首都医科大学三博脑科医院于春江教授

A. 鍖椾含涓夊崥鑴戠戝尰闄㈢戝や粙缁

鍖椾含涓夊崥鑴戠戝尰闄㈡嫢鏈夊氫釜涓撲笟绉戝わ紝涓撴敞浜庣炵粡澶栫戦嗗煙鐨勫尰鐤楁湇鍔°傞栧厛锛岀炵粡澶栫戜竴鐥呭尯鐢卞浗鍐呯煡鍚嶇殑鍔熻兘绁炵粡澶栫戝︾戝甫澶翠汉鏍惧浗鏄庢暀鎺堥嗗啗锛岃ョ梾鍖虹壒鑹插湪浜庡姛鑳界炵粡娌荤枟锛屽寘鎷鐧鐥銆佽繍鍔ㄩ殰纰嶃佺炵粡闅滅嶃佺柤鐥涖佺珛浣撳畾鍚戞不鐤椼佽剳鍔熻兘鍖鸿偪鐦ゆ墜鏈浠ュ強鐥夋寷鎬ф枩棰堝拰鑴戝共鍨嬮珮琛鍘嬬瓑鐤剧梾鐨勮瘖娌汇

绁炵粡澶栫戜簩鐥呭尯鐢遍呭簳绁炵粡澶栫戜笓瀹朵簬鏄ユ睙鏁欐巿鍧愰晣锛屼互棰呭簳鑲跨槫娌荤枟涓烘牳蹇冿紝涓撻暱浜庨瀺鍖恒佸悗棰呯獫銆佸皬鑴戝箷涓娿佽剨楂撳拰闈㈢槴淇澶嶏紝灏ゅ叾鍦ㄥ瀭浣撹吅鐦ゅ拰鍚绁炵粡鐦ょ殑璇婃柇涓庢不鐤椾笂琛ㄧ幇鍑鸿壊銆

绁炵粡澶栫戜笁鐥呭尯鐢辩煶绁ユ仼鏁欐巿甯﹂嗭紝涓撴敞浜庨呭捊绠＄槫銆佽剳琛绠＄梾鍜岃剨楂撶柧鐥咃紝娌荤枟鑼冨洿骞挎硾锛屽寘鎷棰呭捊绠＄槫銆佽剳鑴婇珦琛绠℃х柧鐥呫佽剨楂撹偪鐦ゃ侀呰剳鎹熶激銆佽剳鍐呮劅鏌撴х柧鐥呬互鍙婂厛澶╂ц剳鐤剧梾绛夛紝鐗瑰埆鎿呴暱棰呭唴鍔ㄨ剦鐦ゃ佽剳琛绠＄暩褰銆侀堝姩鑴夌嫮绐勫拰鐥夋寷鎬ф枩棰堢瓑鐤剧梾鐨勬不鐤椼

绁炵粡澶栫戝洓鐥呭尯涓昏佹帴鏀跺尰淇濈梾浜猴紝涓轰粬浠鎻愪緵涓撲笟绁炵粡绉戝尰鐤楁湇鍔°傝岀炵粡澶栫戜簲鐥呭尯鍒欐槸灏忓効绁炵粡澶栫戜腑蹇冿紝浠ユ不鐤楀効绔ョ炵粡澶栫戠柧鐥呬负鐗硅壊锛屾兜鐩栭呰剳涓庤剨楂撹偪鐦ゃ佽剳琛绠＄柧鐥呫佸厛澶╂х暩褰銆佹崯浼ゅ拰鎰熸煋鎬х柧鐥呯瓑銆

鍖椾含涓夊崥鑴戠戝尰闄㈠潗钀藉湪鍖椾含钁楀悕棣欏北椋庢櫙鍖鸿剼涓嬨傝繖鏄涓鎵浠ョ炵粡鍐呭栫戜负閲嶇偣鐨勭幇浠ｅ寲鑴戜笓绉戝尰闄銆傚尰闄㈢戝ら綈鍏锛岃炬湁绁炵粡澶栫戙佺炵粡鍐呯戙佺櫕鐥涓蹇冦佺炵粡鍐呴暅涓蹇冦佸唴绉戙佸栫戙佺炵粡褰卞儚绉戙佺梾鐞嗙戠瓑涓村簥鍜屽尰鎶绉戝ゅ苟鎷ユ湁鐙绔嬬殑鑴戠戝︾爺绌舵墍锛屾槸闆嗗尰鐤楁暀瀛︾戠爺涓轰竴浣撶殑鐜颁唬鍖栧尰闄銆傚尰闄浠ラ栧腑涓撳舵牼鍥芥槑銆佷簬鏄ユ睙銆佺煶绁ユ仼銆佸垬鍏存床銆佸紶浜氬崜銆佺帇淇濆浗绛夊綊鍥藉﹁呬负鏍稿績锛岃仛闆嗕簡涓澶ф壒鍏锋湁娓婂崥鍖诲︾煡璇嗐佷赴瀵屼复搴婄粡楠屽拰鐜颁唬鍖诲︾悊蹇电殑鍖荤枟绮捐嫳锛屽舰鎴愪簡鍚勫叿涓撲笟鐗归暱浼樺娍浜掕ˉ銆佺粨鏋勭簿鑹鍚堢悊鐨勬不鐤楀洟闃熴