{"id":540,"date":"2020-07-15T14:27:40","date_gmt":"2020-07-15T06:27:40","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=540"},"modified":"2021-06-24T16:16:28","modified_gmt":"2021-06-24T08:16:28","slug":"%e8%aa%8d%e8%ad%98%e6%85%a2%e6%80%a7%e8%85%8e%e8%87%9f%e7%97%85","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=540","title":{"rendered":"\u8a8d\u8b58\u6162\u6027\u814e\u81df\u75c5"},"content":{"rendered":"\n

\u6587\/\u814e\u81df\u5167\u79d1 \u5f35\u6d64\u69ae \u4e3b\u4efb
\u814e\u81df\u5167\u79d1\u885b\u6559\u5ba4Anpei\u500b\u7ba1\u5e2b<\/p>\n\n\n\n

\u75be\u75c5\u7c21\u4ecb<\/strong><\/p>\n\n\n\n

\u814e\u81df\u7d44\u7e54\u56e0\u75be\u75c5\u906d\u53d7\u7121\u6cd5\u6062\u5fa9\u7684\u640d\u58de\u6642\uff0c\u814e\u529f\u80fd\u5c31\u6703\u9010\u6f38\u8870\u9000\uff0c\u7576\u814e\u81df\u7d44\u7e54\u9577\u671f\u53d7\u640d\u9054\u4e09\u500b\u6708\u4ee5\u4e0a\u7121\u6cd5\u6062\u5fa9\u539f\u6709\u7684\u529f\u80fd\uff0c\u7a31\u70ba\u6162\u6027\u814e\u81df\u75c5\u3002<\/p>\n\n\n\n

\u814e\u81df\u529f\u80fd\uff1a<\/strong><\/p>\n\n\n\n

  1. \u5f62\u6210\u5c3f\u6db2\uff0c\u6392\u9664\u6c34\u5206\u3002<\/li>
  2. \u8abf\u7bc0\u8840\u58d3\u3002<\/li>
  3. \u6392\u6cc4\u9ad4\u5167\u4ee3\u8b1d\u5f8c\u7684\u5ee2\u7269\u3002<\/li>
  4. \u7dad\u6301\u4eba\u9ad4\u5167\u6c34\u5206\u8207\u96fb\u89e3\u8cea\u53ca\u9178\u9e7c\u5ea6\u7684\u5e73\u8861\u3002<\/li>
  5. \u88fd\u9020\u7d05\u8840\u7403\u751f\u6210\u7d20\uff0c\u523a\u6fc0\u7d05\u8840\u7403\u7684\u751f\u9577\u548c\u6210\u719f\uff0c\u7dad\u6301\u8840\u8272\u7d20\u7684\u6fc3\u5ea6\u3002<\/li>
  6. \u7522\u751f\u6d3b\u6027\u7dad\u751f\u7d20D\uff0c\u8abf\u7bc0\u9223\u8207\u78f7\u7684\u4ee3\u8b1d\u3002<\/li>
  7. \u814e\u81df\u8207\u5167\u5206\u6ccc\u6709\u95dc\uff0c\u5047\u5982\u814e\u81df\u640d\u50b7\u4e5f\u6703\u51fa\u73fe\u5167\u5206\u6ccc\u5931\u8abf\u3002<\/li><\/ol>\n\n\n\n

    \u6162\u6027\u814e\u81df\u75c5\u65e9\u671f\u5e38\u5e38\u6c92\u6709\u660e\u986f\u7684\u75c7\u72c0\uff0c\u7b49\u5230\u767c\u73fe\u6642\u5df2\u7d93\u6709\u76f8\u7576\u7a0b\u5ea6\u7684\u53d7\u640d\uff0c\u4ee5\u4e0b\u70ba\u6162\u6027\u814e\u81df\u75c5\u7684\u5341\u5927\u9ad8\u5371\u96aa\u7fa4\uff1a<\/p>\n\n\n\n

    1. \u7cd6\u5c3f\u75c5\u60a3\u8005\uff1a\u9577\u671f\u9ad8\u8840\u7cd6\u6703\u9020\u6210\u814e\u81df\u75c5\u8b8a\u53ca\u8840\u7ba1\u75c5\u8b8a\u3002<\/li>
    2. \u9ad8\u8840\u58d3\u60a3\u8005\uff1a\u8840\u58d3\u63a7\u5236\u4e0d\u597d\u6703\u5f71\u97ff\u814e\u81df\u8840\u7ba1\u53ca\u814e\u7d72\u7403\u786c\u5316\u3002<\/li>
    3. \u5fc3\u8840\u7ba1\u75be\u75c5\u60a3\u8005\uff1a\u5fc3\u81df\u8870\u7aed\u5bb9\u6613\u5c0e\u81f4\u814e\u529f\u80fd\u60e1\u5316\u3002<\/li>
    4. \u86cb\u767d\u5c3f\u60a3\u8005\uff1a\u86cb\u767d\u5c3f\u7684\u51fa\u73fe\u5df2\u5c6c\u65bc\u6162\u6027\u814e\u81df\u75c5\u4e14\u662f\u5fc3\u8840\u7ba1\u75be\u75c5\u7684\u5371\u96aa\u56e0\u5b50\u3002<\/li>
    5. \u75db\u98a8\u60a3\u8005\uff1a\u8840\u6db2\u5c3f\u9178\u6fc3\u5ea6\u904e\u9ad8\u6642\uff0c\u5c3f\u9178\u6703\u6c89\u7a4d\u5728\u814e\u7d44\u7e54\u5f71\u97ff\u814e\u529f\u80fd\u3002<\/li>
    6. 65\u6b72\u4ee5\u4e0a\u8001\u5e74\u4eba\uff1a\u8001\u5e74\u4eba\u8eab\u9ad4\u5668\u5b98\u96a8\u5e74\u9f61\u589e\u52a0\u800c\u9000\u5316\uff0c\u5bb9\u6613\u5408\u4f75\u814e\u529f\u80fd\u9000\u5316\u3002<\/li>
    7. \u9577\u671f\u670d\u7528\u85e5\u7269\u60a3\u8005<\/li>
    8. \u6709\u814e\u81df\u75c5\u5bb6\u65cf\u53f2\uff1a\u5bb6\u65cf\u4e2d\u6709\u591a\u56ca\u6027\u814e\u75c5\u8b8a\u3001\u907a\u50b3\u6027\u814e\u708e\u53ca\u900f\u6790\u60a3\u8005\u3002<\/li>
    9. \u62bd\u83f8\u8005\uff1a\u62bd\u83f8\u6703\u523a\u6fc0\u4ea4\u611f\u795e\u7d93\uff0c\u5347\u9ad8\u8840\u58d3\u9020\u6210\u814e\u81df\u8ca0\u64d4\u800c\u5f71\u97ff\u814e\u529f\u80fd\u3002<\/li>
    10. \u4ee3\u8b1d\u75c7\u5019\u7fa4\u7684\u75c5\u4eba\uff1a\u80a5\u80d6\u3010\u7537\u751f\u8170\u570d\uff1e35\u540b(90\u516c\u5206)\uff0c\u5973\u751f\u8170\u570d\uff1e31\u540b(80\u516c\u5206)\u3002<\/li><\/ol>\n\n\n\n

      \u6162\u6027\u814e\u81df\u75be\u75c5\u5206\u671f\uff1a<\/strong><\/p>\n\n\n\n

      \u7b2c\u4e00\u671f\uff1a\u814e\u529f\u80fd\u6b63\u5e38\u4f75\u6709\u5c3f\u6db2\u6216\u5f71\u50cf\u5b78\u6aa2\u67e5\u7684\u7570\u5e38\uff1b\u814e\u7d72\u7403\u904e\u6ffe\u7387   (GFR)\u226790mL\/min\/1.73\u33a1\u3002
      \u7b2c\u4e8c\u671f\uff1a\u8f15\u5ea6\u814e\u529f\u80fd\u640d\u50b7\u4f75\u6709\u5c3f\u6db2\u6216\u5f71\u50cf\u5b78\u6aa2\u67e5\u7684\u7570\u5e38\uff1b\u814e\u7d72\u7403\u904e\u6ffe\u7387(GFR)60-89mL\/min\/1.73\u33a1\u3002
      \u7b2c\u4e09\u671f\uff1a\u4e2d\u5ea6\u814e\u529f\u80fd\u640d\u50b7\uff1b\u814e\u7d72\u7403\u904e\u6ffe\u7387(GFR) 30-59 mL\/min\/1.73\u33a1\u3002
      \u7b2c\u56db\u671f\uff1a\u91cd\u5ea6\u814e\u529f\u80fd\u640d\u50b7\uff1b\u814e\u7d72\u7403\u904e\u6ffe\u7387(GFR)15-29 mL\/min\/1.73\u33a1\u3002
      \u7b2c\u4e94\u671f\uff1a\u672b\u671f\u814e\u8870\u7aed\uff1b\u814e\u7d72\u7403\u904e\u6ffe\u7387(GFR)\uff1c15mL\/min\/1.73\u33a1\u3002<\/p>\n\n\n\n

      \u6162\u6027\u814e\u81df\u75c5\u65e9\u671f\u7684\u75c7\u72c0\u662f\uff1a\u6ce1\u3001\u6c34\u3001\u9ad8\u3001\u8ca7\u3001\u5026\u3002<\/strong>
      \u6ce1\uff1a\u5c0f\u4fbf\u6709\u6ce1\u300c\u6ce1\u300d\u3001\u6c34\uff1a\u300c\u6c34\u300d\u816b\u3001\u9ad8\uff1a\u300c\u9ad8\u300d\u8840\u58d3\u3001\u8ca7\uff1a\u300c\u8ca7\u300d\u8840\u3001\u5026\uff1a\u300c\u5026\u300d\u6020\u3002<\/p>\n\n\n\n

      \u6162\u6027\u814e\u81df\u75c5\u5e38\u898b\u75c7\u72c0\uff1a<\/strong><\/p>\n\n\n\n

      1. \u6c34\u816b\uff1a\u814e\u81df\u75c5\u4eba\u6700\u5e38\u898b\u7684\u81e8\u5e8a\u75c7\u72c0\u5c31\u662f\u6c34\u816b\uff0c\u5e38\u51fa\u73fe\u65bc\u773c\u77bc\u3001\u8e1d\u90e8\u3001\u5f8c\u80cc\u3002\u6c34\u816b\u6642\u5747\u4f34\u6709\u5c3f\u5c11\u53ca\u9ad4\u91cd\u589e\u52a0\u3002<\/li>
      2. \u9ad8\u8840\u58d3\uff1a\u814e\u81df\u75c5\u4eba\u5c31\u91ab\u6642\u61c9\u6ce8\u610f\u6aa2\u67e5\u8840\u58d3\uff0c\u8840\u58d3\u5347\u9ad8\u5e38\u662f\u75c5\u60c5\u52a0\u91cd\u7684\u8868\u73fe\u3002<\/li>
      3. \u5c3f\u983b\u3001\u5c3f\u6025\u3001\u5c3f\u75db\u3002\u5c3f\u983b\uff08\u6b21\u6578\u591a\uff0c\u6bcf\u6b21\u5c3f\u4e00\u9ede\uff09\u3001\u6025\uff08\u618b\u4e0d\u4f4f\u5c3f\uff09\u3001\u75db\uff08\u6392\u5c3f\u6642\u5c0f\u8179\u75bc\u75db\u3001\u6709\u4e0b\u589c\u611f\uff09\uff0c\u7e3d\u7a31\u70ba”\u5c3f\u8def\u523a\u6fc0\u75c7”\u662f\u8180\u80f1\u75be\u75c5\u7684\u8868\u73fe\uff0c\u5e38\u898b\u65bc\u8180\u80f1\u708e\u3002<\/li>
      4. \u8170\u75db\uff1a\u9593\u65b7\u767c\u4f5c\u7684\u5287\u70c8\u8170\u75db\uff0c\u5e38\u6cbf\u5074\u8179\u90e8\u5411\u6703\u9670\u90e8\u653e\u5c04\uff0c\u4f34\u5614\u5410\u3002\u5e38\u898b\u65bc\u814e\u76c2\u3001\u8f38\u5c3f\u7ba1\u7d50\u77f3\u3002<\/li>
      5. \u5c11\u5c3f\u6216\u7121\u5c3f\uff1a\u5c3f\u91cf\u6bcf\u5929\u5c11\u65bc400\u6beb\u5347\u53eb\u505a\u5c11\u5c3f\uff0c\u5c11\u65bc100\u6beb\u5347\u7684\u53eb\u7121\u5c3f\uff0c\u6b64\u6642\u814e\u81df\u5df2\u4e0d\u80fd\u5f9e\u5c3f\u6db2\u4e2d\u6392\u51fa\u4ee3\u8b1d\u7269\uff0c\u7121\u6cd5\u8abf\u7bc0\u6c34\u548c\u5176\u4ed6\u5167\u5728\u74b0\u5883\u7684\u7a69\u5b9a\u548c\u5e73\u8861\u3002<\/li>
      6. \u591a\u5c3f\uff1a\u6bcf\u5929\u5c3f\u91cf\u5927\u65bc2500\u6beb\u5347\u7684\u7a31\u70ba\u591a\u5c3f\u3002\u540c\u6642\u61c9\u6ce8\u610f\u591c\u5c3f\uff08\u5165\u7761\u81f3\u8d77\u5e8a\u9593\u7684\u5c3f\u91cf\uff09\u8207\u665d\u5c3f\u7684\u6bd4\u4f8b\uff08\u6b63\u5e38\u70ba1:2\u62161:3\uff09\u3002<\/li>
      7. \u8840\u5c3f\uff1a\u8840\u5c3f\u53ef\u80fd\u662f\u56b4\u91cd\u75be\u75c5\u7684\u4fe1\u865f\uff0c\u61c9\u53ca\u6642\u5c31\u8a3a\u67e5\u660e\u539f\u56e0\uff0c\u505a\u51fa\u9069\u7576\u7684\u8655\u7406\u3002<\/li>
      8. \u5c3f\u4e2d\u6ce1\u6cab\u589e\u591a\uff1a\u53ef\u80fd\u662f\u5c3f\u4e2d\u51fa\u73fe\u5927\u91cf\u86cb\u767d\u7684\u8868\u73fe\uff0c\u61c9\u53ca\u6642\u4f5c\u5c3f\u6db2\u6aa2\u67e5\u3002<\/li>
      9. \u5176\u4ed6\uff1a\u539f\u56e0\u4e0d\u660e\u7684\u98df\u617e\u4e0d\u632f\u3001\u4e4f\u529b\u3001\u8ca7\u8840\u7b49\uff0c\u4e5f\u53ef\u80fd\u662f\u814e\u81df\u75be\u75c7\u5f15\u8d77\u7684\u3002<\/li><\/ol>\n\n\n\n

        \u814e\u81df\u7684\u9810\u9632\u4fdd\u5065\uff1a<\/strong><\/p>\n\n\n\n

        \u5b9a\u671f\u9ad4\u6aa2\u3001\u65e9\u671f\u767c\u73fe\u814e\u81df\u75be\u75c5\u3001\u5c0b\u6c42\u6b63\u898f\u6cbb\u7642\u3001\u9075\u5faa\u91ab\u56d1\u3001\u56b4\u683c\u63a7\u5236\u9ad8\u8840\u58d3\u3001\u63a7\u5236\u8840\u7cd6\uff0c\u662f\u6e1b\u7de9\u814e\u529f\u80fd\u60e1\u5316\u7684\u65b9\u6cd5\uff1b\u4e82\u5403\u504f\u65b9\u3001\u8349\u85e5\u3001\u4f86\u8def\u4e0d\u660e\u85e5\u7269\u3001\u4e82\u670d\u7528\u6210\u85e5\u7686\u6703\u50b7\u5bb3\u814e\u81df\u52a0\u901f\u75c5\u60c5\u7684\u60e1\u5316\u3002\u56e0\u6b64\u6559\u80b2\u6c11\u773e\uff0c\u5efa\u7acb\u6b63\u78ba\u7684\u6cbb\u7642\u8207\u7528\u85e5\u89c0\u5ff5\uff0c\u624d\u662f\u9632\u6b62\u814e\u81df\u50b7\u5bb3\u8207\u75be\u75c5\u5feb\u901f\u60e1\u5316\u7684\u6700\u597d\u65b9\u5f0f\u3002\u6545\u63a8\u52d5\u5168\u9762\u6027\u7684\u6162\u6027\u814e\u81df\u75c5\u9810\u9632\u662f\u5fc5\u9808\u7684\u3002<\/p>\n\n\n\n

        \u6162\u6027\u814e\u81df\u75c5\u7167\u8b77\u4e4b\u76ee\u6a19\u70ba\uff1a<\/strong><\/p>\n\n\n\n

        1. \u767c\u6398\u7121\u75c7\u72c0\u7684\u521d\u671f\u6f5b\u5728\u814e\u81df\u75be\u75c5\u75c5\u4eba\u3002<\/li>
        2. \u5ef6\u7de9\u60e1\u5316\u75c5\u4eba\u7684\u814e\u529f\u80fd\u3002<\/li>
        3. \u4ee5\u5468\u5168\u7684\u6e96\u5099\uff0c\u5728\u9069\u7576\u7684\u6642\u6a5f\uff0c\u52a9\u6162\u6027\u814e\u81df\u75c5\u60a3\u8005\u9806\u5229\u4e14\u5b89\u5168\u5730\u9032\u5165\u900f\u6790\u6cbb\u7642\uff0c\u6216\u814e\u81df\u79fb\u690d\u3002<\/li>
        4. \u4ee5\u512a\u8cea\u91ab\u7642\u7167\u9867\uff0c\u5354\u52a9\u75c5\u60a3\u7368\u7acb\u81ea\u4e3b\u53ca\u56de\u6b78\u793e\u6703\u3002<\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"

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