{"id":4100,"date":"2021-07-30T15:28:06","date_gmt":"2021-07-30T07:28:06","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=4100"},"modified":"2021-07-30T15:30:09","modified_gmt":"2021-07-30T07:30:09","slug":"%e8%82%ba%e7%99%8c%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\/cshmagazine\/?p=4100","title":{"rendered":"\u80ba\u764c\u7684\u8a3a\u65b7\u8207\u6cbb\u7642"},"content":{"rendered":"\n<p style=\"text-align:right\">\u6587\/\u4e2d\u5c71\u91ab\u5b78\u5927\u5b78\u9644\u8a2d\u91ab\u9662<br>\u80ba\u764c\u8a3a\u6cbb\u7814\u7a76\u4e2d\u5fc3 <strong>\u5f35\u57fa\u665f <\/strong>\u4e3b\u4efb<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2021\/07\/14378466223009-1-881x1024.jpg\" alt=\"\" class=\"wp-image-4102\" width=\"220\" height=\"256\"\/><figcaption>\u80ba\u764c\u8a3a\u6cbb\u7814\u7a76\u4e2d\u5fc3 \u5f35\u57fa\u665f \u4e3b\u4efb<\/figcaption><\/figure><\/div>\n\n\n\n<p>\u81ea\u6c11\u570b\u4e03\u5341\u4e00\u5e74\u8d77\uff0c\u764c\u75c7\u5df2\u9023\u7e8c\u4e09\u5341\u516b\u5e74\u87ec\u806f\u570b\u4eba\u6b7b\u4ea1\u539f\u56e0\u7684\u9996\u4f4d\uff0c\u8fd1\u5e74\u4f86\uff0c\u80ba\u764c\u66f4\u662f\u570b\u4eba\u764c\u75c7\u6b7b\u4ea1\u7684\u982d\u865f\u6bba\u624b\u3002<\/p>\n\n\n\n<p class=\"has-text-color has-vivid-red-color\"><strong>\u662f\u80ba\u764c\uff0c\u9084\u662f\u80ba\u817a\u764c<\/strong><strong>?<\/strong><\/p>\n\n\n\n<p>\u80ba\u764c\u53ef\u5206\u70ba\u5c0f\u7d30\u80de\u80ba\u764c\u53ca\u975e\u5c0f\u7d30\u80de\u80ba\u764c\u3002\u5728\u53f0\u7063\uff0c\u7d04\u6709\u4e5d\u6210\u7684\u80ba\u764c\u60a3\u8005\u5c6c\u65bc\u975e\u5c0f\u7d30\u80de\u80ba\u764c\u3002\u975e\u5c0f\u7d30\u80de\u80ba\u764c\u53c8\u53ef\u4f9d\u75c5\u7406\u7d44\u7e54\u5206\u5316\u518d\u7d30\u5206\u70ba\u80ba\u817a\u764c\u3001\u80ba\u9c57\u72c0\u7d30\u80de\u764c\u3001\u5927\u7d30\u80de\u764c\u7b49\u7b49\u3002\u901a\u5e38\u5c0f\u7d30\u80de\u80ba\u764c\u53ca\u80ba\u9c57\u72c0\u4e0a\u76ae\u7d30\u80de\u764c\u8f03\u5e38\u767c\u751f\u5728\u62bd\u83f8\u7684\u60a3\u8005\u8eab\u4e0a\uff0c\u800c\u4e0d\u62bd\u83f8\u7684\u591a\u6578\u662f\u80ba\u817a\u764c\u3002<\/p>\n\n\n\n<p>\u5728\u4ee5\u5f80\u80ba\u764c\u6cbb\u7642\u85e5\u7269\u9078\u64c7\u8f03\u5c11\u6642\uff0c\u7d30\u80de\u7684\u5206\u578b\u4e0d\u662f\u90a3\u9ebc\u91cd\u8981\uff0c\u4f46\u8fd1\u5e74\u5404\u985e\u7684\u85e5\u7269\u767c\u5c55\u8fc5\u901f\uff0c\u5305\u62ec\u5316\u5b78\u6cbb\u7642\u3001\u6a19\u9776\u6cbb\u7642\u3001\u514d\u75ab\u6cbb\u7642\u53ca\u5404\u7a2e\u65b0\u85e5\u2026\u7b49\uff0c\u4e0d\u540c\u7684\u7d30\u80de\u5206\u578b\uff0c\u751a\u81f3\u4e0d\u540c\u7684\u5206\u5b50\u75c5\u7406\u5206\u578b\uff0c\u5982\u9a45\u52d5\u57fa\u56e0\u6709\u7121\u7a81\u8b8a\u53ca\u514d\u75ab\u7d44\u7e54\u67d3\u8272\u5f37\u5f31\uff0c\u90fd\u8207\u85e5\u7269\u6709\u6548\u8207\u5426\u6709\u95dc\u3002\u56e0\u6b64\u75c5\u7406\u7d44\u7e54\u7684\u6aa2\u67e5\uff0c\u5305\u62ec\u5206\u5b50\u75c5\u7406\u6aa2\u9a57\uff0c\u5c0d\u76ee\u524d\u80ba\u764c\u75c5\u60a3\u4f86\u8aaa\u662f\u975e\u5e38\u91cd\u8981\u7684\u3002<\/p>\n\n\n\n<p class=\"has-text-color has-vivid-red-color\"><strong>\u8981\u4e0d\u8981\u5207\u7247<\/strong><strong>?<\/strong><\/p>\n\n\n\n<p>\u76ee\u524d\u764c\u75c7\u78ba\u8a3a\u7684\u9ec3\u91d1\u6e96\u5247\u5c31\u662f\u75c5\u7406\u7d44\u7e54\u7684\u6aa2\u9a57\uff0c\u5f71\u50cf\u6216\u8840\u6db2\u7684\u6aa2\u67e5\u90fd\u53ea\u80fd\u7576\u8f14\u52a9\u7684\u53c3\u8003\uff0c\u7121\u6cd5\u53d6\u4ee3\u7d44\u8077\u5207\u7247\uff0c\u518d\u8005\u5f8c\u7e8c\u7684\u6cbb\u7642\uff0c\u4ecd\u9700\u4f9d\u75c5\u7406\u7d44\u7e54\u53ca\u5206\u5b50\u75c5\u7406\u6aa2\u9a57\u7684\u7d50\u679c\u4f5c\u9078\u64c7\u3002<\/p>\n\n\n\n<p>\u95dc\u65bc\u80ba\u816b\u7624\u7684\u5207\u7247\uff0c\u91ab\u5e2b\u6703\u6839\u64da\u816b\u7624\u7684\u75c5\u5146\u4f4d\u7f6e\uff0c\u9078\u64c7\u9069\u7576\u7684\u5207\u7247\u65b9\u5f0f\u3002\u5982\u6709\u4e9b\u816b\u7624\u4f4d\u7f6e\u9577\u5728\u80ba\u90e8\u9760\u4e2d\u592e\u652f\u6c23\u7ba1\u7684\u4f4d\u7f6e\uff0c\u91ab\u5e2b\u6703\u9078\u64c7\u4f7f\u7528\u652f\u6c23\u7ba1\u93e1\u7684\u65b9\u5f0f\u6aa2\u67e5\uff1b\u672c\u9662\u76ee\u524d\u63d0\u4f9b\u7121\u75db\u652f\u6c23\u7ba1\u5167\u8996\u93e1\u6aa2\u67e5\u670d\u52d9\uff0c\u7531\u5c08\u696d\u7684\u80f8\u8154\u5167\u79d1\u53ca\u9ebb\u9189\u79d1\u91ab\u5e2b\u914d\u5408\u57f7\u884c\uff0c\u642d\u914d\u652f\u6c23\u7ba1\u8d85\u97f3\u6ce2\u6aa2\u67e5\u53ca\u5373\u6642\u5feb\u901f\u7d30\u80de\u67d3\u8272\u6280\u8853\uff0c\u80fd\u8b93\u75c5\u60a3\u5728\u5b89\u5168\u8212\u9069\u7684\u60c5\u6cc1\u4e0b\uff0c\u5feb\u901f\u6b63\u78ba\u7684\u8a3a\u65b7\u826f\u6027\u6216\u60e1\u6027\u7684\u80ba\u816b\u7624\u3002<\/p>\n\n\n\n<p>\u82e5\u816b\u7624\u4f4d\u7f6e\u9577\u5728\u8f03\u9760\u80ba\u90e8\u5916\u5074\uff0c\u5247\u91ab\u5e2b\u6703\u9078\u7528\u96fb\u8166\u65b7\u5c64\u6216\u8d85\u97f3\u6ce2\u5b9a\u4f4d\u6280\u8853\uff0c\u5feb\u901f\u6b63\u78ba\u7684\u8a3a\u65b7\u80ba\u816b\u7624\u3002\u5207\u7247\u9020\u6210\u764c\u7d30\u80de\u64f4\u6563\u7684\u6a5f\u6703\u4e0d\u9ad8\uff0c\u5ef6\u9072\u6aa2\u67e5\u53cd\u800c\u9020\u6210\u64f4\u6563\u6a5f\u6703\u66f4\u9ad8\u3002<\/p>\n\n\n\n<p class=\"has-text-color has-vivid-red-color\"><strong>\u53ef\u4ee5\u624b\u8853\u55ce\uff1f\u9700\u8981\u5316\u5b78\u6cbb\u7642\u55ce\uff1f<\/strong><strong><\/strong><\/p>\n\n\n\n<p>\u7591\u4f3c\u80ba\u764c\u6216\u78ba\u8a3a\u80ba\u764c\u7684\u75c5\u60a3\uff0c\u9664\u5207\u7247\u75c5\u7406\u7d44\u7e54\u6aa2\u67e5\u5916\uff0c\u4e5f\u8981\u63a5\u53d7\u4e00\u7cfb\u5217\u7684\u5176\u4ed6\u6aa2\u67e5\uff0c\u5305\u62ec\u80f8\u90e8\u96fb\u8166\u65b7\u5c64\u6383\u63cf\u3001\u8166\u90e8\u6838\u78c1\u5171\u632f\u6216\u96fb\u8166\u65b7\u5c64\u3001\u8179\u90e8\u8d85\u97f3\u6ce2\u6216\u65b7\u5c64\u6383\u63cf\u3001\u9aa8\u982d\u6383\u63cf\u7b49\uff0c\u6709\u7684\u9084\u9700\u63a5\u53d7\u6b63\u5b50\u651d\u5f71\u6aa2\u67e5\uff0c\u76ee\u7684\u5728\u65bc\u7cbe\u78ba\u7684\u5206\u671f\uff0c\u8a55\u4f30\u764c\u75c7\u7684\u5f71\u97ff\u7bc4\u570d\uff0c\u6c7a\u5b9a\u9069\u7576\u7684\u6cbb\u7642\u65b9\u5f0f\u3002<\/p>\n\n\n\n<p>\u80ba\u764c\u7b2c\u4e00\u671f\u7684\u816b\u7624\u4fb7\u9650\u5728\u80ba\u90e8\uff0c\u5916\u79d1\u624b\u8853\u662f\u6700\u597d\u7684\u9078\u64c7\uff0c\u6cbb\u7642\u6548\u679c\u6700\u597d\u3002<\/p>\n\n\n\n<p>\u80ba\u764c\u7b2c\u4e8c\u671f\u7684\u816b\u7624\u6709\u5c40\u90e8\u7684\u6dcb\u5df4\u8f49\u79fb\u6216\u5468\u908a\u7d44\u7e54\u7684\u4fb5\u72af\uff0c\u624b\u8853\u4ecd\u662f\u6700\u597d\u7684\u9078\u64c7\uff0c\u4f46\u7531\u65bc\u8853\u5f8c\u5fa9\u767c\u6a5f\u7387\u7565\u9ad8\uff0c\u901a\u5e38\u9700\u52a0\u505a\u5316\u5b78\u6cbb\u7642\uff0c\u53ef\u4ee5\u964d\u4f4e\u5fa9\u767c\u6a5f\u7387\u3002<\/p>\n\n\n\n<p>\u80ba\u764c\u7b2c\u4e09\u671f\u7684\u6cbb\u7642\u6700\u70ba\u8907\u96dc\uff0c\u901a\u5e38\u9700\u591a\u7a2e\u6cbb\u7642\u5408\u4f75\u4f7f\u7528\uff0c\u5982\u624b\u8853\u6cbb\u7642\u3001\u5316\u5b78\u6cbb\u7642\u6216\u653e\u5c04\u7dda\u6cbb\u7642\uff0c\u96d6\u7136\u526f\u4f5c\u7528\u76f8\u5c0d\u8f03\u9ad8\uff0c\u4f46\u4ecd\u6709\u6a5f\u6703\u5c07\u816b\u7624\u6839\u9664\u3002<\/p>\n\n\n\n<p>\u63a5\u53d7\u5b8c\u6574\u7684\u6a19\u6e96\u6cbb\u7642\u5f8c\uff0c\u662f\u5426\u9700\u518d\u52a0\u4ee5\u8f14\u52a9\u6027\u6a19\u9776\u6cbb\u7642\u6216\u514d\u75ab\u6cbb\u7642\uff0c\u76ee\u524d\u81e8\u5e8a\u8a66\u9a57\u5728\u9032\u884c\u4e2d\u3002<\/p>\n\n\n\n<p>\u80ba\u764c\u7b2c\u56db\u671f\uff0c\u764c\u75c7\u5df2\u8513\u5ef6\u81f3\u808b\u819c\u6216\u9060\u7aef\u5668\u5b98\uff0c\u5168\u8eab\u6027\u7684\u6cbb\u7642\u662f\u9996\u9078\u3002\u9664\u6975\u5c11\u6578\u75c5\u6cc1\u5916\uff0c\u4e0d\u5efa\u8b70\u55ae\u7d14\u5916\u79d1\u624b\u8853\u6cbb\u7642\u3002\u91ab\u5e2b\u6703\u6839\u64da\u80ba\u764c\u75c5\u7406\u7d30\u80de\u578b\u614b\u5206\u5316\u3001\u5206\u5b50\u57fa\u56e0\u6aa2\u6e2c\u7d50\u679c\uff0c\u7d66\u4e88\u500b\u4eba\u5316\u7684\u7cbe\u6e96\u91ab\u7642\u3002<\/p>\n\n\n\n<p class=\"has-text-color has-vivid-red-color\"><strong>\u665a\u671f\u80ba\u764c\u7684\u6cbb\u7642<\/strong><strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>\u6a19\u9776\u85e5\u7269\u6cbb\u7642<\/strong><strong><\/strong><\/li><\/ul>\n\n\n\n<p>\u80ba\u764c\u7684\u6a19\u9776\u85e5\u7269\u6cbb\u7642\u6548\u679c\u975e\u5e38\u597d\uff0c\u4f46\u975e\u6240\u6709\u7684\u75c5\u4eba\u90fd\u6709\u6548\u3002\u6a19\u9776\u85e5\u7269\u96d6\u7136\u6548\u679c\u597d\uff0c\u4f46\u50f9\u683c\u6602\u8cb4\uff0c\u56e0\u6b64\uff0c\u5f97\u627e\u5230\u9069\u5408\u7684\u85e5\u7269\u4f86\u4f7f\u7528\u3002\u57fa\u56e0\u6aa2\u6e2c\u7684\u7d50\u679c\u662f\u9078\u7528\u6a19\u9776\u85e5\u7269\u7684\u6700\u91cd\u8981\u7684\u4f9d\u64da\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>\u5316\u5b78\u6cbb\u7642<\/strong><strong><\/strong><\/li><\/ul>\n\n\n\n<p>\u5316\u5b78\u6cbb\u7642\u4e00\u822c\u88ab\u8a8d\u70ba\u526f\u4f5c\u7528\u592a\u5927\uff0c\u56e0\u6b64\u75c5\u4eba\u5e38\u6703\u6392\u65a5\u3002\u4f46\u5316\u5b78\u6cbb\u7642\u5230\u76ee\u524d\u70ba\u6b62\uff0c\u4ecd\u662f\u80ba\u764c\u6cbb\u7642\u4e2d\u975e\u5e38\u91cd\u8981\u6b66\u5668\u3002\u76ee\u524d\u65b0\u4e00\u4ee3\u5316\u7642\u85e5\u7269\u7684\u526f\u4f5c\u7528\u5df2\u8f03\u524d\u4ee3\u7684\u5c0f\uff0c\u518d\u8005\uff0c\u76ee\u524d\u8f14\u52a9\u6027\u7684\u85e5\u7269\u5982\u6b62\u5410\u85e5\u7b49\uff0c\u767c\u5c55\u826f\u597d\uff0c\u591a\u6578\u7684\u75c5\u4eba\u90fd\u53ef\u9806\u5229\u63a5\u53d7\u5316\u5b78\u6cbb\u7642\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>\u514d\u75ab\u6cbb\u7642<\/strong><strong><\/strong><\/li><\/ul>\n\n\n\n<p>\u50b3\u7d71\u7684\u764c\u75c7\u85e5\u7269\u6cbb\u7642\uff0c\u4e3b\u8981\u662f\u91dd\u5c0d\u816b\u7624\u7d30\u80de\u7684\u6bd2\u6bba\u548c\u6291\u5236\uff0c\u76ee\u524d\u80ba\u764c\u6709\u6548\u7684\u514d\u75ab\u6cbb\u7642\u662f\u4f7f\u7528\u514d\u75ab\u6aa2\u67e5\u9ede\u7684\u6291\u5236\u5291(Immune checkpoint inhibitor)\u900f\u904e\u5c0d\u514d\u75ab\u7d30\u80de\u7684\u6d3b\u5316\u6216\u8abf\u7bc0\uff0c\u9054\u5230\u6cbb\u7642\u764c\u75c7\u7684\u6548\u679c\u3002<\/p>\n\n\n\n<p>\u514d\u75ab\u6cbb\u7642\u5c0d\u816b\u7624\u7d30\u80dePD-L1\u8868\u73fe\u91cf\u9ad8\u7684\u665a\u671f\u80ba\u764c\u4f46\u7121\u9a45\u52d5\u57fa\u56e0\u7a81\u8b8a\u8005\uff0c\u7642\u6548\u9817\u4f73\uff0c\u751a\u81f3\u7d04\u670915-20%\u7684\u75c5\u4eba\u53ef\u4ee5\u5b58\u6d3b\u8d85\u904e5\u5e74\u3002\u56e0\u6b64\u665a\u671f\u975e\u5c0f\u7d30\u80de\u7684\u75c5\u4eba\u9700\u6aa2\u9a57\u816b\u7624\u7d30\u80dePD-L1\u7684\u8868\u73fe\u91cf\uff0c\u662f\u6cbb\u7642\u524d\u9078\u64c7\u85e5\u7269\u7684\u91cd\u8981\u4f9d\u64da\u3002<\/p>\n\n\n\n<ul 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