{"id":403,"date":"2023-11-01T10:24:08","date_gmt":"2023-11-01T02:24:08","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/224020\/?page_id=403"},"modified":"2024-04-16T15:38:13","modified_gmt":"2024-04-16T07:38:13","slug":"c%e8%82%9d%e5%85%a8%e5%8f%a3%e6%9c%8d%e6%b2%bb%e7%99%82","status":"publish","type":"page","link":"https:\/\/web.csh.org.tw\/web\/224020\/?page_id=403","title":{"rendered":"C\u809d\u5168\u53e3\u670d\u6cbb\u7642"},"content":{"rendered":"\n<p><strong>\u524d\u8a00\uff1a<\/strong><br>C \u578b\u809d\u708e\u662f\u53f0\u7063\u5730\u5340\u809d\u75c5\u50c5\u6b21\u65bcB\u578b\u809d\u708e\u7684\u7b2c\u4e8c\u865f\u6bba\u624b\uff0c\u5728\u6210\u5e74\u4eba\u53e3\u4e2d\u7d04\u67094\uff05\u662f\u6162\u6027C\u578b\u809d\u708e\u60a3\u8005\u3002\u5c31C\u809d\u75c5\u6bd2\u611f\u67d3\u7684\u81ea\u7136\u53f2\u800c\u8a00\uff0c\u6025\u6027C\u809d\u75c5\u6bd2\u611f\u67d3\u5f8c\u670970\uff05\u523080\uff05\u7684\u4eba\u6703\u8b8a\u6210\u70ba\u6162\u6027C\u809d\u75c5\u6bd2\u611f\u67d3\u3002\u9019\u4e9b\u6162\u6027C\u809d\u75c5\u6bd2\u611f\u67d3\u8005\u4e2d\uff0c\u6709\u8fd1\u5169\u6210\u7684\u4eba\u572820\u5e74\u5f8c\u6703\u7522\u751f\u809d\u786c\u5316\u3002\u5728\u809d\u786c\u5316\u7684C\u809d\u60a3\u8005\u4e2d\uff0c\u6bcf\u5e74\u67091-4\uff05\u7684\u6a5f\u6703\u7522\u751f\u809d\u7d30\u80de\u764c\uff0c4-5\uff05\u7684\u6a5f\u6703\u767c\u751f\u809d\u529f\u80fd\u4ee3\u511f\u5931\u8abf\u3002<\/p>\n\n\n\n<p><br>\u9577\u671f\u4ee5\u4f86\uff0cC\u578b\u809d\u708e\u6cbb\u7642\u9700\u6bcf\u9031\u65bd\u6253\u4e00\u6b21\u9577\u6548\u578b\u5e72\u64fe\u7d20(pegylated interferon)\uff0c\u4e26\u914d\u5408\u6bcf\u65e5\u53e3\u670d\u96f7\u5df4\u5a01\u6797(ribavirin)\u3002\u4ee5C\u809d\u75c5\u6bd2\u57fa\u56e0\u578b\u7b2c\u4e00\u578b\u60a3\u8005\u800c\u8a00\uff0c\u6cbb\u764248\u9031\u5f8c\uff0c\u7d04\u670970%\u7684\u75c5\u60a3\u53ef\u9054\u5230\u6301\u7e8c\u7684\u75c5\u6bd2\u53cd\u61c9(sustained virological response, SVR)\u3002\u5c0d\u65bc\u75c5\u6bd2\u57fa\u56e0\u578b\u7b2c2\u8207\u7b2c3\u578b\uff0c\u66f4\u6709\u9ad8\u905480%~90%\u7684\u6301\u7e8c\u75c5\u6bd2\u53cd\u61c9\uff0c\u9019\u985e\u75c5\u60a3\u5728\u5408\u4f75\u6cbb\u76424\u9031\u5f8c\uff0c\u82e5\u6709\u9054\u5230\u5feb\u901f\u75c5\u6bd2\u53cd\u61c9(rapid virological response, RVR)\uff0c\u751a\u81f3\u53ef\u7e2e\u77ed\u6cbb\u7642\u7684\u6642\u9593\u81f316-24\u9031\u3002\u4f46\u5e72\u64fe\u7d20\u7684\u5e38\u898b\u526f\u4f5c\u7528\u6709\u6301\u7e8c\u767c\u71d2\u3001\u54b3\u55fd\u3001\u98df\u617e\u4e0d\u632f\u7b49\uff0c\u4e5f\u6703\u51fa\u73fe\u8ca7\u8840\u3001\u8840\u5c0f\u677f\u3001\u767d\u8840\u7403\u964d\u4f4e\u3001\u7532\u72c0\u817a\u529f\u80fd\u7570\u5e38\uff0c\u60c5\u7dd2\u4f4e\u843d\u7b49\uff0c\u96f7\u5df4\u5a01\u6797\u4e5f\u6703\u5f15\u8d77\u8ca7\u8840\uff0c\u8b93\u90e8\u5206\u60a3\u8005\u611f\u5230\u4e0d\u9069\u3002<\/p>\n\n\n\n<p><br>\u7531\u65bc\u8fd1\u5e74\u4f86\u65b0\u85e5\u4e4b\u7814\u767c\u6709\u9577\u8db3\u7684\u9032\u5c55\uff0cC \u578b\u809d\u708e\u4e5f\u9678\u7e8c\u6709\u9ad8\u6cbb\u7652\u7387\u7684\u5168\u53e3\u670d\u6297\u75c5\u6bd2\u85e5\u7269\u4e0a\u5e02\u3002\u65b0\u578b\u5168\u53e3\u670d\u6297\u75c5\u6bd2\u85e5\u7269\u53ea\u9700\u670d\u75283\u81f36\u500b\u6708\uff0c\u6cbb\u7652\u7387\u53ef\u905490%\u4ee5\u4e0a\uff0c\u6210\u6548\u76f8\u5c0d\u986f\u8457\u3002\u57282015\u5e749\u6708\uff0c\u4e16\u754c\u885b\u751f\u7d44\u7e54\uff08WHO\uff09\u65bc\u8607\u683c\u862d\u7684\u683c\u62c9\u65af\u54e5 (Glasgow) \u53ec\u958b\u4e16\u754c\u809d\u708e\u9ad8\u5cf0\u6703 (World Hepatitis Summit)\uff0c\u6703\u4e2d\u64ec\u5b9a\u4e00\u9805\u5c0d\u65bc\u809d\u708e\u9632\u6cbb\u7684\u683c\u62c9\u65af\u54e5\u5ba3\u8a00 (Glasgow Declaration on Viral Hepatitis)\uff0c\u76f4\u9673\u5c0d\u65bc\u75c5\u6bd2\u6027\u809d\u708e\u7684\u9810\u9632\u3001\u8a3a\u65b7\u3001\u7167\u8b77\u548c\u6cbb\u7642\u4e4b\u5168\u9762\u666e\u53ca\u662f\u4eba\u6b0a\uff0c\u56e0\u6b64\u547c\u7c72\u5404\u570b\u653f\u5e9c\u5728\u5176\u6b0a\u529b\u7bc4\u570d\u5167\u61c9\u8207\u91ab\u7642\u5c08\u696d\u4eba\u54e1\u3001\u975e\u71df\u5229\u7d44\u7e54\u3001\u85e5\u5ee0\u7b49\u6240\u6709\u5229\u5bb3\u95dc\u4fc2\u4eba\uff0c\u5118\u901f\u767c\u5c55\u4e26\u57f7\u884c\u5168\u9762\u6027\u7684\u809d\u708e\u8cc7\u52a9\u8a08\u756b\uff0c\u81f4\u529b\u65bc\u6d88\u9664\u9019\u500b\u91cd\u8981\u7684\u516c\u5171\u885b\u751f\u8b70\u984c\u3002\u8a72\u5ba3\u8a00\u660e\u78ba\u5217\u51fa2030\u5e74\u76ee\u6a19\uff0c\u5305\u62ec\u6e1b\u5c1190%\u6162\u6027B\u578b\u548cC\u578b\u809d\u708e\u7684\u65b0\u75c5\u4f8b\u3001\u6e1b\u5c1165% B\u578b\u548cC\u578b\u809d\u708e\u5c0e\u81f4\u7684\u6b7b\u4ea1\u6578\uff0c\u4ee5\u53ca\u6162\u6027B\u578b\u548cC\u578b\u809d\u708e\u611f\u67d3\u4e14\u9069\u5408\u6cbb\u7642\u8005\u7684\u6cbb\u7642\u7387\u905480%\u3002<br>\u76ee\u524d\u5df2\u6709\u8d85\u904e60\u500b\u570b\u5bb6\u4ee3\u8868\u7c3d\u7f72\u300c\u683c\u62c9\u65af\u54e5\u5ba3\u8a00\u300d\uff0c\u627f\u8afe\u4e26\u80a9\u6d88\u6ec5\u809d\u708e\uff0c\u76ee\u524d\u5168\u7403\u7d04\u67091\/3\u570b\u5bb6\u5df2\u5efa\u7acb\u4e86\u570b\u5bb6\u578b\u809d\u708e\u9632\u6cbb\u8a08\u756b\uff0c\u5404\u570b\u72c0\u6cc1\u7565\u6709\u4e0d\u540c\uff0c\u4e3b\u8981\u4f9d\u64da\u76db\u884c\u7387\u8207\u4eba\u6578\u591a\u5be1\uff0c\u64f4\u589e2-6\u500d\u7684\u539f\u6709\u9810\u7b97\u3002\u4f8b\u5982\uff1a\u7f8e\u570b\u3001\u65e5\u672c\u3001\u97d3\u570b\u3001\u6fb3\u6d32\u3001\u897f\u73ed\u7259\u7b49\u570b\u7686\u5df2\u5236\u5b9a\u4e86\u6d88\u9664C\u578b\u809d\u708e\u7684\u76ee\u6a19\u3002\u53f0\u7063\u662f\u5168\u7403\u5c11\u6578 C \u578b\u809d\u708e\u76db\u884c\u7387\u8d85\u904e3%\u7684\u570b\u5bb6\uff0c\u9ad8\u65bc\u65e5\u672c\u3001\u97d3\u570b\u7b49\u5176\u4ed6\u4e9e\u6d32\u9130\u8fd1\u570b\u5bb6\uff0cC\u578b\u809d\u708e\u4e4b\u9632\u6cbb\u66f4\u61c9\u523b\u4e0d\u5bb9\u7de9\u3002<\/p>\n\n\n\n<p>\u76ee\u7684\uff1a<br>\n\u914d\u5408\u5065\u4fdd\u7e3d\u984d\u9810\u7b97\u4e2dC\u578b\u809d\u708e\u6cbb\u7642\u8cbb\u7528\u5c08\u6b3e\u984d\u5ea6\uff0c\u9032\u884c\u5065\u4fdd\u7d66\u4ed8C\u578b\u809d\u708e\u5168\u53e3\u670d\u65b0\u85e5\u4e4b\u7ba1\u7406\uff0c\u5c07\u6709\u9650\u8cc7\u6e90\u505a\u6700\u9069\u5206\u914d\u4e26\u9054\u6210\u6700\u4f73\u6548\u76ca\uff0c\u6709\u6548\u964d\u4f4eC\u578b\u809d\u708e\u4e4b\u6d41\u884c\u98a8\u96aa\uff0c\u4fdd\u969c\u570b\u4eba\u8eab\u9ad4\u5065\u5eb7\uff0c\u907f\u514d\u65e5\u5f8c\u884d\u751f\u809d\u786c\u5316\u53ca\u809d\u764c\u6240\u8017\u8cbb\u4e4b\u91ab\u7642\u53ca\u793e\u6703\u8cc7\u6e90\uff0c\u9054\u6210\u6211\u570b\u5168\u9762\u6027\u6839\u9664C\u578b\u809d\u708e\u4e4b\u76ee\u6a19\uff0c\u63d0\u5347\u570b\u5bb6\u5f62\u8c61\u3002<\/p>\n\n\n\n<p>\u85e5\u7269\u4f7f\u7528\u689d\u4ef6\uff1a<br>\n(\u4e00)\u4f9d\u5168\u6c11\u5065\u5eb7\u4fdd\u96aa\u85e5\u7269\u7d66\u4ed8\u9805\u76ee\u53ca\u652f\u4ed8\u6a19\u6e96\u7b2c\u516d\u7de8\u7b2c\u516b\u5341\u4e09\u689d\u4e4b\u85e5\u54c1\u7d66\u4ed8\u898f\u5b9a\u7b2c10\u7bc0\u6297\u5fae\u751f\u7269\u529110.7.7.\u300110.7.8.\u300110.7.9.\u300110.7.10.\u300110.7.11.\u53ca10.7.13\u8fa6\u7406\u3002<br>\n(\u4e8c)\u81ea108\u5e749\u670820\u65e5\u8d77\u81f3108\u5e7412\u670831\u65e5\u6b62\u4e4b\u65b0\u6536\u500b\u6848\uff0c\u9808\u7b26\u5408\u300c\u7d93\u7531\u809d\u7d44\u7e54\u5207\u7247\u6216\u809d\u81df\u7e96\u7dad\u5316\u6383\u63cf\u6216FIB-4\u8b49\u5be6\uff0c\u7b49\u540cMETAVIR system\u7e96\u7dad\u5316\u5927\u65bc\u6216\u7b49\u65bcF3\uff1b\u6216\u8d85\u97f3\u6ce2\u8a3a\u65b7\u70ba\u809d\u786c\u5316\u4f75\u98df\u9053\u6216\u80c3\u975c\u8108\u66f2\u5f35\uff0c\u6216\u8d85\u97f3\u6ce2\u8a3a\u65b7\u70ba\u809d\u786c\u5316\u4f75\u813e\u816b\u5927\u300d\u3002<\/p>\n\n\n\n<p>\u91ab\u4e8b\u670d\u52d9\u6a5f\u69cb\u53ca\u91ab\u5e2b\u8cc7\u683c\uff1a<br>\n(\u4e00)\u53c3\u8207\u4e4b\u91ab\u5e2b\u9808\u900f\u904e\u9662\u6240\u5411\u4fdd\u96aa\u4eba\u6240\u8f44\u5206\u5340\u696d\u52d9\u7d44\u7533\u8acb\uff0c\u59cb\u80fd\u767b\u5165\u500b\u6848\u767b\u9304\u7cfb\u7d71\u3002<br>\n(\u4e8c)\u809d\u81df\u75c5\u7406\u7d44\u7e54\u6aa2\u67e5\uff0c\u5f97\u4f9d\u4ee3\u6aa2\u76f8\u95dc\u898f\u5b9a\u8fa6\u7406\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u524d\u8a00\uff1aC \u578b\u809d\u708e\u662f\u53f0\u7063\u5730\u5340\u809d\u75c5\u50c5\u6b21\u65bcB\u578b\u809d\u708e\u7684\u7b2c\u4e8c\u865f\u6bba\u624b\uff0c\u5728\u6210\u5e74\u4eba\u53e3\u4e2d\u7d04\u67094\uff05\u662f &hellip; <a href=\"https:\/\/web.csh.org.tw\/web\/224020\/?page_id=403\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-403","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/web.csh.org.tw\/web\/224020\/index.php?rest_route=\/wp\/v2\/pages\/403"}],"collection":[{"href":"https:\/\/web.csh.org.tw\/web\/224020\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/web.csh.org.tw\/web\/224020\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/224020\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/224020\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=403"}],"version-history":[{"count":3,"href":"https:\/\/web.csh.org.tw\/web\/224020\/index.php?rest_route=\/wp\/v2\/pages\/403\/revisions"}],"predecessor-version":[{"id":437,"href":"https:\/\/web.csh.org.tw\/web\/224020\/index.php?rest_route=\/wp\/v2\/pages\/403\/revisions\/437"}],"wp:attachment":[{"href":"https:\/\/web.csh.org.tw\/web\/224020\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=403"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}