{"id":399613,"date":"2026-01-07T15:06:30","date_gmt":"2026-01-07T07:06:30","guid":{"rendered":"https:\/\/pingtungtimes.com.tw\/?p=399613"},"modified":"2026-01-07T15:06:30","modified_gmt":"2026-01-07T07:06:30","slug":"%e3%80%90%e6%80%a7%e8%a1%8c%e7%82%ba%e4%b9%9f%e5%8f%af%e8%83%bd%e5%82%b3%e6%9f%93%e8%85%b8%e9%81%93%e7%97%85%e5%8e%9f%e3%80%91%e3%80%80%e4%b8%8d%e6%98%8e%e5%8e%9f%e5%9b%a0%e8%85%b9%e7%80%89%e3%80%81","status":"publish","type":"post","link":"https:\/\/pingtungtimes.com.tw\/?p=399613","title":{"rendered":"\u3010\u6027\u884c\u70ba\u4e5f\u53ef\u80fd\u50b3\u67d3\u8178\u9053\u75c5\u539f\u3011\u3000\u4e0d\u660e\u539f\u56e0\u8179\u7009\u3001\u8840\u4fbf\u3001\u809b\u9580\u75c7\u72c0\u8d85\u904e\u4e09\u5929\uff0c\u61c9\u63d0\u9ad8\u8b66\u89ba"},"content":{"rendered":"

\u3010\u8a18\u8005\u5433\u7389\u60e0\/\u81fa\u5357\u5831\u5c0e\u3011\u3000\u8fd1\u5e74\u53f0\u7063\u81e8\u5e8a\u8207\u516c\u5171\u885b\u751f\u76e3\u6e2c\u767c\u73fe\uff0c\u4e00\u4e9b\u539f\u88ab\u8a8d\u70ba\u53ea\u662f\u300c\u8178\u80c3\u708e\u300d\u6216\u300c\u5403\u58de\u809a\u5b50\u300d\u7684\u8178\u9053\u611f\u67d3\uff0c\u5176\u5be6\u8207\u6027\u884c\u70ba\u50b3\u67d3\u6709\u95dc\u3002\u9019\u985e\u75be\u75c5\u5728\u570b\u969b\u4e0a\u7a31\u70ba\u6027\u50b3\u67d3\u8178\u9053\u611f\u67d3\u75c7(sexually transmitted enteric infections, STEIs)\uff0c\u5df2\u6210\u70ba\u5148\u9032\u570b\u5bb6\u95dc\u6ce8\u7684\u65b0\u8208\u516c\u5171\u885b\u751f\u8b70\u984c\u3002<\/p>\n

\u6210\u5927\u91ab\u9662\u611f\u67d3\u79d1\u8521\u9032\u76f8\u91ab\u5e2b\u6307\u51fa\uff0c\u82e5\u6d89\u53ca\u809b\u9580\u63a5\u89f8\u7684\u6027\u884c\u70ba\u5f8c\uff0c\u51fa\u73fe\u4ee5\u4e0b\u4efb\u4e00\u75c7\u72c0\uff0c\u4e14\u8d85\u904e\u4e09\u5929\u4ecd\u672a\u6539\u5584\uff0c\u61c9\u53ca\u65e9\u5c31\u91ab\u8a55\u4f30\uff1a(1)\u8179\u7009\u6216\u6301\u7e8c\u62c9\u809a\u5b50\u3001(2)\u8840\u4fbf\u3001(3)\u88e1\u6025\u5f8c\u91cd\u3001(4)\u809b\u9580\u75bc\u75db\u3001\u5206\u6ccc\u7269\u6216\u4e0d\u9069\u611f\u3002<\/p>\n

\"\"<\/p>\n

\u8178\u9053\u611f\u67d3\u4e0d\u53ea\u662f\u300c\u5403\u58de\u809a\u5b50\u300d<\/strong>
\n\u6839\u64da\u53f0\u7063\u8fd1\u5e74\u5168\u570b\u76e3\u6e2c\u3001\u591a\u4e2d\u5fc3\u7814\u7a76\u986f\u793a\uff0c\u5fd7\u8cc0\u6c0f\u83cc(Shigella)\u3001\u68a8\u5f62\u97ad\u6bdb\u87f2(Giardia lamblia)\u3001\u6027\u50b3\u67d3\u6dcb\u5df4\u8089\u82bd\u816b(lymphogranuloma venereum, LGV)\u3001\u75e2\u75be\u963f\u7c73\u5df4\u539f\u87f2(Entamoeba histolytica)\u7b49\u8178\u9053\u75c5\u539f\uff0c\u5728\u7279\u5b9a\u65cf\u7fa4\u4ee5\u6027\u884c\u70ba\u50b3\u64ad\uff0c\u901a\u7a31\u70ba\u6027\u50b3\u67d3\u8178\u9053\u611f\u67d3\u75c7\u3002<\/p>\n

\u9019\u985e\u611f\u67d3\u8f03\u5e38\u898b\u65bc\u591a\u91cd\u6027\u4f34\u4fb6\u3001\u7537\u7537\u6027\u884c\u70ba\u8005\u3001\u611b\u6ecb\u611f\u67d3\u8005\uff0c\u4ee5\u53ca\u66fe\u6709\u5176\u4ed6\u6027\u50b3\u67d3\u75c5\u75c5\u53f2\u8005\u3002\u90e8\u5206\u60a3\u8005\u521d\u671f\u75c7\u72c0\u8f15\u5fae\uff0c\u537b\u53ef\u80fd\u5728\u4e0d\u81ea\u89ba\u7684\u60c5\u6cc1\u4e0b\u6210\u70ba\u5e36\u83cc\u8005\uff0c\u589e\u52a0\u50b3\u64ad\u98a8\u96aa\u3002<\/p>\n

\u53f0\u7063\u5df2\u51fa\u73fe\u6297\u85e5\u6027\u5fd7\u8cc0\u6c0f\u83cc\uff0c\u7d93\u9a57\u6027\u7528\u85e5\u9700\u8b39\u614e<\/strong>
\n\u5fd7\u8cc0\u6c0f\u83cc\u611f\u67d3\u53c8\u7a31\u687f\u83cc\u6027\u75e2\u75be\uff0c\u5e38\u5f15\u8d77\u8840\u4fbf\u3001\u767c\u71d2\u3001\u8179\u7d5e\u75db\u8207\u88e1\u6025\u5f8c\u91cd\u3002\u53f0\u7063\u81ea2015\u5e74\u5f8c\uff0c\u76f8\u95dc\u672c\u571f\u500b\u6848\u660e\u986f\u96c6\u4e2d\u65bc\u7121\u65c5\u904a\u53f2\u7684\u5e74\u8f15\u7537\u6027\uff0c\u8207\u6027\u884c\u70ba\u9ad8\u5ea6\u76f8\u95dc\u3002\u503c\u5f97\u6ce8\u610f\u7684\u662f\uff0c\u53f0\u7063\u5df2\u51fa\u73fe\u5c0d\u55b9\u8afe\u916e\u985e\u6297\u751f\u7d20(fluoroquinolones)\u5177\u6297\u85e5\u6027\u7684\u5fd7\u8cc0\u6c0f\u83cc\uff0c\u5c11\u6578\u83cc\u682a\u751a\u81f3\u5c0d\u7b2c\u4e09\u4ee3\u982d\u5b62\u5b50\u83cc\u7522\u751f\u6297\u85e5\u6027\u3002\u4e0d\u7576\u7684\u7d93\u9a57\u6027\u6297\u751f\u7d20\u4f7f\u7528\u53ef\u80fd\u5c0e\u81f4\u6cbb\u7642\u5931\u6557\u8207\u6297\u85e5\u6027\u52a0\u5287\u3002<\/p>\n

\u8521\u9032\u76f8\u91ab\u5e2b\u63d0\u9192\uff0c\u8179\u7009\u4e0d\u4e00\u5b9a\u9700\u8981\u7acb\u5373\u4f7f\u7528\u6297\u751f\u7d20\uff1b\u82e5\u75c7\u72c0\u6301\u7e8c\u3001\u5408\u4f75\u8840\u4fbf\u6216\u5177\u9ad8\u98a8\u96aa\u884c\u70ba\u53f2\uff0c\u61c9\u9032\u884c\u7cde\u4fbf\u6aa2\u9a57\u3001\u5fae\u751f\u7269\u57f9\u990a\u6216\u591a\u91cd\u6838\u9178\u6aa2\u6e2c(multiplex PCR)\uff0c\u4e26\u4f9d\u6aa2\u6e2c\u7d50\u679c\u8abf\u6574\u6cbb\u7642\u65b9\u91dd\u3002<\/p>\n

\u809b\u9580\u75c7\u72c0\u3001\u6301\u7e8c\u5206\u6ccc\u7269\uff0c\u4e5f\u53ef\u80fd\u662f\u62ab\u8863\u83cc\u611f\u67d3<\/strong>
\n\u62ab\u8863\u83cc\u662f\u5168\u7403\u666e\u904d\u7684\u6027\u50b3\u67d3\u75c5\u81f4\u75c5\u539f\uff0c\u591a\u6578\u611f\u67d3\u75c7\u72c0\u8f15\u5fae\u751a\u81f3\u7121\u75c7\u72c0\u3002\u7136\u800c\u5176\u4e2d\u4fb5\u8972\u6027\u7684\u5206\u578b\u53ef\u5f15\u767c\u6027\u50b3\u67d3\u6dcb\u5df4\u8089\u82bd\u816b(lymphogranuloma venereum, LGV)\uff0c\u9020\u6210\u5c3f\u9053\u708e\u3001\u9f20\u8e4a\u6dcb\u5df4\u816b\u5927\uff0c\u4e5f\u6703\u5f15\u8d77\u76f4\u8178\u708e\u3001\u8179\u7009\u8207\u809b\u9580\u5206\u6ccc\u7269\u3002<\/p>\n

\u6210\u5927\u7814\u7a76\u5718\u968a\u65bc2020\u81f32023\u5e74\u6027\u50b3\u67d3\u75c5\u76e3\u6e2c\u4e2d\uff0c\u9996\u6b21\u5728\u53f0\u7063\u53ca\u9060\u6771\u5730\u5340\u8b49\u5be6LGV\u76f4\u8178\u611f\u67d3\u65bc\u793e\u5340\u4e2d\u50b3\u64ad\u3002\u90e8\u4efd\u60a3\u8005\u75c7\u72c0\u985e\u4f3c\u6f70\u760d\u6027\u5927\u8178\u708e\uff0c\u5167\u8996\u93e1\u6aa2\u67e5\u53ef\u80fd\u767c\u73fe\u975e\u7279\u7570\u6027\u6f70\u760d\uff0c\u82e5\u672a\u53ca\u6642\u6cbb\u7642\uff0c\u53ef\u80fd\u5c0e\u81f4\u6162\u6027\u76f4\u8178\u767c\u708e\u3001\u809b\u9580\u72f9\u7a84\u6216\u763b\u7ba1\u5f62\u6210\u3002<\/p>\n

\u8521\u9032\u76f8\u91ab\u5e2b\u6307\u51fa\uff0c\u6b64\u985e\u611f\u67d3\u9700\u63a5\u53d7\u7279\u5b9a\u7642\u7a0b\u7684\u591a\u559c\u9ef4\u7d20(doxycycline)\u6cbb\u7642\uff0c\u8207\u4e00\u822c\u8178\u80c3\u708e\u8655\u7f6e\u65b9\u5f0f\u4e0d\u540c\u3002<\/p>\n

\u6b63\u78ba\u8a3a\u65b7\u6bd4\u300c\u5feb\u9ede\u5403\u85e5\u300d\u66f4\u91cd\u8981<\/strong>
\n\u8521\u9032\u76f8\u91ab\u5e2b\u5f37\u8abf\uff0c\u7591\u4f3c\u6027\u50b3\u67d3\u8178\u9053\u611f\u67d3\u7684\u60a3\u8005\uff0c\u95dc\u9375\u5728\u65bc\u6b63\u78ba\u8a3a\u65b7\uff0c\u5305\u62ec\uff1a\u7cde\u4fbf\u6aa2\u9ad4\u6aa2\u67e5\uff08\u53ef\u9032\u4e00\u6b65\u5305\u542b\u7d30\u83cc\u3001\u5bc4\u751f\u87f2\u6838\u9178\u6aa2\u6e2c\uff09\uff0c\u5fc5\u8981\u6642\u642d\u914d\u6027\u50b3\u67d3\u75c5\u7be9\u6aa2\uff08\u5c3f\u6db2\u3001\u809b\u9580\u3001\u53e3\u8154\uff09\u3002<\/p>\n

\u82e5\u8179\u7009\u75c7\u72c0\u8f15\u5fae\u3001\u75c5\u539f\u672a\u660e\uff0c\u4e0d\u5efa\u8b70\u5e38\u898f\u4f7f\u7528\u7d93\u9a57\u6027\u6297\u751f\u7d20\uff0c\u56e0\u6548\u76ca\u6709\u9650\u537b\u589e\u52a0\u6297\u85e5\u6027\u98a8\u96aa\u3002\u4ee5\u4e0b\u60c5\u6cc1\u624d\u9700\u8003\u616e\u6297\u751f\u7d20\u6cbb\u7642\uff1a(1)\u9700\u4f4f\u9662\u3001(2)\u5408\u4f75\u767c\u71d2\u6216\u5168\u8eab\u75c7\u72c0\u3001(3)\u8179\u7009\u6301\u7e8c7\u5929\u4ee5\u4e0a\u3001(4)\u6709\u91cd\u8981\u5171\u75c5\uff08\u514d\u75ab\u529f\u80fd\u4f4e\u4e0b\u3001\u591a\u91cd\u6162\u6027\u75c5\uff09\u3002\u6cbb\u7642\u61c9\u6839\u64da\u6aa2\u9a57\u7d50\u679c\u9078\u64c7\u5408\u9069\u85e5\u7269\uff0c\u800c\u975e\u4e00\u958b\u59cb\u5373\u4f7f\u7528\u5ee3\u6548\u6297\u751f\u7d20\u3002<\/p>\n

\u80c3\u85e5\u8207\u6b62\u7009\u85e5\uff0c\u4e5f\u53ef\u80fd\u5f71\u97ff\u75c5\u60c5<\/strong>
\n\u611f\u67d3\u6027\u8179\u7009\u671f\u9593\uff0c\u4e0d\u5efa\u8b70\u81ea\u884c\u670d\u7528\u6b62\u7009\u85e5\uff0c\u4ee5\u514d\u5ef6\u9577\u75c5\u539f\u505c\u7559\u9ad4\u5167\u6642\u9593\u3002\u6210\u5927\u5718\u968a\u7814\u7a76\u4ea6\u986f\u793a\uff0c\u9577\u671f\u4f7f\u7528\u8cea\u5b50\u5e6b\u6d66\u6291\u5236\u5291\uff0c\u53ef\u80fd\u589e\u52a0\u8178\u9053\u75c5\u539f\u5b58\u6d3b\u8207\u5e36\u83cc\u98a8\u96aa\u3002<\/p>\n

\u8521\u9032\u76f8\u91ab\u5e2b\u5f37\u8abf\uff0c\u6027\u50b3\u67d3\u8178\u9053\u611f\u67d3\u75c7\u672c\u8eab\u4e26\u4e0d\u53ef\u6015\uff0c\u771f\u6b63\u7684\u98a8\u96aa\u5728\u65bc\u5ef6\u9072\u8a3a\u65b7\u8207\u4e0d\u7576\u7528\u85e5\u3002\u900f\u904e\u6b63\u78ba\u6aa2\u67e5\u3001\u9069\u5207\u6cbb\u7642\u8207\u98a8\u96aa\u6e9d\u901a\uff0c\u4e0d\u50c5\u80fd\u6539\u5584\u75c5\u7a0b\uff0c\u4e5f\u6709\u52a9\u65bc\u9632\u6b62\u6297\u85e5\u6027\u6301\u7e8c\u64f4\u5927\u3002<\/p>\n

\"\"\u6210\u5927\u91ab\u9662\u611f\u67d3\u79d1\u8521\u9032\u76f8\u91ab\u5e2b
\n\u5b78\u6b77\uff1a\u9ad8\u96c4\u91ab\u5b78\u5927\u5b78\u91ab\u5b78\u7cfb\u91ab\u5b78\u58eb\u3001\u6210\u529f\u5927\u5b78\u81e8\u5e8a\u91ab\u5b78\u7814\u7a76\u6240\u535a\u58eb
\n\u7d93\u6b77\uff1a\u6210\u5927\u91ab\u9662\u5167\u79d1\u90e8\u4f4f\u9662\u91ab\u5e2b\u3001\u611f\u67d3\u79d1\u7814\u7a76\u54e1\u3001\u91cd\u75c7\u52a0\u8b77\u79d1\u7814\u7a76\u54e1
\n\u6210\u5927\u91ab\u9662\u6597\u516d\u5206\u9662\u611f\u67d3\u79d1\u4e3b\u6cbb\u91ab\u5e2b
\n\u65e5\u672c\u570b\u7acb\u5065\u5eb7\u5371\u6a5f\u7ba1\u7406\u7814\u7a76\u6a5f\u69cb\u5ba2\u5ea7\u7814\u7a76\u54e1
\n\u73fe\u4efb\uff1a\u6210\u5927\u91ab\u9662\u611f\u67d3\u79d1\u4e3b\u6cbb\u91ab\u5e2b
\n\u6210\u5927\u91ab\u5b78\u7cfb\u81e8\u5e8a\u52a9\u7406\u6559\u6388
\n\u53f0\u7063\u611b\u6ecb\u75c5\u5b78\u6703\u526f\u79d8\u66f8\u9577
\n\u5c08\u9577\uff1a\u6210\u4eba\u611f\u67d3\u75c7\u8a3a\u6cbb\u3001\u611f\u67d3\u7ba1\u5236\u3001\u91cd\u75c7\u91ab\u5b78<\/p>\n","protected":false},"excerpt":{"rendered":"

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content=\"\u3010\u8a18\u8005\u5433\u7389\u60e0\/\u81fa\u5357\u5831\u5c0e\u3011\u3000\u8fd1\u5e74\u53f0\u7063\u81e8\u5e8a\u8207\u516c\u5171\u885b\u751f\u76e3\u6e2c\u767c\u73fe\uff0c\u4e00\u4e9b\u539f\u88ab\u8a8d\u70ba\u53ea\u662f\u300c\u8178\u80c3\u708e\u300d\u6216\u300c\u5403\u58de\u809a\u5b50\u300d\u7684\u8178\u9053\u611f\u67d3\uff0c\u5176\u5be6\u8207\u6027\u884c\u70ba\u50b3\u67d3\u6709\u95dc\u3002\u9019\u985e\u75be\u75c5\u5728\u570b\u969b\u4e0a\u7a31\u70ba\u6027\u50b3\u67d3\u8178\u9053\u611f\u67d3\u75c7(sexually transmitted enteric infections, STEIs)\uff0c\u5df2\u6210\u70ba\u5148\u9032\u570b\u5bb6\u95dc\u6ce8\u7684\u65b0\u8208\u516c\u5171\u885b\u751f\u8b70\u984c\u3002 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histolytica)\u7b49\u8178\u9053\u75c5\u539f\uff0c\u5728\u7279\u5b9a\u65cf\u7fa4\u4ee5\u6027\u884c\u70ba\u50b3\u64ad\uff0c\u901a\u7a31\u70ba\u6027\u50b3\u67d3\u8178\u9053\u611f\u67d3\u75c7\u3002 \u9019\u985e\u611f\u67d3\u8f03\u5e38\u898b\u65bc\u591a\u91cd\u6027\u4f34\u4fb6\u3001\u7537\u7537\u6027\u884c\u70ba\u8005\u3001\u611b\u6ecb\u611f\u67d3\u8005\uff0c\u4ee5\u53ca\u66fe\u6709\u5176\u4ed6\u6027\u50b3\u67d3\u75c5\u75c5\u53f2\u8005\u3002\u90e8\u5206\u60a3\u8005\u521d\u671f\u75c7\u72c0\u8f15\u5fae\uff0c\u537b\u53ef\u80fd\u5728\u4e0d\u81ea\u89ba\u7684\u60c5\u6cc1\u4e0b\u6210\u70ba\u5e36\u83cc\u8005\uff0c\u589e\u52a0\u50b3\u64ad\u98a8\u96aa\u3002 \u53f0\u7063\u5df2\u51fa\u73fe\u6297\u85e5\u6027\u5fd7\u8cc0\u6c0f\u83cc\uff0c\u7d93\u9a57\u6027\u7528\u85e5\u9700\u8b39\u614e 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\u8521\u9032\u76f8\u91ab\u5e2b\u63d0\u9192\uff0c\u8179\u7009\u4e0d\u4e00\u5b9a\u9700\u8981\u7acb\u5373\u4f7f\u7528\u6297\u751f\u7d20\uff1b\u82e5\u75c7\u72c0\u6301\u7e8c\u3001\u5408\u4f75\u8840\u4fbf\u6216\u5177\u9ad8\u98a8\u96aa\u884c\u70ba\u53f2\uff0c\u61c9\u9032\u884c\u7cde\u4fbf\u6aa2\u9a57\u3001\u5fae\u751f\u7269\u57f9\u990a\u6216\u591a\u91cd\u6838\u9178\u6aa2\u6e2c(multiplex PCR)\uff0c\u4e26\u4f9d\u6aa2\u6e2c\u7d50\u679c\u8abf\u6574\u6cbb\u7642\u65b9\u91dd\u3002 \u809b\u9580\u75c7\u72c0\u3001\u6301\u7e8c\u5206\u6ccc\u7269\uff0c\u4e5f\u53ef\u80fd\u662f\u62ab\u8863\u83cc\u611f\u67d3 \u62ab\u8863\u83cc\u662f\u5168\u7403\u666e\u904d\u7684\u6027\u50b3\u67d3\u75c5\u81f4\u75c5\u539f\uff0c\u591a\u6578\u611f\u67d3\u75c7\u72c0\u8f15\u5fae\u751a\u81f3\u7121\u75c7\u72c0\u3002\u7136\u800c\u5176\u4e2d\u4fb5\u8972\u6027\u7684\u5206\u578b\u53ef\u5f15\u767c\u6027\u50b3\u67d3\u6dcb\u5df4\u8089\u82bd\u816b(lymphogranuloma venereum, LGV)\uff0c\u9020\u6210\u5c3f\u9053\u708e\u3001\u9f20\u8e4a\u6dcb\u5df4\u816b\u5927\uff0c\u4e5f\u6703\u5f15\u8d77\u76f4\u8178\u708e\u3001\u8179\u7009\u8207\u809b\u9580\u5206\u6ccc\u7269\u3002 \u6210\u5927\u7814\u7a76\u5718\u968a\u65bc2020\u81f32023\u5e74\u6027\u50b3\u67d3\u75c5\u76e3\u6e2c\u4e2d\uff0c\u9996\u6b21\u5728\u53f0\u7063\u53ca\u9060\u6771\u5730\u5340\u8b49\u5be6LGV\u76f4\u8178\u611f\u67d3\u65bc\u793e\u5340\u4e2d\u50b3\u64ad\u3002\u90e8\u4efd\u60a3\u8005\u75c7\u72c0\u985e\u4f3c\u6f70\u760d\u6027\u5927\u8178\u708e\uff0c\u5167\u8996\u93e1\u6aa2\u67e5\u53ef\u80fd\u767c\u73fe\u975e\u7279\u7570\u6027\u6f70\u760d\uff0c\u82e5\u672a\u53ca\u6642\u6cbb\u7642\uff0c\u53ef\u80fd\u5c0e\u81f4\u6162\u6027\u76f4\u8178\u767c\u708e\u3001\u809b\u9580\u72f9\u7a84\u6216\u763b\u7ba1\u5f62\u6210\u3002 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max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pingtungtimes.com.tw\/?p=399613\" \/>\n<meta property=\"og:locale\" content=\"zh_TW\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u3010\u6027\u884c\u70ba\u4e5f\u53ef\u80fd\u50b3\u67d3\u8178\u9053\u75c5\u539f\u3011\u3000\u4e0d\u660e\u539f\u56e0\u8179\u7009\u3001\u8840\u4fbf\u3001\u809b\u9580\u75c7\u72c0\u8d85\u904e\u4e09\u5929\uff0c\u61c9\u63d0\u9ad8\u8b66\u89ba - \u5c4f\u6771\u6642\u5831\u96fb\u5b50\u5831\" \/>\n<meta property=\"og:description\" content=\"\u3010\u8a18\u8005\u5433\u7389\u60e0\/\u81fa\u5357\u5831\u5c0e\u3011\u3000\u8fd1\u5e74\u53f0\u7063\u81e8\u5e8a\u8207\u516c\u5171\u885b\u751f\u76e3\u6e2c\u767c\u73fe\uff0c\u4e00\u4e9b\u539f\u88ab\u8a8d\u70ba\u53ea\u662f\u300c\u8178\u80c3\u708e\u300d\u6216\u300c\u5403\u58de\u809a\u5b50\u300d\u7684\u8178\u9053\u611f\u67d3\uff0c\u5176\u5be6\u8207\u6027\u884c\u70ba\u50b3\u67d3\u6709\u95dc\u3002\u9019\u985e\u75be\u75c5\u5728\u570b\u969b\u4e0a\u7a31\u70ba\u6027\u50b3\u67d3\u8178\u9053\u611f\u67d3\u75c7(sexually transmitted enteric infections, STEIs)\uff0c\u5df2\u6210\u70ba\u5148\u9032\u570b\u5bb6\u95dc\u6ce8\u7684\u65b0\u8208\u516c\u5171\u885b\u751f\u8b70\u984c\u3002 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histolytica)\u7b49\u8178\u9053\u75c5\u539f\uff0c\u5728\u7279\u5b9a\u65cf\u7fa4\u4ee5\u6027\u884c\u70ba\u50b3\u64ad\uff0c\u901a\u7a31\u70ba\u6027\u50b3\u67d3\u8178\u9053\u611f\u67d3\u75c7\u3002 \u9019\u985e\u611f\u67d3\u8f03\u5e38\u898b\u65bc\u591a\u91cd\u6027\u4f34\u4fb6\u3001\u7537\u7537\u6027\u884c\u70ba\u8005\u3001\u611b\u6ecb\u611f\u67d3\u8005\uff0c\u4ee5\u53ca\u66fe\u6709\u5176\u4ed6\u6027\u50b3\u67d3\u75c5\u75c5\u53f2\u8005\u3002\u90e8\u5206\u60a3\u8005\u521d\u671f\u75c7\u72c0\u8f15\u5fae\uff0c\u537b\u53ef\u80fd\u5728\u4e0d\u81ea\u89ba\u7684\u60c5\u6cc1\u4e0b\u6210\u70ba\u5e36\u83cc\u8005\uff0c\u589e\u52a0\u50b3\u64ad\u98a8\u96aa\u3002 \u53f0\u7063\u5df2\u51fa\u73fe\u6297\u85e5\u6027\u5fd7\u8cc0\u6c0f\u83cc\uff0c\u7d93\u9a57\u6027\u7528\u85e5\u9700\u8b39\u614e \u5fd7\u8cc0\u6c0f\u83cc\u611f\u67d3\u53c8\u7a31\u687f\u83cc\u6027\u75e2\u75be\uff0c\u5e38\u5f15\u8d77\u8840\u4fbf\u3001\u767c\u71d2\u3001\u8179\u7d5e\u75db\u8207\u88e1\u6025\u5f8c\u91cd\u3002\u53f0\u7063\u81ea2015\u5e74\u5f8c\uff0c\u76f8\u95dc\u672c\u571f\u500b\u6848\u660e\u986f\u96c6\u4e2d\u65bc\u7121\u65c5\u904a\u53f2\u7684\u5e74\u8f15\u7537\u6027\uff0c\u8207\u6027\u884c\u70ba\u9ad8\u5ea6\u76f8\u95dc\u3002\u503c\u5f97\u6ce8\u610f\u7684\u662f\uff0c\u53f0\u7063\u5df2\u51fa\u73fe\u5c0d\u55b9\u8afe\u916e\u985e\u6297\u751f\u7d20(fluoroquinolones)\u5177\u6297\u85e5\u6027\u7684\u5fd7\u8cc0\u6c0f\u83cc\uff0c\u5c11\u6578\u83cc\u682a\u751a\u81f3\u5c0d\u7b2c\u4e09\u4ee3\u982d\u5b62\u5b50\u83cc\u7522\u751f\u6297\u85e5\u6027\u3002\u4e0d\u7576\u7684\u7d93\u9a57\u6027\u6297\u751f\u7d20\u4f7f\u7528\u53ef\u80fd\u5c0e\u81f4\u6cbb\u7642\u5931\u6557\u8207\u6297\u85e5\u6027\u52a0\u5287\u3002 \u8521\u9032\u76f8\u91ab\u5e2b\u63d0\u9192\uff0c\u8179\u7009\u4e0d\u4e00\u5b9a\u9700\u8981\u7acb\u5373\u4f7f\u7528\u6297\u751f\u7d20\uff1b\u82e5\u75c7\u72c0\u6301\u7e8c\u3001\u5408\u4f75\u8840\u4fbf\u6216\u5177\u9ad8\u98a8\u96aa\u884c\u70ba\u53f2\uff0c\u61c9\u9032\u884c\u7cde\u4fbf\u6aa2\u9a57\u3001\u5fae\u751f\u7269\u57f9\u990a\u6216\u591a\u91cd\u6838\u9178\u6aa2\u6e2c(multiplex PCR)\uff0c\u4e26\u4f9d\u6aa2\u6e2c\u7d50\u679c\u8abf\u6574\u6cbb\u7642\u65b9\u91dd\u3002 \u809b\u9580\u75c7\u72c0\u3001\u6301\u7e8c\u5206\u6ccc\u7269\uff0c\u4e5f\u53ef\u80fd\u662f\u62ab\u8863\u83cc\u611f\u67d3 \u62ab\u8863\u83cc\u662f\u5168\u7403\u666e\u904d\u7684\u6027\u50b3\u67d3\u75c5\u81f4\u75c5\u539f\uff0c\u591a\u6578\u611f\u67d3\u75c7\u72c0\u8f15\u5fae\u751a\u81f3\u7121\u75c7\u72c0\u3002\u7136\u800c\u5176\u4e2d\u4fb5\u8972\u6027\u7684\u5206\u578b\u53ef\u5f15\u767c\u6027\u50b3\u67d3\u6dcb\u5df4\u8089\u82bd\u816b(lymphogranuloma venereum, LGV)\uff0c\u9020\u6210\u5c3f\u9053\u708e\u3001\u9f20\u8e4a\u6dcb\u5df4\u816b\u5927\uff0c\u4e5f\u6703\u5f15\u8d77\u76f4\u8178\u708e\u3001\u8179\u7009\u8207\u809b\u9580\u5206\u6ccc\u7269\u3002 \u6210\u5927\u7814\u7a76\u5718\u968a\u65bc2020\u81f32023\u5e74\u6027\u50b3\u67d3\u75c5\u76e3\u6e2c\u4e2d\uff0c\u9996\u6b21\u5728\u53f0\u7063\u53ca\u9060\u6771\u5730\u5340\u8b49\u5be6LGV\u76f4\u8178\u611f\u67d3\u65bc\u793e\u5340\u4e2d\u50b3\u64ad\u3002\u90e8\u4efd\u60a3\u8005\u75c7\u72c0\u985e\u4f3c\u6f70\u760d\u6027\u5927\u8178\u708e\uff0c\u5167\u8996\u93e1\u6aa2\u67e5\u53ef\u80fd\u767c\u73fe\u975e\u7279\u7570\u6027\u6f70\u760d\uff0c\u82e5\u672a\u53ca\u6642\u6cbb\u7642\uff0c\u53ef\u80fd\u5c0e\u81f4\u6162\u6027\u76f4\u8178\u767c\u708e\u3001\u809b\u9580\u72f9\u7a84\u6216\u763b\u7ba1\u5f62\u6210\u3002 \u8521\u9032\u76f8\u91ab\u5e2b\u6307\u51fa\uff0c\u6b64\u985e\u611f\u67d3\u9700\u63a5\u53d7\u7279\u5b9a\u7642\u7a0b\u7684\u591a\u559c\u9ef4\u7d20(doxycycline)\u6cbb\u7642\uff0c\u8207\u4e00\u822c\u8178\u80c3\u708e\u8655\u7f6e\u65b9\u5f0f\u4e0d\u540c\u3002 \u6b63\u78ba\u8a3a\u65b7\u6bd4\u300c\u5feb\u9ede\u5403\u85e5\u300d\u66f4\u91cd\u8981 \u8521\u9032\u76f8\u91ab\u5e2b\u5f37\u8abf\uff0c\u7591\u4f3c\u6027\u50b3\u67d3\u8178\u9053\u611f\u67d3\u7684\u60a3\u8005\uff0c\u95dc\u9375\u5728\u65bc\u6b63\u78ba\u8a3a\u65b7\uff0c\u5305\u62ec\uff1a\u7cde\u4fbf\u6aa2\u9ad4\u6aa2\u67e5\uff08\u53ef\u9032\u4e00\u6b65\u5305\u542b\u7d30\u83cc\u3001\u5bc4\u751f\u87f2\u6838\u9178\u6aa2\u6e2c\uff09\uff0c\u5fc5\u8981\u6642\u642d\u914d\u6027\u50b3\u67d3\u75c5\u7be9\u6aa2\uff08\u5c3f\u6db2\u3001\u809b\u9580\u3001\u53e3\u8154\uff09\u3002 \u82e5\u8179\u7009\u75c7\u72c0\u8f15\u5fae\u3001\u75c5\u539f\u672a\u660e\uff0c\u4e0d\u5efa\u8b70\u5e38\u898f\u4f7f\u7528\u7d93\u9a57\u6027\u6297\u751f\u7d20\uff0c\u56e0\u6548\u76ca\u6709\u9650\u537b\u589e\u52a0\u6297\u85e5\u6027\u98a8\u96aa\u3002\u4ee5\u4e0b\u60c5\u6cc1\u624d\u9700\u8003\u616e\u6297\u751f\u7d20\u6cbb\u7642\uff1a(1)\u9700\u4f4f\u9662\u3001(2)\u5408\u4f75\u767c\u71d2\u6216\u5168\u8eab\u75c7\u72c0\u3001(3)\u8179\u7009\u6301\u7e8c7\u5929\u4ee5\u4e0a\u3001(4)\u6709\u91cd\u8981\u5171\u75c5\uff08\u514d\u75ab\u529f\u80fd\u4f4e\u4e0b\u3001\u591a\u91cd\u6162\u6027\u75c5\uff09\u3002\u6cbb\u7642\u61c9\u6839\u64da\u6aa2\u9a57\u7d50\u679c\u9078\u64c7\u5408\u9069\u85e5\u7269\uff0c\u800c\u975e\u4e00\u958b\u59cb\u5373\u4f7f\u7528\u5ee3\u6548\u6297\u751f\u7d20\u3002 \u80c3\u85e5\u8207\u6b62\u7009\u85e5\uff0c\u4e5f\u53ef\u80fd\u5f71\u97ff\u75c5\u60c5 \u611f\u67d3\u6027\u8179\u7009\u671f\u9593\uff0c\u4e0d\u5efa\u8b70\u81ea\u884c\u670d\u7528\u6b62\u7009\u85e5\uff0c\u4ee5\u514d\u5ef6\u9577\u75c5\u539f\u505c\u7559\u9ad4\u5167\u6642\u9593\u3002\u6210\u5927\u5718\u968a\u7814\u7a76\u4ea6\u986f\u793a\uff0c\u9577\u671f\u4f7f\u7528\u8cea\u5b50\u5e6b\u6d66\u6291\u5236\u5291\uff0c\u53ef\u80fd\u589e\u52a0\u8178\u9053\u75c5\u539f\u5b58\u6d3b\u8207\u5e36\u83cc\u98a8\u96aa\u3002 \u8521\u9032\u76f8\u91ab\u5e2b\u5f37\u8abf\uff0c\u6027\u50b3\u67d3\u8178\u9053\u611f\u67d3\u75c7\u672c\u8eab\u4e26\u4e0d\u53ef\u6015\uff0c\u771f\u6b63\u7684\u98a8\u96aa\u5728\u65bc\u5ef6\u9072\u8a3a\u65b7\u8207\u4e0d\u7576\u7528\u85e5\u3002\u900f\u904e\u6b63\u78ba\u6aa2\u67e5\u3001\u9069\u5207\u6cbb\u7642\u8207\u98a8\u96aa\u6e9d\u901a\uff0c\u4e0d\u50c5\u80fd\u6539\u5584\u75c5\u7a0b\uff0c\u4e5f\u6709\u52a9\u65bc\u9632\u6b62\u6297\u85e5\u6027\u6301\u7e8c\u64f4\u5927\u3002 \u6210\u5927\u91ab\u9662\u611f\u67d3\u79d1\u8521\u9032\u76f8\u91ab\u5e2b 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transmitted enteric infections, STEIs)\uff0c\u5df2\u6210\u70ba\u5148\u9032\u570b\u5bb6\u95dc\u6ce8\u7684\u65b0\u8208\u516c\u5171\u885b\u751f\u8b70\u984c\u3002 \u6210\u5927\u91ab\u9662\u611f\u67d3\u79d1\u8521\u9032\u76f8\u91ab\u5e2b\u6307\u51fa\uff0c\u82e5\u6d89\u53ca\u809b\u9580\u63a5\u89f8\u7684\u6027\u884c\u70ba\u5f8c\uff0c\u51fa\u73fe\u4ee5\u4e0b\u4efb\u4e00\u75c7\u72c0\uff0c\u4e14\u8d85\u904e\u4e09\u5929\u4ecd\u672a\u6539\u5584\uff0c\u61c9\u53ca\u65e9\u5c31\u91ab\u8a55\u4f30\uff1a(1)\u8179\u7009\u6216\u6301\u7e8c\u62c9\u809a\u5b50\u3001(2)\u8840\u4fbf\u3001(3)\u88e1\u6025\u5f8c\u91cd\u3001(4)\u809b\u9580\u75bc\u75db\u3001\u5206\u6ccc\u7269\u6216\u4e0d\u9069\u611f\u3002 \u8178\u9053\u611f\u67d3\u4e0d\u53ea\u662f\u300c\u5403\u58de\u809a\u5b50\u300d \u6839\u64da\u53f0\u7063\u8fd1\u5e74\u5168\u570b\u76e3\u6e2c\u3001\u591a\u4e2d\u5fc3\u7814\u7a76\u986f\u793a\uff0c\u5fd7\u8cc0\u6c0f\u83cc(Shigella)\u3001\u68a8\u5f62\u97ad\u6bdb\u87f2(Giardia lamblia)\u3001\u6027\u50b3\u67d3\u6dcb\u5df4\u8089\u82bd\u816b(lymphogranuloma venereum, LGV)\u3001\u75e2\u75be\u963f\u7c73\u5df4\u539f\u87f2(Entamoeba histolytica)\u7b49\u8178\u9053\u75c5\u539f\uff0c\u5728\u7279\u5b9a\u65cf\u7fa4\u4ee5\u6027\u884c\u70ba\u50b3\u64ad\uff0c\u901a\u7a31\u70ba\u6027\u50b3\u67d3\u8178\u9053\u611f\u67d3\u75c7\u3002 \u9019\u985e\u611f\u67d3\u8f03\u5e38\u898b\u65bc\u591a\u91cd\u6027\u4f34\u4fb6\u3001\u7537\u7537\u6027\u884c\u70ba\u8005\u3001\u611b\u6ecb\u611f\u67d3\u8005\uff0c\u4ee5\u53ca\u66fe\u6709\u5176\u4ed6\u6027\u50b3\u67d3\u75c5\u75c5\u53f2\u8005\u3002\u90e8\u5206\u60a3\u8005\u521d\u671f\u75c7\u72c0\u8f15\u5fae\uff0c\u537b\u53ef\u80fd\u5728\u4e0d\u81ea\u89ba\u7684\u60c5\u6cc1\u4e0b\u6210\u70ba\u5e36\u83cc\u8005\uff0c\u589e\u52a0\u50b3\u64ad\u98a8\u96aa\u3002 \u53f0\u7063\u5df2\u51fa\u73fe\u6297\u85e5\u6027\u5fd7\u8cc0\u6c0f\u83cc\uff0c\u7d93\u9a57\u6027\u7528\u85e5\u9700\u8b39\u614e \u5fd7\u8cc0\u6c0f\u83cc\u611f\u67d3\u53c8\u7a31\u687f\u83cc\u6027\u75e2\u75be\uff0c\u5e38\u5f15\u8d77\u8840\u4fbf\u3001\u767c\u71d2\u3001\u8179\u7d5e\u75db\u8207\u88e1\u6025\u5f8c\u91cd\u3002\u53f0\u7063\u81ea2015\u5e74\u5f8c\uff0c\u76f8\u95dc\u672c\u571f\u500b\u6848\u660e\u986f\u96c6\u4e2d\u65bc\u7121\u65c5\u904a\u53f2\u7684\u5e74\u8f15\u7537\u6027\uff0c\u8207\u6027\u884c\u70ba\u9ad8\u5ea6\u76f8\u95dc\u3002\u503c\u5f97\u6ce8\u610f\u7684\u662f\uff0c\u53f0\u7063\u5df2\u51fa\u73fe\u5c0d\u55b9\u8afe\u916e\u985e\u6297\u751f\u7d20(fluoroquinolones)\u5177\u6297\u85e5\u6027\u7684\u5fd7\u8cc0\u6c0f\u83cc\uff0c\u5c11\u6578\u83cc\u682a\u751a\u81f3\u5c0d\u7b2c\u4e09\u4ee3\u982d\u5b62\u5b50\u83cc\u7522\u751f\u6297\u85e5\u6027\u3002\u4e0d\u7576\u7684\u7d93\u9a57\u6027\u6297\u751f\u7d20\u4f7f\u7528\u53ef\u80fd\u5c0e\u81f4\u6cbb\u7642\u5931\u6557\u8207\u6297\u85e5\u6027\u52a0\u5287\u3002 \u8521\u9032\u76f8\u91ab\u5e2b\u63d0\u9192\uff0c\u8179\u7009\u4e0d\u4e00\u5b9a\u9700\u8981\u7acb\u5373\u4f7f\u7528\u6297\u751f\u7d20\uff1b\u82e5\u75c7\u72c0\u6301\u7e8c\u3001\u5408\u4f75\u8840\u4fbf\u6216\u5177\u9ad8\u98a8\u96aa\u884c\u70ba\u53f2\uff0c\u61c9\u9032\u884c\u7cde\u4fbf\u6aa2\u9a57\u3001\u5fae\u751f\u7269\u57f9\u990a\u6216\u591a\u91cd\u6838\u9178\u6aa2\u6e2c(multiplex PCR)\uff0c\u4e26\u4f9d\u6aa2\u6e2c\u7d50\u679c\u8abf\u6574\u6cbb\u7642\u65b9\u91dd\u3002 \u809b\u9580\u75c7\u72c0\u3001\u6301\u7e8c\u5206\u6ccc\u7269\uff0c\u4e5f\u53ef\u80fd\u662f\u62ab\u8863\u83cc\u611f\u67d3 \u62ab\u8863\u83cc\u662f\u5168\u7403\u666e\u904d\u7684\u6027\u50b3\u67d3\u75c5\u81f4\u75c5\u539f\uff0c\u591a\u6578\u611f\u67d3\u75c7\u72c0\u8f15\u5fae\u751a\u81f3\u7121\u75c7\u72c0\u3002\u7136\u800c\u5176\u4e2d\u4fb5\u8972\u6027\u7684\u5206\u578b\u53ef\u5f15\u767c\u6027\u50b3\u67d3\u6dcb\u5df4\u8089\u82bd\u816b(lymphogranuloma venereum, LGV)\uff0c\u9020\u6210\u5c3f\u9053\u708e\u3001\u9f20\u8e4a\u6dcb\u5df4\u816b\u5927\uff0c\u4e5f\u6703\u5f15\u8d77\u76f4\u8178\u708e\u3001\u8179\u7009\u8207\u809b\u9580\u5206\u6ccc\u7269\u3002 \u6210\u5927\u7814\u7a76\u5718\u968a\u65bc2020\u81f32023\u5e74\u6027\u50b3\u67d3\u75c5\u76e3\u6e2c\u4e2d\uff0c\u9996\u6b21\u5728\u53f0\u7063\u53ca\u9060\u6771\u5730\u5340\u8b49\u5be6LGV\u76f4\u8178\u611f\u67d3\u65bc\u793e\u5340\u4e2d\u50b3\u64ad\u3002\u90e8\u4efd\u60a3\u8005\u75c7\u72c0\u985e\u4f3c\u6f70\u760d\u6027\u5927\u8178\u708e\uff0c\u5167\u8996\u93e1\u6aa2\u67e5\u53ef\u80fd\u767c\u73fe\u975e\u7279\u7570\u6027\u6f70\u760d\uff0c\u82e5\u672a\u53ca\u6642\u6cbb\u7642\uff0c\u53ef\u80fd\u5c0e\u81f4\u6162\u6027\u76f4\u8178\u767c\u708e\u3001\u809b\u9580\u72f9\u7a84\u6216\u763b\u7ba1\u5f62\u6210\u3002 \u8521\u9032\u76f8\u91ab\u5e2b\u6307\u51fa\uff0c\u6b64\u985e\u611f\u67d3\u9700\u63a5\u53d7\u7279\u5b9a\u7642\u7a0b\u7684\u591a\u559c\u9ef4\u7d20(doxycycline)\u6cbb\u7642\uff0c\u8207\u4e00\u822c\u8178\u80c3\u708e\u8655\u7f6e\u65b9\u5f0f\u4e0d\u540c\u3002 \u6b63\u78ba\u8a3a\u65b7\u6bd4\u300c\u5feb\u9ede\u5403\u85e5\u300d\u66f4\u91cd\u8981 \u8521\u9032\u76f8\u91ab\u5e2b\u5f37\u8abf\uff0c\u7591\u4f3c\u6027\u50b3\u67d3\u8178\u9053\u611f\u67d3\u7684\u60a3\u8005\uff0c\u95dc\u9375\u5728\u65bc\u6b63\u78ba\u8a3a\u65b7\uff0c\u5305\u62ec\uff1a\u7cde\u4fbf\u6aa2\u9ad4\u6aa2\u67e5\uff08\u53ef\u9032\u4e00\u6b65\u5305\u542b\u7d30\u83cc\u3001\u5bc4\u751f\u87f2\u6838\u9178\u6aa2\u6e2c\uff09\uff0c\u5fc5\u8981\u6642\u642d\u914d\u6027\u50b3\u67d3\u75c5\u7be9\u6aa2\uff08\u5c3f\u6db2\u3001\u809b\u9580\u3001\u53e3\u8154\uff09\u3002 \u82e5\u8179\u7009\u75c7\u72c0\u8f15\u5fae\u3001\u75c5\u539f\u672a\u660e\uff0c\u4e0d\u5efa\u8b70\u5e38\u898f\u4f7f\u7528\u7d93\u9a57\u6027\u6297\u751f\u7d20\uff0c\u56e0\u6548\u76ca\u6709\u9650\u537b\u589e\u52a0\u6297\u85e5\u6027\u98a8\u96aa\u3002\u4ee5\u4e0b\u60c5\u6cc1\u624d\u9700\u8003\u616e\u6297\u751f\u7d20\u6cbb\u7642\uff1a(1)\u9700\u4f4f\u9662\u3001(2)\u5408\u4f75\u767c\u71d2\u6216\u5168\u8eab\u75c7\u72c0\u3001(3)\u8179\u7009\u6301\u7e8c7\u5929\u4ee5\u4e0a\u3001(4)\u6709\u91cd\u8981\u5171\u75c5\uff08\u514d\u75ab\u529f\u80fd\u4f4e\u4e0b\u3001\u591a\u91cd\u6162\u6027\u75c5\uff09\u3002\u6cbb\u7642\u61c9\u6839\u64da\u6aa2\u9a57\u7d50\u679c\u9078\u64c7\u5408\u9069\u85e5\u7269\uff0c\u800c\u975e\u4e00\u958b\u59cb\u5373\u4f7f\u7528\u5ee3\u6548\u6297\u751f\u7d20\u3002 \u80c3\u85e5\u8207\u6b62\u7009\u85e5\uff0c\u4e5f\u53ef\u80fd\u5f71\u97ff\u75c5\u60c5 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\u611f\u67d3\u6027\u8179\u7009\u671f\u9593\uff0c\u4e0d\u5efa\u8b70\u81ea\u884c\u670d\u7528\u6b62\u7009\u85e5\uff0c\u4ee5\u514d\u5ef6\u9577\u75c5\u539f\u505c\u7559\u9ad4\u5167\u6642\u9593\u3002\u6210\u5927\u5718\u968a\u7814\u7a76\u4ea6\u986f\u793a\uff0c\u9577\u671f\u4f7f\u7528\u8cea\u5b50\u5e6b\u6d66\u6291\u5236\u5291\uff0c\u53ef\u80fd\u589e\u52a0\u8178\u9053\u75c5\u539f\u5b58\u6d3b\u8207\u5e36\u83cc\u98a8\u96aa\u3002 \u8521\u9032\u76f8\u91ab\u5e2b\u5f37\u8abf\uff0c\u6027\u50b3\u67d3\u8178\u9053\u611f\u67d3\u75c7\u672c\u8eab\u4e26\u4e0d\u53ef\u6015\uff0c\u771f\u6b63\u7684\u98a8\u96aa\u5728\u65bc\u5ef6\u9072\u8a3a\u65b7\u8207\u4e0d\u7576\u7528\u85e5\u3002\u900f\u904e\u6b63\u78ba\u6aa2\u67e5\u3001\u9069\u5207\u6cbb\u7642\u8207\u98a8\u96aa\u6e9d\u901a\uff0c\u4e0d\u50c5\u80fd\u6539\u5584\u75c5\u7a0b\uff0c\u4e5f\u6709\u52a9\u65bc\u9632\u6b62\u6297\u85e5\u6027\u6301\u7e8c\u64f4\u5927\u3002 \u6210\u5927\u91ab\u9662\u611f\u67d3\u79d1\u8521\u9032\u76f8\u91ab\u5e2b \u5b78\u6b77\uff1a\u9ad8\u96c4\u91ab\u5b78\u5927\u5b78\u91ab\u5b78\u7cfb\u91ab\u5b78\u58eb\u3001\u6210\u529f\u5927\u5b78\u81e8\u5e8a\u91ab\u5b78\u7814\u7a76\u6240\u535a\u58eb \u7d93\u6b77\uff1a\u6210\u5927\u91ab\u9662\u5167\u79d1\u90e8\u4f4f\u9662\u91ab\u5e2b\u3001\u611f\u67d3\u79d1\u7814\u7a76\u54e1\u3001\u91cd\u75c7\u52a0\u8b77\u79d1\u7814\u7a76\u54e1 \u6210\u5927\u91ab\u9662\u6597\u516d\u5206\u9662\u611f\u67d3\u79d1\u4e3b\u6cbb\u91ab\u5e2b \u65e5\u672c\u570b\u7acb\u5065\u5eb7\u5371\u6a5f\u7ba1\u7406\u7814\u7a76\u6a5f\u69cb\u5ba2\u5ea7\u7814\u7a76\u54e1 \u73fe\u4efb\uff1a\u6210\u5927\u91ab\u9662\u611f\u67d3\u79d1\u4e3b\u6cbb\u91ab\u5e2b \u6210\u5927\u91ab\u5b78\u7cfb\u81e8\u5e8a\u52a9\u7406\u6559\u6388 \u53f0\u7063\u611b\u6ecb\u75c5\u5b78\u6703\u526f\u79d8\u66f8\u9577 \u5c08\u9577\uff1a\u6210\u4eba\u611f\u67d3\u75c7\u8a3a\u6cbb\u3001\u611f\u67d3\u7ba1\u5236\u3001\u91cd\u75c7\u91ab\u5b78","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/pingtungtimes.com.tw\/?p=399613","og_locale":"zh_TW","og_type":"article","og_title":"\u3010\u6027\u884c\u70ba\u4e5f\u53ef\u80fd\u50b3\u67d3\u8178\u9053\u75c5\u539f\u3011\u3000\u4e0d\u660e\u539f\u56e0\u8179\u7009\u3001\u8840\u4fbf\u3001\u809b\u9580\u75c7\u72c0\u8d85\u904e\u4e09\u5929\uff0c\u61c9\u63d0\u9ad8\u8b66\u89ba - \u5c4f\u6771\u6642\u5831\u96fb\u5b50\u5831","og_description":"\u3010\u8a18\u8005\u5433\u7389\u60e0\/\u81fa\u5357\u5831\u5c0e\u3011\u3000\u8fd1\u5e74\u53f0\u7063\u81e8\u5e8a\u8207\u516c\u5171\u885b\u751f\u76e3\u6e2c\u767c\u73fe\uff0c\u4e00\u4e9b\u539f\u88ab\u8a8d\u70ba\u53ea\u662f\u300c\u8178\u80c3\u708e\u300d\u6216\u300c\u5403\u58de\u809a\u5b50\u300d\u7684\u8178\u9053\u611f\u67d3\uff0c\u5176\u5be6\u8207\u6027\u884c\u70ba\u50b3\u67d3\u6709\u95dc\u3002\u9019\u985e\u75be\u75c5\u5728\u570b\u969b\u4e0a\u7a31\u70ba\u6027\u50b3\u67d3\u8178\u9053\u611f\u67d3\u75c7(sexually transmitted enteric infections, STEIs)\uff0c\u5df2\u6210\u70ba\u5148\u9032\u570b\u5bb6\u95dc\u6ce8\u7684\u65b0\u8208\u516c\u5171\u885b\u751f\u8b70\u984c\u3002 \u6210\u5927\u91ab\u9662\u611f\u67d3\u79d1\u8521\u9032\u76f8\u91ab\u5e2b\u6307\u51fa\uff0c\u82e5\u6d89\u53ca\u809b\u9580\u63a5\u89f8\u7684\u6027\u884c\u70ba\u5f8c\uff0c\u51fa\u73fe\u4ee5\u4e0b\u4efb\u4e00\u75c7\u72c0\uff0c\u4e14\u8d85\u904e\u4e09\u5929\u4ecd\u672a\u6539\u5584\uff0c\u61c9\u53ca\u65e9\u5c31\u91ab\u8a55\u4f30\uff1a(1)\u8179\u7009\u6216\u6301\u7e8c\u62c9\u809a\u5b50\u3001(2)\u8840\u4fbf\u3001(3)\u88e1\u6025\u5f8c\u91cd\u3001(4)\u809b\u9580\u75bc\u75db\u3001\u5206\u6ccc\u7269\u6216\u4e0d\u9069\u611f\u3002 \u8178\u9053\u611f\u67d3\u4e0d\u53ea\u662f\u300c\u5403\u58de\u809a\u5b50\u300d \u6839\u64da\u53f0\u7063\u8fd1\u5e74\u5168\u570b\u76e3\u6e2c\u3001\u591a\u4e2d\u5fc3\u7814\u7a76\u986f\u793a\uff0c\u5fd7\u8cc0\u6c0f\u83cc(Shigella)\u3001\u68a8\u5f62\u97ad\u6bdb\u87f2(Giardia lamblia)\u3001\u6027\u50b3\u67d3\u6dcb\u5df4\u8089\u82bd\u816b(lymphogranuloma venereum, LGV)\u3001\u75e2\u75be\u963f\u7c73\u5df4\u539f\u87f2(Entamoeba histolytica)\u7b49\u8178\u9053\u75c5\u539f\uff0c\u5728\u7279\u5b9a\u65cf\u7fa4\u4ee5\u6027\u884c\u70ba\u50b3\u64ad\uff0c\u901a\u7a31\u70ba\u6027\u50b3\u67d3\u8178\u9053\u611f\u67d3\u75c7\u3002 \u9019\u985e\u611f\u67d3\u8f03\u5e38\u898b\u65bc\u591a\u91cd\u6027\u4f34\u4fb6\u3001\u7537\u7537\u6027\u884c\u70ba\u8005\u3001\u611b\u6ecb\u611f\u67d3\u8005\uff0c\u4ee5\u53ca\u66fe\u6709\u5176\u4ed6\u6027\u50b3\u67d3\u75c5\u75c5\u53f2\u8005\u3002\u90e8\u5206\u60a3\u8005\u521d\u671f\u75c7\u72c0\u8f15\u5fae\uff0c\u537b\u53ef\u80fd\u5728\u4e0d\u81ea\u89ba\u7684\u60c5\u6cc1\u4e0b\u6210\u70ba\u5e36\u83cc\u8005\uff0c\u589e\u52a0\u50b3\u64ad\u98a8\u96aa\u3002 \u53f0\u7063\u5df2\u51fa\u73fe\u6297\u85e5\u6027\u5fd7\u8cc0\u6c0f\u83cc\uff0c\u7d93\u9a57\u6027\u7528\u85e5\u9700\u8b39\u614e \u5fd7\u8cc0\u6c0f\u83cc\u611f\u67d3\u53c8\u7a31\u687f\u83cc\u6027\u75e2\u75be\uff0c\u5e38\u5f15\u8d77\u8840\u4fbf\u3001\u767c\u71d2\u3001\u8179\u7d5e\u75db\u8207\u88e1\u6025\u5f8c\u91cd\u3002\u53f0\u7063\u81ea2015\u5e74\u5f8c\uff0c\u76f8\u95dc\u672c\u571f\u500b\u6848\u660e\u986f\u96c6\u4e2d\u65bc\u7121\u65c5\u904a\u53f2\u7684\u5e74\u8f15\u7537\u6027\uff0c\u8207\u6027\u884c\u70ba\u9ad8\u5ea6\u76f8\u95dc\u3002\u503c\u5f97\u6ce8\u610f\u7684\u662f\uff0c\u53f0\u7063\u5df2\u51fa\u73fe\u5c0d\u55b9\u8afe\u916e\u985e\u6297\u751f\u7d20(fluoroquinolones)\u5177\u6297\u85e5\u6027\u7684\u5fd7\u8cc0\u6c0f\u83cc\uff0c\u5c11\u6578\u83cc\u682a\u751a\u81f3\u5c0d\u7b2c\u4e09\u4ee3\u982d\u5b62\u5b50\u83cc\u7522\u751f\u6297\u85e5\u6027\u3002\u4e0d\u7576\u7684\u7d93\u9a57\u6027\u6297\u751f\u7d20\u4f7f\u7528\u53ef\u80fd\u5c0e\u81f4\u6cbb\u7642\u5931\u6557\u8207\u6297\u85e5\u6027\u52a0\u5287\u3002 \u8521\u9032\u76f8\u91ab\u5e2b\u63d0\u9192\uff0c\u8179\u7009\u4e0d\u4e00\u5b9a\u9700\u8981\u7acb\u5373\u4f7f\u7528\u6297\u751f\u7d20\uff1b\u82e5\u75c7\u72c0\u6301\u7e8c\u3001\u5408\u4f75\u8840\u4fbf\u6216\u5177\u9ad8\u98a8\u96aa\u884c\u70ba\u53f2\uff0c\u61c9\u9032\u884c\u7cde\u4fbf\u6aa2\u9a57\u3001\u5fae\u751f\u7269\u57f9\u990a\u6216\u591a\u91cd\u6838\u9178\u6aa2\u6e2c(multiplex PCR)\uff0c\u4e26\u4f9d\u6aa2\u6e2c\u7d50\u679c\u8abf\u6574\u6cbb\u7642\u65b9\u91dd\u3002 \u809b\u9580\u75c7\u72c0\u3001\u6301\u7e8c\u5206\u6ccc\u7269\uff0c\u4e5f\u53ef\u80fd\u662f\u62ab\u8863\u83cc\u611f\u67d3 \u62ab\u8863\u83cc\u662f\u5168\u7403\u666e\u904d\u7684\u6027\u50b3\u67d3\u75c5\u81f4\u75c5\u539f\uff0c\u591a\u6578\u611f\u67d3\u75c7\u72c0\u8f15\u5fae\u751a\u81f3\u7121\u75c7\u72c0\u3002\u7136\u800c\u5176\u4e2d\u4fb5\u8972\u6027\u7684\u5206\u578b\u53ef\u5f15\u767c\u6027\u50b3\u67d3\u6dcb\u5df4\u8089\u82bd\u816b(lymphogranuloma venereum, LGV)\uff0c\u9020\u6210\u5c3f\u9053\u708e\u3001\u9f20\u8e4a\u6dcb\u5df4\u816b\u5927\uff0c\u4e5f\u6703\u5f15\u8d77\u76f4\u8178\u708e\u3001\u8179\u7009\u8207\u809b\u9580\u5206\u6ccc\u7269\u3002 \u6210\u5927\u7814\u7a76\u5718\u968a\u65bc2020\u81f32023\u5e74\u6027\u50b3\u67d3\u75c5\u76e3\u6e2c\u4e2d\uff0c\u9996\u6b21\u5728\u53f0\u7063\u53ca\u9060\u6771\u5730\u5340\u8b49\u5be6LGV\u76f4\u8178\u611f\u67d3\u65bc\u793e\u5340\u4e2d\u50b3\u64ad\u3002\u90e8\u4efd\u60a3\u8005\u75c7\u72c0\u985e\u4f3c\u6f70\u760d\u6027\u5927\u8178\u708e\uff0c\u5167\u8996\u93e1\u6aa2\u67e5\u53ef\u80fd\u767c\u73fe\u975e\u7279\u7570\u6027\u6f70\u760d\uff0c\u82e5\u672a\u53ca\u6642\u6cbb\u7642\uff0c\u53ef\u80fd\u5c0e\u81f4\u6162\u6027\u76f4\u8178\u767c\u708e\u3001\u809b\u9580\u72f9\u7a84\u6216\u763b\u7ba1\u5f62\u6210\u3002 \u8521\u9032\u76f8\u91ab\u5e2b\u6307\u51fa\uff0c\u6b64\u985e\u611f\u67d3\u9700\u63a5\u53d7\u7279\u5b9a\u7642\u7a0b\u7684\u591a\u559c\u9ef4\u7d20(doxycycline)\u6cbb\u7642\uff0c\u8207\u4e00\u822c\u8178\u80c3\u708e\u8655\u7f6e\u65b9\u5f0f\u4e0d\u540c\u3002 \u6b63\u78ba\u8a3a\u65b7\u6bd4\u300c\u5feb\u9ede\u5403\u85e5\u300d\u66f4\u91cd\u8981 \u8521\u9032\u76f8\u91ab\u5e2b\u5f37\u8abf\uff0c\u7591\u4f3c\u6027\u50b3\u67d3\u8178\u9053\u611f\u67d3\u7684\u60a3\u8005\uff0c\u95dc\u9375\u5728\u65bc\u6b63\u78ba\u8a3a\u65b7\uff0c\u5305\u62ec\uff1a\u7cde\u4fbf\u6aa2\u9ad4\u6aa2\u67e5\uff08\u53ef\u9032\u4e00\u6b65\u5305\u542b\u7d30\u83cc\u3001\u5bc4\u751f\u87f2\u6838\u9178\u6aa2\u6e2c\uff09\uff0c\u5fc5\u8981\u6642\u642d\u914d\u6027\u50b3\u67d3\u75c5\u7be9\u6aa2\uff08\u5c3f\u6db2\u3001\u809b\u9580\u3001\u53e3\u8154\uff09\u3002 \u82e5\u8179\u7009\u75c7\u72c0\u8f15\u5fae\u3001\u75c5\u539f\u672a\u660e\uff0c\u4e0d\u5efa\u8b70\u5e38\u898f\u4f7f\u7528\u7d93\u9a57\u6027\u6297\u751f\u7d20\uff0c\u56e0\u6548\u76ca\u6709\u9650\u537b\u589e\u52a0\u6297\u85e5\u6027\u98a8\u96aa\u3002\u4ee5\u4e0b\u60c5\u6cc1\u624d\u9700\u8003\u616e\u6297\u751f\u7d20\u6cbb\u7642\uff1a(1)\u9700\u4f4f\u9662\u3001(2)\u5408\u4f75\u767c\u71d2\u6216\u5168\u8eab\u75c7\u72c0\u3001(3)\u8179\u7009\u6301\u7e8c7\u5929\u4ee5\u4e0a\u3001(4)\u6709\u91cd\u8981\u5171\u75c5\uff08\u514d\u75ab\u529f\u80fd\u4f4e\u4e0b\u3001\u591a\u91cd\u6162\u6027\u75c5\uff09\u3002\u6cbb\u7642\u61c9\u6839\u64da\u6aa2\u9a57\u7d50\u679c\u9078\u64c7\u5408\u9069\u85e5\u7269\uff0c\u800c\u975e\u4e00\u958b\u59cb\u5373\u4f7f\u7528\u5ee3\u6548\u6297\u751f\u7d20\u3002 \u80c3\u85e5\u8207\u6b62\u7009\u85e5\uff0c\u4e5f\u53ef\u80fd\u5f71\u97ff\u75c5\u60c5 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STEIs)\uff0c\u5df2\u6210\u70ba\u5148\u9032\u570b\u5bb6\u95dc\u6ce8\u7684\u65b0\u8208\u516c\u5171\u885b\u751f\u8b70\u984c\u3002 \u6210\u5927\u91ab\u9662\u611f\u67d3\u79d1\u8521\u9032\u76f8\u91ab\u5e2b\u6307\u51fa\uff0c\u82e5\u6d89\u53ca\u809b\u9580\u63a5\u89f8\u7684\u6027\u884c\u70ba\u5f8c\uff0c\u51fa\u73fe\u4ee5\u4e0b\u4efb\u4e00\u75c7\u72c0\uff0c\u4e14\u8d85\u904e\u4e09\u5929\u4ecd\u672a\u6539\u5584\uff0c\u61c9\u53ca\u65e9\u5c31\u91ab\u8a55\u4f30\uff1a(1)\u8179\u7009\u6216\u6301\u7e8c\u62c9\u809a\u5b50\u3001(2)\u8840\u4fbf\u3001(3)\u88e1\u6025\u5f8c\u91cd\u3001(4)\u809b\u9580\u75bc\u75db\u3001\u5206\u6ccc\u7269\u6216\u4e0d\u9069\u611f\u3002 \u8178\u9053\u611f\u67d3\u4e0d\u53ea\u662f\u300c\u5403\u58de\u809a\u5b50\u300d \u6839\u64da\u53f0\u7063\u8fd1\u5e74\u5168\u570b\u76e3\u6e2c\u3001\u591a\u4e2d\u5fc3\u7814\u7a76\u986f\u793a\uff0c\u5fd7\u8cc0\u6c0f\u83cc(Shigella)\u3001\u68a8\u5f62\u97ad\u6bdb\u87f2(Giardia lamblia)\u3001\u6027\u50b3\u67d3\u6dcb\u5df4\u8089\u82bd\u816b(lymphogranuloma venereum, LGV)\u3001\u75e2\u75be\u963f\u7c73\u5df4\u539f\u87f2(Entamoeba histolytica)\u7b49\u8178\u9053\u75c5\u539f\uff0c\u5728\u7279\u5b9a\u65cf\u7fa4\u4ee5\u6027\u884c\u70ba\u50b3\u64ad\uff0c\u901a\u7a31\u70ba\u6027\u50b3\u67d3\u8178\u9053\u611f\u67d3\u75c7\u3002 \u9019\u985e\u611f\u67d3\u8f03\u5e38\u898b\u65bc\u591a\u91cd\u6027\u4f34\u4fb6\u3001\u7537\u7537\u6027\u884c\u70ba\u8005\u3001\u611b\u6ecb\u611f\u67d3\u8005\uff0c\u4ee5\u53ca\u66fe\u6709\u5176\u4ed6\u6027\u50b3\u67d3\u75c5\u75c5\u53f2\u8005\u3002\u90e8\u5206\u60a3\u8005\u521d\u671f\u75c7\u72c0\u8f15\u5fae\uff0c\u537b\u53ef\u80fd\u5728\u4e0d\u81ea\u89ba\u7684\u60c5\u6cc1\u4e0b\u6210\u70ba\u5e36\u83cc\u8005\uff0c\u589e\u52a0\u50b3\u64ad\u98a8\u96aa\u3002 \u53f0\u7063\u5df2\u51fa\u73fe\u6297\u85e5\u6027\u5fd7\u8cc0\u6c0f\u83cc\uff0c\u7d93\u9a57\u6027\u7528\u85e5\u9700\u8b39\u614e \u5fd7\u8cc0\u6c0f\u83cc\u611f\u67d3\u53c8\u7a31\u687f\u83cc\u6027\u75e2\u75be\uff0c\u5e38\u5f15\u8d77\u8840\u4fbf\u3001\u767c\u71d2\u3001\u8179\u7d5e\u75db\u8207\u88e1\u6025\u5f8c\u91cd\u3002\u53f0\u7063\u81ea2015\u5e74\u5f8c\uff0c\u76f8\u95dc\u672c\u571f\u500b\u6848\u660e\u986f\u96c6\u4e2d\u65bc\u7121\u65c5\u904a\u53f2\u7684\u5e74\u8f15\u7537\u6027\uff0c\u8207\u6027\u884c\u70ba\u9ad8\u5ea6\u76f8\u95dc\u3002\u503c\u5f97\u6ce8\u610f\u7684\u662f\uff0c\u53f0\u7063\u5df2\u51fa\u73fe\u5c0d\u55b9\u8afe\u916e\u985e\u6297\u751f\u7d20(fluoroquinolones)\u5177\u6297\u85e5\u6027\u7684\u5fd7\u8cc0\u6c0f\u83cc\uff0c\u5c11\u6578\u83cc\u682a\u751a\u81f3\u5c0d\u7b2c\u4e09\u4ee3\u982d\u5b62\u5b50\u83cc\u7522\u751f\u6297\u85e5\u6027\u3002\u4e0d\u7576\u7684\u7d93\u9a57\u6027\u6297\u751f\u7d20\u4f7f\u7528\u53ef\u80fd\u5c0e\u81f4\u6cbb\u7642\u5931\u6557\u8207\u6297\u85e5\u6027\u52a0\u5287\u3002 \u8521\u9032\u76f8\u91ab\u5e2b\u63d0\u9192\uff0c\u8179\u7009\u4e0d\u4e00\u5b9a\u9700\u8981\u7acb\u5373\u4f7f\u7528\u6297\u751f\u7d20\uff1b\u82e5\u75c7\u72c0\u6301\u7e8c\u3001\u5408\u4f75\u8840\u4fbf\u6216\u5177\u9ad8\u98a8\u96aa\u884c\u70ba\u53f2\uff0c\u61c9\u9032\u884c\u7cde\u4fbf\u6aa2\u9a57\u3001\u5fae\u751f\u7269\u57f9\u990a\u6216\u591a\u91cd\u6838\u9178\u6aa2\u6e2c(multiplex PCR)\uff0c\u4e26\u4f9d\u6aa2\u6e2c\u7d50\u679c\u8abf\u6574\u6cbb\u7642\u65b9\u91dd\u3002 \u809b\u9580\u75c7\u72c0\u3001\u6301\u7e8c\u5206\u6ccc\u7269\uff0c\u4e5f\u53ef\u80fd\u662f\u62ab\u8863\u83cc\u611f\u67d3 \u62ab\u8863\u83cc\u662f\u5168\u7403\u666e\u904d\u7684\u6027\u50b3\u67d3\u75c5\u81f4\u75c5\u539f\uff0c\u591a\u6578\u611f\u67d3\u75c7\u72c0\u8f15\u5fae\u751a\u81f3\u7121\u75c7\u72c0\u3002\u7136\u800c\u5176\u4e2d\u4fb5\u8972\u6027\u7684\u5206\u578b\u53ef\u5f15\u767c\u6027\u50b3\u67d3\u6dcb\u5df4\u8089\u82bd\u816b(lymphogranuloma venereum, 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