{"id":25605,"date":"2025-05-15T13:54:26","date_gmt":"2025-05-15T05:54:26","guid":{"rendered":"https:\/\/pi-union.com\/?p=25605"},"modified":"2025-05-15T14:06:28","modified_gmt":"2025-05-15T06:06:28","slug":"%e5%be%9e%e7%9b%a3%e7%8d%84%e9%87%8b%e6%94%be%e5%be%8c%e7%84%a1%e5%ae%b6%e5%8f%af%e6%ad%b8%e7%9a%84%e9%a2%a8%e9%9a%aa%e8%88%87%e4%b8%b9%e9%ba%a5%e7%9a%84%e5%86%8d%e7%8a%af%e7%bd%aa%e7%8e%87","status":"publish","type":"post","link":"https:\/\/pi-union.com\/en\/2025\/05\/15\/%e5%be%9e%e7%9b%a3%e7%8d%84%e9%87%8b%e6%94%be%e5%be%8c%e7%84%a1%e5%ae%b6%e5%8f%af%e6%ad%b8%e7%9a%84%e9%a2%a8%e9%9a%aa%e8%88%87%e4%b8%b9%e9%ba%a5%e7%9a%84%e5%86%8d%e7%8a%af%e7%bd%aa%e7%8e%87\/","title":{"rendered":"\u5f9e\u76e3\u7344\u91cb\u653e\u5f8c\u7121\u5bb6\u53ef\u6b78\u7684\u98a8\u96aa\u8207\u4e39\u9ea5\u7684\u518d\u72af\u7f6a\u7387"},"content":{"rendered":"\n<p>\u9019\u7bc7\u767c\u8868\u65bc <em>The Lancet Public Health<\/em> \u7684\u4e39\u9ea5\u5168\u570b\u4e16\u4ee3\u7814\u7a76\u6307\u51fa\uff0c\u76e3\u7344\u91cb\u653e\u5f8c\u7684\u7121\u5bb6\u53ef\u6b78\u8005\u518d\u72af\u7f6a\u98a8\u96aa\u986f\u8457\u63d0\u9ad8\uff0c\u5c24\u5176\u662f\u6709\u7cbe\u795e\u75be\u75c5\u6216\u7269\u8cea\u6feb\u7528\u53f2\u8005\u3002\u9019\u9805\u7814\u7a76\u63d0\u4f9b\u4e86\u91cd\u8981\u7684\u653f\u7b56\u53c3\u8003\uff0c\u4e5f\u5c0d\u53f0\u7063\u7576\u524d\u7684\u76e3\u6240\u6539\u9769\u8207\u793e\u6703\u5fa9\u6b78\u8b70\u984c\u5177\u6709\u9ad8\u5ea6\u555f\u793a\u3002<\/p>\n\n\n\n<p>\u76e3\u7344\u6536\u5bb9\u4eba\u91cb\u653e\u5f8c\u5f80\u5f80\u7f3a\u4e4f\u793e\u6703\u652f\u6301\u7cfb\u7d71\uff0c\u7279\u5225\u662f\u7121\u56fa\u5b9a\u4f4f\u6240\u8005\uff0c\u5bb9\u6613\u9677\u5165\u518d\u72af\u5faa\u74b0\u3002\u6839\u64da\u6cd5\u52d9\u90e8\u8cc7\u6599\uff0c\u53f0\u7063\u518d\u72af\u7387\u96d6\u6709\u9010\u5e74\u4e0b\u964d\u8da8\u52e2\uff0c\u4f46\u5728\u7cbe\u795e\u75be\u75c5\u8207\u85e5\u766e\u500b\u6848\u4e2d\uff0c\u5fa9\u6b78\u5931\u6557\u7387\u4ecd\u504f\u9ad8\u3002\u6b64\u5916\uff0c\u53f0\u7063\u7f3a\u4e4f\u5982\u540c\u4e39\u9ea5\u822c\u5b8c\u5584\u7684\u8cc7\u6599\u4e32\u806f\u8207\u8ffd\u8e64\u6a5f\u5236\uff0c\u4f7f\u5f97\u76f8\u95dc\u653f\u7b56\u5f80\u5f80\u7f3a\u4e4f\u5be6\u8b49\u4f9d\u64da\u3002<\/p>\n\n\n\n<p>\u6b64\u7814\u7a76\u51f8\u986f\u300c\u51fa\u7344\u5373\u5931\u5bb6\u300d\u662f\u518d\u72af\u7684\u91cd\u8981\u98a8\u96aa\u56e0\u5b50\uff0c\u5efa\u8b70\u6211\u570b\u61c9\u5f37\u5316\u76e3\u7344\u8207\u5730\u65b9\u653f\u5e9c\u793e\u798f\u3001\u885b\u653f\u7cfb\u7d71\u7684\u8de8\u57df\u5408\u4f5c\uff0c\u5efa\u7acb\u9000\u76e3\u5b89\u7f6e\u6a5f\u5236\uff0c\u4e26\u7d0d\u5165\u7cbe\u795e\u5065\u5eb7\u8207\u85e5\u766e\u6cbb\u7642\u9023\u7d50\u3002\u540c\u6642\uff0c\u61c9\u63a8\u52d5\u6578\u64da\u6574\u5408\u5e73\u53f0\uff0c\u63d0\u5347\u653f\u7b56\u7cbe\u6e96\u5ea6\uff0c\u4ee5\u6e1b\u5c11\u51fa\u7344\u8005\u7121\u5bb6\u53ef\u6b78\u8207\u518d\u72af\u554f\u984c\uff0c\u5171\u540c\u6253\u9020\u66f4\u5177\u5305\u5bb9\u529b\u7684\u793e\u6703\u5b89\u5168\u7db2\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>\u5f9e\u76e3\u7344\u91cb\u653e\u5f8c\u7121\u5bb6\u53ef\u6b78\u7684\u98a8\u96aa\u8207\u4e39\u9ea5\u7684\u518d\u72af\u7f6a\u7387\uff1a\u4e00\u9805\u5168\u570b\u6027\u4e16\u4ee3\u7814\u7a76<\/strong><\/h4>\n\n\n\n<p>Sandra Feodor Nilsson, Merete Nordentoft, Seena Fazel, Thomas Munk Laursen&nbsp;<\/p>\n\n\n\n<p><em>The Lancet Public Health<\/em>;&nbsp;August 25, 2023<\/p>\n\n\n\n<p><strong>\u6458\u8981<\/strong><\/p>\n\n\n\n<p><strong>\u80cc\u666f<\/strong><\/p>\n\n\n\n<p>\u4e0d\u540c\u670d\u52d9\u6a5f\u69cb\u4e4b\u9593\u7684\u904e\u6e21\u6642\u671f\u8207\u7121\u5bb6\u53ef\u6b78\u6709\u95dc\u3002\u6211\u5011\u7684\u76ee\u7684\u662f\u8abf\u67e5\u4ee5\u524d\u7684\u7121\u5bb6\u53ef\u6b78\u53f2\u548c\u7cbe\u795e\u969c\u7919\u8207\u51fa\u7344\u5f8c\u7121\u5bb6\u53ef\u6b78\u98a8\u96aa\u4e4b\u9593\u7684\u95dc\u806f\u3002\u6b64\u5916\uff0c\u6211\u5011\u9084\u7814\u7a76\u4e86\u51fa\u7344\u5f8c\u7121\u5bb6\u53ef\u6b78\u8207\u518d\u72af\u7f6a\u98a8\u96aa\u4e4b\u9593\u7684\u95dc\u806f\u3002<\/p>\n\n\n\n<p><strong>\u65b9\u6cd5<\/strong><\/p>\n\n\n\n<p>\u6211\u5011\u5728\u4e39\u9ea5\u9032\u884c\u4e86\u4e00\u9805\u5168\u570b\u6027\u7684\u4e16\u4ee3\u7814\u7a76\uff0c\u5c0d\u5e74\u9f61\u572815\u6b72\u6216\u4ee5\u4e0a\u7684\u4eba\u7fa4\u9032\u884c\u4e86\u8abf\u67e5\uff0c\u9019\u4e9b\u4eba\u57282001\u5e741\u67081\u65e5\u81f32021\u5e7412\u670831\u65e5\u671f\u9593\u9996\u6b21\u5f9e\u76e3\u7344\u91cb\u653e\u3002\u6211\u5011\u4f7f\u7528\u4e39\u9ea5\u6c11\u4e8b\u767b\u8a18\u7cfb\u7d71\u7684\u6578\u64da\uff0c\u4e26\u5c07\u5176\u8207\u5176\u4ed6\u767b\u8a18\uff08\u4e39\u9ea5\u4e2d\u592e\u5211\u4e8b\u767b\u8a18\u3001\u4e39\u9ea5\u7121\u5bb6\u53ef\u6b78\u767b\u8a18\u3001\u4e39\u9ea5\u570b\u5bb6\u60a3\u8005\u767b\u8a18\u548c\u4e39\u9ea5\u7cbe\u795e\u75be\u75c5\u4e2d\u592e\u7814\u7a76\u767b\u8a18\uff09\u7684\u8cc7\u6599\u9032\u884c\u4e32\u9023\uff0c\u4ee5\u7372\u53d6\u91cb\u653e\u65e5\u671f\u3001\u7121\u5bb6\u53ef\u6b78\u6536\u5bb9\u6240\u806f\u7e6b\u3001\u7cbe\u795e\u75be\u75c5\u548c\u65b0\u7684\u5b9a\u7f6a\u60c5\u6cc1\u3002<\/p>\n\n\n\n<p>\u5f9e\u76e3\u7344\u91cb\u653e\u5f8c\u7684\u7121\u5bb6\u53ef\u6b78\uff0c\u5b9a\u7fa9\u70ba\u9996\u6b21\u5f9e\u9996\u6b21\u76e3\u7981\u91cb\u653e\u5f8c\u7684\u7121\u5bb6\u53ef\u6b78\u6536\u5bb9\u6240\u806f\u7e6b\u3002\u5728\u91cb\u653e\u5f8c2\u5e74\u5167\u7684\u518d\u72af\uff0c\u5b9a\u7fa9\u70ba\u76e3\u7344\u91cb\u653e\u5f8c\u7684\u7b2c\u4e00\u6b21\u8b66\u5bdf\u8a18\u9304\u7684\u5211\u4e8b\u5b9a\u7f6a\u3002\u6211\u5011\u8a08\u7b97\u4e86\u6bcf1000\u4eba\u5e74\u7684\u767c\u751f\u7387\u3001\u4f7f\u7528Poisson\u56de\u6b78\u5206\u6790\u7684\u767c\u751f\u7387\u6bd4\uff08incidence rate ratios, IRR\uff09\uff0c\u4ee5\u53ca\u91cb\u653e\u5f8c\u7121\u5bb6\u53ef\u6b78\u548c\u518d\u72af\u7f6a\u7684\u6982\u7387\u3002\u6027\u5225\u3001\u5e74\u9f61\u3001\u65e5\u66c6\u5e74\u3001\u539f\u570b\u7c4d\u3001\u6700\u9ad8\u6559\u80b2\u7a0b\u5ea6\u3001\u5a5a\u59fb\u72c0\u6cc1\u548c\u6307\u6578\u5211\u671f\u4f5c\u70ba\u5e72\u64fe\u56e0\u7d20\u3002<\/p>\n\n\n\n<p><strong>\u7d50\u679c<\/strong><\/p>\n\n\n\n<p>\u672c\u7814\u7a76\u5305\u62ec37,382\u540d\u500b\u6848\uff0834,792\u540d\u7537\u6027[93.1\uff05]\u548c2,590\u540d\u5973\u6027[6.9\uff05]\uff09\uff0c\u5e74\u9f61\u572815\u81f341\u6b72\u4e4b\u9593\uff0c\u4ed6\u5011\u57282001\u5e741\u67081\u65e5\u81f32021\u5e7412\u670831\u65e5\u671f\u9593\u5f9e\u76e3\u7344\u91cb\u653e\uff0c\u63d0\u4f9b\u4e86202,197\u4eba\u5e74\u7684\u98a8\u96aa\u3002\u5e73\u5747\u96a8\u8a2a\u6301\u7e8c\u6642\u9593\u70ba5.4\u4eba\u5e74\uff08\u6a19\u6e96\u5dee\u70ba5.6\uff09\u3002\u7e3d\u9ad4\u800c\u8a00\uff0c37,382\u540d\u500b\u6848\u4e2d\u67091,843\u4eba\uff084.9\uff05\uff09\u8b8a\u5f97\u7121\u5bb6\u53ef\u6b78\u3002\u5f9e\u76e3\u7344\u91cb\u653e1\u5e74\u5f8c\uff0c37,382\u540d\u500b\u6848\u4e2d\u6709788\u4eba\uff082.1\uff05\uff09\u81f3\u5c11\u6709\u4e00\u6b21\u548c\u7121\u5bb6\u53ef\u6b78\u7684\u6536\u5bb9\u6240\u806f\u7e6b\uff0c\u4e26\u4e14\u57281,761\u540d\u5177\u6709\u6307\u6578\u5211\u671f\u524d\u7121\u5bb6\u53ef\u6b78\u53f2\u7684\u500b\u6848\u4e2d\uff0c\u6709357\u4eba\uff0820.7\uff05\uff09\u8b8a\u5f97\u7121\u5bb6\u53ef\u6b78\u3002\u91cb\u653e\u5f8c\u7121\u5bb6\u53ef\u6b78\u7684\u767c\u751f\u7387\u5728\u5177\u6709\u7121\u5bb6\u53ef\u6b78\u53f2\u7684\u500b\u6848\u4e2d\u70ba\u6bcf1,000\u4eba\u5e74102.5\u4f8b\uff0c\u800c\u5728\u6c92\u6709\u7121\u5bb6\u53ef\u6b78\u53f2\u7684\u500b\u6848\u4e2d\u70ba\u6bcf1,000\u4eba\u5e746.7\u4f8b\uff08IRR 16.4\uff0c95\uff05 CI 14.8-18.2\uff1b\u6821\u6b63\u70ba\u6027\u5225\u3001\u5e74\u9f61\u548c\u65e5\u66c6\u5e74\uff09\u3002\u6b64\u5916\uff0c\u53e6\u6709\u7cbe\u795e\u75be\u75c5\u7684\u500b\u6848\u6bd4\u65e2\u7121\u7121\u5bb6\u53ef\u6b78\u53f2\u4e5f\u7121\u7cbe\u795e\u75be\u75c5\u7684\u500b\u9ad4\u66f4\u6709\u7121\u5bb6\u53ef\u6b78\u7684\u98a8\u96aa\uff08IRR 22.6\uff0c95\uff05 CI 19.7-25.9\uff09\uff0c\u800c\u5c0d\u65bc\u90a3\u4e9b\u5177\u6709\u7121\u5bb6\u53ef\u6b78\u53f2\u548c\u85e5\u7269\u6feb\u7528\u75be\u60a3\u7684\u500b\u6848\uff0c\u98a8\u96aa\u66f4\u9ad8\uff08IRR 25.0\uff0c95\uff05 CI 21.6-28.9\uff09\u3002\u5f9e\u76e3\u7344\u91cb\u653e\u5f8c\u76842\u5e74\u5167\uff0c\u518d\u72af\u7684\u6982\u7387\u70ba73.2\uff05\uff0895\uff05 CI 72.8-73.7\uff09\u3002\u8207\u91cb\u653e\u5f8c\u672a\u7d93\u6b77\u7121\u5bb6\u53ef\u6b78\u7684\u4eba\u76f8\u6bd4\uff0c\u5f9e\u76e3\u7344\u91cb\u653e\u5f8c\u7d93\u6b77\u7121\u5bb6\u53ef\u6b78\u7684\u4eba\u7684\u518d\u72af\u7f6a\u98a8\u96aa\u66f4\u9ad8\uff08IRR 1.5\uff0c95\uff05 CI 1.3-1.7\uff09\uff0c\u6821\u6b63\u70ba\u6027\u5225\u3001\u5e74\u9f61\u548c\u65e5\u66c6\u5e74\u3002<\/p>\n\n\n\n<p><strong>\u95e1\u91cb<\/strong><\/p>\n\n\n\n<p>\u5211\u4e8b\u53f8\u6cd5\u670d\u52d9\u61c9\u91cd\u65b0\u5be9\u8996\u964d\u4f4e\u7121\u5bb6\u53ef\u6b78\u98a8\u96aa\u7684\u65b9\u6cd5\uff0c\u4e26\u601d\u8003\u5982\u4f55\u6539\u5584\u8207\u7cbe\u795e\u5065\u5eb7\u548c\u7269\u8cea\u6feb\u7528\u670d\u52d9\u7684\u6e9d\u901a\u806f\u7e6b\uff0c\u4ee5\u9632\u6b62\u91cb\u653e\u51fa\u7344\u5f8c\u7684\u4e0d\u826f\u7d50\u679c\u3002\u5211\u4e8b\u53f8\u6cd5\u7684\u81e8\u5e8a\u6307\u5357\u4e2d\u61c9\u8655\u7406\u7121\u5bb6\u53ef\u6b78\u500b\u6848\u7684\u5065\u5eb7\u554f\u984c\u3002<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>\u8b6f\u8005:<a href=\"https:\/\/pi-union.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u767e\u806f\u91ab\u5b78\u7de8\u8b6f<\/a><\/p>\n\n\n\n<p>Translator:&nbsp;<a href=\"https:\/\/pi-union.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">PI-Union Medical Science<\/a><\/p>\n\n\n\n<p>Source:<\/p>\n\n\n\n<p><a href=\"https:\/\/www.thelancet.com\/journals\/lanpub\/article\/PIIS2468-2667(23)00152-4\/fulltext\">https:\/\/www.thelancet.com\/journals\/lanpub\/article\/PIIS2468-2667(23)00152-4\/fulltext<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>\u70ba\u5584\u6700\u6a02\uff0c\u8acb\u652f\u6301\u66f4\u751f\u4eba\u76f8\u95dc\u793e\u798f\u6a5f\u69cb:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.after-care.org.tw\/cht\/index.php\" target=\"_blank\" rel=\"noreferrer noopener\">\u8ca1\u5718\u6cd5\u4eba\u53f0\u7063\u66f4\u751f\u4fdd\u8b77\u6703<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/616.org.tw\/support\/fundraisers.php\" target=\"_blank\" rel=\"noreferrer noopener\">\u4e2d\u83ef\u6c11\u570b\u66f4\u751f\u5c11\u5e74\u95dc\u61f7\u5354\u6703<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.pftaiwan.org.tw\/article.aspx?id=3368-151-%E6%8D%90%E6%AC%BE%E6%96%B9%E5%BC%8F\" target=\"_blank\" rel=\"noreferrer noopener\">\u8ca1\u5718\u6cd5\u4eba\u57fa\u7763\u6559\u66f4\u751f\u5718\u5951<\/a><\/li>\n<\/ul>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u9019\u7bc7\u767c\u8868\u65bc The Lancet Public Health \u7684\u4e39\u9ea5\u5168\u570b\u4e16\u4ee3\u7814\u7a76\u6307\u51fa\uff0c\u76e3\u7344\u91cb\u653e\u5f8c\u7684\u7121\u5bb6\u53ef\u6b78\u8005\u518d 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