{"id":134,"date":"2025-01-20T08:50:12","date_gmt":"2025-01-20T00:50:12","guid":{"rendered":"https:\/\/www.knocking-on.com\/?p=134"},"modified":"2025-01-20T08:54:57","modified_gmt":"2025-01-20T00:54:57","slug":"%e9%92%99%e4%bb%a3%e8%b0%a2%e8%b0%83%e8%8a%82%e7%b3%bb%e7%bb%9f-%e5%86%85%e5%88%86%e6%b3%8c","status":"publish","type":"post","link":"https:\/\/www.knocking-on.com\/index.php\/2025\/01\/20\/%e9%92%99%e4%bb%a3%e8%b0%a2%e8%b0%83%e8%8a%82%e7%b3%bb%e7%bb%9f-%e5%86%85%e5%88%86%e6%b3%8c\/","title":{"rendered":"\u9499\u4ee3\u8c22\u8c03\u8282\u7cfb\u7edf-\u5185\u5206\u6ccc"},"content":{"rendered":"\n<p>\u4e00\u76f4\u89c9\u5f97\u5728\u8eab\u4f53\u68c0\u6d4b\u9879\u76ee\u6307\u6807\u4e2d\u79bb\u5b50\u68c0\u6d4b\u662f\u53ef\u6709\u53ef\u65e0\uff0c\u6700\u8fd1\u4e00\u76f4\u5728\u770b\u5185\u5206\u6ccc\u68c0\u6d4b\u76f8\u5173\u7684\u4e1c\u897f\uff0c\u5bf9\u79bb\u5b50\u68c0\u6d4b\u7684\u7406\u89e3\uff0c\u611f\u89c9\u81ea\u5df1\u72ed\u9698\u4e86\uff0c\u8ba4\u77e5\u7247\u9762\u4e86\u3002\u5185\u5206\u6ccc\u7cfb\u7edf\u6307\u5bf9\u5168\u8eab\u5185\u5206\u6ccc\u817a\u800c\u8a00\uff0c\u662f\u795e\u7ecf\u7cfb\u7edf\u4ee5\u5916\u7684\u53e6\u4e00\u91cd\u8981\u673a\u80fd\u8c03\u8282\u7cfb\u7edf\u3002\u5305\u542b\u5f88\u591a\u7ec6\u5206\u7684\u8c03\u8282\u7cfb\u7edf\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"499\" height=\"591\" src=\"https:\/\/www.knocking-on.com\/wp-content\/uploads\/2025\/01\/\u6587\u7ae01.jpg\" alt=\"\" class=\"wp-image-136\" srcset=\"https:\/\/www.knocking-on.com\/wp-content\/uploads\/2025\/01\/\u6587\u7ae01.jpg 499w, https:\/\/www.knocking-on.com\/wp-content\/uploads\/2025\/01\/\u6587\u7ae01-253x300.jpg 253w\" sizes=\"auto, (max-width: 499px) 100vw, 499px\" \/><\/figure>\n\n\n\n<p>\u5185\u5206\u6ccc\u7cfb\u7edf\u7ec4\u6210<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>&nbsp; &nbsp; &nbsp;\u4e0b\u4e18\u8111&nbsp; &nbsp;&nbsp;&nbsp; &nbsp;&nbsp;<\/li>\n\n\n\n<li>&nbsp; &nbsp; &nbsp;&nbsp;\u5782\u4f53<\/li>\n\n\n\n<li>&nbsp; &nbsp; &nbsp;\u7532\u72b6\u817a<\/li>\n\n\n\n<li>&nbsp; &nbsp; &nbsp;<strong>\u7532\u72b6\u65c1\u817a<\/strong><\/li>\n\n\n\n<li>&nbsp; &nbsp; &nbsp;\u80be\u4e0a\u817a<\/li>\n\n\n\n<li>&nbsp; &nbsp; &nbsp; \u80f0\u5c9b<\/li>\n\n\n\n<li>&nbsp; &nbsp; &nbsp;&nbsp;\u777e\u4e38<\/li>\n\n\n\n<li>&nbsp; &nbsp; &nbsp; \u5375\u5de2<\/li>\n<\/ul>\n\n\n\n<p>\u9499\u4ee3\u8c22\u8c03\u8282\u7cfb\u7edf<br>\u9499\u662f\u4eba\u4f53\u5185\u7684\u4e00\u79cd\u91cd\u8981\u7684\u8425\u517b\u7d20\uff0c\u4eba\u4f53\u5185\u7ea6\u6709\u9499700\uff5e1500g\uff0c99%\u7684\u9499\u4ee5\u4e0d\u53ef\u6eb6\u5f62\u5f0f\u5b58\u5728\u4e8e\u9aa8\u9abc\u548c\u7259\u9f7f\u4e2d\uff0c1%\u4ee5\u53ef\u6eb6\u6027\u5f62\u5f0f\uff08Ca<sup>2+<\/sup>\uff09\u5b58\u5728\u4e8e\u7ec6\u80de\u5185\u6db2\u548c\u7ec6\u80de\u5916\u6db2\u3002\u9499\u9664\u4e86\u53c2\u4e0e\u9aa8\u7684\u5f62\u6210\u3001\u795e\u7ecf\u3001\u808c\u8089\u7684\u5174\u594b\u4ee5\u53ca\u817a\u4f53\u7684\u5206\u6ccc\u5916\uff0c\u5728\u7ec6\u80de\u751f\u957f\u3001\u57fa\u56e0\u8f6c\u5f55\u3001\u7ec6\u80de\u4ee3\u8c22\u4ee5\u53ca\u7ef4\u6301\u7ec6\u80de\u819c\u7684\u7a33\u5b9a\u4e2d\u90fd\u5177\u6709\u91cd\u8981\u4f5c\u7528\u3002\u53ea\u6709\u7ef4\u6301\u7ec6\u80de\u5185\u5916\u9499\u6d53\u5ea6\u7684\u7a33\u5b9a\uff0c\u624d\u80fd\u7ef4\u62a4\u673a\u4f53\u6b63\u5e38\u7684\u751f\u7406\u529f\u80fd\u3002\u8c03\u8282\u9499\u78f7\u4ee3\u8c22\u548c\u7ef4\u6301\u8840\u9499\u78f7\u6d53\u5ea6\u7a33\u5b9a\u7684\u4e3b\u8981\u6fc0\u7d20\u6709<strong>\u7532\u72b6\u65c1\u817a\u7d20\uff08parathyroid hormone\uff0cPTH\uff09<\/strong>\u3001<strong>1\uff0c25-\u4e8c\u7f9f\u7ef4\u751f\u7d20D3<\/strong>\u548c<strong>\u964d\u9499\u7d20<\/strong>\u3002\u8fd9\u4e9b\u6fc0\u7d20\u901a\u8fc7\u76f8\u4e92\u534f\u540c\u548c\u62ee\u6297\u7684\u5173\u7cfb\uff0c\u5f71\u54cd\u9499\u7684\u5438\u6536\u3001\u6392\u6cc4\u4ee5\u53ca<strong>\u9aa8\u9499<\/strong>\u7684\u52a8\u5458\uff0c\u6765\u7ef4\u6301\u8840\u9499\u5728\u6b63\u5e38\u8303\u56f4\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>&nbsp;<strong>PTH<\/strong>\u4e3b\u8981\u4f5c\u7528\u662f\u7ef4\u6301\u7ec6\u80de\u5916\u6db2\u9499\u6d53\u5ea6\u7684\u7a33\u5b9a\u3002PTH\u901a\u8fc7\u76f4\u63a5\u4f5c\u7528\u4e8e<strong>\u9776\u7ec4\u7ec7\u9aa8\u548c\u80be<\/strong>\uff0c\u95f4\u63a5\u4f5c\u7528\u4e8e<strong>\u5c0f\u80a0<\/strong>\uff0c\u4f7f\u8840\u9499\u5347\u9ad8\u3002\u5f53\u8840\u9499\u6062\u590d\u6b63\u5e38\u65f6\uff0cPTH\u4ea6\u964d\u81f3\u6b63\u5e38\u6c34\u5e73\uff0c\u4ee5\u9632\u6cbb\u8840\u9499\u7ee7\u7eed\u5347\u9ad8\u3002<\/li>\n\n\n\n<li>\u7531\u76ae\u80a4\u4e2d\u76847-\u8131\u6c22\u80c6\u56fa\u9187\u5728\u7d2b\u5916\u7ebf\u7167\u5c04\u4e0b\u8f6c\u6362\u6765\u7684\u7ef4\u751f\u7d20D3\u548c\u5916\u6e90\u6027\u6444\u5165\u7684\u7ef4\u751f\u7d20D3\u5728\u809d\u810f25-\u7f9f\u5316\u9176\u548c\u80be\u810f1\u03b1-\u7f9f\u5316\u9176\u7684\u4f5c\u7528\u4e0b\u8f6c\u6362\u4e3a\u6d3b\u6027\u6700\u5f3a\u7684<strong>1<\/strong><strong>\uff0c25-\uff08OH\uff092D3<\/strong>\u30021,25-\uff08OH\uff092D3\u9664\u4e86\u76f4\u63a5\u4fc3\u8fdb\u80a0\u9053\u5bf9\u9499\u548c\u78f7\u7684\u5438\u6536\u4ee5\u5916\uff0c\u5bf9\u9aa8\u4ee3\u8c22\u4e5f\u5177\u6709\u53cc\u91cd\u4f5c\u7528\uff0c\u65e2\u80fd\u4fc3\u8fdb\u9aa8\u5f62\u6210\uff0c\u53c8\u53ef\u523a\u6fc0\u9aa8\u5438\u6536\u3002<\/li>\n\n\n\n<li><strong>\u964d\u9499\u7d20<\/strong>\u4e3b\u8981\u7531\u7532\u72b6\u817aC\u7ec6\u80de\u5206\u6ccc\uff0c\u53ef\u62ee\u6297PTH\uff0c\u964d\u4f4e\u8840\u9499\u548c\u8840\u78f7\u3002\u964d\u9499\u7d20\u4e3b\u8981\u901a\u8fc7\u6291\u5236\u7834\u9aa8\u7ec6\u80de\u6d3b\u6027\u800c\u6291\u5236\u9aa8\u5438\u6536\u3001\u6291\u5236\u80be\u8fd1\u66f2\u5c0f\u7ba1\u5bf9\u9499\u78f7\u7684\u91cd\u5438\u6536\u548c\u6291\u5236\u80a0\u9499\u5438\u6536\u6765\u964d\u4f4e\u8840\u9499\u3002<\/li>\n\n\n\n<li>\u5176\u4ed6\u6fc0\u7d20\uff1a\u7532\u72b6\u817a\u7d20\u65e2\u53ef\u4fc3\u8fdb\u9aa8\u5438\u6536\uff0c\u53c8\u53ef\u4fc3\u8fdb\u9aa8\u5f62\u6210\uff0c\u4ee5\u9aa8\u5438\u6536\u5360\u4f18\u52bf\uff1b\u6027\u6fc0\u7d20\u53ef\u52a0\u901f\u9aa8\u9aba\u878d\u5408\uff0c\u523a\u6fc0\u6210\u9aa8\uff1b\u7cd6\u76ae\u8d28\u6fc0\u7d20\u53ef\u51cf\u5c11\u80a0\u9499\u5438\u6536\u548c\u80be\u5c0f\u7ba1\u5bf9\u9499\u7684\u91cd\u5438\u6536\uff0c\u964d\u4f4e\u8840\u9499\uff1b\u751f\u957f\u6fc0\u7d20\u53ef\u4fc3\u8fdb\u80a0\u9499\u5438\u6536\u548c\u80be\u5c0f\u7ba1\u5bf9\u9499\u78f7\u7684\u91cd\u5438\u6536\uff0c\u4f7f\u9aa8\u5f62\u6210\u548c\u9aa8\u5438\u6536\u540c\u65f6\u589e\u52a0\uff1b\u6ccc\u4e73\u7d20\u548c\u80f0\u5c9b\u7d20\u4ea6\u5f71\u54cd\u7740\u9499\u78f7\u4ee3\u8c22\u3002<\/li>\n<\/ol>\n\n\n\n<p>\u4e0e\u9499\u4ee3\u8c22\u76f8\u5173\u6307\u6807\u6d4b\u5b9a\uff08\u4e00\uff09\u8840\u6e05\u9499\uff08\u4e8c\uff09\u8840\u6e05\u78f7\uff08\u4e09\uff09\u8840\u6e05\u603b\u78b1\u6027\u78f7\u9178\u9176<br>\uff08\u56db\uff09\u8840\u6e05\u7532\u72b6\u65c1\u817a\u7d20\uff08\u4e94\uff09\u5c3f\u9499\u548c\u5c3f\u78f7\u3010\u5e73\u65f6\u4f53\u68c0\u4e2d\u597d\u50cf\u6ca1\u6709\u6ce8\u610f\u8fd9\u4e2a\u6d53\u5ea6\u503c\u3011\u9499\u4ee3\u8c22\u548c\u78f7\u4ee3\u8c22\u5bc6\u5207\u76f8\u5173\uff0c\u9499\u548c\u78f7\u6d53\u5ea6\u4e0e\u5176\u5316\u5b66\u7ed3\u5408\u4e3a\u78f7\u9178\u9499\u7684\u80fd\u529b\u6709\u5173\u3002\u9499\u78f7\u4e58\u79ef\uff08\u4ee5 mg\/dL\u4e3a\u5355\u4f4d\uff09\u6b63\u5e38\u60c5\u51b5\u4e0b\u5e94&nbsp;&lt;&nbsp;60 mg<sup>2<\/sup>\/dL<sup>2<\/sup>&nbsp;(&lt;&nbsp;4.8 mmol<sup>2<\/sup>\/L<sup>2<\/sup>)\uff1b\u82e5\u5176\u503c\u8d85\u8fc770 mg<sup>2<\/sup>\/dL<sup>2<\/sup>&nbsp;(5.6 mmol<sup>2<\/sup>\/L<sup>2<\/sup>)\uff0c\u751f\u6210\u78f7\u9178\u9499\u7ed3\u6676\u6c89\u79ef\u4e8e\u8f6f\u7ec4\u7ec7\u4e2d\u7684\u53ef\u80fd\u6027\u5927\u5927\u589e\u52a0\u3002\u5373\u4f7f\u9499\u78f7\u4e58\u79ef\u504f\u4f4e\uff08&gt;55mg<sup>2<\/sup>\/dL<sup>2<\/sup>&nbsp;[4.4 mmol<sup>2<\/sup>\/L<sup>2<\/sup>]\uff09\uff0c&nbsp;<strong>\u6162\u6027\u80be\u75c5\u60a3\u8005\u4ecd\u53ef\u80fd\u53d1\u751f\u8840\u7ba1\u9499\u5316<\/strong>\uff0c<strong>\u52a0\u901f\u52a8\u8109\u7ca5\u6837\u786c\u5316\u3002<\/strong><br>\u78b1\u6027\u78f7\u9178\u9176\uff08ALP\uff09\u662f\u4e00\u79cd\u542b\u950c\u7684\u7cd6\u86cb\u767d\uff0c\u5e7f\u6cdb\u5206\u5e03\u4e8e\u5404\u7ec4\u7ec7\u4e2d\u3002\u4e34\u5e8a\u4e0a\u6d4b\u5b9aALP\u4e3b\u8981\u7528\u4e8e\u9aa8\u9abc\u3001\u809d\u80c6\u7cfb\u7edf\u75be\u75c5\u7684\u8bca\u65ad\u548c\u9274\u522b\u8bca\u65ad\u3002\u5c3f\u9499\u3001\u5c3f\u78f7\u6700\u5e38\u7528\u7684\u662fmmol\/d\u6216\u8005mg\/24h\uff0c\u8868\u793a\u6bcf\u5929\u7684\u5c3f\u9499\u6216\u8005\u5c3f\u78f7\u6392\u51fa\u603b\u91cf\u3002\u6b63\u5e38\u4eba\u6bcf\u65e5\u6444\u5165400-600mg Ca\uff0c\u5c3f\u9499\u6392\u91cf1.9-5.6mmol\/d\uff0875-225mg\/d\uff09\u3002\u6b63\u5e38\u5c3f\u78f7\u6392\u6cc4\u91cf0.7-1.5g\uff0c\u80be\u78f7\u9608\u7ea60.65mmol\/L\uff082mg\/dl\uff09\uff0c\u8840\u78f7&lt;=0.65mmol\/L\uff082mg\/dl\uff09\u65f6\uff0c\u5c3f\u78f7\u63a5\u8fd1\u96f6\u3002<strong>\u5c3f\u9499\u78f7\u6d4b\u5b9a\u4ec5\u4f5c\u4e3a\u4ee3\u8c22\u6027\u9aa8\u75c5\u7684\u521d\u7b5b\u8bd5\u9a8c\u3002<\/strong>\u9aa8\u9abc\u62e5\u6709\u7ed3\u6784\u53ca\u4ee3\u8c22\u65b9\u9762\u7684\u53cc\u91cd\u529f\u80fd<\/p>\n\n\n\n<ul 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