{"id":3061,"date":"2019-10-29T10:48:35","date_gmt":"2019-10-29T02:48:35","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/222010\/?p=3061"},"modified":"2019-10-29T10:48:35","modified_gmt":"2019-10-29T02:48:35","slug":"%e3%80%90%e6%b3%8c%e5%b0%bf%e7%a7%91%e3%80%91%e6%94%9d%e8%ad%b7%e8%85%ba%e8%82%a5%e5%a4%a7%e7%9a%84%e8%a8%ba%e6%96%b7%e8%88%87%e6%b2%bb%e7%99%82","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/222010\/?p=3061","title":{"rendered":"\u3010\u6ccc\u5c3f\u79d1\u3011\u651d\u8b77\u817a\u80a5\u5927\u7684\u8a3a\u65b7\u8207\u6cbb\u7642"},"content":{"rendered":"<p><!--more--><\/p>\n<p style=\"text-align: right;\">\u6587\/\u6ccc\u5c3f\u79d1 \u7c21\u5b8f\u7950 \u4f4f\u9662\u91ab\u5e2b<\/p>\n<h1>\u60a8\u6709\u4ee5\u4e0b\u75c7\u72c0\u55ce<strong>\uff1f<\/strong><\/h1>\n<ul>\n<li>\u5c3f\u6d41\u7d30\u5c0f\u7121\u529b\u3002<\/li>\n<li>\u5c0f\u4fbf\u6642\u5fc5\u9808\u7b49\u5f85\u4e00\u9663\u5b50\u624d\u80fd\u89e3\u7684\u51fa\u4f86\u3002<\/li>\n<li>\u8001\u662f\u89ba\u5f97\u8180\u80f1\u88e1\u7684\u5c3f\u6db2\u7121\u6cd5\u5b8c\u5168\u6392\u7a7a\u3002<\/li>\n<li>\u525b\u89e3\u5b8c\u5c0f\u4fbf\u5f8c\uff0c1-2\u5c0f\u6642\u5167\u53c8\u9700\u518d\u6b21\u5c0f\u4fbf\u3002<\/li>\n<li>\u89e3\u5c3f\u6642\u8981\u7528\u529b\u624d\u80fd\u89e3\u7684\u51fa\u4f86\u3002\u89e3\u5b8c\u5f8c\u9084\u6703\u6ef4\u6ef4\u7b54\u7b54\u3002<\/li>\n<li>\u6709\u6642\u4e00\u5c3f\u6025\uff0c\u6703\u6709\u4f86\u4e0d\u53ca\u4e0a\u5ec1\u6240\u7684\u60c5\u5f62\u3002<\/li>\n<li>\u665a\u4e0a\u7761\u89ba\u5230\u5929\u4eae\u8d77\u5e8a\uff0c\u9700\u8d77\u8eab\u5c0f\u4fbf\u6578\u6b21\u3002<\/li>\n<\/ul>\n<p>\u4ee5\u4e0a\u90fd\u662f\u5e38\u898b\u7684\u4e0b\u6ccc\u5c3f\u9053\u75c7\u72c0\u3002\u5982\u679c\u6709\uff0c\u61c9\u8a72\u8981\u61f7\u7591\u81ea\u5df1\u651d\u8b77\u817a\u662f\u5426\u6709\u80a5\u5927\u60c5\u5f62\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u4f55\u8b02\u826f\u6027\u651d\u8b77\u817a\u80a5\u5927\uff1f\u91ab\u5b78\u4e0a\u7684\u5b9a\u7fa9\u70ba\uff1a\u7d44\u7e54\u5b78\u4e0a\u7684\u7d30\u80de\u589e\u751f\u3001\u817a\u9ad4\u7684\u816b\u5927\uff0c\u9020\u6210\u81e8\u5e8a\u4e0a\u5c3f\u9053\u963b\u585e\u7684\u75c7\u72c0\uff0c\u4e5f\u5c31\u662f\u6211\u5011\u4fd7\u7a31\u7684\u4e0b\u6ccc\u5c3f\u9053\u75c7\u5019\u7fa4(lower urinary tract syndrome,LUTS)\u3002\u96a8\u8457\u5e74\u9f61\u589e\u9577\uff0c\u651d\u8b77\u817a\u80a5\u5927\u7684\u6a5f\u7387\u4e5f\u76f4\u7dda\u4e0a\u5347\u300251-60\u6b72\u7684\u7537\u6027\u7d04\u670950%\u6709\u651d\u8b77\u817a\u80a5\u5927\u7684\u73fe\u8c61\uff0c70\u6b72\u6642\u7d04\u670970%\u7684\u76db\u884c\u7387\uff0c\u5230\u4e8680\u6b72\u4ee5\u4e0a\uff0c\u5e7e\u4e4e90%\u4ee5\u4e0a\u7684\u7537\u6027\u90fd\u6709\u651d\u8b77\u817a\u80a5\u5927\u7684\u60c5\u5f62\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u9020\u6210\u651d\u8b77\u817a\u80a5\u5927\u4e4b\u539f\u56e0\uff0c\u6700\u4e3b\u8981\u662f\u96a8\u8457\u5e74\u9f61\u7684\u589e\u9577\uff0c\u7537\u6027\u8377\u723e\u8499\u7684\u523a\u6fc0\u9020\u6210\u7d44\u7e54\u7684\u589e\u751f\uff1b\u5176\u4ed6\u5305\u542b\u751f\u6d3b\u7fd2\u6163\u5982\u62bd\u7159\u3001\u559d\u9152\uff0c\u80a5\u80d6\uff0c\u662f\u5426\u6709\u5176\u4ed6\u5167\u79d1\u75be\u75c5\u5982\u809d\u786c\u5316\u3001\u9ad8\u8840\u58d3\uff0c\u751a\u81f3\u662f\u7a2e\u65cf\u3001\u793e\u6703\u7d93\u6fdf\u5730\u4f4d\u90fd\u6709\u5f71\u97ff\u3002<\/p>\n<p>\u96a8\u8457\u7d44\u7e54\u589e\u751f\u9020\u6210\u651d\u8b77\u817a\u80a5\u5927\u6703\u9032\u4e00\u6b65\u5f15\u8d77\u6392\u5c3f\u969c\u7919\u3002\u521d\u3001\u4e2d\u671f\u5e38\u898b\u7684\u75c7\u72c0\u6709\u983b\u5c3f\u3001\u6392\u5c3f\u6162\u3001\u5c3f\u6d41\u7d30\u5c0f\u3001\u6025\u8feb\u6027\u5c3f\u5931\u7981\u3001\u6709\u9918\u5c3f\u611f\u3001\u8180\u80f1\u767c\u708e\u3001\u591c\u5c3f\u6b21\u6578\u589e\u591a\uff1b\u5230\u665a\u671f\u6642\u5247\u53ef\u80fd\u6709\u8180\u80f1\u767c\u708e\u3001\u8840\u5c3f\u3001\u5c3f\u6eef\u7559\u3001\u56e0\u70ba\u5c3f\u6eef\u7559\u9020\u6210\u7684\u814e\u529f\u80fd\u969c\u7919\uff0c\u751a\u81f3\u662f\u5c3f\u6bd2\u75c7\u3002<\/p>\n<p><strong>\u00a0<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-3062\" src=\"https:\/\/web.csh.org.tw\/web\/222010\/wp-content\/uploads\/2019\/10\/10291.png\" alt=\"\" width=\"865\" height=\"437\" srcset=\"https:\/\/web.csh.org.tw\/web\/222010\/wp-content\/uploads\/2019\/10\/10291.png 865w, https:\/\/web.csh.org.tw\/web\/222010\/wp-content\/uploads\/2019\/10\/10291-300x152.png 300w, https:\/\/web.csh.org.tw\/web\/222010\/wp-content\/uploads\/2019\/10\/10291-768x388.png 768w\" sizes=\"(max-width: 865px) 100vw, 865px\" \/><\/strong><\/p>\n<p><strong>\u826f\u6027\u651d\u8b77\u817a\u80a5\u5927\u8a3a\u65b7\u8207\u6cbb\u7642\u6d41\u7a0b<\/strong><\/p>\n<p><u>\u75c5\u53f2\u8a62\u554f<\/u><\/p>\n<p><u>\u809b\u9580\u6307\u8a3a<\/u><\/p>\n<p style=\"padding-left: 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TRUS)<\/u><\/p>\n<p style=\"padding-left: 30px;\">\u6e2c\u91cf\u651d\u8b77\u817a\u9ad4\u7a4d\u7684\u5927\u5c0f\u3002<\/p>\n<p><u>\u8180\u80f1\u93e1<\/u><\/p>\n<p style=\"padding-left: 30px;\">\u5167\u8996\u93e1\u4e0b\u76f4\u63a5\u89c0\u5bdf\u651d\u8b77\u817a\u589e\u751f\u60c5\u5f62\u3002<\/p>\n<p><u>\u5c3f\u6d41\u901f\u53ca\u6b98\u5c3f\u6aa2\u67e5<\/u><\/p>\n<p style=\"padding-left: 30px;\">\u6b63\u5e38\u7537\u6027\u5c3f\u6d41\u901f\u6bcf\u79d2\u70ba20-25ml\u4f5c\u70ba\u670d\u85e5\u5f8c\u8ffd\u8e64\u7684\u6307\u6a19\u4e4b\u4e00\u3002<\/p>\n<p><u>\u5c3f\u6db2\u6aa2\u67e5<\/u>\uff1a\u6aa2\u9a57\u662f\u5426\u6709\u8840\u5c3f\u3001\u767c\u708e\u6216\u86cb\u767d\u5c3f\u73fe\u8c61\u3002<\/p>\n<p><u>\u8840\u6db2\u6aa2\u67e5<\/u>\uff1a\u651d\u8b77\u817a\u7279\u7570\u6297\u539f (PSA)\uff0c\u814e\u529f\u80fd\u3002<\/p>\n<p><u>\u8180\u80f1\u6a5f\u80fd\u6aa2\u67e5<\/u><\/p>\n<p style=\"padding-left: 30px;\">\u5728\u9577\u671f\u89e3\u5c3f\u56f0\u96e3\u3001\u7528\u529b\u903c\u5c3f\uff0c\u8180\u80f1\u904e\u5ea6\u4f5c\u5de5\u4e4b\u5f8c\uff0c\u6703\u7522\u751f\u201c\u8180\u80f1\u7121\u529b\u201d\u7684\u60c5\u5f62\uff0c\u9808\u505a\u6b64\u9805\u6aa2\u67e5\u52a0\u4ee5\u4e86\u89e3\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u651d\u8b77\u817a\u80a5\u5927\u4e4b\u6cbb\u7642\u9078\u64c7\uff0c\u53ef\u4ee5\u5206\u70ba\u975e\u4fb5\u5165\u6027\u7684\u85e5\u7269\u6cbb\u7642\u53ca\u4fb5\u5165\u6027\u7684\u5916\u79d1\u6cbb\u7642<\/strong><\/p>\n<p><u>\u85e5\u7269\u6cbb\u7642<\/u><\/p>\n<ul>\n<li>\u03b1-\u4ea4\u611f\u795e\u7d93\u53d7\u9ad4\u963b\u65b7\u5291(Silodosin, Tamsulosin , Alfuzosin, Terazosin, Doxazosin)\uff1a\u8212\u7de9\u651d\u8b77\u817a\u5e73\u6ed1\u808c\uff0c\u6539\u5584\u5c0d\u5c3f\u9053\u7684\u58d3\u8feb\u3002<\/li>\n<li>5\u03b1-\u9084\u539f\u9176\u6291\u5236\u5291(proscar, avodart)\uff1a\u963b\u65b7DHT\u7684\u751f\u6210\uff0c\u4f7f\u80a5\u5927\u7684\u651d\u8b77\u817a\u7e2e\u5c0f\u3002<\/li>\n<li>\u6297\u6bd2\u83cc\u9e7cAntimuscarinics\u3002<\/li>\n<li>\u88dc\u5145\u6027\u7642\u6cd5\uff1a\u8304\u7d05\u7d20, Saw Palmetto \u92f8\u68d5\u6ada\u3002<\/li>\n<\/ul>\n<p><u>\u5916\u79d1\u624b\u8853\u6cbb\u7642<\/u><\/p>\n<ul>\n<li>\u7d93\u5c3f\u9053\u524d\u5217\u817a\u5207\u9664\u8853\uff08Transurethral resection of the prostate, TURP\uff09\n<ul>\n<li>\u6cbb\u7642\u651d\u8b77\u817a\u80a5\u5927\u7684\u6a19\u6e96\u8655\u7406\u65b9\u6cd5\uff0c\u5167\u8996\u93e1\u76f4\u8996\u4e0b\u5229\u7528\u975e\u6eb6\u8840\u7684\u6c96\u6d17\u6db2\u548c\u55ae\u6975\u5207\u5272\u5200\uff0c\u5c07\u651d\u8b77\u817a\u7d44\u7e54\u4e00\u7247\u7247\u7684\u5207\u5272\u4e0b\u4f86\uff0c\u522e\u51fa\u4e00\u500b\u96a7\u9053\u578b\u7a7a\u8154\uff0c\u6539\u5584\u6392\u5c3f\u72c0\u6cc1\u3002<\/li>\n<\/ul>\n<\/li>\n<li>\u7d93\u5c3f\u9053\u651d\u8b77\u817a\u96d9\u6975\u96fb\u5200\u6c23\u5316\u8853\u6216\u62ec\u9664\u8853\n<ul>\n<li>\u96d9\u6975\u6280\u8853\u80fd\u91cf\u5927\u591a\u96c6\u4e2d\u5728\u5207\u5272\u5200\u4e0a\uff0c\u5c0d\u65bc\u9031\u908a\u7d44\u7e54\u548c\u5fc3\u81df\u7bc0\u7387\u5668\u7684\u5f71\u97ff\u8f03\u5c0f\u3002<\/li>\n<li>\u5229\u7528\u751f\u7406\u98df\u9e7d\u6c34\u7576\u6c96\u6d17\u6db2\uff0c\u53ef\u6e1b\u5c11\u7d93\u5c3f\u9053\u651d\u8b77\u817a\u7684\u62ec\u9664\u75c7\u4faf\u7fa4\u3002<\/li>\n<\/ul>\n<\/li>\n<li>\u7d93\u5c3f\u9053\u524d\u5217\u817a\u5207\u958b\u8853\uff08TUIP\uff09\n<ul>\n<li>\u9069\u7528\u65bc\u524d\u5217\u817a\u8f15\u5fae\u589e\u5927\u4f46\u75c7\u72c0\u8f03\u56b4\u91cd\u7684\u75c5\u4eba\uff0c\u624b\u8853\u4e0d\u6703\u5207\u9664\u524d\u5217\u817a\u7d44\u7e54\uff0c\u800c\u5728\u8180\u80f1\u9838\u4e0a\u4f5c\u4e00\u500b\u5207\u53e3\uff0c\u4ee5\u653e\u5bec\u5c3f\u9053\u3002<\/li>\n<\/ul>\n<\/li>\n<li>\u50b3\u7d71\u651d\u8b77\u817a\u958b\u8179\u5f0f\u624b\u8853\n<ul>\n<li>\u7d93\u7531\u958b\u8179\u624b\u8853\u76f4\u63a5\u79fb\u9664\u651d\u8b77\u817a<\/li>\n<\/ul>\n<\/li>\n<li>\u7d93\u5c3f\u9053\u96f7\u5c04\u624b\u8853\n<ul>\n<li>\u512a\u9ede\u70ba\u8f03\u4e0d\u6703\u51fa\u8840\u3001\u5b89\u5168\u6027\u9ad8\u3001\u6062\u5fa9\u8f03\u5feb\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>\u8981\u6ce8\u610f\u7684\u662f\uff0c\u624b\u8853\u76ee\u6a19\u662f\u4f7f\u89e3\u5c3f\u72c0\u6cc1\u8b8a\u597d\uff0c\u4f46\u80fd\u6539\u5584\u591a\u5c11\uff0c\u8207\u8180\u80f1\u529f\u80fd\u53d7\u640d\u7a0b\u5ea6\u6709\u5f88\u5927\u7684\u5f71\u97ff\uff0c\u82e5\u8180\u80f1\u529f\u80fd\u5df2\u53d7\u640d\u56b4\u91cd\uff0c\u5247\u624b\u8853\u5f8c\u4ecd\u53ef\u80fd\u6709\u983b\u5c3f\u3001\u7d30\u5c3f\u7b49\u554f\u984c\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":["post-3061","post","type-post","status-publish","format-standard","hentry","category-doc-heaedu"],"_links":{"self":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts\/3061"}],"collection":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3061"}],"version-history":[{"count":1,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts\/3061\/revisions"}],"predecessor-version":[{"id":3065,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=\/wp\/v2\/posts\/3061\/revisions\/3065"}],"wp:attachment":[{"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3061"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3061"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/222010\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3061"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}