{"id":346157,"date":"2025-07-16T15:47:03","date_gmt":"2025-07-16T07:47:03","guid":{"rendered":"https:\/\/pingtungtimes.com.tw\/?p=346157"},"modified":"2025-07-16T15:47:03","modified_gmt":"2025-07-16T07:47:03","slug":"%e6%88%90%e5%a4%a7%e9%86%ab%e9%99%a2%e7%99%8c%e5%bf%83%e5%9c%98%e9%9a%8a%e8%b7%a8%e7%a7%91%e5%90%88%e4%bd%9c-%e5%89%b5%e6%96%b0%e7%aa%81%e7%a0%b4-%e8%ad%89%e5%af%a6%e6%96%b0%e8%97%a5%e6%9c%89%e6%95%88","status":"publish","type":"post","link":"https:\/\/pingtungtimes.com.tw\/?p=346157","title":{"rendered":"\u6210\u5927\u91ab\u9662\u764c\u5fc3\u5718\u968a\u8de8\u79d1\u5408\u4f5c \u5275\u65b0\u7a81\u7834 \u8b49\u5be6\u65b0\u85e5\u6709\u6548\u9810\u9632\u764c\u75c7\u6cbb\u7642\u5fc3\u81df\u6bd2\u6027"},"content":{"rendered":"<p>\u3010\u8a18\u8005\u5433\u7389\u60e0\/\u81fa\u5357\u5831\u5c0e\u3011\u3000\u6210\u5927\u91ab\u9662\u5fc3\u81df\u5167\u79d1\u3001\u816b\u7624\u91ab\u5b78\u90e8\u8207\u4e73\u623f\u5916\u79d1\u4e09\u5927\u5718\u968a\uff0c\u5b8c\u6210\u5168\u7403\u9996\u9805\u4ee5\u65b0\u4e00\u4ee3\u5fc3\u8870\u7aed\u85e5\u7269\u300c\u8840\u7ba1\u5f35\u529b\u7d20\u53d7\u9ad4-\u8166\u5561\u80bd\u9176\u6291\u5236\u5291\u300d\uff08Angiotensin Receptor-Neprilysin Inhibitor, ARNI\uff09\u9810\u9632\u764c\u75c7\u6cbb\u7642\u8a98\u767c\u5fc3\u81df\u6bd2\u6027\uff08Cancer Therapy-Related Cardiac Dysfunction, CTRCD\uff09\u4e4b\u7b2c\u4e8c\u671f\u81e8\u5e8a\u8a66\u9a57\uff0c\u63d0\u4f9b\u66f4\u5b89\u5168\u6709\u6548\u7684\u6574\u5408\u6027\u7167\u8b77\u3002<\/p>\n<p>\u5fc3\u81df\u6bd2\u6027\uff0c\u662f\u764c\u75c7\u60a3\u8005\u6297\u764c\u904e\u7a0b\u4e2d\u7d93\u5e38\u9762\u81e8\u7684\u56b4\u5cfb\u6311\u6230\u4e4b\u4e00\uff0c\u53ef\u80fd\u5c0e\u81f4\u6cbb\u7642\u4e2d\u65b7\u3001\u751f\u6d3b\u54c1\u8cea\u4e0b\u964d\uff0c\u751a\u81f3\u9810\u5f8c\u60e1\u5316\u3002\u6210\u5927\u91ab\u9662\u7814\u7a76\u6210\u679c\u65bc2024\u5e74\u5728\u6b50\u6d32\u5fc3\u81df\u5b78\u6703\u5e74\u6703\uff08ESC Congress\uff09\u4e2d\u767c\u8868\uff0c\u7814\u7a76\u8ad6\u6587\u4eca\uff082025\uff09\u5e74\u6b63\u5f0f\u520a\u767b\u65bc\u9802\u5c16\u671f\u520a\u300c\u6b50\u6d32\u5fc3\u81df\u8870\u7aed\u96dc\u8a8c\u300aEuropean Journal of Heart Failure\u300b\u300d\uff0c\u8a72\u671f\u520a\u5f71\u97ff\u4fc2\u6578\u905410.2\u5206\uff0c\u662f\u91ab\u5b78\u9818\u57df\u5177\u9ad8\u5ea6\u5f71\u97ff\u529b\u4e4b\u520a\u7269\uff0c\u986f\u898b\u7814\u7a76\u6210\u679c\u7372\u5f97\u570b\u969b\u5b78\u8853\u91cd\u8981\u80af\u5b9a\u3002<\/p>\n<p>\u6210\u5927\u91ab\u9662\u8de8\u5c08\u79d1\u5718\u968a\u6574\u5408\uff1b\u6253\u9020\u764c\u75c7\u8207\u5fc3\u81df\u5171\u75c5\u7684\u5168\u65b9\u4f4d\u7167\u8b77\u6a21\u5f0f\uff01\u7531\u5167\u79d1\u90e8\u5289\u79c9\u5f65\u4e3b\u4efb\u9818\u8ecd\uff0c\u7d50\u5408\u5fc3\u81df\u5167\u79d1\u8521\u60df\u5168\u4e3b\u4efb\u3001\u5289\u56b4\u6587\u91ab\u5e2b\u3001\u674e\u6587\u714c\u91ab\u5e2b\u3001\u8a31\u6bd3\u8ee8\u91ab\u5e2b\uff0c\u8207\u816b\u7624\u91ab\u5b78\u90e8\u937e\u70ba\u90a6\u91ab\u5e2b\u3001\u674e\u7d14\u6167\u91ab\u5e2b\u3001\u8521\u745e\u9d3b\u91ab\u5e2b\u3001\u694a\u821c\u5982\u91ab\u5e2b\uff0c\u4ee5\u53ca\u4e73\u623f\u5916\u79d1\u674e\u570b\u9f0e\u4e3b\u4efb\u3001\u5f90\u6167\u840d\u91ab\u5e2b\u3001\u7f85\u7af9\u541b\u91ab\u5e2b\u7b49\u5c08\u5bb6\u901a\u529b\u5408\u4f5c\u7814\u7a76\uff0c\u5efa\u69cb\u5f9e\u4e73\u764c\u8a3a\u65b7\u3001\u5316\u7642\u3001\u5fc3\u81df\u4fdd\u8b77\u5230\u9577\u671f\u8ffd\u8e64\u7684\u6574\u5408\u6027\u81e8\u5e8a\u7167\u8b77\u6a21\u5f0f\u3002<\/p>\n<figure id=\"attachment_346158\" aria-describedby=\"caption-attachment-346158\" style=\"width: 1024px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-346158\" src=\"https:\/\/pingtungtimes.com.tw\/wp-content\/uploads\/8a964c5fdb63e19df562ba59483f61d3.jpg\" alt=\"\" width=\"1024\" height=\"683\" srcset=\"https:\/\/pingtungtimes.com.tw\/wp-content\/uploads\/\/8a964c5fdb63e19df562ba59483f61d3.jpg 1024w, https:\/\/pingtungtimes.com.tw\/wp-content\/uploads\/\/8a964c5fdb63e19df562ba59483f61d3-768x512.jpg 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-346158\" class=\"wp-caption-text\">\u25b2\u6210\u5927\u91ab\u9662\u5167\u79d1\u90e8\u5289\u79c9\u5f65\u4e3b\u4efb\u9818\u8ecd\u764c\u5fc3\u5718\u968a\uff0c\u8de8\u79d1\u90e8\u5c08\u5bb6\u5171\u540c\u6253\u9020\u5168\u65b9\u4f4d\u7167\u8b77\u6a21\u5f0f\u3002<\/figcaption><\/figure>\n<p>\u6210\u5927\u91ab\u9662\u65bc4\u5e74\u524d\u5728\u5289\u79c9\u5f65\u4e3b\u4efb\u5021\u8b70\u4e0b\uff0c\u5728\u764c\u75c7\u4e2d\u5fc3\u75c5\u623f\u5340\u8a2d\u7acb\u300c\u764c\u75c7\u5fc3\u81df\u7279\u5225\u9580\u8a3a\u300d\uff0c\u7531\u5289\u56b4\u6587\u91ab\u5e2b\u64d4\u4efb\u9996\u4f4d\u99d0\u8a3a\u91ab\u5e2b\u3002\u764c\u75c7\u75c5\u60a3\u5728\u63a5\u53d7\u5316\u5b78\u6cbb\u7642\u6216\u6a19\u9776\u6cbb\u7642\u524d\uff0c\u7531\u5fc3\u81df\u5167\u79d1\u91ab\u5e2b\u9032\u884c\u8d85\u97f3\u6ce2\u8207\u5fc3\u81df\u529f\u80fd\u8a55\u4f30\uff0c\u4e26\u5728\u6cbb\u7642\u671f\u9593\u5c31\u8fd1\u8ffd\u8e64\u5fc3\u81df\u529f\u80fd\u8b8a\u5316\uff0c\u63d0\u4f9b\u75c5\u60a3\u4e00\u7ad9\u5f0f\u3001\u500b\u9ad4\u5316\u7684\u6574\u5408\u91ab\u7642\u670d\u52d9\uff0c\u7279\u5225\u5728\u4e73\u764c\u8207\u80f0\u81df\u764c\u75c5\u60a3\u7167\u8b77\u4e0a\uff0c\u5e36\u4f86\u66f4\u5373\u6642\u7684\u6cbb\u7642\u5efa\u8b70\u3002<\/p>\n<figure id=\"attachment_346159\" aria-describedby=\"caption-attachment-346159\" style=\"width: 1024px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-346159\" src=\"https:\/\/pingtungtimes.com.tw\/wp-content\/uploads\/a0081d71dfc971d5678604a4376ab8cb.jpg\" alt=\"\" width=\"1024\" height=\"683\" srcset=\"https:\/\/pingtungtimes.com.tw\/wp-content\/uploads\/\/a0081d71dfc971d5678604a4376ab8cb.jpg 1024w, https:\/\/pingtungtimes.com.tw\/wp-content\/uploads\/\/a0081d71dfc971d5678604a4376ab8cb-768x512.jpg 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-346159\" class=\"wp-caption-text\">\u25b2\u6210\u5927\u91ab\u9662\u5fc3\u81df\u5167\u79d1\u5289\u56b4\u6587\u91ab\u5e2b\u8aaa\u660e\u764c\u5fc3\u5718\u968a\u6b77\u7a0b\u548c\u6210\u679c\uff0c\u5c55\u73fe\u81e8\u5e8a\u5275\u65b0\u8207\u5354\u4f5c\u4e4b\u5be6\u529b\u3002<\/figcaption><\/figure>\n<p>\u6210\u5927\u91ab\u9662\u6b64\u7814\u7a76\u4ea6\u7372\u5f97\u570b\u5bb6\u885b\u751f\u7814\u7a76\u9662\u300c\u5f37\u5316\u65e9\u671f\u81e8\u5e8a\u8a66\u9a57\u7814\u7a76\u6848\u300d\u7684\u5927\u529b\u652f\u6301\uff0c\u9ad4\u73fe\u5b78\u8853\u91ab\u7642\u4e2d\u5fc3\u591a\u5143\u8cc7\u6e90\u6574\u5408\u7684\u7814\u7a76\u80fd\u91cf\u3002<\/p>\n<figure id=\"attachment_346160\" aria-describedby=\"caption-attachment-346160\" style=\"width: 1024px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-346160\" src=\"https:\/\/pingtungtimes.com.tw\/wp-content\/uploads\/3d0145c46e00463f517818529d35ac9e.jpg\" alt=\"\" width=\"1024\" height=\"577\" srcset=\"https:\/\/pingtungtimes.com.tw\/wp-content\/uploads\/\/3d0145c46e00463f517818529d35ac9e.jpg 1024w, https:\/\/pingtungtimes.com.tw\/wp-content\/uploads\/\/3d0145c46e00463f517818529d35ac9e-768x433.jpg 768w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-346160\" class=\"wp-caption-text\">\u25b2\u6210\u5927\u91ab\u9662\u764c\u5fc3\u5718\u968a\u8de8\u79d1\u5408\u4f5c\uff1b\u5275\u65b0\u7a81\u7834\uff0c\u8b49\u5be6\u65b0\u85e5\u6709\u6548\u9810\u9632\u764c\u75c7\u6cbb\u7642\u5fc3\u81df\u6bd2\u6027\u3002<\/figcaption><\/figure>\n<p>\u81e8\u5e8a\u8a66\u9a57\u6210\u679c\u986f\u8457\uff1bARNI\u80fd\u5920\u6709\u6548\u9810\u9632\u5fc3\u81df\u529f\u80fd\u60e1\u5316\uff01\u7814\u7a76\u7d0d\u5165100\u4f4d\u521d\u6b21\u63a5\u53d7\u4e73\u764c\u8f14\u52a9\u6027\u5316\u7642\u7684\u75c5\u60a3\uff0c\u5e73\u5747\u5e74\u9f6150.4\u6b72\uff0c\u5973\u6027\u4f5498%\u3002\u53d7\u8a66\u8005\u81ea\u5316\u7642\u524d3\u65e5\u958b\u59cb\u63a5\u53d7\u4f4e\u5291\u91cfARNI\u6cbb\u7642\uff0c\u4e26\u8207\u672a\u4f7f\u7528\u8a72\u85e5\u7269\u7684\u6a19\u6e96\u7167\u8b77\u7d44\u9032\u884c\u70ba\u671f\u4e00\u5e74\u7684\u6bd4\u8f03\u3002\u8a66\u9a57\u7d50\u679c\u986f\u793a\uff1aARNI\u7d44\u4e2d\u7121\u4efb\u4f55\u75c5\u60a3\u51fa\u73fe\u5fc3\u81df\u529f\u80fd\u60e1\u5316\uff0c\u76f8\u8f03\u4e4b\u4e0b\uff0c\u6a19\u6e96\u7167\u8b77\u7d44\u4e2d\u670926.3%\u7684\u60a3\u8005\u51fa\u73feCTRCD\uff08p = 0.006\uff09\uff0c\u8b49\u5be6ARNI\u5177\u6709\u660e\u986f\u5fc3\u81df\u4fdd\u8b77\u6548\u679c\uff0c\u53ef\u61c9\u7528\u65bc\u764c\u75c7\u76f8\u95dc\u5fc3\u81df\u6bd2\u6027\u9810\u9632\u7684\u81e8\u5e8a\u7814\u7a76\u3002<\/p>\n<p>\u904b\u7528\u5fc3\u81df\u4eae\u9ede\u8ffd\u8e64\u6280\u8853\uff1b\u7cbe\u6e96\u5075\u6e2c\u5fc3\u81df\u6bd2\u6027\uff01\u5fc3\u81df\u5167\u79d1\u5718\u968a\u4ea6\u65bc\u7814\u7a76\u4e2d\u5c0e\u5165\u5fc3\u81df\u4eae\u9ede\u8ffd\u8e64\u8d85\u97f3\u6ce2\u6280\u8853\uff08Global Longitudinal Strain, GLS\uff09\uff0c\u7531\u8521\u60df\u5168\u4e3b\u4efb\u5e36\u9818\u5718\u968a\u9032\u884c\u5fc3\u81df\u529f\u80fd\u7684\u9023\u7e8c\u76e3\u6e2c\uff0c\u80fd\u6bd4\u50b3\u7d71\u8d85\u97f3\u6ce2\u66f4\u65e9\u671f\u767c\u73fe\u5fc3\u81df\u529f\u80fd\u7d30\u5fae\u8b8a\u5316\uff0c\u662f\u7814\u7a76\u4e2d\u5075\u6e2c\u6240\u6709\u5fc3\u81df\u529f\u80fd\u60e1\u5316\u4e8b\u4ef6\u7684\u95dc\u9375\u5de5\u5177\uff0c\u6709\u6548\u5f37\u5316\u81e8\u5e8a\u6c7a\u7b56\u4f9d\u64da\uff0c\u4e5f\u5c55\u73fe\u51faGLS\u5728\u764c\u75c7\u5408\u4f75\u5fc3\u81df\u7167\u8b77\u4e0a\u7684\u9ad8\u5ea6\u81e8\u5e8a\u50f9\u503c\u3002<\/p>\n<p>\u570b\u969b\u671f\u520a\u8207\u5b78\u8853\u6703\u8b70\u96d9\u91cd\u80af\u5b9a\uff1b\u5f15\u9818\u764c\u5fc3\u7167\u8b77\u65b0\u65b9\u5411\uff01\u7814\u7a76\u6210\u679c\u5df2\u65bc2024\u5e74\u5728\u6b50\u6d32\u5fc3\u81df\u5b78\u6703\u5e74\u6703\u4e2d\u53e3\u982d\u767c\u8868\uff0c\u7814\u7a76\u8ad6\u6587\u4eca\u5e74\u4e5f\u6b63\u5f0f\u520a\u767b\u65bc\u570b\u969b\u77e5\u540d\u671f\u520a\u300aEuropean Journal of Heart Failure\u300b\uff08\u671f\u520a\u5f71\u97ff\u4fc2\u6578Impact factor\u70ba10.2\uff09\u3002\u9019\u662f\u5168\u7403\u9996\u9805\u6b63\u5f0f\u767c\u8868ARNI\u61c9\u7528\u65bc\u9810\u9632\u764c\u75c7\u6cbb\u7642\u5fc3\u81df\u6bd2\u6027\u7684\u81e8\u5e8a\u8a66\u9a57\uff0c\u4e0d\u50c5\u70ba\u764c\u75c7\u6cbb\u7642\u958b\u5275\u65b0\u8def\uff0c\u4e5f\u70ba\u300c\u764c\u75c7\u5408\u4f75\u5fc3\u81df\u75be\u75c5\u7167\u8b77\u300d\u5960\u5b9a\u65b0\u6a19\u6e96\u3002<\/p>\n<p>\u7814\u7a76\u5718\u968a\u898f\u5283\u672a\u4f86\u555f\u52d5\u66f4\u5927\u898f\u6a21\u7684\u7b2c\u4e09\u671f\u81e8\u5e8a\u8a66\u9a57\uff0c\u6301\u7e8c\u63a8\u52d5\u764c\u5fc3\u91ab\u5b78\u9818\u57df\u7684\u7814\u7a76\u8207\u81e8\u5e8a\u61c9\u7528\uff0c\u70ba\u75c5\u60a3\u5e36\u4f86\u66f4\u591a\u5143\u4e14\u524d\u77bb\u7684\u6cbb\u7642\u9078\u9805\u3002<\/p>\n<figure id=\"attachment_346161\" aria-describedby=\"caption-attachment-346161\" style=\"width: 1024px\" class=\"wp-caption alignnone\"><img 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class=\"wp-caption-text\">\u25b2\u6210\u5927\u91ab\u9662\u764c\u5fc3\u5718\u968a\u3002<\/figcaption><\/figure>\n<p>\u6210\u5927\u91ab\u9662\u6574\u5408\u5c08\u79d1\u3001\u5275\u65b0\u7814\u7a76\uff0c\u6253\u9020\u764c\u75c7\u8207\u5fc3\u81df\u5171\u75c5\u7684\u5b88\u8b77\u7db2\uff01\u96a8\u8457\u764c\u75c7\u6cbb\u7642\u8207\u5fc3\u81df\u91ab\u5b78\u6301\u7e8c\u9032\u5c55\uff0c\u8de8\u79d1\u6574\u5408\u91ab\u7642\u6a21\u5f0f\u4e0d\u50c5\u6709\u52a9\u65bc\u63d0\u5347\u6cbb\u7642\u5b8c\u6574\u6027\uff0c\u66f4\u80fd\u5f9e\u6e90\u982d\u964d\u4f4e\u526f\u4f5c\u7528\u8207\u6162\u6027\u4f75\u767c\u75c7\u98a8\u96aa\u3002\u6b64\u6b21\u7814\u7a76\u4e0d\u50c5\u70ba\u570b\u5167\u5916\u764c\u5fc3\u7167\u8b77\u9818\u57df\u5efa\u7acb\u65b0\u6a19\u7aff\uff0c\u4e5f\u5c55\u73fe\u6210\u5927\u91ab\u9662\u5728\u7cbe\u6e96\u91ab\u7642\u3001\u81e8\u5e8a\u5275\u65b0\u8207\u5718\u968a\u5354\u4f5c\u65b9\u9762\u7684\u9818\u5c0e\u5be6\u529b\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone 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ARNI\uff09\u9810\u9632\u764c\u75c7\u6cbb\u7642\u8a98\u767c\u5fc3\u81df\u6bd2\u6027\uff08Cancer Therapy-Related Cardiac Dysfunction, CTRCD\uff09\u4e4b\u7b2c\u4e8c\u671f\u81e8\u5e8a\u8a66\u9a57\uff0c\u63d0\u4f9b\u66f4\u5b89\u5168\u6709\u6548\u7684\u6574\u5408\u6027\u7167\u8b77\u3002  \u5fc3\u81df\u6bd2\u6027\uff0c\u662f\u764c\u75c7\u60a3\u8005\u6297\u764c\u904e\u7a0b\u4e2d\u7d93\u5e38\u9762\u81e8\u7684\u56b4\u5cfb\u6311\u6230\u4e4b\u4e00\uff0c\u53ef\u80fd\u5c0e\u81f4\u6cbb\u7642\u4e2d\u65b7\u3001\u751f\u6d3b\u54c1\u8cea\u4e0b\u964d\uff0c\u751a\u81f3\u9810\u5f8c\u60e1\u5316\u3002\u6210\u5927\u91ab\u9662\u7814\u7a76\u6210\u679c\u65bc2024\u5e74\u5728\u6b50\u6d32\u5fc3\u81df\u5b78\u6703\u5e74\u6703\uff08ESC Congress\uff09\u4e2d\u767c\u8868\uff0c\u7814\u7a76\u8ad6\u6587\u4eca\uff082025\uff09\u5e74\u6b63\u5f0f\u520a\u767b\u65bc\u9802\u5c16\u671f\u520a\u300c\u6b50\u6d32\u5fc3\u81df\u8870\u7aed\u96dc\u8a8c\u300aEuropean Journal of Heart Failure\u300b\u300d\uff0c\u8a72\u671f\u520a\u5f71\u97ff\u4fc2\u6578\u905410.2\u5206\uff0c\u662f\u91ab\u5b78\u9818\u57df\u5177\u9ad8\u5ea6\u5f71\u97ff\u529b\u4e4b\u520a\u7269\uff0c\u986f\u898b\u7814\u7a76\u6210\u679c\u7372\u5f97\u570b\u969b\u5b78\u8853\u91cd\u8981\u80af\u5b9a\u3002  \u6210\u5927\u91ab\u9662\u8de8\u5c08\u79d1\u5718\u968a\u6574\u5408\uff1b\u6253\u9020\u764c\u75c7\u8207\u5fc3\u81df\u5171\u75c5\u7684\u5168\u65b9\u4f4d\u7167\u8b77\u6a21\u5f0f\uff01\u7531\u5167\u79d1\u90e8\u5289\u79c9\u5f65\u4e3b\u4efb\u9818\u8ecd\uff0c\u7d50\u5408\u5fc3\u81df\u5167\u79d1\u8521\u60df\u5168\u4e3b\u4efb\u3001\u5289\u56b4\u6587\u91ab\u5e2b\u3001\u674e\u6587\u714c\u91ab\u5e2b\u3001\u8a31\u6bd3\u8ee8\u91ab\u5e2b\uff0c\u8207\u816b\u7624\u91ab\u5b78\u90e8\u937e\u70ba\u90a6\u91ab\u5e2b\u3001\u674e\u7d14\u6167\u91ab\u5e2b\u3001\u8521\u745e\u9d3b\u91ab\u5e2b\u3001\u694a\u821c\u5982\u91ab\u5e2b\uff0c\u4ee5\u53ca\u4e73\u623f\u5916\u79d1\u674e\u570b\u9f0e\u4e3b\u4efb\u3001\u5f90\u6167\u840d\u91ab\u5e2b\u3001\u7f85\u7af9\u541b\u91ab\u5e2b\u7b49\u5c08\u5bb6\u901a\u529b\u5408\u4f5c\u7814\u7a76\uff0c\u5efa\u69cb\u5f9e\u4e73\u764c\u8a3a\u65b7\u3001\u5316\u7642\u3001\u5fc3\u81df\u4fdd\u8b77\u5230\u9577\u671f\u8ffd\u8e64\u7684\u6574\u5408\u6027\u81e8\u5e8a\u7167\u8b77\u6a21\u5f0f\u3002    \u6210\u5927\u91ab\u9662\u65bc4\u5e74\u524d\u5728\u5289\u79c9\u5f65\u4e3b\u4efb\u5021\u8b70\u4e0b\uff0c\u5728\u764c\u75c7\u4e2d\u5fc3\u75c5\u623f\u5340\u8a2d\u7acb\u300c\u764c\u75c7\u5fc3\u81df\u7279\u5225\u9580\u8a3a\u300d\uff0c\u7531\u5289\u56b4\u6587\u91ab\u5e2b\u64d4\u4efb\u9996\u4f4d\u99d0\u8a3a\u91ab\u5e2b\u3002\u764c\u75c7\u75c5\u60a3\u5728\u63a5\u53d7\u5316\u5b78\u6cbb\u7642\u6216\u6a19\u9776\u6cbb\u7642\u524d\uff0c\u7531\u5fc3\u81df\u5167\u79d1\u91ab\u5e2b\u9032\u884c\u8d85\u97f3\u6ce2\u8207\u5fc3\u81df\u529f\u80fd\u8a55\u4f30\uff0c\u4e26\u5728\u6cbb\u7642\u671f\u9593\u5c31\u8fd1\u8ffd\u8e64\u5fc3\u81df\u529f\u80fd\u8b8a\u5316\uff0c\u63d0\u4f9b\u75c5\u60a3\u4e00\u7ad9\u5f0f\u3001\u500b\u9ad4\u5316\u7684\u6574\u5408\u91ab\u7642\u670d\u52d9\uff0c\u7279\u5225\u5728\u4e73\u764c\u8207\u80f0\u81df\u764c\u75c5\u60a3\u7167\u8b77\u4e0a\uff0c\u5e36\u4f86\u66f4\u5373\u6642\u7684\u6cbb\u7642\u5efa\u8b70\u3002    \u6210\u5927\u91ab\u9662\u6b64\u7814\u7a76\u4ea6\u7372\u5f97\u570b\u5bb6\u885b\u751f\u7814\u7a76\u9662\u300c\u5f37\u5316\u65e9\u671f\u81e8\u5e8a\u8a66\u9a57\u7814\u7a76\u6848\u300d\u7684\u5927\u529b\u652f\u6301\uff0c\u9ad4\u73fe\u5b78\u8853\u91ab\u7642\u4e2d\u5fc3\u591a\u5143\u8cc7\u6e90\u6574\u5408\u7684\u7814\u7a76\u80fd\u91cf\u3002    \u81e8\u5e8a\u8a66\u9a57\u6210\u679c\u986f\u8457\uff1bARNI\u80fd\u5920\u6709\u6548\u9810\u9632\u5fc3\u81df\u529f\u80fd\u60e1\u5316\uff01\u7814\u7a76\u7d0d\u5165100\u4f4d\u521d\u6b21\u63a5\u53d7\u4e73\u764c\u8f14\u52a9\u6027\u5316\u7642\u7684\u75c5\u60a3\uff0c\u5e73\u5747\u5e74\u9f6150.4\u6b72\uff0c\u5973\u6027\u4f5498%\u3002\u53d7\u8a66\u8005\u81ea\u5316\u7642\u524d3\u65e5\u958b\u59cb\u63a5\u53d7\u4f4e\u5291\u91cfARNI\u6cbb\u7642\uff0c\u4e26\u8207\u672a\u4f7f\u7528\u8a72\u85e5\u7269\u7684\u6a19\u6e96\u7167\u8b77\u7d44\u9032\u884c\u70ba\u671f\u4e00\u5e74\u7684\u6bd4\u8f03\u3002\u8a66\u9a57\u7d50\u679c\u986f\u793a\uff1aARNI\u7d44\u4e2d\u7121\u4efb\u4f55\u75c5\u60a3\u51fa\u73fe\u5fc3\u81df\u529f\u80fd\u60e1\u5316\uff0c\u76f8\u8f03\u4e4b\u4e0b\uff0c\u6a19\u6e96\u7167\u8b77\u7d44\u4e2d\u670926.3%\u7684\u60a3\u8005\u51fa\u73feCTRCD\uff08p = 0.006\uff09\uff0c\u8b49\u5be6ARNI\u5177\u6709\u660e\u986f\u5fc3\u81df\u4fdd\u8b77\u6548\u679c\uff0c\u53ef\u61c9\u7528\u65bc\u764c\u75c7\u76f8\u95dc\u5fc3\u81df\u6bd2\u6027\u9810\u9632\u7684\u81e8\u5e8a\u7814\u7a76\u3002  \u904b\u7528\u5fc3\u81df\u4eae\u9ede\u8ffd\u8e64\u6280\u8853\uff1b\u7cbe\u6e96\u5075\u6e2c\u5fc3\u81df\u6bd2\u6027\uff01\u5fc3\u81df\u5167\u79d1\u5718\u968a\u4ea6\u65bc\u7814\u7a76\u4e2d\u5c0e\u5165\u5fc3\u81df\u4eae\u9ede\u8ffd\u8e64\u8d85\u97f3\u6ce2\u6280\u8853\uff08Global Longitudinal Strain, GLS\uff09\uff0c\u7531\u8521\u60df\u5168\u4e3b\u4efb\u5e36\u9818\u5718\u968a\u9032\u884c\u5fc3\u81df\u529f\u80fd\u7684\u9023\u7e8c\u76e3\u6e2c\uff0c\u80fd\u6bd4\u50b3\u7d71\u8d85\u97f3\u6ce2\u66f4\u65e9\u671f\u767c\u73fe\u5fc3\u81df\u529f\u80fd\u7d30\u5fae\u8b8a\u5316\uff0c\u662f\u7814\u7a76\u4e2d\u5075\u6e2c\u6240\u6709\u5fc3\u81df\u529f\u80fd\u60e1\u5316\u4e8b\u4ef6\u7684\u95dc\u9375\u5de5\u5177\uff0c\u6709\u6548\u5f37\u5316\u81e8\u5e8a\u6c7a\u7b56\u4f9d\u64da\uff0c\u4e5f\u5c55\u73fe\u51faGLS\u5728\u764c\u75c7\u5408\u4f75\u5fc3\u81df\u7167\u8b77\u4e0a\u7684\u9ad8\u5ea6\u81e8\u5e8a\u50f9\u503c\u3002  \u570b\u969b\u671f\u520a\u8207\u5b78\u8853\u6703\u8b70\u96d9\u91cd\u80af\u5b9a\uff1b\u5f15\u9818\u764c\u5fc3\u7167\u8b77\u65b0\u65b9\u5411\uff01\u7814\u7a76\u6210\u679c\u5df2\u65bc2024\u5e74\u5728\u6b50\u6d32\u5fc3\u81df\u5b78\u6703\u5e74\u6703\u4e2d\u53e3\u982d\u767c\u8868\uff0c\u7814\u7a76\u8ad6\u6587\u4eca\u5e74\u4e5f\u6b63\u5f0f\u520a\u767b\u65bc\u570b\u969b\u77e5\u540d\u671f\u520a\u300aEuropean Journal of Heart Failure\u300b\uff08\u671f\u520a\u5f71\u97ff\u4fc2\u6578Impact factor\u70ba10.2\uff09\u3002\u9019\u662f\u5168\u7403\u9996\u9805\u6b63\u5f0f\u767c\u8868ARNI\u61c9\u7528\u65bc\u9810\u9632\u764c\u75c7\u6cbb\u7642\u5fc3\u81df\u6bd2\u6027\u7684\u81e8\u5e8a\u8a66\u9a57\uff0c\u4e0d\u50c5\u70ba\u764c\u75c7\u6cbb\u7642\u958b\u5275\u65b0\u8def\uff0c\u4e5f\u70ba\u300c\u764c\u75c7\u5408\u4f75\u5fc3\u81df\u75be\u75c5\u7167\u8b77\u300d\u5960\u5b9a\u65b0\u6a19\u6e96\u3002  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