{"id":6321,"date":"2026-06-02T16:38:58","date_gmt":"2026-06-02T08:38:58","guid":{"rendered":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=6321"},"modified":"2026-06-02T16:38:59","modified_gmt":"2026-06-02T08:38:59","slug":"%e5%a4%a7%e8%85%b8%e6%bf%80%e8%ba%81%e7%97%87","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=6321","title":{"rendered":"\u5927\u8178\u6fc0\u8e81\u75c7"},"content":{"rendered":"\n

\u6587\uff0f\u85e5\u5291\u79d1\u5be6\u7fd2\u751f \u738b\u5fc3\u6148\u3001\u7f85\u73ee\u829d\u3001\u9ec3\u6167\u739f<\/p>\n\n\n\n

\u5b9a\u7fa9\uff1a<\/strong>\u8178\u80c3\u9053\u529f\u80fd\u7570\u5e38\uff0c\u6162\u6027\u53ca\u53cd\u8986\u7684\u8179\u75db\u6216\u4e0d\u9069\uff0c\u540c\u6642\u6539\u8b8a\u6392\u4fbf\u7fd2\u6163\uff0c\u9032\u800c\u5f71\u97ff\u751f\u6d3b\u54c1\u8cea\u3002<\/p>\n\n\n\n

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

    \n
  1. \u8178\u9053\u654f\u611f\uff1a\u5c0d\u523a\u6fc0\u7684\u5fcd\u53d7\u5ea6\u8f03\u5dee<\/li>\n\n\n\n
  2. \u8178\u9053\u83cc\u53e2\uff1a\u591a\u6a23\u6027\u8207\u76ca\u751f\u83cc\u6e1b\u5c11\uff0c\u6613\u4fbf\u79d8\u548c\u8139\u6c23<\/li>\n\n\n\n
  3. \u8178\u80c3\u708e\uff1a\u767c\u708e\u6703\u64fe\u4e82\u8178\u80c3\u9053\u529f\u80fd<\/li>\n\n\n\n
  4. \u5973\u6027\u8cc0\u723e\u8499\uff1a\u6291\u5236\u8178\u80c3\u8815\u52d5<\/li>\n\n\n\n
  5. \u98f2\u98df\uff1a\u6cb9\u8102\u4fc3\u9032\u8178\u9053\u8815\u52d5\uff1b\u679c\u5be1\u7cd6\u7b49\u5c0f\u8178\u5438\u6536\u4e0d\u4f73\u7684\uff0c\u5bb9\u6613\u8139\u6c23<\/li>\n\n\n\n
  6. \u7dca\u5f35\u58d3\u529b\u8207\u751f\u6d3b\u4f5c\u606f\u7684\u4e0d\u898f\u5f8b\uff1a\u4f7f\u81ea\u5f8b\u795e\u7d93\u5931\u8abf\uff0c\u5f71\u97ff\u8178\u80c3\u9053\u8815\u52d5<\/li>\n<\/ol>\n\n\n\n

    \u8178\u8e81\u75c7\u5247\u53ef\u4f9d\u7cde\u4fbf\u578b\u614b\u5206\u4e09\u985e<\/strong><\/p>\n\n\n\n

      \n
    1. \u4fbf\u79d8\u578b\uff1a\u7cde\u4fbf\u4e7e\u786c\uff0c\u6392\u4fbf\u56f0\u96e3\u3001\u5e38\u6709\u8179\u8139\u611f<\/li>\n\n\n\n
    2. \u8179\u7009\u578b\uff1a\u7cde\u4fbf\u6fd5\u8edf\uff0c\u8179\u75db\u5f8c\u8179\u7009\u3001\u6392\u4fbf\u672a\u76e1\u611f<\/li>\n\n\n\n
    3. \u6df7\u548c\u578b\uff1a\u8179\u7009\u8207\u4fbf\u79d8\u4ea4\u66ff\u51fa\u73fe<\/li>\n<\/ol>\n\n\n\n

      \u8a3a\u65b7\u6a19\u6e96\uff1a<\/strong><\/p>\n\n\n\n

      \u904e\u53bb3\u500b\u6708\u5167\u5e73\u5747\u6bcf\u9031\u81f3\u5c111\u5929\u53cd\u8986\u8179\u75db\uff0c\u4e26\u7b26\u5408\u4ee5\u4e0b\u81f3\u5c11\u5169\u9805\u6a19\u6e96<\/p>\n\n\n\n

        \n
      1. \u8207\u6392\u4fbf\u76f8\u95dc<\/li>\n\n\n\n
      2. \u8207\u6392\u4fbf\u983b\u7387\u6539\u8b8a\u76f8\u95dc<\/li>\n\n\n\n
      3. \u8207\u5927\u4fbf\u6027\u72c0\uff08\u5916\u89c0\uff09\u6539\u8b8a\u76f8\u95dc<\/li>\n<\/ol>\n\n\n\n

        *      \u75c7\u72c0\u51fa\u73fe\u6642\u9593\u81f3\u5c11\u5728\u78ba\u8a3a\u524d6\u500b\u6708<\/p>\n\n\n\n

        \u51fa\u73fe\u4ee5\u4e0b\u75c7\u72c0\uff0c\u9700\u9032\u884c\u9032\u968e\u6aa2\u67e5<\/strong><\/p>\n\n\n\n

          \n
        1. \u5927\u8178\u764c\u5bb6\u65cf\u53f2<\/li>\n\n\n\n
        2. \u8840\u4fbf\u6216\u76f4\u8178\u51fa\u8840<\/li>\n\n\n\n
        3. \u6cbb\u7642\u53cd\u61c9\u4e0d\u4f73<\/li>\n\n\n\n
        4. \u4e0d\u660e\u539f\u56e0\u7684\u5176\u4ed6\u75c7\u72c0<\/li>\n<\/ol>\n\n\n\n

          \u5e38\u898b\u9032\u968e\u6aa2\u6e2c<\/strong><\/p>\n\n\n\n

            \n
          1. \u62bd\u8840\uff1a\u6392\u9664\u4e73\u7cdc\u7009<\/li>\n\n\n\n
          2. \u7cde\u4fbf\u6aa2\u6e2c\uff1a\u6392\u9664\u8178\u9053\u767c\u708e<\/li>\n\n\n\n
          3. \u5927\u8178\u93e1\uff1a\u6392\u9664\u60e1\u6027\u816b\u7624\u6216\u606f\u8089<\/li>\n\n\n\n
          4. \u8179\u90e8X\u5149\uff1a\u6c23\u9ad4\u5206\u4f48\u53ca\u7cde\u4fbf\u7d2f\u7a4d\u60c5\u6cc1<\/li>\n\n\n\n
          5. \u7cde\u4fbf\u57f9\u990a\uff1a\u8a55\u4f30\u611f\u67d3\u7684\u53ef\u80fd<\/li>\n<\/ol>\n\n\n\n

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

            (<\/strong>\u4e00) <\/strong>\u7de9\u89e3\u4fbf\u7955<\/strong><\/p>\n\n\n\n

              \n
            1. \u81a8\u8139\u578b\u7de9\u7009\u5291\uff1a\u4e3b\u6210\u5206\u70ba\u6d0b\u8eca\u524d\u5b50\u5916\u6bbc\u9ad8\u5ea6\u7cbe\u88fd\u800c\u6210\uff0c\u5176\u4f5c\u7528\u6a5f\u5236\u5982\u6d77\u7dbf\u5438\u6c34\u822c\u589e\u52a0\u7cde\u4fbf\u9ad4\u7a4d\u4e26\u8edf\u5316\u4fbf\u8cea\uff0c\u9032\u800c\u5e6b\u52a9\u6392\u4fbf\u3002\u670d\u7528\u6642\u52d9\u5fc5\u642d\u914d\u5927\u91cf\u958b\u6c34\u4ee5\u514d\u9020\u6210\u963b\u585e\uff0c\u9650\u6c34\u60a3\u8005\u3001\u8178\u80c3\u9053\u6f70\u760d\u6216\u963b\u585e\u8005\u4e0d\u5b9c\u4f7f\u7528\u3002\u670d\u85e5\u5f8c\u9700\u89c0\u5bdf\u662f\u5426\u51fa\u73fe\u8179\u8139\u3001\u5641\u5fc3\u6216\u76ae\u819a\u767c\u75b9\u7b49\u526f\u4f5c\u7528\u3002<\/li>\n\n\n\n
            2. \u6ef2\u900f\u578b\u7de9\u7009\u5291\uff1a\u5305\u542bLactulose\u8207\u6c27\u5316\u9382\u9320 (Magnesium oxide)\uff0c\u900f\u904e\u589e\u52a0\u8178\u9053\u6c34\u5206\u4f86\u6539\u5584\u4fbf\u7955\uff0c\u5169\u8005\u7686\u53ef\u80fd\u5f15\u8d77\u8179\u7009\u3001\u5641\u5fc3\u6216\u5614\u5410\u3002Lactulose\u542b\u6709\u4e73\u7cd6\uff0c\u7cd6\u5c3f\u75c5\u60a3\u61c9\u8b39\u614e\u4f7f\u7528\uff0c\u534a\u4e73\u7cd6\u4e0d\u8010\u8005\u70ba\u7981\u7528\u65cf\u7fa4\u3002\u6c27\u5316\u9382\u9320\u7528\u5728\u6162\u6027\u814e\u81df\u75c5\u60a3\u9700\u5148\u8aee\u8a62\u91ab\u5e2b\u8a55\u4f30\u5b89\u5168\u6027\u3002<\/li>\n\n\n\n
            3. \u523a\u6fc0\u6027\u7009\u5291\uff1a\u4e3b\u8981\u7528\u65bc\u4fc3\u9032\u8178\u9053\u6d3b\u52d5\u3002\u53e3\u670d\u5291\u578b\u5e38\u898b\u526f\u4f5c\u7528\u70ba\u8179\u90e8\u4e0d\u9069\u6216\u8179\u75db\u3002\u82e5\u6709\u6025\u6027\u8179\u75db\u3001\u7591\u4f3c\u6025\u6027\u8179\u90e8\u75c7\u72c0\u6216\u75d9\u6523\u6027\u4fbf\u79d8\u6642\u61c9\u7981\u6b62\u670d\u7528\u3002\u5916\u7528\u5291\u578b\u5982\u6813\u5291(Bisacodyl supp) \u76f4\u63a5\u7531\u809b\u9580\u7d66\u85e5\u80fd\u5feb\u901f\u5f15\u767c\u8815\u52d5\uff0c\u4f46\u53ef\u80fd\u9020\u6210\u809b\u9580\u5468\u570d\u523a\u6fc0\u611f\uff0c\u8178\u963b\u585e\u6216\u56b4\u91cd\u5614\u5410\u8005\u4e0d\u5efa\u8b70\u4f7f\u7528\u3002<\/li>\n<\/ol>\n\n\n\n

              (<\/strong>\u4e8c) <\/strong>\u7de9\u89e3\u8179\u7009<\/strong><\/p>\n\n\n\n

                \n
              1. \u6297\u8178\u8815\u52d5\u85e5\u7269\uff1a\u4e3b\u6210\u5206 Loperamide \u80fd\u6e1b\u7de9\u8178\u9053\u8815\u52d5\u3002\u526f\u4f5c\u7528\u5305\u542b\u5641\u5fc3\u3001\u5614\u5410\u6216\u982d\u660f\u3002\u6b64\u85e5\u4e0d\u5efa\u8b70\u7528\u65bc\u5169\u6b72\u4ee5\u4e0b\u5b69\u7ae5\uff0c\u4e14\u82e5\u4f34\u96a8\u767c\u9ad8\u71d2\u75c7\u72c0\uff0c\u4e0d\u5b9c\u81ea\u884c\u4f7f\u7528\u9019\u985e\u6297\u8179\u7009\u85e5\u7269\u3002<\/li>\n\n\n\n
              2. \u5438\u9644\u5291\uff1aDioctahedral Smectite\u80fd\u5438\u9644\u8178\u9053\u6709\u5bb3\u7269\u8cea\u4e26\u4fdd\u8b77\u8178\u9ecf\u819c\u3002\u6700\u5e38\u898b\u526f\u4f5c\u7528\u70ba\u4fbf\u7955\u3002\u56e0\u5177\u5f37\u5927\u5438\u9644\u7279\u6027\uff0c\u82e5\u540c\u6642\u670d\u7528\u5176\u4ed6\u53e3\u670d\u85e5\u54c1\uff0c\u52d9\u5fc5\u9593\u9694 1-2 \u5c0f\u6642\u518d\u4f7f\u7528\uff0c\u4ee5\u514d\u5f71\u97ff\u85e5\u6548\u5438\u6536\u3002<\/li>\n\n\n\n
              3. \u6297\u5206\u6ccc\u85e5\u7269\uff1aRacecadotril\u900f\u904e\u6e1b\u5c11\u6c34\u5206\u8207\u96fb\u89e3\u8cea\u5206\u6ccc\u4f86\u7de9\u89e3\u8179\u7009\u3002\u53ef\u5c07\u85e5\u7c89\u52a0\u5165\u98df\u7269\u6216\u6c34\u4e2d\u670d\u4e0b\u3002\u82e5\u60a3\u6709\u679c\u7cd6\u4e0d\u8010\u75c7\u6216\u76f8\u95dc\u5438\u6536\u4e0d\u826f\u75c7\u5019\u7fa4\u8005\u7981\u6b62\u4f7f\u7528\uff0c\u4e26\u89c0\u5bdf\u662f\u5426\u6709\u76ae\u819a\u51fa\u75b9\u60c5\u6cc1\u3002<\/li>\n\n\n\n
              4. \u8907\u5408\u578b\u85e5\u7269 (\u5438\u9644+\u6297\u5206\u6ccc)\uff1a\u80fd\u540c\u6642\u5438\u9644\u6bd2\u7d20\u4e26\u6e1b\u5c11\u5206\u6ccc\u3002\u526f\u4f5c\u7528\u4e3b\u8981\u70ba\u4fbf\u79d8\u3002\u8178\u963b\u585e\u75c5\u60a3\u7981\u5fcc\u4f7f\u7528\uff0c\u4e14\u9700\u6ce8\u610f\u8207\u5176\u4ed6\u85e5\u7269\u9593\u9694 1-2 \u5c0f\u6642\u670d\u7528\u3002<\/li>\n<\/ol>\n\n\n\n

                (<\/strong>\u4e09) <\/strong>\u7de9\u89e3\u8179\u75db\u53ca\u8139\u6c23<\/strong><\/p>\n\n\n\n

                1.     \u89e3\u75d9\u5291\uff1a\u80fd\u653e\u9b06\u5e73\u6ed1\u808c\u7de9\u89e3\u75d9\u6523\uff0c\u526f\u4f5c\u7528\u53ef\u80fd\u6703\u53e3\u4e7e\u3001\u5c3f\u6db2\u6eef\u7559\uff0c\u5728\u9752\u5149\u773c\u6216\u651d\u8b77\u817a\u80a5\u5927\u60a3\u8005\u9700\u4e8b\u5148\u544a\u77e5\u91ab\u5e2b\u3002<\/p>\n\n\n\n

                2.     \u4e09\u74b0\u6297\u6182\u9b31\u85e5\u7269\uff1a\u80fd\u8abf\u7bc0\u75bc\u75db\u8a0a\u865f\u4e26\u6e1b\u7de9\u8178\u9053\u904e\u5ea6\u6d3b\u52d5\u3002\u526f\u4f5c\u7528\u5305\u62ec\u982d\u6688\u3001\u4fbf\u79d8\u6216\u53e3\u4e7e\u3002\u4f7f\u7528\u671f\u9593\u82e5\u6182\u9b31\u50be\u5411\u52a0\u91cd\uff0c\u8acb\u52d9\u5fc5\u7acb\u5373\u56de\u8a3a\u3002<\/p>\n\n\n\n

                \u65e5\u5e38\u751f\u6d3b\u8abf\u6574<\/strong><\/p>\n\n\n\n

                \u3000\u3000\u76ca\u751f\u83cc\u8207\u8584\u8377\u6cb9\u70ba\u5e38\u898b\u8f14\u52a9\u9078\u64c7\uff0c\u76ca\u751f\u83cc\u53ef\u8abf\u6574\u8178\u9053\u83cc\u76f8\u3001\u589e\u52a0\u76ca\u83cc\u6bd4\u4f8b\uff0c\u5c0d\u4fbf\u7955\u578b\u8207\u8179\u7009\u578b\u60a3\u8005\u7686\u6709\u52a9\u76ca\uff0c\u5efa\u8b70\u898f\u5f8b\u88dc\u51454\u81f38\u9031\u5f8c\u8a55\u4f30\u6548\u679c\u3002\u8584\u8377\u6cb9\u5247\u80fd\u7de9\u89e3\u8178\u9053\u75d9\u6523\u3001\u964d\u4f4e\u8178\u9053\u654f\u611f\u8207\u8179\u8139\u4e0d\u9069\uff0c\u9069\u5408\u77ed\u671f\u75c7\u72c0\u7de9\u89e3\uff1b\u80c3\u98df\u9053\u9006\u6d41\u3001\u81bd\u9053\u75be\u75c5\u6216\u5b55\u5a66\uff0c\u4f7f\u7528\u524d\u61c9\u8aee\u8a62\u91ab\u7642\u4eba\u54e1\u3002<\/p>\n\n\n\n

                \u98f2\u98df\u8abf\u6574<\/strong>\uff1a\u5efa\u8b70\u4e09\u9910\u5b9a\u6642\u3001\u907f\u514d\u66b4\u98f2\u66b4\u98df\uff0c\u9032\u98df\u6642\u7d30\u56bc\u6162\u56a5\uff0c\u6e1b\u5c11\u8178\u9053\u8ca0\u64d4\u3002\u6bcf\u65e5\u88dc\u5145\u7d041500\u81f32000\u6beb\u5347\u6c34\u5206\uff0c\u7dad\u6301\u8178\u9053\u5065\u5eb7\u8207\u6b63\u5e38\u8815\u52d5\uff1b\u9152\u7cbe\u53ef\u80fd\u523a\u6fc0\u8178\u9053\u4e26\u5f71\u97ff\u83cc\u53e2\u5e73\u8861\uff0c\u907f\u514d\u904e\u91cf\u3002<\/p>\n\n\n\n

                \u7e96\u7dad\u651d\u53d6\u8abf\u6574<\/strong>\uff1a\u4e0d\u6eb6\u6027\u7e96\u7dad\u5982\u7c97\u7e96\u7dad\u852c\u83dc\u3001\u7cd9\u7c73\u53ca\u5168\u8c46\u985e\uff0c\u904e\u91cf\u53ef\u80fd\u5f15\u767c\u4e0d\u9069\u3002\u8179\u7009\u578b\u60a3\u8005\u4ea6\u61c9\u907f\u514d\u542b\u5c71\u68a8\u9187\u7684\u7121\u7cd6\u98df\u54c1\u3002\u90e8\u5206\u60a3\u8005\u53ef\u5728\u5c08\u696d\u6307\u5c0e\u4e0b\u5617\u8a66\u4f4eFODMAP\u98f2\u98df\uff0c\u6e1b\u5c11\u90e8\u5206\u852c\u679c\u3001\u9ad8\u4e73\u7cd6\u4e73\u88fd\u54c1\u53ca\u542b\u5496\u5561\u56e0\u98f2\u54c1\uff0c\u4ee5\u964d\u4f4e\u8178\u9053\u7522\u6c23\u8207\u4e0d\u9069\u3002<\/p>\n\n\n\n

                \u898f\u5f8b\u904b\u52d5<\/strong>\uff1a\u5982\u5feb\u8d70\u3001\u6162\u8dd1\u3001\u6e38\u6cf3\u53ef\u4fc3\u9032\u8178\u9053\u8815\u52d5\uff1b\u745c\u73c8\u8207\u4f38\u5c55\u904b\u52d5\u5247\u6709\u52a9\u653e\u9b06\u8179\u90e8\u808c\u7fa4\u3002\u5fc3\u7406\u58d3\u529b\u7ba1\u7406\u540c\u6a23\u91cd\u8981\uff0c\u900f\u904e\u898f\u5f8b\u4f5c\u606f\u3001\u5145\u8db3\u7761\u7720\u8207\u653e\u9b06\u7df4\u7fd2\uff0c\u53ef\u7a69\u5b9a\u81ea\u5f8b\u795e\u7d93\u3001\u6e1b\u8f15\u75c7\u72c0\u3002<\/p>\n\n\n\n

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