f15\u8d77\u7684\u4e09\u53c9\u795e\u7d93\u75db\u3001\u5750\u9aa8\u795e\u7d93\u75db\/\u8170\u75db\u3001\u80a9\u9838\u75db\u3001\u8155\u7ba1\u7d9c\u5408\u75c7\uff0c\u53ef\u900f\u904e\u7269\u7406\u6cbb\u7642\u548c\u624b\u8853\u4f86\u7d13\u7de9\u3002<sup>22<\/sup><\/p>\n\n\n\n<p>iv. \u7531\u514d\u75ab\u7cfb\u7d71\u75be\u75c5\u5f15\u8d77\u7684\u795e\u7d93\u75db\uff0c \u53ef\u900f\u904e\u8840\u6f3f\u7f6e\u63db\u624b\u8853\uff0c\u628a\u7570\u5e38\u7684\u86cb\u767d\u8cea\u6ffe\u8d70\uff1b\u6216\u6ce8\u5c04\u514d\u75ab\u7403\u86cb\u767d\uff0c\u4ee5\u5e72\u64fe\u514d\u75ab\u7cfb\u7d71\u4e2d\u7684\u7570\u5e38\u6297\u9ad4\uff0c\u90fd\u6709\u986f\u8457\u7684\u7642\u6548\u3002<sup>20,23<\/sup><\/p>\n\n\n\n<h4 id=\"h-b-2\"><strong>b. \u91dd\u5c0d\u4fee\u5fa9\u795e\u7d93\u53ca\u8212\u7de9\u75db\u695a\u7684\u6cbb\u7642<\/strong><\/h4>\n\n\n\n<p>i. <strong>\u53e3\u670d\uff1a<\/strong>\u6b62\u75db\u85e5\u3001\u7532\u9237\u80fa\u3001\u76ae\u8cea\u985e\u56fa\u9187\u3001\u975e\u985e\u56fa\u9187\u6d88\u708e\u85e5\u3002<sup>18,21<\/sup><\/p>\n\n\n\n<ul><li>\u6b62\u75db\u85e5\u53ea\u80fd\u6e1b\u8f15\u75db\u695a\u7684\u611f\u89ba\uff0c\u4e0d\u80fd\u5f9e\u6839\u672c\u4fee\u5fa9\u795e\u7d93\u640d\u50b7<\/li><li>\u7532\u9237\u80fa\u662f\u4e00\u7a2e\u6d3b\u6027\u7dad\u4ed6\u547dB12 \uff0c\u5177\u4fee\u5fa9\u53d7\u640d\u795e\u7d93\u4e26\u4fc3\u9032\u795e\u7d93\u518d\u751f\u7684\u4f5c\u7528<sup>23<\/sup>\uff0c  \u53ef\u6539\u5584\u5750\u9aa8\u795e\u7d93\u75db\/\u8170\u75db\u3001\u8155\u7ba1\u7d9c\u5408\u75c7\u3001\u751f\u86c7\u3001\u7cd6\u5c3f\u75c5\u5468\u908a\u795e\u7d93\u75c5\u8b8a\u3001\u4e09\u53c9\u795e\u7d93\u75db\u3002\u5176\u526f\u4f5c\u7528\u76f8\u5c0d\u8f03\u8f15\u5fae\u4e14\u6eab\u548c\u3002<sup>24-25<\/sup>\u6d3b\u6027\u914d\u65b9\u4e0d\u9700\u8981\u7d93\u809d\u81df\u8f49\u5316\uff0c\u85e5\u6548\u80fd\u66f4\u8fc5\u901f\u767c\u63ee<\/li><li>\u6297\u7672\u7647\u53ca\u6297\u6291\u9b31\u85e5\u6709\u52a9\u6b62\u75db\u548c\u589e\u5f37\u6297\u75db\u6a5f\u5236\u3002<sup>18,26<\/sup><\/li><\/ul>\n\n\n\n<p>ii.<strong> \u5916\u7528\uff1a<\/strong>\u542b\u8fa3\u6912\u7d20\u7684\u85e5\u818f\u3001\u5229\u591a\u5361\u56e0\u85e5\u7528\u81a0\u5e03\u3002<sup>18<\/sup><\/p>\n\n\n\n<p>iii.<strong> \u91dd\u5291\uff1a<\/strong>\u76ae\u8cea\u985e\u56fa\u9187\u3001\u7532\u9237\u80fa<sup>21<\/sup><\/p>\n\n\n\n<ul><li>\u76f4\u63a5\u6ce8\u5c04\u7532\u9237\u80fa\u53ef\u66f4\u5feb\u9054\u5230\u6b62\u75db\u6548\u679c\u3002<\/li><\/ul>\n\n\n\n<p>iv. <strong>\u975e\u85e5\u7269\u6cbb\u7642\uff1a<\/strong>\u900f\u76ae\u795e\u7d93\u96fb\u523a\u6fc0<sup>18<\/sup><\/p>\n\n\n\n<h4 id=\"h-c-1\"><strong>c. \u751f\u6d3b\u7fd2\u6163<\/strong><\/h4>\n\n\n\n<p>i. <strong>\u7cd6\u5c3f\u75c5\u5468\u908a\u795e\u7d93\u75c5\u8b8a\u60a3\u8005\u9808\u6ce8\u610f\u4e8b\u9805<\/strong>\uff1a<\/p>\n\n\n\n<p>\u60a3\u8005\u9808\u7279\u5225\u7559\u610f\u8eab\u9ad4\u5404\u90e8\u4f4d\u6709\u5426\u640d\u50b7\uff0c\u6bcf\u5929\u6aa2\u67e5\u6709\u5426\u51fa\u73fe\u6c34\u6ce1\u3001\u50b7\u53e3\u3001\u7d50\u75c2\u7b49\uff0c\u5982\u6709\u9808\u7279\u5225\u6ce8\u610f\u4fdd\u8b77\u548c\u6e05\u6f54\u3002<sup>18<\/sup>\u61c9\u6bcf\u5e74\u9032\u884c\u4e00\u6b21\u5168\u9762\u7684\u8db3\u90e8\u8a55\u4f30\u3002<sup>27<\/sup>\u7a7f\u8457\u9b06\u8edf\u7684\u68c9\u896a\uff0c\u5728\u978b\u88e1\u52a0\u7de9\u885d\u978b\u588a\uff0c\u6709\u52a9\u6e1b\u4f4e\u8173\u90e8\u6f70\u760d\u7684\u98a8\u96aa\u3002<sup>18<\/sup><\/p>\n\n\n\n<p>ii. <strong>\u5176\u4ed6\u6709\u52a9\u6539\u5584\u5468\u908a\u795e\u7d93\u75db\u7684\u751f\u6d3b\u7fd2\u6163<\/strong>\uff1a<\/p>\n\n\n\n<p>\u6046\u5e38\u904b\u52d5\uff1a \u5373\u4f7f\u53ea\u662f\u591a\u6563\u6b65\uff0c\u90fd\u80fd\u6539\u5584\u808c\u8089\u529b\u91cf\u548c\u63a7\u5236\u8840\u7cd6\u6c34\u5e73\uff1b\u745c\u4f3d\u548c\u592a\u6975\u4ea6\u6709\u52a9\u6539\u5584\u75c5\u60c5\u3002<sup>18<\/sup><\/p>\n\n\n\n<p>\u5065\u5eb7\u98f2\u98df\u7fd2\u6163\uff1a \u4fdd\u6301\u5747\u8861\u71df\u990a\uff0c\u591a\u5403\u6c34\u852c\u679c\u3001\u5168\u7a40\u985e\u53ca\u76ca\u7cbe\u86cb\u767d\u8cea\uff0c\u4e26\u651d\u53d6\u8db3\u5920\u7dad\u4ed6\u547d\u53ca\u7926\u7269\u8cea\u3002<sup>18<\/sup> \u6212\u7159\u548c\u907f\u514d\u9157\u9152\u4e5f\u80fd\u6e1b\u5c11\u60a3\u4e0a\u5468\u908a\u795e\u7d93\u75db\u7684\u98a8\u96aa\u3002<sup>18<\/sup><\/p>\n\n\n\n<h4 id=\"h--6\"><strong>\u9810\u5f8c<\/strong><\/h4>\n\n\n\n<p>\u4e00\u822c\u800c\u8a00\uff0c\u5982\u80fd\u627e\u51fa\u60a3\u8005\u5468\u908a\u795e\u7d93\u75db\u7684\u6210\u56e0\u4e26\u91dd\u5c0d\u6cbb\u7642\uff0c\u9810\u5f8c\u6703\u8f03\u6a02\u89c0\uff0c\u75c5\u72c0\u6709\u6a5f\u6703\u6162\u6162\u6d88\u5931\u3002\u7576\u7136\uff0c\u9019\u8981\u8996\u4e4e\u5be6\u969b\u60c5\u6cc1\uff0c\u5305\u62ec\u78ba\u8a3a\u6642\u9593\u3001\u75c5\u56e0\u662f\u5426\u53ef\u6cbb\u7652\u53ca\u56b4\u91cd\u7a0b\u5ea6\u3002\u6709\u4e9b\u75c5\u60c5\u56b4\u91cd\u7684\u60a3\u8005\u6216\u5728\u89e3\u6c7a\u75c5\u56e0\u5f8c\uff0c\u795e\u7d93\u4ecd\u7136\u6c38\u4e45\u53d7\u640d\u3002<sup>7<\/sup><\/p>\n\n\n\n        <div class=\"mb-3 text-center\">\n            <a\n                class=\"btn btn-primary btn-cta\"\n                href=\"https:\/\/finddoc.com\/zh-cn\/doctors\/\u8111\u795e\u7ecf\u79d1\u533b\u751f\"\n            >\n                \u9810\u7d04\u8166\u795e\u7d93\u79d1\u91ab\u751f\u4e86\u89e3\u60a8\u7684\u60c5\u6cc1\n            <\/a>\n        <\/div>\n    \n\n\n\n        <div class=\"mb-3 text-center\">\n            <a\n                class=\"btn btn-primary btn-cta\"\n                href=\"https:\/\/finddoc.com\/zh-cn\/doctors\/\u9aa8\u79d1\u533b\u751f\"\n            >\n                \u9810\u7d04\u9aa8\u79d1\u91ab\u751f\u4e86\u89e3\u60a8\u7684\u60c5\u6cc1\n            <\/a>\n        <\/div>\n    \n<\/div>\n\n\n\n<div class=\"wp-block-column ml-0 ml-lg-5\" style=\"flex-basis:35%\">\n<figure class=\"wp-block-image text-center text-lg-right\"><img width=\"313\" height=\"380\" src=\"https:\/\/d1odbeb14fc0ti.cloudfront.net\/wp-content\/uploads\/2020\/10\/15115246\/%E5%91%A8%E9%82%8A%E7%A5%9E%E7%B6%93%E7%97%9B%E6%B2%BB%E7%99%82-%E4%B8%89%E5%A4%A7%E6%96%B9%E5%90%91_update2.jpg\" alt=\"\" class=\"wp-image-19091\"\/><\/figure>\n<\/div>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n","protected":false},"author":7,"featured_media":19098,"template":"","categories":[],"tags":[2821,2840,1192],"acf":{"references":"<p>1. Peripheral neuropathy. Mayo Clinic. Accessed June 30, 2020, from<br \/>\nhttps:\/\/www.mayoclinic.org\/diseases-conditions\/peripheral-neuropathy\/symptoms-causes\/syc-20352061<\/p>\n<p>2. Lee, C. C., Perkins, B. A., Kayaniyil, S., Harris, S. B., Retnakaran, R., Gerstein, H. C., . . . Hanley, A.<br \/>\nJ. (2015). Peripheral Neuropathy and Nerve Dysfunction in Individuals at High Risk for Type 2<br \/>\nDiabetes: The PROMISE Cohort. Diabetes Care, 38(5), 793-800. doi:10.2337\/dc14-2585<\/p>\n<p>3. Lozeron, P., Trocello, J., &amp; Kubis, N. (2013). Acquired neuropathies. Journal of Neurology, 260 (9),<br \/>\n2433-2440. doi:10.1007\/s00415-013-6994-z<\/p>\n<p>4. Peripheral Neuropathy Fact Sheet. National Institute of Neurological Disorders and Stroke. Accessed June 30, 2020, from https:\/\/www.ninds.nih.gov\/Disorders\/Patient-Caregiver-Education\/Fact-Sheets\/Peripheral-Neuropathy-Fact-Sheet<\/p>\n<p>5. Patzk\u00f3, \u00c1., &amp; Shy, M. E. (2011). Update on Charcot-Marie-tooth disease. Current neurology and neuroscience reports, 11(1), 78-88.<\/p>\n<p>6. Nutritional Causes of Peripheral Neuropathy: Vitamin Deficiency Neuropathy. (n.d.). Retrieved August 17, 2020, from https:\/\/www.foundationforpn.org\/what-is-peripheral-neuropathy\/causes\/vitamin-nutrition-deficiency\/<\/p>\n<p>7. Neuropathy (Peripheral Neuropathy). (n.d.). Retrieved August 17, 2020, from https:\/\/my.clevelandclinic.org\/health\/diseases\/14737-neuropathy<\/p>\n<p>8. Callaghan, B. C., Price, R. S., &amp;amp; Feldman, E. L. (2015). Distal Symmetric Polyneuropathy. Jama, 314(20), 2172. doi:10.1001\/jama.2015.13611<\/p>\n<p>9. \u8b1d\u677e\u84bc\uff1a\u3008\u7cd6\u5c3f\u75c5\u5468\u908a\u795e\u7d93\u75c5\u8b8a\u3009\uff0c\u300a\u7576\u4ee3\u91ab\u5b78\u300b\u7b2c\u4e8c\u5341\u4e94\u5377\u7b2c\u516b\u671f\uff0c<br \/>\nhttp:\/\/homepage.ntu.edu.tw\/~anatomy\/teacher\/hsieh\/PNS%20teach%20web\/19_DM_2001.pdf\uff0c2020\u5e7407\u670822\u65e5\u8b80\u53d6\u3002<\/p>\n<p>10. Bell, D. S. (2010). Metformin-Induced Vitamin B12 Deficiency Presenting as a Peripheral Neuropathy. Southern Medical Journal, 103(3), 265-267. doi:10.1097\/smj.0b013e3181ce0e4d<\/p>\n<p>11. Mazokopakis, E. E., &amp;amp; Starakis, I. K. (2012). Recommendations for diagnosis and management of metformin-induced vitamin B12 (Cbl) deficiency. Diabetes Research and Clinical Practice, 97(3), 359-367. doi:10.1016\/j.diabres.2012.06.001<\/p>\n<p>12. Autoimmune Disease. (2019, October 18). Retrieved August 17, 2020, from https:\/\/www.foundationforpn.org\/what-is-peripheral-neuropathy\/causes\/autoimmune-disease\/<\/p>\n<p>13. Staying healthy while using PPIs. Harvard Health Publishing. Accessed July 23, 2020, from https:\/\/www.health.harvard.edu\/staying-healthy\/staying-healthy-while-using-ppis<\/p>\n<p>14. Trigeminal Neuralgia Fact Sheet. (n.d.). Retrieved August 17, 2020, from https:\/\/www.ninds.nih.gov\/Disorders\/Patient-Caregiver-Education\/Fact-Sheets\/Trigeminal-Neuralgia-Fact-Sheet<\/p>\n<p>15. Types of Peripheral Neuropathy &#8211; Idiopathic. (n.d.). Retrieved August 17, 2020, from http:\/\/peripheralneuropathycenter.uchicago.edu\/learnaboutpn\/typesofpn\/idiopathic\/<\/p>\n<p>16. Nicholson, B. (2006). Differential diagnosis: nociceptive and neuropathic pain. Am J Manag Care, 12(9 Suppl), S256-62.<\/p>\n<p>17. Peripheral neuropathy. (2019, May 22). Retrieved August 17, 2020, from https:\/\/www.mayoclinic.org\/diseases-conditions\/peripheral-neuropathy\/symptoms-causes\/syc-20352061<\/p>\n<p>18. Peripheral neuropathy. (2019, May 22). Retrieved August 17, 2020, from https:\/\/www.mayoclinic.org\/diseases-conditions\/peripheral-neuropathy\/diagnosis-treatment\/drc-20352067<\/p>\n<p>19. Neurological Examinations: How to Diagnose Peripheral Neuropathy. (2020, June 09). Retrieved August 17, 2020, from https:\/\/www.foundationforpn.org\/what-is-peripheral-neuropathy\/evaluation-and-tests\/<\/p>\n<p>20. \u8b1d\u677e\u84bc\uff1a\u3008\u5468\u908a\ufa19\u7d93\u75c5\u8b8a\u3009\uff0c\u570b\u7acb\u81fa\u7063\u5927\u5b78\u91ab\u9662\u795e\u7d93\u90e8\uff0c<br \/>\nhttp:\/\/homepage.ntu.edu.tw\/~anatomy\/teacher\/hsieh\/PNS%20teach%20web\/NeuropathyInfo.pdf\uff0c2020\u5e746\u670825\u65e5\u8b80\u53d6<\/p>\n<p>21. Treatment-Peripheral neuropathy. (n.d.). Retrieved August 17, 2020, from https:\/\/www.nhs.uk\/conditions\/peripheral-neuropathy\/treatment\/<\/p>\n<p>22. Zusman, M. (2008). Mechanisms of peripheral neuropathic pain: implications for musculoskeletal physiotherapy. Physical Therapy Reviews, 13(5), 313-323.<\/p>\n<p>23. Shibuya, K., Misawa, S., Nasu, S., Sekiguchi, Y., Beppu, M., Iwai, Y., &#8230; &amp; Kuwabara, S. (2014). Safety and efficacy of intravenous ultra-high dose methylcobalamin treatment for peripheral neuropathy: a phase I\/II open label clinical trial. Internal Medicine, 53(17), 1927-1931.<\/p>\n<p>24. Zhang, M., Han, W., Hu, S., &amp; Xu, H. (2013). Methylcobalamin: a potential vitamin of pain killer. Neural plasticity, 2013.<\/p>\n<p>25. Sun, Y., Lai, M. S., &amp; Lu, C. J. (2005). Effectiveness of vitamin B12 on diabetic neuropathy: systematic review of clinical controlled trials. Acta Neurol Taiwan, 14(2), 48-54.<\/p>\n<p>26. \u694a\u667a\u8d85\uff1a\u3008\u795e\u7d93\u75db\u7684\u6cbb\u7642\u65b0\u8da8\u52e2\u3009\uff0c\u570b\u7acb\u81fa\u7063\u5927\u5b78\u91ab\u9662\u795e\u7d93\u90e8\uff0c<br \/>\nhttps:\/\/www.ntuh.gov.tw\/neur\/Fpage.action?muid=1133&#038;fid=4237\uff0c2020\u5e746\u670826\u65e5\u8b80\u53d6\u3002<\/p>\n<p>27. \u90dd\u7acb\u667a\u7b49\uff1a\u30082019 \u5e74\u7f8e\u570b\u7cd6\u5c3f\u75c5\u5b78\u6703\u91dd\u5c0d\u7cd6\u5c3f\u75c5\u795e\u7d93\u75c5\u8b8a\u53ca\u7cd6\u5c3f\u75c5\u8db3\u4e4b\u6a19\u6e96\u6cbb\u7642\u5efa\u8b70\u3009\uff0c\u300a\u5167\u79d1\u96dc\u8a8c\u300b\uff0c2019\u5e74\uff0chttp:\/\/www.tsim.org.tw\/journal\/jour30-6\/02.PDF<\/p>\n","related_finddoctv_posts":false,"related_articles":false},"yoast_meta":{"yoast_wpseo_title":"","yoast_wpseo_metadesc":"","yoast_wpseo_canonical":"\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v15.6.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ 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