{"id":2190,"date":"2018-01-04T16:48:49","date_gmt":"2018-01-04T08:48:49","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/222010\/?p=2190"},"modified":"2018-10-25T18:28:49","modified_gmt":"2018-10-25T10:28:49","slug":"%e3%80%90%e8%82%9d%e8%86%bd%e8%85%b8%e8%83%83%e7%a7%91%e3%80%91%e4%bd%a0%e5%a6%b3%e7%9a%84%e8%82%9d%ef%bc%8c%e5%8c%85%e6%b2%b9%e5%97%8e%ef%bc%9f-%e5%89%96%e6%9e%90%e9%9d%9e%e9%85%92%e7%b2%be","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/222010\/?p=2190","title":{"rendered":"\u3010\u809d\u81bd\u8178\u80c3\u79d1\u3011\u4f60\/\u59b3\u7684\u809d\uff0c\u5305\u6cb9\u55ce\uff1f- \u5256\u6790\u975e\u9152\u7cbe\u6027\u8102\u80aa\u809d"},"content":{"rendered":"<p><!--more--><\/p>\n<p style=\"text-align: right;\">\u6587\/\u809d\u81bd\u8178\u80c3\u79d1 \u694a\u5b50\u7def \u4e3b\u6cbb\u91ab\u5e2b<\/p>\n<p>\u53f0\u7063\u6bcf\u56db\u4f4d\u6210\u5e74\u4eba\uff0c\u5c31\u6709\u4e00\u4f4d\u6709\u975e\u9152\u7cbe\u6027\u8102\u80aa\u809d(\u975e\u904e\u91cf\u98f2\u9152\u5c0e\u81f4)\uff0c\u53f0\u8a9e\u7684\u5f62\u5bb9\u975e\u5e38\u8cbc\u5207\u300c\u809d\u5305\u6cb9\u300d\u3002\u904e\u591a\u7684\u8102\u80aa(\u4ee5\u4e09\u9178\u7518\u6cb9\u8102\u70ba\u4e3b)\u5145\u65a5\u5728\u809d\u81df\u4e2d\uff0c\u75c7\u72c0\u901a\u5e38\u4e0d\u660e\u986f\uff0c\u591a\u56e0\u5065\u5eb7\u6aa2\u67e5\u767c\u73fe\u3002\u4e00\u65e6\u6709\u75c7\u72c0\u51fa\u73fe\uff0c\u809d\u81df\u65e9\u5df2\u53d7\u5230\u50b7\u5bb3\uff0c\u51fa\u73fe\u809d\u7e96\u7dad\u5316\u3001\u809d\u786c\u5316\uff0c\u751a\u81f3\u809d\u764c\u63a5\u8e35\u800c\u81f3\u3002<\/p>\n<p>\u9664\u4e86\u809d\u81df\u75c5\u75c7\u4ee5\u5916\uff0c\u4e5f\u53ef\u80fd\u5408\u4f75\u7cd6\u5c3f\u75c5\u3001\u9ad8\u8840\u8102\u53ca\u5fc3\u8840\u7ba1\u7b49\u4ee3\u8b1d\u76f8\u95dc\u75c5\u75c7\u3002\u4ee5\u5f80\u7684\u6982\u5ff5\u80a5\u80d6\u7684\u4eba\u624d\u6703\u8102\u80aa\u809d\uff0c\u96d6\u7136\u504f\u9ad8\u7684\u8eab\u9ad4\u8cea\u91cf\u6307\u6578(BMI)\u548c\u8102\u80aa\u809d\u7684\u767c\u751f\u7387\u6709\u76f8\u95dc\u6027\u3002<\/p>\n<p>\u4f46\u4e00\u9805\u5927\u898f\u6a21\u8abf\u67e5\u767c\u73fe\uff0c\u9ad8\u90548\u201319%\u6b63\u5e38\u8eab\u9ad4\u8cea\u91cf\u6307\u6578(BMI &lt;25 kg\/m<sup>2<\/sup>)\u7684\u6210\u5e74\u4eba\u6709\u8102\u80aa\u809d\uff0c\u63db\u8a00\u4e4b\u7626\u5b50\u4e5f\u6703\u5f97\u8102\u80aa\u809d\uff0c\u5c24\u5176\u4e9e\u6d32\u4eba\u6709\u66f4\u9ad8\u7684\u6a5f\u7387\u3002\u4f46\u5728\u80a5\u80d6\u8005\u809d\u5207\u7247\u6aa2\u67e5\u4e0b\u767c\u73fe\uff0c\u767c\u708e\u53cd\u61c9\u8f03\u70ba\u56b4\u91cd\uff1b\u53e6\u4e00\u65b9\u9762\uff0c\u8ffd\u8e64\u6027\u7814\u7a76\u6307\u51fa\uff0c\u65b0\u8a3a\u65b7\u9ad4\u91cd\u6b63\u5e38\u7684\u8102\u80aa\u809d\u60a3\u8005\uff0c\u53ef\u9810\u6e2c\u5c07\u4f86\u767c\u751f\u80a5\u80d6\u8207\u4ee3\u8b1d\u75be\u75c5\u7684\u6a5f\u7387\u5927\u5e45\u589e\u52a0\u3002<\/p>\n<p><strong>\u8102\u80aa\u809d\u7684\u5371\u96aa\u56e0\u5b50<\/strong><\/p>\n<p>\u9664\u4e86\u80a5\u80d6\u3001\u80f0\u5cf6\u7d20\u963b\u6297\u3001\u7cd6\u5c3f\u75c5\u3001\u8840\u8102\u7570\u5e38\u3001\u4ee3\u8b1d\u75c7\u5019\u7fa4\u3001\u591a\u56ca\u6027\u5375\u5de2\u75c7\u7b49\u5df2\u77e5\u76f8\u95dc\u75be\u75c5\u70ba\u78ba\u5b9a\u4e4b\u5371\u96aa\u56e0\u5b50\uff0c\u9084\u6709\u4ee5\u4e0b\u76f8\u95dc\u56e0\u5b50\uff1a<\/p>\n<ul>\n<li>\u4e45\u5750\u7684\u751f\u6d3b\u578b\u614b<\/li>\n<\/ul>\n<p>\u73fe\u4ee3\u4eba\u9577\u6642\u9593\u4f7f\u7528\u96fb\u8166\u6216\u5728\u96fb\u8996\u524d\u8ffd\u5287\uff0c\u7d93\u7814\u7a76\u767c\u73fe\u662f\u8102\u80aa\u809d\u5371\u96aa\u7684\u56e0\u5b50\u3002<\/p>\n<ul>\n<li>\u808c\u5c11\u75c7<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>\u5e74\u7d00\u589e\u9577\u548c\u904b\u52d5\u91cf\u6e1b\u5c11\u5c0e\u81f4\u8eab\u9ad4\u808c\u8089\u91cf\u964d\u4f4e\uff0c\u9aa8\u9abc\u808c\u662f\u8655\u7406\u91a3\u985e\u4ee3\u8b1d\u91cd\u8981\u7684\u69cb\u9020\uff0c\u7576\u9aa8\u9abc\u808c\u91cf\u6e1b\u5c11\u6642\u91a3\u985e\u4ee3\u8b1d\u4e5f\u6703\u6e1b\u5c11\uff0c\u6b64\u6642\u5c31\u548c\u80a5\u80d6\u3001\u8102\u80aa\u809d\u548c\u80f0\u5cf6\u7d20\u963b\u6297\u6709\u76f8\u95dc\u3002<\/p>\n<ul>\n<li>\u98f2\u98df\u56e0\u7d20<\/li>\n<\/ul>\n<p>\u98f2\u98df\u897f\u5316\uff0c\u5c24\u5176\u5e74\u8f15\u4eba\uff0c\u98df\u7269\u4e2d\u5145\u6eff\u8089\u985e\u3001\u6cb9\u8102\u53ca\u542b\u6709\u7cbe\u7dfb\u7cd6\u985e\u98f2\u6599\u90fd\u662f\u5371\u96aa\u56e0\u5b50\u3002<\/p>\n<ul>\n<li>\u57fa\u56e0\u5f71\u97ff<\/li>\n<\/ul>\n<p>PNPLA3 (Patatin-like phospholipase domain-containing protein 3)\u662f\u76ee\u524d\u767c\u73fe\u548c\u8102\u80aa\u809d\u76f8\u95dc\u7684\u57fa\u56e0\uff0c\u4e9e\u6d32\u4eba\u7d0413-19%\u5e36\u6b64\u57fa\u56e0\u3002<\/p>\n<ul>\n<li>\u5176\u4ed6\u56e0\u7d20<\/li>\n<\/ul>\n<p>\u5e74\u7d00\u5927\u3001\u7537\u6027\u3001\u7761\u7720\u547c\u5438\u4e2d\u6b62\u75c7\u3001\u548c\u7dad\u4ed6\u547d\uff24\u7f3a\u4e4f\u3001\u7532\u72c0\u817a\u4f4e\u4e0b\u90fd\u662f\u5371\u96aa\u56e0\u5b50\u3002<strong>\u00a0<\/strong><\/p>\n<p><strong>\u8102\u80aa\u809d\u7684\u75c7\u72c0<\/strong><\/p>\n<p>\u5927\u90e8\u5206\u7684\u60a3\u8005\u662f\u6c92\u6709\u75c7\u72c0\u7684\uff0c\u5c11\u90e8\u5206\u53ef\u80fd\u51fa\u73fe\u4e00\u4e9b\u975e\u7279\u7570\u6027\u7684\u75c7\u72c0\uff0c\u5305\u62ec\uff1a\u75b2\u5026\u3001\u98df\u617e\u4e0d\u632f\u3001\u5641\u5fc3\u3001\u8179\u8139\u53ca\u53f3\u4e0a\u8179\u90e8\u4e0d\u9069\u7b49\u75c7\u72c0\u3002\u5e38\u5728\u5065\u5eb7\u6aa2\u67e5\u6642\u624d\u5f97\u77e5\u809d\u529f\u80fd\u7570\u5e38\uff0c\u7d93\u7531\u8a73\u7d30\u6aa2\u67e5\u800c\u767c\u73fe\u3002<strong>\u00a0<\/strong><\/p>\n<p><strong>\u8102\u80aa\u809d\u7684\u6aa2\u67e5\u8207\u56b4\u91cd\u7a0b\u5ea6\u5224\u5225<\/strong><\/p>\n<p>\u9664\u4e86\u809d\u6307\u6578\uff08AST\u53caALT\uff09\u7684\u7570\u5e38\uff0c\u76ee\u524d\u8102\u80aa\u809d\u8a3a\u65b7\u5de5\u5177\u5305\u62ec\uff1a<\/p>\n<ul>\n<li>\u8d85\u97f3\u6ce2\uff08\u5716\u4e00\uff09<\/li>\n<\/ul>\n<p>\u6700\u5ee3\u6cdb\u4f7f\u7528\u7684\u8a3a\u65b7\u5100\u5668\uff0c\u5feb\u901f\u3001\u65b9\u4fbf\uff0c\u53ef\u521d\u6b65\u4e86\u89e3\u8102\u80aa\u809d\u7a0b\u5ea6\uff0c\u4f46\u809d\u81df\u7e96\u7dad\u5316\u7a0b\u5ea6\u4e0d\u6613\u5224\u5225\u3002<br \/>\n<a href=\"https:\/\/web.csh.org.tw\/web\/222010\/wp-content\/uploads\/2018\/01\/1.png\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2191\" src=\"https:\/\/web.csh.org.tw\/web\/222010\/wp-content\/uploads\/2018\/01\/1.png\" alt=\"\" width=\"749\" height=\"597\" srcset=\"https:\/\/web.csh.org.tw\/web\/222010\/wp-content\/uploads\/2018\/01\/1.png 749w, https:\/\/web.csh.org.tw\/web\/222010\/wp-content\/uploads\/2018\/01\/1-300x239.png 300w\" sizes=\"(max-width: 749px) 100vw, 749px\" \/><\/a><\/p>\n<p>(\u5716\u4e00) \u85c9\u7531\u8d85\u97f3\u6ce2\u53ef\u898b\u8102\u80aa\u809d\uff1a1.\u809d\u81df\u8207\u814e\u81df\u76ae\u8cea\u76f8\u6bd4\u6709\u5ee3\u6cdb\u6027\u7684\u9ad8\u56de\u97f3; 2.\u8840\u7ba1\u8f03\u6a21\u7cca\u4e0d\u6e05; 3.\u8d85\u97f3\u6ce2\u7684\u4fe1\u865f\u6df1\u90e8\u8870\u6e1b\u3002<\/p>\n<ul>\n<li>\u96fb\u8166\u65b7\u5c64<\/li>\n<\/ul>\n<p>\u6709\u6548\u7684\u8a3a\u65b7\u5de5\u5177\uff0c\u4f46\u7f3a\u9ede\u662f\u653e\u5c04\u7dda\u7684\u66b4\u9732\u3002<\/p>\n<ul>\n<li>\u6838\u78c1\u5171\u632f<\/li>\n<\/ul>\n<p>\u6e96\u78ba\u3001\u975e\u4fb5\u5165\u6027\uff0c\u53ef\u540c\u6642\u5224\u5225\u7e96\u7dad\u5316\u7a0b\u5ea6\u8207\u5f71\u97ff\u7bc4\u570d\uff0c\u4f46\u50f9\u683c\u6602\u8cb4\uff0c\u800c\u4e14\u5065\u4fdd\u5c1a\u672a\u7d66\u4ed8\u5728\u8102\u80aa\u809d\u4e0a\u7684\u6aa2\u67e5\u3002<\/p>\n<ul>\n<li>\u975e\u4fb5\u5165\u809d\u7e96\u7dad\u5316\u6383\u63cf<\/li>\n<\/ul>\n<p>\u5305\u62ec\u809d\u7e96\u7dad\u5316\u6383\u63cf\u5668\uff08Fibroscan\uff09\u53ca\u809d\u7e96\u7dad\u5316\u8d85\u97f3\u6ce2\uff08Acoustic radiation force impulse, ARFI\uff09\uff0c\u70ba\u6700\u65b0\u975e\u4fb5\u5165\u6027\u6aa2\u67e5\uff0c\u8a3a\u65b7\u809d\u7e96\u7dad\u5316\u7684\u7a0b\u5ea6\u6e96\u78ba\u6709\u6548\uff0c\u76ee\u524d\u672c\u9662\u914d\u6709\u809d\u7e96\u7dad\u5316\u8d85\u97f3\u6ce2\u6aa2\u67e5\u3002<\/p>\n<ul>\n<li>\u809d\u81df\u5207\u7247<\/li>\n<\/ul>\n<p>\u70ba\u8a3a\u65b7\u8102\u80aa\u809d\u8207\u56b4\u91cd\u7a0b\u5ea6\u7684\u9ec3\u91d1\u6a19\u6e96\uff0c\u70ba\u4fb5\u5165\u6027\u6aa2\u67e5\uff0c\u7d04&lt;1%\u4f75\u767c\u75c7\u4e4b\u98a8\u96aa\uff0c\u5728\u61f7\u7591\u809d\u7e96\u7dad\u5316\u53ca\u9ad8\u98a8\u96aa\u65cf\u7fa4\u3001\u6216\u75c5\u56e0\u5c1a\u672a\u78ba\u5b9a\u6642\uff0c\u4ecd\u5efa\u8b70\u5b89\u6392\u6aa2\u67e5\u3002<\/p>\n<p><strong>\u8102\u80aa\u809d\u8981\u4e0d\u8981\u7dca\uff1f<\/strong><\/p>\n<p><strong>\u8102\u80aa\u809d\u5c0d\u4eba\u9ad4\u7684\u5f71\u97ff<\/strong><\/p>\n<ul>\n<li>\u809d\u81df\u76f8\u95dc\u4f75\u767c\u75c7<\/li>\n<\/ul>\n<p>\u548c\u6162\u6027\u75c5\u6bd2\u6027\u809d\u708e\u4e00\u6a23\uff0c\u6703\u7d93\u6b77\u6240\u8b02\u7684\u809d\u75c5\u4e09\u90e8\u66f2\uff1a\u809d\u708e\u3001\u809d\u786c\u5316\u3001\u809d\u764c\u3002\u96d6\u7136\u6bd4\u4f8b\u8f03B\u3001C\u809d\u708e\u70ba\u4f4e\uff0c\u4f46\u6bcf\u5e74\u7d041-4%\u6a5f\u6703\u7531\u8102\u80aa\u809d\u9032\u5c55\u5230\u809d\u764c\uff08\u5716\u4e8c\uff09\u3002<\/p>\n<p><a href=\"https:\/\/web.csh.org.tw\/web\/222010\/wp-content\/uploads\/2018\/01\/2.png\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2193\" src=\"https:\/\/web.csh.org.tw\/web\/222010\/wp-content\/uploads\/2018\/01\/2.png\" alt=\"\" width=\"865\" height=\"486\" srcset=\"https:\/\/web.csh.org.tw\/web\/222010\/wp-content\/uploads\/2018\/01\/2.png 865w, https:\/\/web.csh.org.tw\/web\/222010\/wp-content\/uploads\/2018\/01\/2-300x169.png 300w, https:\/\/web.csh.org.tw\/web\/222010\/wp-content\/uploads\/2018\/01\/2-768x432.png 768w\" sizes=\"(max-width: 865px) 100vw, 865px\" \/><\/a><\/p>\n<p>(\u5716\u4e8c) \u8102\u80aa\u809d\u9020\u6210\u6162\u6027\u809d\u81df\u75c5\u8b8a<\/p>\n<ul>\n<li>\u809d\u5916\u4f75\u767c\u75c7<\/li>\n<\/ul>\n<p>\u6f5b\u5728\u7684\u4ee3\u8b1d\u75c7\u5019\u7fa4\u53ca\u5fc3\u8840\u7ba1\u75be\u75c5\uff0c\u61c9\u66f4\u52a0\u6ce8\u610f\u3002<\/p>\n<p><strong>\u8102\u80aa\u809d\u7684\u6cbb\u7642\u8207\u6700\u65b0\u9032\u5c55<\/strong><\/p>\n<ul>\n<li>\u751f\u6d3b\u578b\u614b\u6539\u8b8a<\/li>\n<\/ul>\n<ol>\n<li>\u6e1b\u91cd\u8207\u904b\u52d5\uff1a\u904b\u52d5\u53ca\u6e1b\u91cd10%\u53ef\u6709\u6548\u6539\u5584\u8102\u80aa\u809d\u53ca\u809d\u767c\u708e\u3002<\/li>\n<li>\u98f2\u98df\u6539\u8b8a\uff1a\u98f2\u98df\u4e2d\u5bcc\u542b\u591a\u5143\u4e0d\u98fd\u548c\u8102\u80aa\u9178\u3001\u9b5a\u6cb9\u3001\u7a40\u985e\u3001\u852c\u83dc\u985e\u3001\u8c46\u985e\u3001\u6c34\u679c\u3001\u548c\u7dad\u4ed6\u547dK\uff0c\u80fd\u964d\u4f4e\u7f79\u60a3\u98a8\u96aa\u3002<\/li>\n<li>\u6e1b\u5c11\u9152\u7cbe\u651d\u53d6\uff1a\u9152\u7cbe\u6703\u52a0\u5287\u8102\u80aa\u809d\u3002<\/li>\n<\/ol>\n<ul>\n<li>\u85e5\u7269\u6cbb\u7642\u767c\u5c55<\/li>\n<\/ul>\n<ol>\n<li>\u7dad\u4ed6\u547dE\uff1a\u53ef\u6709\u6548\u964d\u4f4e\u809d\u767c\u708e\uff0c\u4f46\u5c0d\u65bc\u7e96\u7dad\u5316\u53ca\u9577\u671f\u4f7f\u7528\u5c1a\u672a\u5b9a\u8ad6\u3002<\/li>\n<li>\u964d\u8840\u7cd6\u85e5\uff08Pioglitazone\uff09\uff1a\u964d\u4f4e\u809d\u767c\u708e\uff0c\u4f46\u53ef\u80fd\u9020\u6210\u9ad4\u91cd\u589e\u52a0\u526f\u4f5c\u7528\uff0c\u5fc3\u81df\u75c5\u60a3\u8005\u9700\u5c0f\u5fc3\u4f7f\u7528\u3002<\/li>\n<li>\u591a\u5143\u4e0d\u98fd\u548c\u8102\u80aa\u9178\uff08n-3 polyunsaturated fatty acid\uff09\uff1a\u53ef\u964d\u4f4e\u809d\u81df\u8102\u80aa\u542b\u91cf\uff0c\u4f46\u5c0d\u809d\u767c\u708e\u53ca\u7e96\u7dad\u5316\u6539\u5584\u6548\u679c\u5c1a\u672a\u5b9a\u8ad6\u3002<\/li>\n<li>\u5967\u8c9d\u81bd\u9178\uff08Obeticholic acid\uff09\uff1a\u7f8e\u570b\u98df\u85e5\u5c40\u6838\u51c6\u65bc\u539f\u767c\u6027\u81bd\u6c41\u6027\u81bd\u7ba1\u708e\uff0c\u61c9\u7528\u5728\u8102\u80aa\u809d\u4e0a\u521d\u671f\u81e8\u5e8a\u8a66\u9a57\u7642\u6548\u4e0d\u932f\uff0c\u76ee\u524d\u6b63\u9032\u884c\u7b2c\u4e09\u671f\u81e8\u5e8a\u8a66\u9a57\u4e2d\uff0c\u5c1a\u672a\u6b63\u5f0f\u5728\u81e8\u5e8a\u4f7f\u7528\u3002<\/li>\n<\/ol>\n<ul>\n<li>\u6e1b\u91cd\u624b\u8853<\/li>\n<\/ul>\n<p>\u53ef\u6539\u5584\u80a5\u80d6\u5408\u4f75\u8102\u80aa\u809d\u554f\u984c\uff0c\u4f46\u9700\u5c08\u696d\u91ab\u5e2b\u8a55\u4f30\u3002<\/p>\n<p>\u8102\u80aa\u809d\u70ba\u9577\u671f\u88ab\u5ffd\u7565\u7684\u75be\u75c5\uff0c\u9664\u809d\u81df\u672c\u8eab\uff0c\u901a\u5e38\u6703\u4f34\u96a8\u8840\u7cd6\u3001\u8840\u8102\u3001\u5fc3\u8840\u7ba1\u75be\u75c5\u7b49\u809d\u5916\u4f75\u767c\u75c7\uff0c\u5b9a\u671f\u8ffd\u8e64\u8207\u6539\u8b8a\u751f\u6d3b\u53ca\u98f2\u98df\u7fd2\u6163\u70ba\u91cd\u8981\u7684\u7167\u8b77\u65b9\u5411\u3002<\/p>\n<table border=\"0\" width=\"100%\">\n<tbody>\n<tr>\n<td>\n<p style=\"text-align: center;\">\u809d\u81bd\u8178\u80c3\u5167\u79d1<\/p>\n<p style=\"text-align: center;\"><strong>\u694a\u5b50\u7def \u91ab\u5e2b<\/strong><\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/web.csh.org.tw\/web\/222010\/wp-content\/uploads\/2018\/01\/1-3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2194\" src=\"https:\/\/web.csh.org.tw\/web\/222010\/wp-content\/uploads\/2018\/01\/1-3.jpg\" alt=\"\" width=\"635\" height=\"954\" srcset=\"https:\/\/web.csh.org.tw\/web\/222010\/wp-content\/uploads\/2018\/01\/1-3.jpg 635w, https:\/\/web.csh.org.tw\/web\/222010\/wp-content\/uploads\/2018\/01\/1-3-200x300.jpg 200w\" sizes=\"(max-width: 635px) 100vw, 635px\" 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