{"id":815,"date":"2020-10-13T17:14:40","date_gmt":"2020-10-13T09:14:40","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=815"},"modified":"2020-10-14T11:33:51","modified_gmt":"2020-10-14T03:33:51","slug":"%e8%85%a6%e4%b8%ad%e9%a2%a8%e6%b2%bb%e7%99%82%e4%b9%8b%e8%97%a5%e7%89%a9%e7%af%87","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=815","title":{"rendered":"\u8166\u4e2d\u98a8\u6cbb\u7642\u4e4b\u85e5\u7269\u7bc7"},"content":{"rendered":"\n<p style=\"text-align:right\">\u6587\/\u85e5\u5291\u79d1<strong> \u6797\u99ff\u5ef7<\/strong> \u85e5\u5e2b<\/p>\n\n\n\n<p>\u7576\u6dbc\u98a8\u8207\u79cb\u96e8\u76f8\u4f34\uff0c\u5b63\u7bc0\u4ea4\u66ff\u4e4b\u6642\uff0c\u6b63\u662f\u8166\u4e2d\u98a8\u767c\u4f5c\u7684\u9ad8\u98a8\u96aa\u671f\u3002\u8166\u4e2d\u98a8\u70ba\u4e00\u7a2e\u6025\u75c7\uff0c\u300c\u98a8\u300d\u4ee3\u8868\u767c\u75c5\u8fc5\u901f\u8207\u591a\u8b8a\uff0c\u8166\u4e2d\u98a8\u70ba\u8166\u90e8\u8840\u6d41\u53d7\u963b\uff0c\u5c0e\u81f4\u7121\u6cd5\u4f9b\u61c9\u8166\u90e8\u6c27\u6c23\u9700\u6c42\uff0c\u800c\u767c\u751f\u8166\u529f\u80fd\u969c\u7919\u3002<\/p>\n\n\n\n<p>\u00a0\u4e2d\u98a8\u53ef\u4ee5\u81f4\u547d\uff0c\u662f\u9020\u6210\u5168\u7403\u4eba\u53e3\u6b7b\u4ea1\u8207\u5931\u80fd\u7684\u4e3b\u8981\u539f\u56e0\uff0c\u6839\u64da\u885b\u798f\u90e82019\u5e74\u570b\u4eba\u6b7b\u56e0\u7d71\u8a08\u7d50\u679c\uff0c\u5341\u5927\u6b7b\u56e0\u7b2c\u56db\u540d\u5373\u70ba\u8166\u8840\u7ba1\u75be\u75c5(\u6b7b\u4ea1\u4eba\u657812176\u4eba\uff0c\u6bcf\u5341\u842c\u4eba\u53e3\u6b7b\u4ea1\u7387\u70ba51.6%)\u3002<\/p>\n\n\n\n<p>\u00a0\u8166\u4e2d\u98a8\u7d93\u5e38\u9020\u6210\u5931\u80fd\u7684\u5f8c\u907a\u75c7\uff0c\u4ea6\u662f\u6211\u570b\u6210\u4eba\u6b98\u969c\u7684\u4e3b\u56e0\u4e4b\u4e00\uff0c\u5f8c\u7e8c\u983b\u7e41\u5c31\u91ab\u4e5f\u9020\u6210\u7167\u9867\u8005\u53ca\u5bb6\u5ead\u7d93\u6fdf\u6c88\u91cd\u7684\u8ca0\u64d4\u3002<\/p>\n\n\n\n<p>\u00a0\u5c0d\u65bc\u66fe\u767c\u751f\u4e2d\u98a8\u3001\u5fc3\u8840\u7ba1\u75be\u75c5\u6216\u5468\u908a\u52d5\u8108\u75be\u75c5\u7684\u60a3\u8005\u6216\u9ad8\u5371\u96aa\u7fa4\uff0c\u91ab\u5e2b\u5728\u75c5\u60c5\u7a69\u5b9a\u671f\u5f8c\u6703\u958b\u7acb\u6297\u8840\u5c0f\u677f\u85e5\u7269\u4f86\u9810\u9632\u8840\u6813\u5f62\u6210\uff0c\u907f\u514d\u518d\u5ea6\u767c\u751f\u5fc3\u808c\u6897\u585e\u6216\u4e2d\u98a8\u3002<\/p>\n\n\n\n<p>\u00a0\u6839\u64da\u4e00\u500b\u5305\u542b287\u9805\u7814\u7a76\u7684\u7d71\u5408\u5206\u6790\u986f\u793a\uff0c\u66fe\u7d93\u6709\u7f3a\u8840\u6027\u8166\u4e2d\u98a8\u6216\u66ab\u6642\u6027\u8166\u7f3a\u8840(Transient ischemic attack\uff0cTIA)\u7684\u75c5\u4eba\u5728\u63a5\u53d7\u6297\u8840\u5c0f\u677f\u85e5\u7269\u6cbb\u7642\u5f8c\uff0c\u56b4\u91cd\u7684\u5fc3\u8840\u7ba1\u4e8b\u4ef6(\u542b\u975e\u81f4\u547d\u7684\u5fc3\u808c\u6897\u585e\u3001\u975e\u81f4\u547d\u7684\u8166\u4e2d\u98a8\u6216\u8840\u7ba1\u6027\u6b7b\u4ea1)\u4e4b\u767c\u751f\u7387\u76f8\u5c0d\u6e1b\u5c11\u905425\uff05\uff1a\u76f8\u7576\u65bc\u6bcf\u6cbb\u76421000\u540d\u66fe\u6709\u8166\u4e2d\u98a8\u6216\u66ab\u6642\u6027\u8166\u7f3a\u8840\u7684\u75c5\u4eba\u90542\u5e74\uff0c\u53ef\u4ee5\u9810\u963236\u6b21\u8840\u7ba1\u4e8b\u4ef6\uff0c\u671f\u6548\u76ca\u9060\u9060\u8d85\u904e\u9871\u5167\u56b4\u91cd\u51fa\u8840\u7684\u7d55\u5c0d\u98a8\u96aa\u3002<\/p>\n\n\n\n<p>\u672c\u6587\u5c07\u4ecb\u7d39\u9662\u5167\u5e38\u898b\u7684\u6297\u8840\u5c0f\u677f\u85e5\u7269\u5176\u670d\u7528\u65b9\u5f0f\u53ca\u61c9\u6ce8\u610f\u4e8b\u9805\u4f9b\u6c11\u773e\u53c3\u8003\u3002<\/p>\n\n\n\n<p style=\"color:#1e8a2d\" class=\"has-text-color\"><strong>1.Acetylsalicylic acid (Aspirin)<\/strong><\/p>\n\n\n\n<p>\u00a0\u5176\u5177\u6291\u5236\u8840\u5c0f\u677f\u51dd\u96c6\u8207\u8840\u7ba1\u6536\u7e2e\u7684\u4f5c\u7528\uff0c\u53ef\u9632\u6b62\u8840\u6813\u5f62\u6210\u8207\u52d5\u8108\u786c\u5316\u7684\u767c\u751f\u3002<br>\u6839\u64da\u7814\u7a76\uff0c\u6bcf\u65e5\u670d\u752875~150\u6beb\u514bAcetylsalicylic acid\u65bc\u8166\u4e2d\u98a8\u5fa9\u767c\u7684\u9810\u9632\uff0c\u53ef\u4ee5\u6e1b\u5c1115\uff05\u7684\u76f8\u5c0d\u98a8\u96aa\u3002<\/p>\n\n\n\n<p>&nbsp;&nbsp;&nbsp; \u672c\u570b\u5e38\u7528\u5291\u91cf\u70ba100\u6beb\u514b(\u55ae\u6b21\u5291\u91cf)\uff0c\u56e0\u5177\u8178\u80c3\u523a\u6fc0\u6027\uff0c\u67d0\u4e9b\u85e5\u5ee0\u70ba\u4e86\u964d\u4f4e\u526f\u4f5c\u7528\u767c\u751f\u7387\u5c07\u5176\u8a2d\u8a08\u6210\u8178\u6eb6\u5fae\u7c92\u5291\u578b\uff0c\u6545\u670d\u85e5\u6642\u9808\u6574\u7c92\u541e\u670d\uff0c\u541e\u56a5\u56f0\u96e3\u8005\u53ef\u5c07\u81a0\u56ca\u6253\u958b\u670d\u7528\uff0c\u4f46\u5207\u8a18\u4e0d\u53ef\u5480\u56bc\u6216\u78e8\u7c89\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"303\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2020\/10\/101301-e1602580216685-1024x303.png\" alt=\"\" class=\"wp-image-816\"\/><\/figure>\n\n\n\n<p style=\"color:#1e8a2d\" class=\"has-text-color\"><strong>2. Clopidogrel<\/strong><\/p>\n\n\n\n<p>\u00a0\u70ba\u8840\u5c0f\u677f\u51dd\u96c6\u6291\u5236\u5291\uff0c\u6839\u64da\u7814\u7a76\u5728\u9810\u9632\u8840\u7ba1\u4e8b\u6545\u4e0a\u8f03Acetylsalicylicacid\u4f73\u3002<br>\u5728\u80c3\u8178\u65b9\u9762\uff0c\u6574\u9ad4\u800c\u8a00\u670d\u7528Clopidogrel\u75c5\u4eba\u767c\u751f\u8178\u80c3\u9053\u7684\u4e0d\u826f\u53cd\u61c9(\u5982\u8179\u75db\u3001\u6d88\u5316\u4e0d\u826f\u3001\u80c3\u708e\u548c\u4fbf\u79d8)\u7684\u767c\u751f\u7387\u70ba27.1%\uff0c\u4f4e\u65bc\u670d\u7528Acetylsalicylic acid\u7684\u75c5\u4eba(29.8%)\u3002<br>\u00a0\u56e0\u6b64\u5c0dAcetylsalicylic acid\u6709\u7981\u5fcc\u75c7\u6216\u670d\u85e5\u5f8c\u66fe\u7522\u751f\u4e0d\u826f\u5f71\u97ff\u7684\u75c5\u4eba\u53ef\u6539\u7528\u6b64\u85e5\u7269\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"309\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2020\/10\/101302-e1602580336514-1024x309.png\" alt=\"\" class=\"wp-image-820\"\/><\/figure>\n\n\n\n<p style=\"color:#1e8a2d\" class=\"has-text-color\"><strong>3. Dipyridamole<\/strong><\/p>\n\n\n\n<p>\u00a0Dipyridamole\u53ef\u6291\u5236\u8840\u5c0f\u677f\u51dd\u96c6\uff0c\u4e5f\u5177\u6709\u8840\u7ba1\u64f4\u5f35\u4f5c\u7528\uff1b\u5176\u526f\u4f5c\u7528\u901a\u5e38\u662f\u66ab\u6642\u4e14\u8f15\u5fae(\u982d\u75db10%\u3001\u5641\u5fc36%)\u3002<br>\u7531\u65bc\u6709\u8840\u7ba1\u64f4\u5f35\u4f5c\u7528\uff0c\u53ef\u80fd\u6703\u9020\u6210\u4f4e\u8840\u58d3\u3001\u71b1\u6f6e\u7d05\u8207\u5fc3\u640f\u904e\u901f\uff0c\u82e5\u540c\u6642\u6709\u5fc3\u8840\u7ba1\u75be\u75c5\u554f\u984c\u9808\u544a\u77e5\u91ab\u5e2b\u4e26\u8abf\u6574\u76f8\u95dc\u7528\u85e5\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"301\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2020\/10\/101303-e1602580289184-1024x301.png\" alt=\"\" class=\"wp-image-819\"\/><\/figure>\n\n\n\n<p style=\"color:#1e8a2d\" class=\"has-text-color\"><strong>4. Cilostazol<\/strong><\/p>\n\n\n\n<p>\u00a0Cilostazol\u5177\u6291\u5236\u8840\u5c0f\u677f\u51dd\u96c6\u3001\u6291\u5236\u5e73\u6ed1\u808c\u6536\u7e2e\u8207\u8840\u7ba1\u64f4\u5f35\u4e4b\u6548\u679c\uff0c\u5e38\u7528\u65bc\u9593\u6b47\u6027\u8ddb\u884c\u6cbb\u7642\u3002<br>\u65e5\u672cCSPS\u8a66\u9a57\u4e2d\u9810\u9632\u5fa9\u767c\u6027\u8166\u4e2d\u98a8\u6548\u679c\u4e0d\u4e9e\u65bcAcetylsalicylic acid\uff0c\u4e14\u6709\u8f03\u4f4e\u8166\u51fa\u8840\u767c\u751f\u7387\uff0c\u5728\u65e5\u672c\u6cbb\u7642\u6307\u5f15\u4e2dCilostazol\u5177\u5f37\u5ea6\u5efa\u8b70\u3002<br>2015\u5e74\u98df\u85e5\u7f72(TFDA)\u6838\u51c6Cilostazol\u7528\u65bc\u7f3a\u8840\u6027\u8166\u4e2d\u98a8\u7684\u6b21\u7d1a\u9810\u9632\uff0c\u56e0\u6b64\u4e9e\u6d32\u7f3a\u8840\u6027\u8166\u4e2d\u98a8\u60a3\u8005\u82e5\u6709\u8f03\u9ad8\u8166\u51fa\u8840\u98a8\u96aa\u6642\uff0c\u53ef\u8003\u616e\u4f7f\u7528\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"310\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2020\/10\/101304-e1602580270825-1024x310.png\" alt=\"\" class=\"wp-image-818\"\/><\/figure>\n\n\n\n<p>\u7531\u65bc\u4ee5\u4e0a\u85e5\u7269\u5177\u6291\u5236\u8840\u5c0f\u677f\u4e4b\u6548\u679c\uff0c\u670d\u85e5\u671f\u9593\u9808\u6ce8\u610f\u4ee5\u4e0b\u4e8b\u9805\uff1a<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>\u5fd8\u8a18\u670d\u85e5\u6642\u61c9\u7acb\u5373\u88dc\u670d\uff0c\u82e5\u5df2\u63a5\u8fd1\u4e0b\u4e00\u6b21\u670d\u7528\u6642\u9593\u5c31\u4e0d\u9700\u88dc\u670d\uff0c\u4e26\u65bc\u4e0b\u4e00\u6b21\u6b63\u78ba\u7684\u6642\u9593\u670d\u7528\u4e00\u6b21\u7684\u85e5\u91cf\u3002\u8acb\u4e0d\u8981\u670d\u7528\u96d9\u500d\u85e5\u91cf\uff0c\u4ee5\u514d\u767c\u751f\u904e\u91cf\u7684\u5371\u96aa\u3002<\/li><li>\u82e5\u6b32\u63a5\u53d7\u624b\u8853\u6216\u62d4\u7259\u6642\uff0c\u8acb\u544a\u8a34\u91ab\u5e2b\u60a8\u6b63\u5728\u670d\u7528\u6297\u8840\u5c0f\u677f\u85e5\u7269\u3002<\/li><li>\u8acb\u5c0f\u5fc3\u5f9e\u4e8b\u6613\u9020\u6210\u51fa\u8840\u884c\u70ba\uff0c\u5305\u62ec\u5237\u7259\u6642\u8acb\u8f15\u67d4\uff0c\u522e\u9b0d\u5b50\u548c\u526a\u6307\u7532\u6642\u4e5f\u9700\u5c0f\u5fc3\u64cd\u4f5c\uff0c\u82e5\u51fa\u73fe\u4e0b\u5217\u60c5\u5f62\u8acb\u76e1\u901f\u5c31\u91ab\uff1a<\/li><\/ol>\n\n\n\n<p>\u2605\u904e\u654f\u53cd\u61c9\uff1a\u76ae\u819a\u767c\u7662\u8d77\u75b9\u3001\u5634\u6216\u54bd\u5589\u816b\u8139\u3001\u80f8\u60b6\u3001\u547c\u5438\u56f0\u96e3\u3002<br>\u2605\u9670\u9053\u51fa\u8840\u6216\u7d93\u671f\u5927\u91cf\u51fa\u8840\u3002<br>\u2605\u51fa\u73fe\u7d05\u8272\u6216\u8910\u8272\u5c3f\u3001\u8840\u4fbf\u6216\u9ed1\u4fbf\u3002<br>\u2605\u4e0d\u5c0b\u5e38\u7684\u51fa\u8840\u6216\u7600\u50b7\uff0c\u5305\u62ec\u7d93\u5e38\u6d41\u9f3b\u8840\u3002<\/p>\n\n\n\n<p>\u00a0\u6cbb\u7642\u671f\u9593\u6709\u4efb\u4f55\u85e5\u7269\u554f\u984c\uff0c\u6b61\u8fce\u81f3\u6c5d\u5ddd\u5927\u6a13\u4e00\u6a13\u85e5\u7269\u8aee\u8a62\u5ba4\u6216\u4f86\u96fb04-24739595\u8f4938005(24H)\u8aee\u8a62\u3002<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"555\" height=\"295\" src=\"https:\/\/web.csh.org.tw\/web\/cshmagazine\/wp-content\/uploads\/2020\/10\/101305-e1602580310711.png\" alt=\"\" class=\"wp-image-817\"\/><\/figure><\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u6587\/\u85e5\u5291\u79d1 \u6797\u99ff\u5ef7 \u85e5\u5e2b \u7576\u6dbc\u98a8\u8207\u79cb\u96e8\u76f8\u4f34\uff0c\u5b63\u7bc0\u4ea4\u66ff\u4e4b\u6642\uff0c\u6b63\u662f\u8166\u4e2d\u98a8\u767c\u4f5c\u7684\u9ad8\u98a8\u96aa\u671f\u3002\u8166\u4e2d\u98a8\u70ba\u4e00\u7a2e\u6025\u75c7\uff0c\u300c\u98a8\u300d\u4ee3 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[12],"class_list":["post-815","post","type-post","status-publish","format-standard","hentry","category-20","tag-12"],"_links":{"self":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts\/815"}],"collection":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=815"}],"version-history":[{"count":1,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts\/815\/revisions"}],"predecessor-version":[{"id":821,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts\/815\/revisions\/821"}],"wp:attachment":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=815"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=815"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=815"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}