{"id":6368,"date":"2026-08-03T17:31:35","date_gmt":"2026-08-03T09:31:35","guid":{"rendered":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=6368"},"modified":"2026-08-04T09:09:15","modified_gmt":"2026-08-04T01:09:15","slug":"%e6%85%a2%e6%80%a7%e7%96%bc%e7%97%9b%e4%b8%8d%e7%9f%a5%e9%81%93%e8%a6%81%e7%9c%8b%e5%93%aa%e4%b8%80%e7%a7%91%ef%bc%9f","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=6368","title":{"rendered":"\u6162\u6027\u75bc\u75db\u4e0d\u77e5\u9053\u8981\u770b\u54ea\u4e00\u79d1\uff1f"},"content":{"rendered":"\n<p class=\"has-text-align-right\">\u6587\/\u75bc\u75db\u79d1 \u85fa\u745e\u5b89\u91ab\u5e2b<\/p>\n\n\n\n<p><strong>\u6838\u5fc3\u4eae\u9ede\uff1a\u6253\u7834\u5c40\u90e8\u6cbb\u7642\u7684\u76f2\u9ede<\/strong><\/p>\n\n\n\n<p>\u3000\u3000\u5728\u50b3\u7d71\u91ab\u7642\u6d41\u7a0b\u4e2d\uff0c\u75c5\u4eba\u5f80\u5f80\u9762\u81e8\u6cbb\u7642\u788e\u7247\u5316\u7684\u56f0\u5883\u3002\u4e2d\u5c71\u91ab\u5927\u75bc\u75db\u6574\u5408\u7167\u8b77\u5e73\u53f0\u5efa\u7acb\u300c\u591a\u79d1\u540c\u6642\u555f\u52d5\u3001\u540c\u6b65\u6536\u6848\u300d\u6a5f\u5236\uff0c\u672c\u5e73\u53f0\u4efb\u4f55\u4e00\u79d1\u91ab\u5e2b\u767c\u73fe\u60a8\u7684\u75c5\u60c5\u6d89\u53ca\u5176\u4ed6\u5c08\u79d1\uff0c\u4fbf\u80fd\u7acb\u5373\u6a6b\u5411\u93c8\u7d50\u3002\u6162\u6027\u75bc\u75db\u7d55\u975e\u55ae\u4e00\u90e8\u4f4d\u7684\u554f\u984c\uff0c\u5b83\u5f80\u5f80\u662f\u4e00\u5834\u6a6b\u8de8\u95dc\u7bc0\u3001\u810a\u690e\u3001\u808c\u8089\u751a\u81f3\u4e2d\u6a1e\u5927\u8166\u7684\u7cfb\u7d71\u6027\u98a8\u66b4\u3002\u4e2d\u5c71\u91ab\u5b78\u5927\u5b78\u9644\u8a2d\u91ab\u9662\u6253\u7834\u50b3\u7d71\u79d1\u5225\u58c1\u58d8\uff0c\u4ee5\u591a\u5c08\u79d1\u5efa\u69cb\u300c\u4e00\u7ad9\u5f0f\u75bc\u75db\u6574\u5408\u7167\u8b77\u5e73\u53f0\u300d\uff0c\u4ee5\u591a\u79d1\u5354\u540c\u7684\u9ec3\u91d1\u9663\u5bb9\uff0c\u70ba\u5168\u53f0\u7063\u7684\u9811\u56fa\u6027\u75bc\u75db\u63d0\u4f9b\u6700\u7cbe\u6e96\u7684\u7d42\u6975\u89e3\u65b9\u3002<\/p>\n\n\n\n<p><strong>\u4ee5\u819d\u75db\u70ba\u4f8b : <\/strong><strong>\u516d\u5927\u524d\u77bb\u7279\u8272\u5168\u9762\u89e3\u69cb\u6162\u6027\u819d\u90e8\u75bc\u75db<\/strong><\/p>\n\n\n\n<p><strong>\u76ee\u524d\u5e38\u898b\u7684\u5c31\u91ab\u56f0\u5883\uff1a\u819d\u75db\u770b\u4e86\u597d\u4e00\u6bb5\u6642\u9593\u3001\u5403\u85e5\u6253\u91dd\u90fd\u6cbb\u4e0d\u597d\u9084\u8a98\u767c\u504f\u982d\u75db\uff1f<\/strong><\/p>\n\n\n\n<p>\u3000\u3000\u60a8\u904e\u53bb\u4ee5\u70ba\u53ea\u662f\u819d\u84cb\u9000\u5316\uff0c\u4f46\u81e8\u5e8a\u4e0a\u9577\u671f\u7684\u9811\u56fa\u819d\u75db\u6703\u50cf\u6d77\u562f\u4e00\u6a23\uff0c\u9806\u8457\u795e\u7d93\u6e90\u6e90\u4e0d\u65b7\u5730\u8f38\u5165\u4e2d\u6a1e\u5927\u8166\u3002\u7576\u5927\u8166\u75db\u89ba\u653e\u5927\u5668\u88ab\u5f37\u5236\u6253\u958b\uff08\u4e2d\u6a1e\u654f\u611f\u5316\uff09\uff0c\u5c31\u6703\u9593\u63a5\u6d3b\u5316\u5927\u8166\u6975\u5ea6\u654f\u611f\u7684\u795e\u7d93\u8840\u7ba1\u7cfb\u7d71\uff0c\u9023\u5e36\u8a98\u767c\u539f\u672c\u4e0d\u76f8\u5e72\u7684\u6162\u6027\u504f\u982d\u75db\uff0c\u751a\u81f3\u5e36\u4f86\u8a18\u61b6\u529b\u8870\u9000\u3001\u7126\u616e\u8207\u5931\u7720\u3002<\/p>\n\n\n\n<p>\u3000\u3000\u63db\u53e5\u8a71\u8aaa\uff0c\u6cbb\u4e0d\u597d\u53ef\u80fd\u4e0d\u662f\u56e0\u70ba\u6c92\u5403\u85e5\uff0c\u800c\u662f\u56e0\u70ba\u300c\u71df\u990a\u5931\u8abf\u5f15\u767c\u75db\u89ba\u654f\u611f\u5ea6\u7570\u5e38\u5c0e\u81f4\u75bc\u75db\u88ab\u653e\u5927\u300d\u3001\u300c\u6b20\u7f3a\u8de8\u79d1\u7cbe\u6e96\u6cbb\u7642\u300d\uff0c\u6216\u8005\u662f\u300c\u819d\u75db\u96b1\u85cf\u75c5\u56e0\u6839\u672c\u4e0d\u5728\u819d\u84cb\u672c\u8eab\u300d\uff01<\/p>\n\n\n\n<p><strong>1. <\/strong><strong>\u95dc\u7bc0\u672c\u9ad4\u6df1\u8015\uff1a\u75bc\u75db\u79d1\u8207\u5fa9\u5065\u79d1\u7684\u6a19\u3001\u672c\u517c\u6cbb\u9ec3\u91d1\u7d44\u5408<\/strong><\/p>\n\n\n\n<p>\u3000\u3000\u81e8\u5e8a\u5be6\u52d9\u4e0a\uff0c\u8de8\u79d1\u75c5\u4eba\u7d55\u5927\u591a\u6578\u7684\u819d\u75db\u6839\u6e90\u4f9d\u7136\u4f86\u81ea\u65bc\u819d\u84cb\u672c\u8eab\u3002\u672c\u9580\u8a3a\u5728\u7b2c\u4e00\u968e\u6bb5\u90e8\u7f72\u4e86\u5f37\u5927\u7684\u5468\u908a\u4fee\u5fa9\u9663\u5bb9\u3002\u9996\u5148\u904b\u7528\u75bc\u75db\u79d1\u7368\u5bb6\u3001\u4e0d\u7834\u58de\u795e\u7d93\u7684\u300c\u8d85\u97f3\u6ce2\u5c0e\u5f15\u96b1\u795e\u7d93\u9ad8\u983b\u71b1\u51dd\u7642\u6cd5\u300d\uff0c\u50c5\u9700\u4e00\u6b21\u65bd\u4f5c\u5373\u53ef\u63d0\u4f9b\u9577\u6548\u6b62\u75db\uff0c\u8fc5\u901f\u5e6b\u75c5\u60a3\u89e3\u9664\u5287\u75db\u3002\u540c\u6642\u5c0e\u5165\u300c\u75bc\u75db\u71df\u990a\u7be9\u6aa2\u53ca\u7cbe\u6e96\u71df\u990a\u4ecb\u5165\u300d\u70ba\u795e\u7d93\u7cfb\u7d71\u6e1b\u654f\u8207\u6297\u566a\uff0c\u4ee5\u907f\u514d\u56e0\u5047\u6027\u75bc\u75db\u800c\u906d\u53d7\u4e0d\u5fc5\u8981\u7684\u6aa2\u67e5\u8207\u4fb5\u5165\u6027\u6cbb\u7642\u3002\u8abf\u964d\u88ab\u904e\u5ea6\u653e\u5927\u7684\u75bc\u75db\u7bc4\u570d\u53ca\u7a0b\u5ea6\u5f8c\uff0c\u91dd\u5c0d\u9918\u7559\u4e0b\u7684\u771f\u5be6\u75c7\u72c0\u6211\u5011\u6703\u9032\u884c\u9032\u4e00\u6b65\u7684\u6aa2\u67e5\u8207\u6cbb\u7642\uff0c\u518d\u4ee5\u8d85\u97f3\u6ce2\u5c0e\u5f15\u9032\u884c\u7cbe\u6e96\u6297\u767c\u708e\u518d\u751f\u4fee\u5fa9\u3002\u540c\u5c6c\u7b2c\u4e00\u968e\u6bb5\u7684\u5fa9\u5065\u79d1\u4ea6\u7121\u7e2b\u555f\u52d5\u589e\u751f\u6cbb\u7642\u8207\u529f\u80fd\u91cd\u5efa\uff0c\u5354\u529b\u6253\u9020\u95dc\u7bc0\u5f37\u5065\u907f\u9707\u5668\u3002<\/p>\n\n\n\n<p><strong>2. <\/strong><strong>\u91ab\u5b78\u5f71\u50cf\u90e8 TAME <\/strong><strong>\u6813\u585e\uff1a\u7cbe\u6e96\u64b2\u6ec5\u767c\u708e\u8840\u7ba1\u7684\u5fae\u5275\u6e05\u9053\u592b<\/strong><\/p>\n\n\n\n<p>\u3000\u3000\u91dd\u5c0d\u53cd\u8986\u6162\u6027\u816b\u75db\u3001\u5e38\u898f\u4fdd\u5b88\u8655\u7f6e\u53cd\u61c9\u4e0d\u4f73\u7684\u60a3\u8005\uff0c\u5e73\u53f0\u5c0e\u5165\u91ab\u5b78\u5f71\u50cf\u90e8\u5148\u9032\u7684\u300c\u7d93\u5c0e\u7ba1\u5fae\u52d5\u8108\u6813\u585e\u8853\uff08TAME\uff09\u300d\u3002\u7531\u91ab\u5f71\u90e8\u5c08\u5bb6\u900f\u904e\u5fae\u5275\u4ecb\u5165\uff0c\u7cbe\u6e96\u9396\u5b9a\u4e26\u6813\u585e\u95dc\u7bc0\u5468\u908a\u56e0\u6162\u6027\u767c\u708e\u800c\u7570\u5e38\u589e\u751f\u7684\u5fae\u8840\u7ba1\u3002\u9019\u9805\u6280\u8853\u80fd\u5f9e\u8840\u7ba1\u5c64\u9762\u76f4\u63a5\u963b\u65b7\u767c\u708e\u8a0a\u865f\u7684\u50b3\u905e\uff0c\u8207\u75bc\u75db\u79d1\u3001\u5fa9\u5065\u79d1\u76f8\u8f14\u76f8\u6210\uff0c\u5728\u7b2c\u4e00\u968e\u6bb5\u4fbf\u5c07\u6700\u5e38\u898b\u7684\u819d\u84cb\u672c\u8eab\u767c\u708e\u56e0\u5b50\u5fb9\u5e95\u6839\u9664\u3002<\/p>\n\n\n\n<p><strong>3. <\/strong><strong>\u9aa8\u79d1\u95dc\u7bc0\u93e1\u5fae\u5275\uff1a\u7cbe\u6e96\u4fee\u5fa9\u591a\u767c\u6027\u819d\u90e8\u7d44\u7e54\u640d\u50b7<\/strong><\/p>\n\n\n\n<p>\u3000\u3000\u540c\u6a23\u6e90\u81ea\u819d\u84cb\u672c\u9ad4\u7684\u75c5\u56e0\u4e2d\uff0c\u82e5\u7d50\u69cb\u5df2\u6709\u56b4\u91cd\u53d7\u640d\uff08\u5982\u53cd\u8986\u5287\u70c8\u816b\u75db\u3001\u95dc\u7bc0\u5361\u9396\uff09\uff0c\u7d93\u9ad8\u968e\u5f71\u50cf\u78ba\u8a3a\u70ba\u591a\u767c\u6027\u819d\u90e8\u7d44\u7e54\u640d\u50b7\uff08\u5982\u534a\u6708\u677f\u6495\u88c2\u5408\u4f75\u524d\u5f8c\u5341\u5b57\u97cc\u5e36\u640d\u50b7\uff09\uff0c\u5e73\u53f0\u5c07\u5373\u523b\u555f\u52d5\u9aa8\u79d1\u8a0e\u8ad6\u8a55\u4f30\u95dc\u7bc0\u93e1\u5fae\u5275\u6cbb\u7642\u7684\u5fc5\u8981\u6027\u3002\u900f\u904e\u5fae\u5c0f\u50b7\u53e3\u9032\u884c\u7cbe\u6e96\u6e05\u5275\u8207\u4fee\u88dc\uff0c\u514d\u53bb\u50b3\u7d71\u5927\u624b\u8853\u7684\u6f2b\u9577<\/p>\n\n\n\n<p>\u6062\u5fa9\u671f\uff0c\u5feb\u901f\u4fdd\u5168\u95dc\u7bc0\u7d50\u69cb\u3002<\/p>\n\n\n\n<p><strong>4. <\/strong><strong>\u9032\u968e\u810a\u690e\u6027\u819d\u75db\u5f8c\u7dda\u628a\u95dc\uff1a\u7cbe\u5bc6\u9451\u5225\u300c\u8f03\u5c11\u898b\u4f46\u4e0d\u53ef\u5ffd\u7565\u300d\u4e4b\u96b1\u85cf\u75c5\u56e0<\/strong><\/p>\n\n\n\n<p>\u3000\u3000\u7576\u75c5\u60a3\u9762\u81e8\u300c\u5e38\u898f\u819d\u90e8\u6cbb\u7642\u5b8c\u5168\u7121\u6548\u3001\u4e14\u75c7\u72c0\u975e\u5178\u578b\u300d\u7684\u9811\u56fa\u75bc\u75db\u6642\uff0c\u81e8\u5e8a\u4e0a\u5fc5\u9808\u9ad8\u5ea6\u8b66\u60d5\u300c\u8170\u819d\u75c7\u5019\u7fa4\u300d\u9019\u985e\u8f03\u5c11\u898b\u4f46\u7d55\u5c0d\u4e0d\u53ef\u5ffd\u7565\u7684\u6e90\u982d\u75c5\u56e0\u3002\u82e5\u78ba\u8a3a\u5176\u819d\u75db\u5be6\u969b\u4e0a\u662f\u53d7\u5230\u4e0a\u8170\u690e\uff08L1-L3\uff09\u58d3\u8feb\u6027\u9aa8\u6298\u7684\u727d\u6d89\u75db\u6240\u5f15\u767c\uff0c\u5247\u6703\u555f\u52d5\u5c08\u79d1\u4ecb\u5165\u5be6\u65bd\u5fae\u5275\u690e\u9ad4\u6210\u5f62\u8853\uff08\u704c\u9aa8\u6ce5\uff09\u4ee5\u6839\u9664\u6e90\u982d\u5287\u75db\uff1b\u96a8\u5f8c\u518d\u7531\u9aa8\u9b06\u4e2d\u5fc3\u5168\u9762\u63a5\u624b\uff0c\u7d50\u5408\u570b\u969b\u6a19\u6e96 DXA \u8207 FRAX \u9aa8\u6298\u98a8\u96aa\u8a55\u4f30\u5de5\u5177\u9032\u884c\u5168\u9762\u7be9\u6aa2\u8207\u6cbb\u7642\uff0c\u6e1b\u5c11\u5f8c\u7e8c\u518d\u6b21\u9aa8\u6298\u7684\u9023\u9396\u6548\u61c9\u3002<\/p>\n\n\n\n<p><strong>5. <\/strong><strong>\u5c16\u7aef\u8166\u79d1\u5b78\u8abf\u63a7\uff1arTMS <\/strong><strong>\u8de8\u79d1\u5404\u53f8\u5176\u8077<\/strong><\/p>\n\n\n\n<p>\u3000\u3000\u9577\u671f\u7684\u6162\u6027\u75bc\u75db\u6703\u6e90\u6e90\u4e0d\u65b7\u5730\u8f38\u5165\u4e2d\u6a1e\uff0c\u5f15\u767c\u4e2d\u6a1e\u654f\u611f\u5316\u4e26\u9023\u5e36\u5f15\u7206\u9811\u56fa\u504f\u982d\u75db\uff0c\u66f4\u6703\u9032\u4e00\u6b65\u91cd\u5275\u60a3\u8005\u7684\u8a8d\u77e5\u8207\u7cbe\u795e\u72c0\u614b\u3002\u70ba\u6b64\uff0c\u672c\u5e73\u53f0\u555f\u52d5\u6975\u70ba\u7d30\u7dfb\u7684\u8de8\u79d1\u4e2d\u6a1e\u8abf\u63a7\uff0c\u5c07\u5c16\u7aef\u6b66\u5668 rTMS\uff08\u91cd\u8907\u7d93\u9871\u78c1\u523a\u6fc0\uff09 \u9032\u884c\u7cbe\u6e96\u7684\u5c08\u696d\u5206\u5de5\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u3010\u5fa9\u5065\u79d1 rTMS\u3011\uff1a\u5c08\u6ce8\u65bc\u8655\u7406\u4e2d\u6a1e\u795e\u7d93\u654f\u611f\u75db\uff0c\u4e26\u4fee\u5fa9\u6162\u6027\u75db\u6240\u5e36\u4f86\u7684\u5927\u8166\u8a8d\u77e5\u53ca\u5fc3\u7406\u5f71\u97ff\uff08\u5982\u8a18\u61b6\u529b\u8870\u9000\u3001\u6ce8\u610f\u529b\u4e0d\u96c6\u4e2d\u8207\u5927\u8166\u75db\u89ba\u653e\u5927\uff09\uff0c\u91cd\u5851\u5927\u8166\u795e\u7d93\u7db2\u7d61\u3002<\/li>\n\n\n\n<li>\u3010\u8eab\u5fc3\u79d1 rTMS\u3011\uff1a\u5c08\u6ce8\u65bc\u7de9\u89e3\u6162\u6027\u75bc\u75db\u9577\u671f\u6298\u78e8\u6240\u5e36\u4f86\u7684\u56b4\u91cd\u6182\u9b31\u6216\u7126\u616e\u60c5\u7dd2\uff0c\u642d\u914d\u8eab\u5fc3\u79d1\u7279\u6709\u7684\u5fc3\u7406\u8861\u9451\u3001\u5fc3\u7406\u8ce6\u80fd\uff08Empowerment\uff09\u8207\u81ea\u5f8b\u529f\u80fd\u6aa2\u67e5\uff0c\u5168\u9762\u7a69\u56fa\u5fc3\u7406\u9632\u7dda\u3002<\/li>\n\n\n\n<li>\u914d\u5408\u3010\u795e\u7d93\u5167\u79d1\u3011\u6574\u5408\u982d\u75db\u8a3a\u65b7\u8207\u6025\u6027\u3001\u9810\u9632\u6cbb\u7642\uff0c\u63d0\u4f9b\u504f\u982d\u75db\u5c08\u4e00\u6027\u8a3a\u7642\u3001CGRP\u6a19\u9776\u6cbb\u7642\uff0c\u5305\u62ec\u6297\u9ad4\u8207\u53e3\u670d\u85e5\u7269\uff0c\u4e26\u642d\u914d\u8089\u6bd2\u687f\u83cc\u7d20\u6ce8\u5c04\uff0c\u7cbe\u6e96\u6539\u5584\u6162\u6027\u982d\u75db\u3001\u75bc\u75db\u5931\u80fd\u8207\u5171\u75c5\u5faa\u74b0\u3002<\/li>\n<\/ul>\n\n\n\n<p><strong>6. 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