{"id":6214,"date":"2026-02-02T12:03:15","date_gmt":"2026-02-02T04:03:15","guid":{"rendered":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=6214"},"modified":"2026-02-02T12:03:15","modified_gmt":"2026-02-02T04:03:15","slug":"%e7%97%9b%e9%a2%a8%e4%bb%8b%e7%b4%b9%e8%88%87%e8%a1%9b%e6%95%99","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=6214","title":{"rendered":"\u75db\u98a8\u4ecb\u7d39\u8207\u885b\u6559"},"content":{"rendered":"\n

\u6587\uff0f\u85e5\u5291\u79d1\u5be6\u7fd2\u751f \u5f35\u82ab\u777f\u3001\u5f35\u6850\u5609\u3001\u838a\u5b50\u8abc<\/p>\n\n\n\n

\u3000\u3000\u53e4\u6709\u300c\u5bcc\u8cb4\u75c5\u300d\u4e4b\u7a31\u7684\u75db\u98a8\uff0c\u5e38\u767c\u751f\u65bc\u98f2\u98df\u8c50\u76db\u7684\u5bcc\u8cb4\u4eba\u5bb6\uff0c\u5982\u4eca\u96a8\u8457\u98f2\u98df\u578b\u614b\u8f49\u8b8a\u53ca\u751f\u6d3b\u6c34\u6e96\u63d0\u5347\uff0c\u75db\u98a8\u7684\u767c\u751f\u7387\u4e5f\u8d8a\u767c\u666e\u904d\u53ca\u5e74\u8f15\u5316\uff0c\u7a76\u7adf\u75db\u98a8\u662f\u4ec0\u9ebc\uff1f<\/p>\n\n\n\n

\u4e00\u3001\u75be\u75c5\u4ecb\u7d39<\/strong><\/p>\n\n\n\n

\u3000\u3000\u7576\u9ad4\u5167\u5c3f\u9178\u904e\u591a\uff0c\u591a\u9918\u7684\u5c3f\u9178\u5c31\u6703\u4ee5\u7d50\u6676\u578b\u614b\u6c89\u7a4d\u5728\u95dc\u7bc0\uff0c\u5f15\u767c\u75db\u98a8\u6025\u6027\u767c\u4f5c\uff0c\u5f77\u5f7f\u300c\u9023\u98a8\u5439\u904e\u90fd\u6703\u75db\u300d\uff0c\u82e5\u9577\u4e45\u672a\u6cbb\u7642\uff0c\u7d2f\u7a4d\u7684\u5c3f\u9178\u9e7d\u7d50\u6676\u4fbf\u53ef\u80fd\u5f62\u6210\u75db\u98a8\u77f3\u7d50\u7bc0\uff0c\u5c0e\u81f4\u95dc\u7bc0\u8b8a\u5f62\u3001\u884c\u8d70\u4e0d\u6613\u3002<\/p>\n\n\n\n

\u75db\u98a8\u75c5\u7a0b\uff1a<\/strong><\/p>\n\n\n\n

    \n
  1. \u7121\u75c7\u72c0\u9ad8\u5c3f\u9178\u8840\u75c7<\/strong>\uff1a\u5b9a\u7fa9\u70ba\u8840\u4e2d\u5c3f\u9178\u6fc3\u5ea6\u5927\u65bc7mg\/dl\uff0c\u6b64\u6642\u7121\u75c7\u72c0\u3001\u4e5f\u9084\u4e0d\u7528\u670d\u85e5\uff0c\u4f46\u9808\u627e\u51fa\u539f\u56e0\uff0c\u900f\u904e\u8abf\u6574\u751f\u6d3b\u53ca\u98f2\u98df\u7fd2\u6163\u4f86\u6539\u5584\u3002<\/li>\n\n\n\n
  2. \u6025\u6027\u75db\u98a8\u95dc\u7bc0\u708e\u767c\u4f5c<\/strong>\uff1a\u5c3f\u9178\u9e7d\u7d50\u6676\u7d2f\u7a4d\u9020\u6210\u6025\u6027\u767c\u4f5c\uff0c\u901a\u5e38\u70ba\u7a81\u767c\u7684\u95dc\u7bc0\u5287\u70c8\u75bc\u75db\u53ca\u5468\u570d\u7d05\u816b\u71b1\u75db\uff0c\u597d\u767c\u65bc\u4e0b\u80a2\u9060\u7aef\u95dc\u7bc0\u3002<\/li>\n\n\n\n
  3. \u4e0d\u767c\u4f5c\u9593\u6b47\u671f<\/strong>\uff1a\u70ba\u5169\u6b21\u6025\u6027\u767c\u4f5c\u4e2d\u9593\u7684\u7121\u75c7\u72c0\u671f\u9593\uff0c\u6b64\u671f\u9593\u9577\u77ed\u56e0\u4eba\u800c\u7570\uff0c\u9996\u6b21\u767c\u4f5c\u5f8c\u767c\u4f5c\u983b\u7387\u53ef\u80fd\u96a8\u8457\u6642\u9593\u7d93\u904e\u800c\u589e\u52a0\u3002<\/li>\n\n\n\n
  4. \u6162\u6027\u75db\u98a8\u77f3\u95dc\u7bc0\u708e<\/strong>\uff1a\u75db\u98a8\u77f3\u7d50\u7bc0\u53ef\u80fd\u51fa\u73fe\u5728\u95dc\u7bc0\u3001\u8edf\u9aa8\u3001\u76ae\u4e0b\u6216\u8033\u6735\uff0c\u4e5f\u53ef\u80fd\u6c89\u7a4d\u5728\u814e\u81df\u3002<\/li>\n<\/ol>\n\n\n\n

    \u75db\u98a8\u8a3a\u65b7\uff1a<\/strong><\/p>\n\n\n\n

    \u3000\u3000\u7576\u75c5\u60a3\u81f3\u5c11\u6709\u4e00\u500b\u5468\u908a\u95dc\u7bc0\u6216\u6ed1\u56ca\u816b\u3001\u75db\u3001\u89f8\u75db\u6642\u624d\u53ef\u9032\u5165\u4ee5\u4e0b\u4e09\u500b\u9762\u5411\u7684\u8a55\u4f30\uff0c\u6839\u64da\u7a0b\u5ea6\u8a55\u5206\uff0c\u5982\u7e3d\u5206\u22658\u5206\uff0c\u5373\u8a3a\u65b7\u70ba\u75db\u98a8\u3002<\/p>\n\n\n\n

      \n
    1. \u81e8\u5e8a\u75c7\u72c0<\/strong>\uff1a\u8a55\u4f30\u60a3\u8005\u6025\u6027\u767c\u4f5c\u6642\u7684\u75c7\u72c0\u53ca\u75c5\u7a0b\u767c\u5c55\u3002<\/li>\n\n\n\n
    2. \u5be6\u9a57\u5ba4\u6aa2\u67e5<\/strong>\uff1a\u6e2c\u5b9a\u8840\u4e2d\u5c3f\u9178\u53ca\u95dc\u7bc0\u6db2\u4e2d\u7684\u5c3f\u9178\u9e7d\u7d50\u6676\u3002<\/li>\n\n\n\n
    3. \u5f71\u50cf\u5b78\u6aa2\u67e5<\/strong>\uff1a\u6aa2\u67e5\u60a3\u90e8\u7684\u5c3f\u9178\u5806\u7a4d\u53ca\u640d\u50b7\u7a0b\u5ea6\u3002<\/li>\n<\/ol>\n\n\n\n

      \u75db\u98a8\u98a8\u96aa\u56e0\u5b50\uff1a<\/strong><\/p>\n\n\n\n

      \u3000\u3000\u7537\u6027\u3001\u9ad8\u9f61\u53ca\u80a5\u80d6\u70ba\u8f03\u5bb9\u6613\u767c\u751f\u75db\u98a8\u7684\u65cf\u7fa4<\/strong>\uff0c\u800c\u9ad8\u5c3f\u9178\u8005\u7f79\u60a3\u5171\u75c5\u7684\u98a8\u96aa\u4e5f\u8f03\u4e00\u822c\u4eba\u9ad8\uff0c\u6240\u4ee5\u8981\u6ce8\u610f\u662f\u5426\u540c\u6642\u60a3\u6709\u5fc3\u8840\u7ba1\u75be\u75c5\u3001\u6162\u6027\u814e\u81df\u75c5\u53ca\u5c3f\u8def\u7d50\u77f3\u53ca\u4ee3\u8b1d\u75c7\u5019\u7fa4\u7b49\u7b49\u75c5\u75c7\u3002<\/p>\n\n\n\n

      \u4e8c\u3001\u85e5\u7269\u6cbb\u7642<\/strong><\/p>\n\n\n\n

      \u3000\u3000\u7576\u75db\u98a8\u6025\u6027\u767c\u4f5c\u6642\u52d9\u5fc5\u76e1\u65e9\u5c31\u91ab\uff0c\u572824\u5c0f\u6642\u5167\u670d\u7528\u6d88\u708e\u6b62\u75db\u85e5\u6548\u679c\u6700\u4f73\u3002\u75db\u98a8\u6cbb\u7642\u4e0a\u7684\u53e3\u670d\u6d88\u708e\u6b62\u75db\u85e5\u5206\u70ba\u4e09\u5927\u985e\uff0c\u7576\u53e3\u670d\u7121\u6548\u6642\uff0c\u4e5f\u53ef\u4f7f\u7528\u6ce8\u5c04\u6db2\u7de9\u89e3\u75c7\u72c0\uff0c\u6d88\u708e\u6b62\u75db\u85e5\u7684\u9078\u64c7\u5982\u4e0b\uff1a<\/p>\n\n\n\n

        \n
      1. \u975e\u985e\u56fa\u9187\u6d88\u708e\u85e5(NSAID)<\/strong>\uff1a\u901a\u5e38\u70ba\u75db\u98a8\u6cbb\u7642\u7684\u4e00\u7dda\u85e5\u7269\uff0c\u6d88\u708e\u6548\u679c\u4f73\uff0c\u670d\u7528\u6642\u53ef\u80fd\u51fa\u73fe\u80c3\u6f70\u760d\u7684\u75c7\u72c0\uff0c\u80c3\u6f70\u760d\u60a3\u8005\u9808\u6ce8\u610f\u3002<\/li>\n\n\n\n
      2. \u79cb\u6c34\u4ed9\u7d20<\/strong>\uff1a\u75db\u98a8\u7684\u5e38\u898b\u85e5\u7269\uff0c\u7528\u65bc\u6025\u6027\u75c7\u72c0\u7de9\u89e3\u4ee5\u53ca\u75db\u98a8\u7684\u9810\u9632\u3002<\/li>\n\n\n\n
      3. \u985e\u56fa\u9187\u6d88\u708e\u85e5<\/strong>\uff1a\u5e38\u898b\u7684\u6d88\u708e\u85e5\uff0c\u800c\u5728\u75db\u98a8\u7684\u6cbb\u7642\u4e0a\uff0c\u88ab\u6b78\u985e\u70ba\u5f8c\u7dda\u7684\u6cbb\u7642\u85e5\u7269\u3002\u4f7f\u7528\u5929\u6578\u9808\u5c0f\u65bc7\u5929\uff0c\u907f\u514d\u9577\u671f\u670d\u7528\u3002<\/li>\n<\/ol>\n\n\n\n

        \u3000\u3000\u9664\u4e86\u75c7\u72c0\u7684\u7de9\u89e3\uff0c\u6211\u5011\u4e5f\u61c9\u8a72\u9810\u9632\u75db\u98a8\u7684\u767c\u751f\uff0c\u800c\u9020\u6210\u6025\u6027\u75db\u98a8\u767c\u4f5c\u6700\u5927\u7684\u5371\u96aa\u56e0\u5b50\u5c31\u662f\u9ad8\u5c3f\u9178\u8840\u75c7\uff0c\u6240\u4ee5\u9810\u9632\u6cbb\u7642\u63a1\u964d\u5c3f\u9178\u85e5\u7269\u53ca\u6d88\u708e\u85e5\u7269\u4e26\u884c\uff0c\u901a\u5e38\u7dad\u63013-6\u500b\u6708\uff0c\u800c\u964d\u5c3f\u9178\u7684\u85e5\u7269\u5927\u81f4\u5206\u70ba\u4ee5\u4e0b\u5169\u7a2e\uff1a<\/p>\n\n\n\n

          \n
        1. \u6291\u5236\u5c3f\u9178\u751f\u6210\u7684\u85e5\u7269<\/strong>\uff1a\u6210\u5206\uff1aAllopurinol(\u5982\uff1a\u5b89\u6a02\u666e\u8afe\u9320Allopurinol)\u3001Febuxostat(\u5982\uff1a\u798f\u907f\u75dbFebric)\uff0c\u6709\u975e\u5e38\u597d\u7684\u964d\u5c3f\u9178\u6548\u679c\uff0c\u901a\u5e38\u4f5c\u70ba\u4e00\u7dda\u4f7f\u7528\u3002\u9808\u6ce8\u610f\u542b\u6709allopurinol\u7684\u85e5\u7269\u53ef\u80fd\u9020\u6210\u56b4\u91cd\u76ae\u819a\u904e\u654f\uff0c\u4e00\u65e6\u51fa\u73fe\u985e\u4f3c\u75c7\u72c0\u8acb\u7acb\u5373\u5c31\u91ab\u3002<\/li>\n\n\n\n
        2. \u589e\u52a0\u5c3f\u9178\u6392\u6cc4\u7684\u85e5\u7269<\/strong>\uff1a\u6210\u5206\uff1aBenzbromaron(\u5982\uff1a Nogout\u00ae\u674f\u5b9a\u75db\u9320)\u3001Sulfinpyrazone(\u5982\uff1a\u901fSulfin\u00ae\u5fa9\u5229\u9320)\uff0c\u964d\u5c3f\u9178\u6548\u679c\u4f73\uff0c\u4f46\u814e\u529f\u80fd\u4e0d\u5168\u8005\u6548\u679c\u964d\u4f4e\u3002\u4f7f\u7528\u6b64\u985e\u85e5\u7269\u8981\u670d\u7528\u8db3\u91cf\u7684\u6c34\uff0c\u5c3f\u8def\u7d50\u77f3\u60a3\u8005\u7981\u7528\u6b64\u85e5\u3002<\/li>\n<\/ol>\n\n\n\n

          \u4e09\u3001\u7167\u8b77\u8207\u98f2\u98df\u9078\u64c7<\/strong><\/p>\n\n\n\n

          \u6025\u6027\u767c\u4f5c\u8655\u7406\uff1a<\/strong><\/p>\n\n\n\n

            \n
          1. \u51b0\u6577<\/strong>\uff1a\u53ef\u4ee5\u66ab\u6642\u8212\u7de9\u767c\u708e\u7684\u4e0d\u9069\u611f\uff0c\u4f46\u6bcf\u6b21\u51b0\u6577\u4e0d\u5b9c\u8d85\u904e10\u5206\u9418\uff0c\u907f\u514d\u51cd\u50b7<\/li>\n\n\n\n
          2. \u588a\u9ad8\u75bc\u75db\u90e8\u4f4d<\/strong>\uff1a\u5c07\u75bc\u75db\u7684\u90e8\u4f4d\u8209\u9ad8\uff0c\u7761\u89ba\u6642\u4e5f\u53ef\u4ee5\u7528\u6795\u982d\u588a\u8457\u85c9\u6b64\u6539\u5584\u8840\u6db2\u5faa\u74b0\u3002<\/li>\n\n\n\n
          3. \u6e1b\u5c11\u75bc\u75db\u90e8\u4f4d\u7684\u523a\u6fc0<\/strong>\uff1a\u76e1\u91cf\u907f\u514d\u51fa\u73fe\u6413\u3001\u63c9\u6216\u91cd\u58d3\u7b49\u8209\u52d5\uff0c\u53ef\u80fd\u6703\u4f7f\u75bc\u75db\u611f\u52a0\u5287\u3002<\/li>\n<\/ol>\n\n\n\n

            \u3000\u3000\u4ee5\u4e0a\u65b9\u6cd5\u50c5\u4f9b\u66ab\u6642\u8212\u7de9\u4e0d\u9069\uff0c\u4e26\u4e0d\u80fd\u6cbb\u7642\u6216\u9810\u9632\u75db\u98a8\uff0c\u5728\u75bc\u75db\u8212\u7de9\u5f8c\uff0c\u8acb\u52d9\u5fc5\u8981\u5c31\u91ab\u6aa2\u67e5\u3002<\/p>\n\n\n\n

            \u751f\u6d3b\u7fd2\u6163\uff1a<\/strong><\/p>\n\n\n\n

              \n
            1. \u4fdd\u6301\u98f2\u6c34\u5145\u8db3<\/strong>\uff1a\u6bcf\u65e5\u98f2\u6c34\u61c9\u81f3\u5c11 2000 \u6beb\u5347\uff0c\u5e6b\u52a9\u8eab\u9ad4\u6392\u51fa\u5c3f\u9178\u3002<\/li>\n\n\n\n
            2. \u898f\u5f8b\u4f5c\u606f<\/strong>\uff1a\u907f\u514d\u71ac\u591c\u4e14\u990a\u6210\u65e9\u7761\u65e9\u8d77\u7684\u597d\u7fd2\u6163\u3002<\/li>\n\n\n\n
            3. \u9069\u5ea6\u904b\u52d5<\/strong>\uff1a\u9032\u884c\u898f\u5f8b\u4e2d\u4f4e\u5f37\u5ea6\u904b\u52d5\uff0c\u4f8b\u5982\u5065\u8d70\u6216\u6e38\u6cf3\u3002<\/li>\n\n\n\n
            4. \u7dad\u6301\u6a19\u6e96\u9ad4\u91cd\u8207\u8170\u570d<\/strong>\uff1a\u82e5\u9ad4\u91cd\u904e\u91cd\u61c9\u6e1b\u91cd\uff0c\u4ee5\u6bcf\u6708\u6e1b\u8f151\u516c\u65a4\u4ee5\u5167\u70ba\u5b9c<\/li>\n<\/ol>\n\n\n\n

              \u98f2\u98df\u6cd5\u5247\uff1a<\/strong><\/p>\n\n\n\n

                \n
              1. \u91a3\u985e<\/strong>\uff1a\u4e94\u7a40\u6839\u8396\u985e\u7121\u9650\u5236\uff0c\u53ef\u4ee5\u505a\u70ba\u4e3b\u8981\u71b1\u91cf\u4f86\u6e90\u3002<\/li>\n\n\n\n
              2. \u86cb\u767d\u8cea<\/strong>\uff1a\u6e1b\u5c11\u651d\u53d6\u542b\u6709\u9ad8\u560c\u5464\u7684\u98df\u7269\u5982\u5167\u81df\u985e\u3001\u6d77\u9bae\u985e\u53ca\u7d05\u8089\u985e\uff0c\u53ef\u7528\u86cb\u985e\u3001\u8c46\u88fd\u54c1\u6216\u4e73\u88fd\u54c1\u53d6\u4ee3\u3002<\/li>\n\n\n\n
              3. \u8102\u80aa<\/strong>\uff1a\u9ad8\u8102\u80aa\u985e\u7684\u98df\u7269\u5efa\u8b70\u6e1b\u5c11\u98df\u7528\u3002<\/li>\n\n\n\n
              4. \u852c\u679c\u985e<\/strong>\uff1a\u7121\u9650\u5236\uff0c\u5efa\u8b70\u5747\u8861\u98df\u7528\u3002<\/li>\n<\/ol>\n\n\n\n

                \u3000\u3000\u98f2\u98df\u7981\u5fcc\u4e0a\uff0c\u9152\u7cbe\u3001\u542b\u679c\u7cd6\u98f2\u6599\u53ca\u78b3\u9178\u98f2\u6599\u6703\u5f71\u97ff\u5c3f\u9178\u6392\u6cc4\uff0c\u907f\u514d\u98df\u7528\u3002\u53e6\u5916\uff0c\u9ad8\u666e\u6797\u98df\u7269\u50cf\u662f\u5167\u81df\u985e\u3001\u7d05\u8089\u3001\u6d77\u9bae\u985e\u53ca\u706b\u934b\u7b49\uff0c\u4e5f\u90fd\u662f\u98f2\u98df\u4e0a\u7684\u5730\u96f7\u5340\u3002<\/p>\n\n\n\n

                \u56db\u3001\u7d50\u8ad6<\/strong><\/p>\n\n\n\n

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