{"id":30,"date":"2025-10-11T11:15:04","date_gmt":"2025-10-11T03:15:04","guid":{"rendered":"https:\/\/www.sietoo.com\/blog\/?p=30"},"modified":"2025-10-11T11:18:58","modified_gmt":"2025-10-11T03:18:58","slug":"%e7%9c%9f%e5%ae%9e%e4%b8%96%e7%95%8c%e6%95%b0%e6%8d%ae%e6%8f%ad%e7%a4%ba%ef%bc%9a%e7%b3%96%e5%b0%bf%e7%97%85%e9%9a%8f%e8%ae%bf%e7%ae%a1%e7%90%86%e4%b8%ad%e4%be%9d%e4%bb%8e%e6%80%a7%e6%8c%91%e6%88%98","status":"publish","type":"post","link":"https:\/\/www.sietoo.com\/blog\/?p=30","title":{"rendered":"\u771f\u5b9e\u4e16\u754c\u6570\u636e\u63ed\u793a\uff1a\u7cd6\u5c3f\u75c5\u968f\u8bbf\u7ba1\u7406\u4e2d\u4f9d\u4ece\u6027\u6311\u6218\u4e0e\u4f18\u5316\u7b56\u7565"},"content":{"rendered":"\n
<\/p>\n\n\n\n
\n\u5173\u952e\u8bcd<\/strong>\uff1a\u7cd6\u5c3f\u75c5\u968f\u8bbf\u3001\u60a3\u8005\u4f9d\u4ece\u6027\u3001\u771f\u5b9e\u4e16\u754c\u6570\u636e\u3001\u6162\u75c5\u7ba1\u7406\u3001\u8fdc\u7a0b\u968f\u8bbf<\/p>\n<\/blockquote>\n\n\n\n
\n<\/figure>\n\n\n\n
<\/figure>\n<\/figure>\n\n\n\n
\u6458\u8981<\/h2>\n\n\n\n
\u5728\u771f\u5b9e\u4e16\u754c\u73af\u5883\u4e2d\uff0c\u4e34\u5e8a\u8bd5\u9a8c\u4e2d\u7684\u7406\u60f3\u7597\u6548\u5e38\u56e0\u60a3\u8005\u4f9d\u4ece\u6027\u5dee\u3001\u968f\u8bbf\u4e2d\u65ad\u3001\u793e\u4f1a\u56e0\u7d20\u7b49\u88ab\u201c\u7a00\u91ca\u201d\u3002\u672c\u6587\u57fa\u4e8e\u8fd1\u671f\u771f\u5b9e\u4e16\u754c\u7814\u7a76\uff0c\u603b\u7ed3\u7cd6\u5c3f\u75c5\u60a3\u8005\u5728\u65e5\u5e38\u7ba1\u7406\u4e2d\u7684\u4f9d\u4ece\u6027\u73b0\u72b6\u53ca\u5f71\u54cd\u56e0\u7d20\uff0c\u91cd\u70b9\u63a2\u8ba8\u533b\u52a1\u4eba\u5458\u5728\u968f\u8bbf\u5b9e\u8df5\u4e2d\u53ef\u91c7\u53d6\u7684\u4f18\u5316\u7b56\u7565\uff0c\u4ee5\u5e2e\u52a9\u63d0\u5347\u968f\u8bbf\u8d28\u91cf\u4e0e\u60a3\u8005\u7ed3\u5c40\u3002<\/p>\n\n\n\n
\n\n\n\n\u4e00\u3001\u4e3a\u4ec0\u4e48\u8981\u91cd\u89c6\u771f\u5b9e\u4e16\u754c\u6570\u636e\uff08RWD\uff09<\/h2>\n\n\n\n
\u4e34\u5e8a\u8bd5\u9a8c\uff08RCT\uff09\u63d0\u4f9b\u4e86\u201c\u7406\u60f3\u6761\u4ef6\u4e0b\u201d\u7684\u7597\u6548\u8bc1\u636e\uff0c\u4f46\u771f\u5b9e\u4e16\u754c\u4e2d\u7684\u60a3\u8005\u80cc\u666f\u590d\u6742\u3001\u8d44\u6e90\u5dee\u5f02\u663e\u8457\uff0c\u4f9d\u4ece\u6027\u4e0e\u6301\u7eed\u6027\u5f80\u5f80\u4e0d\u5982\u8bd5\u9a8c\u4e2d\u7406\u60f3\u3002
\u5728\u7cd6\u5c3f\u75c5\u7ba1\u7406\u4e2d\uff0c\u8fd9\u79cd\u5dee\u5f02\u5c24\u4e3a\u660e\u663e\u2014\u2014\u836f\u7269\u76f8\u540c\uff0c\u4f46\u7597\u6548\u5e38\u88ab\u4f9d\u4ece\u6027\u3001\u968f\u8bbf\u9891\u7387\u3001\u5065\u5eb7\u6559\u80b2\u5dee\u5f02\u7b49\u56e0\u7d20\u201c\u7a00\u91ca\u201d\u3002
\u8fd9\u4e5f\u6b63\u662f\u6162\u75c5\u968f\u8bbf\u7cfb\u7edf\u3001\u4e34\u5e8a\u8def\u5f84\u548c\u533b\u52a1\u4eba\u5458\u5171\u540c\u5173\u6ce8\u7684\u91cd\u70b9\uff1a\u5982\u4f55\u8ba9\u771f\u5b9e\u4e16\u754c\u7684\u7ba1\u7406\u66f4\u63a5\u8fd1\u8bd5\u9a8c\u7ed3\u679c\u3002<\/strong><\/p>\n\n\n\n
\n\n\n\n\u4e8c\u3001\u771f\u5b9e\u4e16\u754c\u4e2d\u7684\u4f9d\u4ece\u6027\u73b0\u72b6<\/h2>\n\n\n\n
2.1 GLP-1 \u7c7b\u836f\u7269\u7684\u4f7f\u7528\u6301\u7eed\u6027<\/h3>\n\n\n\n
\u591a\u9879\u771f\u5b9e\u4e16\u754c\u7814\u7a76\u8868\u660e\uff0cGLP-1 \u53d7\u4f53\u6fc0\u52a8\u5242\uff08GLP-1RA\uff09\u5728\u957f\u671f\u6cbb\u7597\u4e2d\u7684\u4f9d\u4ece\u6027\u4ecd\u4e0d\u7406\u60f3\uff1a<\/p>\n\n\n\n
\n
- \u4e00\u9879\u56de\u987e\u6027\u7814\u7a76\u663e\u793a\uff0c12 \u4e2a\u6708\u65f6\u7ea6 50.9%<\/strong> \u7684\u60a3\u8005\u4f9d\u4ece\u6027\u826f\u597d\uff08PDC \u2265 0.8\uff09\uff0c24 \u4e2a\u6708\u65f6\u4e0b\u964d\u81f3 47.4%\uff0c\u505c\u836f\u7387\u8d85\u8fc7 70%<\/strong>\u3002<\/li>\n\n\n\n
- \u5728\u65e5\u672c\u7684\u7814\u7a76\u4e2d\uff0c\u53e3\u670d Semaglutide\uff08O-SEMA\uff09\u7684\u6301\u7eed\u6027\u4f18\u4e8e\u6ce8\u5c04\u578b\uff0c\u6bcf\u5468\u6ce8\u5c04\u7ec4\u505c\u836f\u98ce\u9669\u66f4\u9ad8\uff08HR \u2248 1.45\uff09\u3002<\/li>\n\n\n\n
- \u603b\u4f53\u4e0a\uff0c\u7cd6\u5c3f\u75c5\u60a3\u8005\u7684\u957f\u671f\u6cbb\u7597\u6301\u7eed\u6027\u4ecd\u662f\u6162\u75c5\u7ba1\u7406\u4e2d\u7684\u4e3b\u8981\u74f6\u9888\u4e4b\u4e00\u3002<\/li>\n<\/ul>\n\n\n\n
\n\ud83d\udcd8 \u6570\u636e\u6765\u6e90\uff1aPubMed 39616020, PMC7708309, ScienceDirect 2024;68(12):6557<\/p>\n<\/blockquote>\n\n\n\n
2.2 \u5f71\u54cd\u4f9d\u4ece\u6027\u7684\u4e3b\u8981\u56e0\u7d20<\/h3>\n\n\n\n
\u7ef4\u5ea6<\/th> \u4e3b\u8981\u56e0\u7d20<\/th> \u53ef\u5e72\u9884\u65b9\u5411<\/th><\/tr><\/thead> \u7ed9\u836f\u65b9\u5f0f<\/td> \u6bcf\u65e5 vs \u6bcf\u5468\u3001\u53e3\u670d vs \u6ce8\u5c04<\/td> \u4f18\u5316\u5904\u65b9\u7ed3\u6784\uff0c\u9009\u62e9\u60a3\u8005\u66f4\u6613\u63a5\u53d7\u7684\u5242\u578b<\/td><\/tr> \u60a3\u8005\u7279\u5f81<\/td> \u5e74\u9f84\u3001\u5171\u75c5\u3001\u7ecf\u6d4e\u8d1f\u62c5<\/td> \u4e2a\u4f53\u5316\u7528\u836f\u4e0e\u968f\u8bbf\u9891\u6b21\u8bbe\u8ba1<\/td><\/tr> \u526f\u4f5c\u7528<\/td> \u80c3\u80a0\u4e0d\u9002\u3001\u6ce8\u5c04\u90e8\u4f4d\u75bc\u75db<\/td> \u524d\u671f\u5ba3\u6559 + \u53ca\u65f6\u5e72\u9884<\/td><\/tr> \u533b\u7597\u8d44\u6e90<\/td> \u968f\u8bbf\u9891\u7387\u3001\u533b\u60a3\u6c9f\u901a\u673a\u5236<\/td> \u901a\u8fc7\u6df7\u5408\u968f\u8bbf\uff08\u7ebf\u4e0a + \u7ebf\u4e0b\uff09\u63d0\u5347\u53ef\u53ca\u6027<\/td><\/tr> \u60a3\u8005\u8ba4\u77e5<\/td> \u75be\u75c5\u7406\u89e3\u4e0d\u8db3\u3001\u52a8\u673a\u7f3a\u5931<\/td> \u5065\u5eb7\u6559\u80b2\u4e0e\u5fc3\u7406\u5e72\u9884\u7ed3\u5408<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
\n\n\n\n\u4e09\u3001\u968f\u8bbf\u5b9e\u8df5\u4e2d\u7684\u4f18\u5316\u7b56\u7565<\/h2>\n\n\n\n
\u4ee5\u4e0b\u7b56\u7565\u7ed3\u5408\u591a\u9879\u771f\u5b9e\u4e16\u754c\u7814\u7a76\u7ed3\u679c\uff0c\u65e8\u5728\u5e2e\u52a9\u4e34\u5e8a\u533b\u751f\u548c\u968f\u8bbf\u62a4\u58eb\u5728\u5b9e\u9645\u5de5\u4f5c\u4e2d\u63d0\u5347\u4f9d\u4ece\u6027\u4e0e\u968f\u8bbf\u8d28\u91cf\u3002<\/p>\n\n\n\n
3.1 \u5efa\u7acb\u7ed3\u6784\u5316\u4f9d\u4ece\u6027\u76d1\u6d4b\u6307\u6807<\/h3>\n\n\n\n
\n
- \u5728\u968f\u8bbf\u8868\u4e2d\u589e\u52a0\uff1a\u836f\u7269\u670d\u7528\u81ea\u8bc4\u3001\u590d\u8bca\u51fa\u5e2d\u7387\u3001\u836f\u7269\u9886\u53d6\u8bb0\u5f55\u3002<\/li>\n\n\n\n
- \u7528 PDC\uff08proportion of days covered\uff09\u2265 0.8<\/strong> \u4f5c\u4e3a\u826f\u597d\u4f9d\u4ece\u7684\u6807\u51c6\u3002<\/li>\n\n\n\n
- \u7cfb\u7edf\u6216\u624b\u52a8\u6807\u8bb0\u8fde\u7eed\u672a\u8bbf\u7684\u60a3\u8005\u4e3a\u201c\u9ad8\u98ce\u9669\u201d\uff0c\u89e6\u53d1\u65e9\u671f\u5e72\u9884\u3002<\/li>\n<\/ul>\n\n\n\n
3.2 \u6309\u98ce\u9669\u5206\u5c42\u8bbe\u8ba1\u968f\u8bbf\u8ba1\u5212<\/h3>\n\n\n\n
\n
- \u6839\u636e HbA1c\u3001\u6c34\u5316\u5b66\u6307\u6807\u3001\u5e76\u53d1\u75c7\u6570\u91cf\u3001\u7ecf\u6d4e\u6761\u4ef6\u5206\u5c42\u3002<\/li>\n\n\n\n
- \u9ad8\u98ce\u9669\u7ec4\uff08\u5982 HbA1c > 9%\u3001\u8fd1\u671f\u8840\u7cd6\u6ce2\u52a8\u5927\uff09\u5efa\u8bae\u6bcf 4\u20136 \u5468\u968f\u8bbf\u4e00\u6b21\u3002<\/li>\n\n\n\n
- \u7a33\u5b9a\u7ec4\u53ef 3\u20134 \u4e2a\u6708\u4e00\u6b21\uff0c\u5f3a\u8c03\u957f\u671f\u6559\u80b2\u4e0e\u5fc3\u7406\u652f\u6301\u3002<\/li>\n<\/ul>\n\n\n\n
3.3 \u63a8\u884c\u6df7\u5408\u968f\u8bbf\u6a21\u5f0f<\/h3>\n\n\n\n
\n
- \u5173\u952e\u671f\uff08\u836f\u7269\u8c03\u6574 \/ \u65b0\u8bca\u65ad\u9636\u6bb5\uff09<\/strong>\uff1a\u9762\u5bf9\u9762\u968f\u8bbf\u4e3a\u4e3b\u3002<\/li>\n\n\n\n
- \u7a33\u5b9a\u671f<\/strong>\uff1a\u7535\u8bdd\u3001\u89c6\u9891\u6216\u7535\u5b50\u95ee\u5377\u6536\u96c6\u6570\u636e\u3002<\/li>\n\n\n\n
- \u5bf9\u4e8e\u884c\u52a8\u4e0d\u4fbf\u6216\u504f\u8fdc\u5730\u533a\u60a3\u8005\uff0c\u8fdc\u7a0b\u968f\u8bbf\u53ef\u663e\u8457\u964d\u4f4e\u8131\u843d\u7387\u3002<\/li>\n<\/ul>\n\n\n\n
3.4 \u52a0\u5165\u6559\u80b2\u4e0e\u53cd\u9988\u673a\u5236<\/h3>\n\n\n\n
\n
- \u5728\u6bcf\u6b21\u968f\u8bbf\u4e2d\u7b80\u77ed\u5f3a\u5316\u5065\u5eb7\u6559\u80b2\uff1a\u996e\u98df\u3001\u8fd0\u52a8\u3001\u836f\u7269\u4f9d\u4ece\u6027\u3001\u76d1\u6d4b\u6280\u5de7\u3002<\/li>\n\n\n\n
- \u5229\u7528\u8d8b\u52bf\u66f2\u7ebf\u5c55\u793a\u60a3\u8005\u6307\u6807\u53d8\u5316\uff0c\u8ba9\u7597\u6548\u201c\u53ef\u89c6\u5316\u201d\u3002<\/li>\n\n\n\n
- \u901a\u8fc7\u6fc0\u52b1\u6216\u6b63\u5411\u53cd\u9988\uff08\u79ef\u5206\u3001\u8868\u626c\u3001\u75c5\u53cb\u4ea4\u6d41\uff09\u5f3a\u5316\u957f\u671f\u575a\u6301\u3002<\/li>\n<\/ul>\n\n\n\n
3.5 \u5efa\u7acb\u5931\u8bbf\u9884\u8b66\u4e0e\u518d\u8054\u7cfb\u6d41\u7a0b<\/h3>\n\n\n\n
\n
- \u8fde\u7eed\u4e24\u6b21\u672a\u590d\u8bca\u6216\u672a\u63d0\u4ea4\u76d1\u6d4b\u6570\u636e\u5373\u89e6\u53d1\u201c\u9884\u8b66\u201d\u3002<\/li>\n\n\n\n
- \u4f7f\u7528\u7535\u8bdd \/ \u5fae\u4fe1 \/ \u793e\u533a\u533b\u52a1\u8054\u52a8\u8ffd\u8e2a\u3002<\/li>\n\n\n\n
- \u521d\u6b21\u5efa\u6863\u65f6\u5373\u660e\u786e\uff1a\u968f\u8bbf\u95f4\u9694\u3001\u505c\u836f\u98ce\u9669\u4e0e\u7d27\u6025\u8054\u7cfb\u673a\u5236\u3002<\/li>\n<\/ul>\n\n\n\n
\n\n\n\n\u56db\u3001\u6848\u4f8b\u542f\u53d1\uff1a\u8fdc\u7a0b\u7ba1\u7406\u5728\u57fa\u5c42\u7684\u5e94\u7528<\/h2>\n\n\n\n
\u5728\u4e00\u9879\u7f8e\u56fd\u519c\u6751\u536b\u751f\u9879\u76ee\u4e2d\uff0c\u9488\u5bf9\u7cd6\u5c3f\u75c5\u4e0e\u9ad8\u8840\u538b\u60a3\u8005\u5b9e\u65bd\u4e86\u201c\u6570\u5b57\u62a4\u7406\u534f\u8c03 + \u8fdc\u7a0b\u76d1\u6d4b\u201d\u5e72\u9884\u3002
\u60a3\u8005\u914d\u5907\u8840\u538b\u4eea\u3001\u8840\u7cd6\u4eea\u548c\u5e73\u677f\u7ec8\u7aef\uff0c\u7531\u62a4\u58eb\u5b9a\u671f\u7ebf\u4e0a\u56de\u8bbf\u4e0e\u5065\u5eb7\u8f85\u5bfc\u3002
\u7ed3\u679c\u663e\u793a\uff1a<\/p>\n\n\n\n\n
- \u5e73\u5747\u6536\u7f29\u538b\u4e0b\u964d\u7ea6 20 mmHg<\/strong>\uff1b<\/li>\n\n\n\n
- HbA1c \u964d\u4f4e\u7ea6 3.8 \u4e2a\u767e\u5206\u70b9<\/strong>\uff1b<\/li>\n\n\n\n
- \u60a3\u8005\u6ee1\u610f\u5ea6\u63d0\u5347\u663e\u8457\u3002<\/li>\n<\/ul>\n\n\n\n
\u8be5\u9879\u76ee\u8868\u660e\uff1a\u5728\u8d44\u6e90\u6709\u9650\u5730\u533a\uff0c\u79d1\u5b66\u8bbe\u8ba1\u7684\u8fdc\u7a0b\u968f\u8bbf\u6a21\u5f0f\u540c\u6837\u80fd\u83b7\u5f97\u826f\u597d\u63a7\u5236\u7387\u3002<\/strong><\/p>\n\n\n\n
\n\n\n\n\u4e94\u3001\u603b\u7ed3<\/h2>\n\n\n\n
\u771f\u5b9e\u4e16\u754c\u6570\u636e\u6e05\u6670\u8868\u660e\uff1a<\/p>\n\n\n\n
\n\u201c\u836f\u7269\u7597\u6548 \u2260 \u5b9e\u9645\u7ed3\u5c40\u201d\uff0c\u4f9d\u4ece\u6027\u624d\u662f\u51b3\u5b9a\u6162\u75c5\u7ba1\u7406\u6210\u529f\u4e0e\u5426\u7684\u5173\u952e\u3002<\/p>\n<\/blockquote>\n\n\n\n
\u901a\u8fc7\u7ed3\u6784\u5316\u968f\u8bbf\u3001\u5206\u5c42\u7ba1\u7406\u3001\u6559\u80b2\u652f\u6301\u4e0e\u8fdc\u7a0b\u6280\u672f\u7ed3\u5408\uff0c\u7cd6\u5c3f\u75c5\u968f\u8bbf\u53ef\u5b9e\u73b0\u66f4\u9ad8\u7684\u4f9d\u4ece\u6027\u4e0e\u66f4\u4f4e\u7684\u5931\u8bbf\u7387\u3002
\u8fd9\u4e0d\u4ec5\u63d0\u5347\u60a3\u8005\u7ed3\u5c40\uff0c\u4e5f\u4e3a\u672a\u6765\u7684\u771f\u5b9e\u4e16\u754c\u7814\u7a76\u63d0\u4f9b\u4e86\u9ad8\u8d28\u91cf\u7684\u6570\u636e\u652f\u6491\u3002<\/p>\n\n\n\n
\n\n\n\n\u5ef6\u4f38\u9605\u8bfb \/ \u53c2\u8003\u6587\u732e<\/h2>\n\n\n\n
\n
- PubMed. Real-World Evidence on Oral Semaglutide for the Management of Type 2 Diabetes<\/em>. 2024. PMID: 39616020<\/li>\n\n\n\n
- BMC Public Health. Medication Adherence and Blood Pressure Control in Treated Hypertensive Patients (PREDIcT-HTN Study)<\/em>. 2025.<\/li>\n\n\n\n
- MDPI. Nurse-Led Interventions for Improving Medication Adherence in Chronic Diseases<\/em>. Healthcare<\/em> 2024; 12(23):2337.<\/li>\n\n\n\n
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