{"id":420721,"date":"2026-03-25T01:11:00","date_gmt":"2026-03-24T17:11:00","guid":{"rendered":"https:\/\/pingtungtimes.com.tw\/?p=420721"},"modified":"2026-03-25T01:11:00","modified_gmt":"2026-03-24T17:11:00","slug":"%e5%90%8c%e6%99%82%e9%80%b2%e8%a1%8c%e7%b4%85%e8%a1%80%e7%90%83%e6%b2%89%e9%99%8d%e7%8e%87-esr-%e8%88%87-c-%e5%8f%8d%e6%87%89%e8%9b%8b%e7%99%bd-crp-%e6%aa%a2%e6%b8%ac%e6%88%96%e5%8f%af%e6%af%8f","status":"publish","type":"post","link":"https:\/\/pingtungtimes.com.tw\/?p=420721","title":{"rendered":"\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u6216\u53ef\u6bcf\u5e74\u70ba\u91ab\u9662\u7bc0\u7701\u6578\u767e\u842c\u6210\u672c&#8212;-\u65b0\u7814\u7a76\u6311\u6230\u5169\u8005\u53ef\u4e92\u76f8\u66ff\u4ee3\u7684\u89c0\u5ff5"},"content":{"rendered":"<div>\n<table name=\"logo_release\" border=\"0\" cellspacing=\"10\" cellpadding=\"5\" align=\"right\">\n<tbody>\n<tr>\n<td><img decoding=\"async\" src=\"https:\/\/mma.prnasia.com\/media2\/2936604\/ALCOR_Scientific_Logo.jpg?p=medium600\" border=\"0\" alt=\"\" title=\"logo\" hspace=\"0\" vspace=\"0\" width=\"118\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><i>\u7d93\u540c\u884c\u8a55\u5be9\u7684\u7d93\u6fdf\u5206\u6790\u986f\u793a\uff0c\u76f8\u8f03\u55ae\u7368\u6aa2\u6e2c C \u53cd\u61c9\u86cb\u767d (CRP)\uff0c\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u7b56\u7565\u53ef\u6e1b\u5c11\u8aa4\u8a3a\uff0c\u4e26\u5e36\u4f86\u6de8\u6210\u672c\u7bc0\u7701<\/i><\/p>\n<p><span class=\"legendSpanClass\">\u7f85\u5fb7\u5cf6\u5dde\u53f2\u5bc6\u65af\u83f2\u723e\u5fb7<\/span><span class=\"legendSpanClass\">2026\u5e743\u670825\u65e5<\/span> \/\u7f8e\u901a\u793e\/ &#8212;<\/p>\n<div id=\"prni_dvprnejpg3a2eleft\" dir=\"ltr\" style=\"TEXT-ALIGN: center; WIDTH: 100%\">   <span>\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u5177\u6709\u4e92\u88dc\u4f5c\u7528<\/span>  <\/div>\n<p><b>\u50f9\u503c 995 \u842c\u7f8e\u5143\u7684\u95dc\u9375\u554f\u984c\uff1a\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u662f\u5426\u503c\u5f97\u4fdd\u7559\uff1f<\/b><\/p>\n<p>\u4e00\u9805\u7531 ALCOR Scientific \u8d0a\u52a9\u3001\u5df2\u767c\u8868\u65bc ClinicoEconomics and Outcomes Research \u7684<a href=\"https:\/\/edge.prnewswire.com\/c\/link\/?t=0&amp;l=zh-hant&amp;o=4640007-2&amp;h=1596979332&amp;u=https%3A%2F%2Fedge.prnewswire.com%2Fc%2Flink%2F%3Ft%3D0%26l%3Den%26o%3D4640007-2%26h%3D3637623228%26u%3Dhttps%253A%252F%252Fwww.dovepress.com%252Farticles.php%253Farticle_id%253D111908%26a%3Dpeer-reviewed%2Bstudy&amp;a=%E7%B6%93%E5%90%8C%E8%A1%8C%E8%A9%95%E5%AF%A9%E7%A0%94%E7%A9%B6\" target=\"_blank\" rel=\"nofollow\" style=\"color: #0000FF\"><u>\u7d93\u540c\u884c\u8a55\u5be9\u7814\u7a76<\/u><\/a>\uff0c\u5f9e\u7d93\u6fdf\u89d2\u5ea6\u6709\u529b\u6307\u51fa\uff0c\u5728\u7ba1\u7406\u767c\u708e\u75be\u75c5\u60a3\u8005\u6642\uff0c\u61c9\u540c\u6642\u4fdd\u7559\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u2014\u2014\u6b64\u7d50\u8ad6\u76f4\u63a5\u6311\u6230\u4ee5\u7bc0\u7701\u6210\u672c\u70ba\u7531\u4e3b\u5f35\u6dd8\u6c70\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u89c0\u9ede\u3002\u00a0<\/p>\n<p>\u7814\u7a76\u767c\u73fe\uff0c\u76f8\u8f03\u55ae\u7368\u6aa2\u6e2c C \u53cd\u61c9\u86cb\u767d (CRP) \uff0c\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u53ef\u6e1b\u5c11\u8aa4\u8a3a\u4e26\u5e36\u4f86\u53ef\u89c0\u7684\u6de8\u6210\u672c\u7bc0\u7701\u3002<\/p>\n<p>\u4ee5\u7f8e\u570b\u4e00\u5bb6\u64c1\u6709 739 \u5f35\u75c5\u5e8a\u7684\u5178\u578b\u5b78\u8853\u91ab\u5b78\u4e2d\u5fc3\u70ba\u4f8b\uff0c\u8a72\u5206\u6790\u9810\u6e2c\uff0c\u900f\u904e\u6e1b\u5c11\u8207\u8aa4\u8a3a\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\uff0c\u6bcf\u5e74\u53ef\u7bc0\u7701 995 \u842c\u7f8e\u5143\u2014\u2014\u4e3b\u8981\u6e90\u65bc\u907f\u514d\u56e0 C \u53cd\u61c9\u86cb\u767d (CRP) \u5047\u967d\u6027\u6240\u5f15\u767c\u7684\u4e0d\u5fc5\u8981\u6aa2\u67e5\u3002<\/p>\n<p><b>\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u4e26\u975e\u76f8\u540c\u7684\u6aa2\u6e2c<\/b><\/p>\n<p>\u6279\u8a55\u7d50\u5408\u6aa2\u6e2c\u7684\u4eba\u58eb\u8a8d\u70ba\uff0c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u5c6c\u65bc\u91cd\u8907\u6aa2\u6e2c\u3002 \u7136\u800c\uff0c\u672c\u7814\u7a76\u6b63\u9762\u6311\u6230\u9019\u4e00\u5047\u8a2d\u3002<\/p>\n<p>\u4f5c\u8005\u6307\u51fa\uff1a\u300cC \u53cd\u61c9\u86cb\u767d (CRP) \u8207\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u52d5\u529b\u5b78\u7279\u6027\u5728\u672c\u8cea\u4e0a\u622a\u7136\u4e0d\u540c\u3002\u300d C \u53cd\u61c9\u86cb\u767d (CRP) \u5728\u6025\u6027\u767c\u708e\u5f8c\u6578\u5c0f\u6642\u5167\u8fc5\u901f\u5347\u9ad8\uff0c\u4e26\u65bc\u6578\u65e5\u5167\u6062\u5fa9\u6b63\u5e38\u3002 \u76f8\u6bd4\u4e4b\u4e0b\uff0c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u4e0a\u5347\u8f03\u70ba\u7de9\u6162\uff0c\u901a\u5e38\u9700\u6642 24 \u81f3 48 \u5c0f\u6642\uff0c\u4e14\u7dad\u6301\u5347\u9ad8\u7684\u6642\u9593\u66f4\u9577\u2014\u2014\u9019\u4f7f\u5176\u5728\u6aa2\u6e2c\u6162\u6027\u53ca\u4e9e\u6025\u6027\u767c\u708e\u75be\u75c5\u65b9\u9762\u5c24\u70ba\u91cd\u8981\uff0c\u4f8b\u5982\u98a8\u6fd5\u6027\u591a\u808c\u75db\u3001\u5de8\u7d30\u80de\u52d5\u8108\u708e\u3001\u7d05\u6591\u72fc\u7621\uff0c\u4ee5\u53ca\u67d0\u4e9b\u60e1\u6027\u816b\u7624\u3002<\/p>\n<p>\u9019\u4e9b\u751f\u7269\u5b78\u5dee\u7570\u610f\u5473\u8457\uff0c\u5169\u9805\u6aa2\u6e2c\u6240\u63d0\u4f9b\u7684\u662f\u4e92\u88dc\u800c\u975e\u91cd\u8907\u7684\u81e8\u5e8a\u8cc7\u8a0a\u3002 \u5728\u6b63\u78ba\u89e3\u8b80\u7684\u60c5\u6cc1\u4e0b\uff0c\u540c\u6642\u4f7f\u7528\u5169\u8005\u53ef\u63d0\u5347\u8a3a\u65b7\u6e96\u78ba\u6027\uff0c\u800c\u9019\u662f\u55ae\u4e00\u6aa2\u6e2c\u7121\u6cd5\u9054\u5230\u3002<\/p>\n<p><b>\u70ba\u4f55\u9019\u9805\u7814\u7a76\u81f3\u95dc\u91cd\u8981<\/b><\/p>\n<p>\u9019\u9805\u7814\u7a76\u7d50\u679c\uff0c\u9069\u9022 value-based\uff08\u4ee5\u50f9\u503c\u70ba\u672c\uff09\u91ab\u7642\u6a21\u5f0f\u767c\u5c55\u7684\u95dc\u9375\u6642\u523b\u3002 \u904e\u53bb\u7684\u300cChoosing Wisely\u300d\u5021\u8b70\u66fe\u4fc3\u4f7f\u91ab\u9662\u524a\u6e1b\u88ab\u8996\u70ba\u300c\u91cd\u8907\u300d\u7684\u5be6\u9a57\u5ba4\u6aa2\u6e2c\uff0c\u5176\u4e2d\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7d93\u5e38\u88ab\u5217\u70ba\u524a\u6e1b\u76ee\u6a19\u3002 \u8a72\u5021\u8b70\u59cb\u65bc\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u4ecd\u5c6c\u4eba\u5de5\u64cd\u4f5c\u7684\u6642\u671f\uff08\u800c\u4e0d\u662f\u50cf\u73fe\u4eca\u7684\u5168\u81ea\u52d5\u5316\u6aa2\u6e2c\uff09\u4e14\u5176\u5c0d\u91ab\u7642\u9ad4\u7cfb\u7684\u8ca1\u52d9\u5f71\u97ff\u4ea6\u7f3a\u4e4f\u5145\u5206\u8b49\u64da\u3002<\/p>\n<p>\u73fe\u6642\u5728\u7f8e\u570b\uff0c\u81ea\u52d5\u5316\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u5831\u92b7\u91d1\u984d\u50c5\u70ba\u6bcf\u6b21 2.70 \u7f8e\u5143\u2014\u2014\u751a\u81f3\u4f4e\u65bc\u4e00\u676f\u5496\u5561\u7684\u50f9\u683c\u2014\u2014\u800c\u5168\u81ea\u52d5\u5316\u6aa2\u6e2c\u4ea6\u4e0d\u518d\u70ba\u81e8\u5e8a\u5be6\u9a57\u5ba4\u5e36\u4f86\u4eba\u624b\u8ca0\u64d4\u3002 \u7576\u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u4e00\u4f75\u6aa2\u6e2c\u6642\uff0c\u5176\u65b0\u589e\u6295\u5165\u6210\u672c\u6975\u4f4e\u3002 \u800c\u900f\u904e\u907f\u514d\u8aa4\u8a3a\u53ca\u5176\u8ddf\u9032\u6210\u672c\u6240\u5e36\u4f86\u7684\u56de\u5831\u9060\u9060\u8d85\u904e\u6210\u672c\uff0c\u5169\u8005\u5b8c\u5168\u4e0d\u5728\u540c\u4e00\u500b\u91cf\u7d1a\u3002 \u5be6\u9a57\u5ba4\u6aa2\u6e2c\u6210\u672c\u901a\u5e38\u9060\u4f4e\u65bc\u5831\u92b7\u91d1\u984d\uff0c\u8a00\u9032\u4e00\u6b65\u589e\u5f37\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u6210\u672c\u6548\u76ca\u3002<\/p>\n<p>\u4f5c\u8005\u6307\u51fa\uff1a\u300c\u73fe\u4ee3\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u5206\u6790\u5100\u5feb\u901f\u3001\u81ea\u52d5\u5316\u4e14\u6210\u672c\u4f4e\u5ec9\u3002 \u904e\u53bb\u8a8d\u70ba\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u6703\u70ba\u5be6\u9a57\u5ba4\u8cc7\u6e90\u5e36\u4f86\u8ca0\u64d4\u7684\u8aaa\u6cd5\uff0c\u5df2\u4e0d\u518d\u6210\u7acb\u3002 \u554f\u984c\u5728\u65bc\u5176\u8a3a\u65b7\u50f9\u503c\u662f\u5426\u8db3\u4ee5\u652f\u6301\u76f8\u95dc\u6210\u672c\u2014\u2014\u800c\u5c0d\u65bc\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u7b56\u7565\u800c\u8a00\uff0c\u7b54\u6848\u986f\u7136\u662f\u80af\u5b9a\u3002\u300d<\/p>\n<p><b>\u7814\u7a76\u8a2d\u8a08\u8207\u7bc4\u570d<\/b><\/p>\n<p>\u8a72\u7814\u7a76\u63a1\u7528\u6c7a\u7b56\u6a39\u7d93\u6fdf\u6a21\u578b\uff0c\u6a21\u64ec 100 \u540d\u60a3\u8005\u7d44\u6210\u7684\u7fa4\u7d44\uff0c\u4e26\u5f9e\u7f8e\u570b\u91ab\u7642\u9ad4\u7cfb\u652f\u4ed8\u65b9\u7684\u89d2\u5ea6\u9032\u884c\u8a55\u4f30\u3002 \u5206\u6790\u6db5\u84cb\u4e86\u516b\u7a2e\u75be\u75c5\uff1a\u985e\u98a8\u6fd5\u95dc\u7bc0\u708e\u3001\u8178\u767c\u708e\u75be\u75c5\u3001\u5047\u9ad4\u5468\u570d\u95dc\u7bc0\u611f\u67d3\u3001\u5de8\u7d30\u80de\u52d5\u8108\u708e\u3001\u80f0\u817a\u708e\u3001\u611f\u67d3\u3001\u81ea\u8eab\u514d\u75ab\u75be\u75c5\u53ca\u764c\u75c7\u3002<\/p>\n<p>\u654f\u611f\u5ea6\u53ca\u7279\u7570\u5ea6\u6578\u64da\u5747\u6458\u81ea\u5df2\u767c\u8868\u7684\u81e8\u5e8a\u6587\u737b\u3002 \u6210\u672c\u6578\u64da\u4f86\u81ea\u7f8e\u570b\u91ab\u7642\u4fdd\u96aa\u8207\u91ab\u7642\u88dc\u52a9\u670d\u52d9\u4e2d\u5fc3 (Centers for Medicare &amp; Medicaid Services) \u7684\u5831\u92b7\u6a19\u6e96\uff08ESR\uff1a2.70 \u7f8e\u5143\uff1bCRP\uff1a5.18 \u7f8e\u5143\uff09\u3002 \u8207\u8aa4\u8a3a\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\u7531\u7f8e\u570b\u81e8\u5e8a\u6307\u5357\u63a8\u7b97\uff0c\u4e26\u7d93\u81e8\u5e8a\u91ab\u751f\u9a57\u8b49\u3002<\/p>\n<p>\u5728\u6539\u8b8a\u6e2c\u8a66\u6210\u672c\u3001\u8ddf\u9032\u8cbb\u7528\u53ca\u8a3a\u65b7\u6e96\u78ba\u5ea6\u7b49\u8b8a\u9805\u7684\u5404\u7a2e\u60c5\u5883\u5206\u6790\u4e0b\uff0c\u7814\u7a76\u7d50\u679c\u7686\u5c55\u73fe\u51fa\u6975\u9ad8\u7684\u7a69\u5065\u6027\u3002<\/p>\n<p><b>\u91cd\u9ede\u7e3d\u7d50<\/b><\/p>\n<p>\u4e8b\u5be6\u8b49\u660e\uff0c\u70ba\u7bc0\u7701\u6210\u672c\u800c\u524a\u6e1b\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u53cd\u800c\u9069\u5f97\u5176\u53cd\u3002 \u7576\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u540c\u6642\u6aa2\u6e2c\u6642\uff0c\u8aa4\u8a3a\u7387\u4e0b\u964d\uff0c\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\u4ea6\u96a8\u4e4b\u964d\u4f4e\u3002 \u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u5177\u5099\u5feb\u901f\u3001\u81ea\u52d5\u5316\u53ca\u4f4e\u6210\u672c\u7684\u512a\u52e2\u3002 \u7576\u5f9e\u6574\u9ad4\u91ab\u7642\u9ad4\u7cfb\u6210\u672c\u9032\u884c\u8a55\u4f30\u6642\uff0c\u4e3b\u5f35\u6dd8\u6c70\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u8ad6\u9ede\u4e26\u4e0d\u6210\u7acb\u3002<\/p>\n<p>\u5982\u679c\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\uff08\u5169\u8005\u5747\u70ba\u5168\u81ea\u52d5\u5316\u4e14\u4f4e\u6210\u672c\u7684\u767c\u708e\u6307\u6a19\uff09\u6709\u52a9\u6e1b\u5c11\u8aa4\u8a3a\uff0c\u70ba\u4f55\u524a\u6e1b\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u58d3\u529b\u4f9d\u7136\u5b58\u5728\uff1f \u5728\u73fe\u5be6\u61c9\u7528\u4e2d\uff0c\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u7684\u5be6\u969b\u6210\u6548\uff0c\u53d6\u6c7a\u65bc\u6a5f\u69cb\u3001\u75be\u75c5\u985e\u578b\u3001\u60a3\u8005\u7fa4\u9ad4\u3001\u75be\u75c5\u76db\u884c\u7387\u7b49\u591a\u9805\u56e0\u7d20\u3002 \u7136\u800c\uff0c\u4fdd\u7559\u4e00\u9805\u7d93\u904e\u9577\u671f\u9a57\u8b49\u3001\u5177\u81e8\u5e8a\u50f9\u503c\u4e14\u6bcf\u6b21\u50c5\u9700\u652f\u4ed8 2.70 \u7f8e\u5143\u7684\u6aa2\u6e2c\uff0c\u4ee5\u5354\u52a9\u907f\u514d\u4e0d\u5fc5\u8981\u7684\u8ddf\u9032\u6aa2\u67e5\uff0c\u7121\u7591\u662f\u5408\u7406\u4e4b\u8209\u3002<\/p>\n<p><b>\u95dc\u65bc\u672c\u7814\u7a76<\/b><\/p>\n<p><b>\u5f15\u7528\uff1a<\/b><i>Yarnoff B, Morris W, Zivaripiran H, McCutcheon M, Koshy T. &#8220;Economic Evaluation of Combined Testing Strategies Using Erythrocyte Sedimentation Rate and C-Reactive Protein Tests.&#8221;\uff08\u7d50\u5408\u7d05\u8840\u7403\u6c89\u964d\u7387\u8207 C \u53cd\u61c9\u86cb\u767d\u6aa2\u6e2c\u7b56\u7565\u7684\u7d93\u6fdf\u8a55\u4f30\uff09 ClinicoEconomics and Outcomes Research\uff08\u81e8\u5e8a\u7d93\u6fdf\u8207\u6210\u679c\u7814\u7a76\uff09<\/i>\u3002 2026;18:578961. DOI: 10.2147\/CEOR.S578961<\/p>\n<p><b>\u8cc7\u52a9\uff1a<\/b>\u672c\u7814\u7a76\u7531 ALCOR Scientific LLC \u8d0a\u52a9\u3002<\/p>\n<p><b>\u5a92\u9ad4\u806f\u7d61\u4eba\uff1a<br \/><\/b>Lexa Sullivan\uff0cALCOR Scientific<br \/>\u96fb\u90f5\uff1a<a href=\"mailto:lsullivan@alcorscientific.com\" target=\"_blank\" rel=\"nofollow\" style=\"color: #0000FF\">lsullivan@alcorscientific.com<\/a><br \/><i>\u5b8c\u6574\u7814\u7a76\u53ef\u65bc\u4ee5\u4e0b\u9023\u7d50\u514d\u8cbb\u67e5\u95b1\uff1a<\/i><i><a href=\"https:\/\/edge.prnewswire.com\/c\/link\/?t=0&amp;l=zh-hant&amp;o=4640007-2&amp;h=30880749&amp;u=https%3A%2F%2Fedge.prnewswire.com%2Fc%2Flink%2F%3Ft%3D0%26l%3Den%26o%3D4640007-2%26h%3D2076684083%26u%3Dhttps%253A%252F%252Fdoi.org%252F10.2147%252FCEOR.S578961%26a%3Dhttps%253A%252F%252Fdoi.org%252F10.2147%252FCEOR.S578961&amp;a=https%3A%2F%2Fdoi.org%2F10.2147%2FCEOR%E3%80%82S578961\" target=\"_blank\" rel=\"nofollow\" style=\"color: #0000FF\">https:\/\/doi.org\/10.2147\/CEOR\u3002S578961<\/a><\/i><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u7d93\u540c\u884c\u8a55\u5be9\u7684\u7d93\u6fdf\u5206\u6790\u986f\u793a\uff0c\u76f8\u8f03&#8230;<\/p>\n","protected":false},"author":16,"featured_media":420722,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"fifu_image_url":"","fifu_image_alt":"","footnotes":""},"categories":[40567],"tags":[],"class_list":["post-420721","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-40567"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u6216\u53ef\u6bcf\u5e74\u70ba\u91ab\u9662\u7bc0\u7701\u6578\u767e\u842c\u6210\u672c-\u65b0\u7814\u7a76\u6311\u6230\u5169\u8005\u53ef\u4e92\u76f8\u66ff\u4ee3\u7684\u89c0\u5ff5 - \u5c4f\u6771\u6642\u5831\u96fb\u5b50\u5831<\/title>\n<meta name=\"description\" content=\"\u7d93\u540c\u884c\u8a55\u5be9\u7684\u7d93\u6fdf\u5206\u6790\u986f\u793a\uff0c\u76f8\u8f03\u55ae\u7368\u6aa2\u6e2c C \u53cd\u61c9\u86cb\u767d (CRP)\uff0c\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u7b56\u7565\u53ef\u6e1b\u5c11\u8aa4\u8a3a\uff0c\u4e26\u5e36\u4f86\u6de8\u6210\u672c\u7bc0\u7701 \u7f85\u5fb7\u5cf6\u5dde\u53f2\u5bc6\u65af\u83f2\u723e\u5fb72026\u5e743\u670825\u65e5 \/\u7f8e\u901a\u793e\/ --      \u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u5177\u6709\u4e92\u88dc\u4f5c\u7528  \u50f9\u503c 995 \u842c\u7f8e\u5143\u7684\u95dc\u9375\u554f\u984c\uff1a\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u662f\u5426\u503c\u5f97\u4fdd\u7559\uff1f \u4e00\u9805\u7531 ALCOR Scientific \u8d0a\u52a9\u3001\u5df2\u767c\u8868\u65bc ClinicoEconomics and Outcomes Research \u7684\u7d93\u540c\u884c\u8a55\u5be9\u7814\u7a76\uff0c\u5f9e\u7d93\u6fdf\u89d2\u5ea6\u6709\u529b\u6307\u51fa\uff0c\u5728\u7ba1\u7406\u767c\u708e\u75be\u75c5\u60a3\u8005\u6642\uff0c\u61c9\u540c\u6642\u4fdd\u7559\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u2014\u2014\u6b64\u7d50\u8ad6\u76f4\u63a5\u6311\u6230\u4ee5\u7bc0\u7701\u6210\u672c\u70ba\u7531\u4e3b\u5f35\u6dd8\u6c70\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u89c0\u9ede\u3002\u00a0 \u7814\u7a76\u767c\u73fe\uff0c\u76f8\u8f03\u55ae\u7368\u6aa2\u6e2c C \u53cd\u61c9\u86cb\u767d (CRP) \uff0c\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u53ef\u6e1b\u5c11\u8aa4\u8a3a\u4e26\u5e36\u4f86\u53ef\u89c0\u7684\u6de8\u6210\u672c\u7bc0\u7701\u3002 \u4ee5\u7f8e\u570b\u4e00\u5bb6\u64c1\u6709 739 \u5f35\u75c5\u5e8a\u7684\u5178\u578b\u5b78\u8853\u91ab\u5b78\u4e2d\u5fc3\u70ba\u4f8b\uff0c\u8a72\u5206\u6790\u9810\u6e2c\uff0c\u900f\u904e\u6e1b\u5c11\u8207\u8aa4\u8a3a\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\uff0c\u6bcf\u5e74\u53ef\u7bc0\u7701 995 \u842c\u7f8e\u5143\u2014\u2014\u4e3b\u8981\u6e90\u65bc\u907f\u514d\u56e0 C \u53cd\u61c9\u86cb\u767d (CRP) \u5047\u967d\u6027\u6240\u5f15\u767c\u7684\u4e0d\u5fc5\u8981\u6aa2\u67e5\u3002 \u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u4e26\u975e\u76f8\u540c\u7684\u6aa2\u6e2c \u6279\u8a55\u7d50\u5408\u6aa2\u6e2c\u7684\u4eba\u58eb\u8a8d\u70ba\uff0c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u5c6c\u65bc\u91cd\u8907\u6aa2\u6e2c\u3002 \u7136\u800c\uff0c\u672c\u7814\u7a76\u6b63\u9762\u6311\u6230\u9019\u4e00\u5047\u8a2d\u3002 \u4f5c\u8005\u6307\u51fa\uff1a\u300cC \u53cd\u61c9\u86cb\u767d (CRP) \u8207\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u52d5\u529b\u5b78\u7279\u6027\u5728\u672c\u8cea\u4e0a\u622a\u7136\u4e0d\u540c\u3002\u300d C \u53cd\u61c9\u86cb\u767d (CRP) \u5728\u6025\u6027\u767c\u708e\u5f8c\u6578\u5c0f\u6642\u5167\u8fc5\u901f\u5347\u9ad8\uff0c\u4e26\u65bc\u6578\u65e5\u5167\u6062\u5fa9\u6b63\u5e38\u3002 \u76f8\u6bd4\u4e4b\u4e0b\uff0c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u4e0a\u5347\u8f03\u70ba\u7de9\u6162\uff0c\u901a\u5e38\u9700\u6642 24 \u81f3 48 \u5c0f\u6642\uff0c\u4e14\u7dad\u6301\u5347\u9ad8\u7684\u6642\u9593\u66f4\u9577\u2014\u2014\u9019\u4f7f\u5176\u5728\u6aa2\u6e2c\u6162\u6027\u53ca\u4e9e\u6025\u6027\u767c\u708e\u75be\u75c5\u65b9\u9762\u5c24\u70ba\u91cd\u8981\uff0c\u4f8b\u5982\u98a8\u6fd5\u6027\u591a\u808c\u75db\u3001\u5de8\u7d30\u80de\u52d5\u8108\u708e\u3001\u7d05\u6591\u72fc\u7621\uff0c\u4ee5\u53ca\u67d0\u4e9b\u60e1\u6027\u816b\u7624\u3002 \u9019\u4e9b\u751f\u7269\u5b78\u5dee\u7570\u610f\u5473\u8457\uff0c\u5169\u9805\u6aa2\u6e2c\u6240\u63d0\u4f9b\u7684\u662f\u4e92\u88dc\u800c\u975e\u91cd\u8907\u7684\u81e8\u5e8a\u8cc7\u8a0a\u3002 \u5728\u6b63\u78ba\u89e3\u8b80\u7684\u60c5\u6cc1\u4e0b\uff0c\u540c\u6642\u4f7f\u7528\u5169\u8005\u53ef\u63d0\u5347\u8a3a\u65b7\u6e96\u78ba\u6027\uff0c\u800c\u9019\u662f\u55ae\u4e00\u6aa2\u6e2c\u7121\u6cd5\u9054\u5230\u3002 \u70ba\u4f55\u9019\u9805\u7814\u7a76\u81f3\u95dc\u91cd\u8981 \u9019\u9805\u7814\u7a76\u7d50\u679c\uff0c\u9069\u9022 value-based\uff08\u4ee5\u50f9\u503c\u70ba\u672c\uff09\u91ab\u7642\u6a21\u5f0f\u767c\u5c55\u7684\u95dc\u9375\u6642\u523b\u3002 \u904e\u53bb\u7684\u300cChoosing Wisely\u300d\u5021\u8b70\u66fe\u4fc3\u4f7f\u91ab\u9662\u524a\u6e1b\u88ab\u8996\u70ba\u300c\u91cd\u8907\u300d\u7684\u5be6\u9a57\u5ba4\u6aa2\u6e2c\uff0c\u5176\u4e2d\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7d93\u5e38\u88ab\u5217\u70ba\u524a\u6e1b\u76ee\u6a19\u3002 \u8a72\u5021\u8b70\u59cb\u65bc\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u4ecd\u5c6c\u4eba\u5de5\u64cd\u4f5c\u7684\u6642\u671f\uff08\u800c\u4e0d\u662f\u50cf\u73fe\u4eca\u7684\u5168\u81ea\u52d5\u5316\u6aa2\u6e2c\uff09\u4e14\u5176\u5c0d\u91ab\u7642\u9ad4\u7cfb\u7684\u8ca1\u52d9\u5f71\u97ff\u4ea6\u7f3a\u4e4f\u5145\u5206\u8b49\u64da\u3002 \u73fe\u6642\u5728\u7f8e\u570b\uff0c\u81ea\u52d5\u5316\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u5831\u92b7\u91d1\u984d\u50c5\u70ba\u6bcf\u6b21 2.70 \u7f8e\u5143\u2014\u2014\u751a\u81f3\u4f4e\u65bc\u4e00\u676f\u5496\u5561\u7684\u50f9\u683c\u2014\u2014\u800c\u5168\u81ea\u52d5\u5316\u6aa2\u6e2c\u4ea6\u4e0d\u518d\u70ba\u81e8\u5e8a\u5be6\u9a57\u5ba4\u5e36\u4f86\u4eba\u624b\u8ca0\u64d4\u3002 \u7576\u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u4e00\u4f75\u6aa2\u6e2c\u6642\uff0c\u5176\u65b0\u589e\u6295\u5165\u6210\u672c\u6975\u4f4e\u3002 \u800c\u900f\u904e\u907f\u514d\u8aa4\u8a3a\u53ca\u5176\u8ddf\u9032\u6210\u672c\u6240\u5e36\u4f86\u7684\u56de\u5831\u9060\u9060\u8d85\u904e\u6210\u672c\uff0c\u5169\u8005\u5b8c\u5168\u4e0d\u5728\u540c\u4e00\u500b\u91cf\u7d1a\u3002 \u5be6\u9a57\u5ba4\u6aa2\u6e2c\u6210\u672c\u901a\u5e38\u9060\u4f4e\u65bc\u5831\u92b7\u91d1\u984d\uff0c\u8a00\u9032\u4e00\u6b65\u589e\u5f37\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u6210\u672c\u6548\u76ca\u3002 \u4f5c\u8005\u6307\u51fa\uff1a\u300c\u73fe\u4ee3\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u5206\u6790\u5100\u5feb\u901f\u3001\u81ea\u52d5\u5316\u4e14\u6210\u672c\u4f4e\u5ec9\u3002 \u904e\u53bb\u8a8d\u70ba\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u6703\u70ba\u5be6\u9a57\u5ba4\u8cc7\u6e90\u5e36\u4f86\u8ca0\u64d4\u7684\u8aaa\u6cd5\uff0c\u5df2\u4e0d\u518d\u6210\u7acb\u3002 \u554f\u984c\u5728\u65bc\u5176\u8a3a\u65b7\u50f9\u503c\u662f\u5426\u8db3\u4ee5\u652f\u6301\u76f8\u95dc\u6210\u672c\u2014\u2014\u800c\u5c0d\u65bc\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u7b56\u7565\u800c\u8a00\uff0c\u7b54\u6848\u986f\u7136\u662f\u80af\u5b9a\u3002\u300d \u7814\u7a76\u8a2d\u8a08\u8207\u7bc4\u570d \u8a72\u7814\u7a76\u63a1\u7528\u6c7a\u7b56\u6a39\u7d93\u6fdf\u6a21\u578b\uff0c\u6a21\u64ec 100 \u540d\u60a3\u8005\u7d44\u6210\u7684\u7fa4\u7d44\uff0c\u4e26\u5f9e\u7f8e\u570b\u91ab\u7642\u9ad4\u7cfb\u652f\u4ed8\u65b9\u7684\u89d2\u5ea6\u9032\u884c\u8a55\u4f30\u3002 \u5206\u6790\u6db5\u84cb\u4e86\u516b\u7a2e\u75be\u75c5\uff1a\u985e\u98a8\u6fd5\u95dc\u7bc0\u708e\u3001\u8178\u767c\u708e\u75be\u75c5\u3001\u5047\u9ad4\u5468\u570d\u95dc\u7bc0\u611f\u67d3\u3001\u5de8\u7d30\u80de\u52d5\u8108\u708e\u3001\u80f0\u817a\u708e\u3001\u611f\u67d3\u3001\u81ea\u8eab\u514d\u75ab\u75be\u75c5\u53ca\u764c\u75c7\u3002 \u654f\u611f\u5ea6\u53ca\u7279\u7570\u5ea6\u6578\u64da\u5747\u6458\u81ea\u5df2\u767c\u8868\u7684\u81e8\u5e8a\u6587\u737b\u3002 \u6210\u672c\u6578\u64da\u4f86\u81ea\u7f8e\u570b\u91ab\u7642\u4fdd\u96aa\u8207\u91ab\u7642\u88dc\u52a9\u670d\u52d9\u4e2d\u5fc3 (Centers for Medicare &amp; Medicaid Services) \u7684\u5831\u92b7\u6a19\u6e96\uff08ESR\uff1a2.70 \u7f8e\u5143\uff1bCRP\uff1a5.18 \u7f8e\u5143\uff09\u3002 \u8207\u8aa4\u8a3a\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\u7531\u7f8e\u570b\u81e8\u5e8a\u6307\u5357\u63a8\u7b97\uff0c\u4e26\u7d93\u81e8\u5e8a\u91ab\u751f\u9a57\u8b49\u3002 \u5728\u6539\u8b8a\u6e2c\u8a66\u6210\u672c\u3001\u8ddf\u9032\u8cbb\u7528\u53ca\u8a3a\u65b7\u6e96\u78ba\u5ea6\u7b49\u8b8a\u9805\u7684\u5404\u7a2e\u60c5\u5883\u5206\u6790\u4e0b\uff0c\u7814\u7a76\u7d50\u679c\u7686\u5c55\u73fe\u51fa\u6975\u9ad8\u7684\u7a69\u5065\u6027\u3002 \u91cd\u9ede\u7e3d\u7d50 \u4e8b\u5be6\u8b49\u660e\uff0c\u70ba\u7bc0\u7701\u6210\u672c\u800c\u524a\u6e1b\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u53cd\u800c\u9069\u5f97\u5176\u53cd\u3002 \u7576\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u540c\u6642\u6aa2\u6e2c\u6642\uff0c\u8aa4\u8a3a\u7387\u4e0b\u964d\uff0c\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\u4ea6\u96a8\u4e4b\u964d\u4f4e\u3002 \u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u5177\u5099\u5feb\u901f\u3001\u81ea\u52d5\u5316\u53ca\u4f4e\u6210\u672c\u7684\u512a\u52e2\u3002 \u7576\u5f9e\u6574\u9ad4\u91ab\u7642\u9ad4\u7cfb\u6210\u672c\u9032\u884c\u8a55\u4f30\u6642\uff0c\u4e3b\u5f35\u6dd8\u6c70\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u8ad6\u9ede\u4e26\u4e0d\u6210\u7acb\u3002 \u5982\u679c\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\uff08\u5169\u8005\u5747\u70ba\u5168\u81ea\u52d5\u5316\u4e14\u4f4e\u6210\u672c\u7684\u767c\u708e\u6307\u6a19\uff09\u6709\u52a9\u6e1b\u5c11\u8aa4\u8a3a\uff0c\u70ba\u4f55\u524a\u6e1b\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u58d3\u529b\u4f9d\u7136\u5b58\u5728\uff1f \u5728\u73fe\u5be6\u61c9\u7528\u4e2d\uff0c\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u7684\u5be6\u969b\u6210\u6548\uff0c\u53d6\u6c7a\u65bc\u6a5f\u69cb\u3001\u75be\u75c5\u985e\u578b\u3001\u60a3\u8005\u7fa4\u9ad4\u3001\u75be\u75c5\u76db\u884c\u7387\u7b49\u591a\u9805\u56e0\u7d20\u3002 \u7136\u800c\uff0c\u4fdd\u7559\u4e00\u9805\u7d93\u904e\u9577\u671f\u9a57\u8b49\u3001\u5177\u81e8\u5e8a\u50f9\u503c\u4e14\u6bcf\u6b21\u50c5\u9700\u652f\u4ed8 2.70 \u7f8e\u5143\u7684\u6aa2\u6e2c\uff0c\u4ee5\u5354\u52a9\u907f\u514d\u4e0d\u5fc5\u8981\u7684\u8ddf\u9032\u6aa2\u67e5\uff0c\u7121\u7591\u662f\u5408\u7406\u4e4b\u8209\u3002 \u95dc\u65bc\u672c\u7814\u7a76 \u5f15\u7528\uff1aYarnoff B, Morris W, Zivaripiran H, McCutcheon M, Koshy T. &quot;Economic Evaluation of Combined Testing Strategies Using Erythrocyte Sedimentation Rate and C-Reactive Protein Tests.&quot;\uff08\u7d50\u5408\u7d05\u8840\u7403\u6c89\u964d\u7387\u8207 C \u53cd\u61c9\u86cb\u767d\u6aa2\u6e2c\u7b56\u7565\u7684\u7d93\u6fdf\u8a55\u4f30\uff09 ClinicoEconomics and Outcomes Research\uff08\u81e8\u5e8a\u7d93\u6fdf\u8207\u6210\u679c\u7814\u7a76\uff09\u3002 2026;18:578961. DOI: 10.2147\/CEOR.S578961 \u8cc7\u52a9\uff1a\u672c\u7814\u7a76\u7531 ALCOR Scientific LLC \u8d0a\u52a9\u3002 \u5a92\u9ad4\u806f\u7d61\u4eba\uff1aLexa Sullivan\uff0cALCOR Scientific\u96fb\u90f5\uff1alsullivan@alcorscientific.com\u5b8c\u6574\u7814\u7a76\u53ef\u65bc\u4ee5\u4e0b\u9023\u7d50\u514d\u8cbb\u67e5\u95b1\uff1ahttps:\/\/doi.org\/10.2147\/CEOR\u3002S578961\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pingtungtimes.com.tw\/?p=420721\" \/>\n<meta property=\"og:locale\" content=\"zh_TW\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u6216\u53ef\u6bcf\u5e74\u70ba\u91ab\u9662\u7bc0\u7701\u6578\u767e\u842c\u6210\u672c-\u65b0\u7814\u7a76\u6311\u6230\u5169\u8005\u53ef\u4e92\u76f8\u66ff\u4ee3\u7684\u89c0\u5ff5 - \u5c4f\u6771\u6642\u5831\u96fb\u5b50\u5831\" \/>\n<meta property=\"og:description\" content=\"\u7d93\u540c\u884c\u8a55\u5be9\u7684\u7d93\u6fdf\u5206\u6790\u986f\u793a\uff0c\u76f8\u8f03\u55ae\u7368\u6aa2\u6e2c C \u53cd\u61c9\u86cb\u767d (CRP)\uff0c\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u7b56\u7565\u53ef\u6e1b\u5c11\u8aa4\u8a3a\uff0c\u4e26\u5e36\u4f86\u6de8\u6210\u672c\u7bc0\u7701 \u7f85\u5fb7\u5cf6\u5dde\u53f2\u5bc6\u65af\u83f2\u723e\u5fb72026\u5e743\u670825\u65e5 \/\u7f8e\u901a\u793e\/ --      \u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u5177\u6709\u4e92\u88dc\u4f5c\u7528  \u50f9\u503c 995 \u842c\u7f8e\u5143\u7684\u95dc\u9375\u554f\u984c\uff1a\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u662f\u5426\u503c\u5f97\u4fdd\u7559\uff1f \u4e00\u9805\u7531 ALCOR Scientific \u8d0a\u52a9\u3001\u5df2\u767c\u8868\u65bc ClinicoEconomics and Outcomes Research \u7684\u7d93\u540c\u884c\u8a55\u5be9\u7814\u7a76\uff0c\u5f9e\u7d93\u6fdf\u89d2\u5ea6\u6709\u529b\u6307\u51fa\uff0c\u5728\u7ba1\u7406\u767c\u708e\u75be\u75c5\u60a3\u8005\u6642\uff0c\u61c9\u540c\u6642\u4fdd\u7559\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u2014\u2014\u6b64\u7d50\u8ad6\u76f4\u63a5\u6311\u6230\u4ee5\u7bc0\u7701\u6210\u672c\u70ba\u7531\u4e3b\u5f35\u6dd8\u6c70\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u89c0\u9ede\u3002\u00a0 \u7814\u7a76\u767c\u73fe\uff0c\u76f8\u8f03\u55ae\u7368\u6aa2\u6e2c C \u53cd\u61c9\u86cb\u767d (CRP) \uff0c\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u53ef\u6e1b\u5c11\u8aa4\u8a3a\u4e26\u5e36\u4f86\u53ef\u89c0\u7684\u6de8\u6210\u672c\u7bc0\u7701\u3002 \u4ee5\u7f8e\u570b\u4e00\u5bb6\u64c1\u6709 739 \u5f35\u75c5\u5e8a\u7684\u5178\u578b\u5b78\u8853\u91ab\u5b78\u4e2d\u5fc3\u70ba\u4f8b\uff0c\u8a72\u5206\u6790\u9810\u6e2c\uff0c\u900f\u904e\u6e1b\u5c11\u8207\u8aa4\u8a3a\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\uff0c\u6bcf\u5e74\u53ef\u7bc0\u7701 995 \u842c\u7f8e\u5143\u2014\u2014\u4e3b\u8981\u6e90\u65bc\u907f\u514d\u56e0 C \u53cd\u61c9\u86cb\u767d (CRP) \u5047\u967d\u6027\u6240\u5f15\u767c\u7684\u4e0d\u5fc5\u8981\u6aa2\u67e5\u3002 \u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u4e26\u975e\u76f8\u540c\u7684\u6aa2\u6e2c \u6279\u8a55\u7d50\u5408\u6aa2\u6e2c\u7684\u4eba\u58eb\u8a8d\u70ba\uff0c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u5c6c\u65bc\u91cd\u8907\u6aa2\u6e2c\u3002 \u7136\u800c\uff0c\u672c\u7814\u7a76\u6b63\u9762\u6311\u6230\u9019\u4e00\u5047\u8a2d\u3002 \u4f5c\u8005\u6307\u51fa\uff1a\u300cC \u53cd\u61c9\u86cb\u767d (CRP) \u8207\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u52d5\u529b\u5b78\u7279\u6027\u5728\u672c\u8cea\u4e0a\u622a\u7136\u4e0d\u540c\u3002\u300d C \u53cd\u61c9\u86cb\u767d (CRP) \u5728\u6025\u6027\u767c\u708e\u5f8c\u6578\u5c0f\u6642\u5167\u8fc5\u901f\u5347\u9ad8\uff0c\u4e26\u65bc\u6578\u65e5\u5167\u6062\u5fa9\u6b63\u5e38\u3002 \u76f8\u6bd4\u4e4b\u4e0b\uff0c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u4e0a\u5347\u8f03\u70ba\u7de9\u6162\uff0c\u901a\u5e38\u9700\u6642 24 \u81f3 48 \u5c0f\u6642\uff0c\u4e14\u7dad\u6301\u5347\u9ad8\u7684\u6642\u9593\u66f4\u9577\u2014\u2014\u9019\u4f7f\u5176\u5728\u6aa2\u6e2c\u6162\u6027\u53ca\u4e9e\u6025\u6027\u767c\u708e\u75be\u75c5\u65b9\u9762\u5c24\u70ba\u91cd\u8981\uff0c\u4f8b\u5982\u98a8\u6fd5\u6027\u591a\u808c\u75db\u3001\u5de8\u7d30\u80de\u52d5\u8108\u708e\u3001\u7d05\u6591\u72fc\u7621\uff0c\u4ee5\u53ca\u67d0\u4e9b\u60e1\u6027\u816b\u7624\u3002 \u9019\u4e9b\u751f\u7269\u5b78\u5dee\u7570\u610f\u5473\u8457\uff0c\u5169\u9805\u6aa2\u6e2c\u6240\u63d0\u4f9b\u7684\u662f\u4e92\u88dc\u800c\u975e\u91cd\u8907\u7684\u81e8\u5e8a\u8cc7\u8a0a\u3002 \u5728\u6b63\u78ba\u89e3\u8b80\u7684\u60c5\u6cc1\u4e0b\uff0c\u540c\u6642\u4f7f\u7528\u5169\u8005\u53ef\u63d0\u5347\u8a3a\u65b7\u6e96\u78ba\u6027\uff0c\u800c\u9019\u662f\u55ae\u4e00\u6aa2\u6e2c\u7121\u6cd5\u9054\u5230\u3002 \u70ba\u4f55\u9019\u9805\u7814\u7a76\u81f3\u95dc\u91cd\u8981 \u9019\u9805\u7814\u7a76\u7d50\u679c\uff0c\u9069\u9022 value-based\uff08\u4ee5\u50f9\u503c\u70ba\u672c\uff09\u91ab\u7642\u6a21\u5f0f\u767c\u5c55\u7684\u95dc\u9375\u6642\u523b\u3002 \u904e\u53bb\u7684\u300cChoosing Wisely\u300d\u5021\u8b70\u66fe\u4fc3\u4f7f\u91ab\u9662\u524a\u6e1b\u88ab\u8996\u70ba\u300c\u91cd\u8907\u300d\u7684\u5be6\u9a57\u5ba4\u6aa2\u6e2c\uff0c\u5176\u4e2d\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7d93\u5e38\u88ab\u5217\u70ba\u524a\u6e1b\u76ee\u6a19\u3002 \u8a72\u5021\u8b70\u59cb\u65bc\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u4ecd\u5c6c\u4eba\u5de5\u64cd\u4f5c\u7684\u6642\u671f\uff08\u800c\u4e0d\u662f\u50cf\u73fe\u4eca\u7684\u5168\u81ea\u52d5\u5316\u6aa2\u6e2c\uff09\u4e14\u5176\u5c0d\u91ab\u7642\u9ad4\u7cfb\u7684\u8ca1\u52d9\u5f71\u97ff\u4ea6\u7f3a\u4e4f\u5145\u5206\u8b49\u64da\u3002 \u73fe\u6642\u5728\u7f8e\u570b\uff0c\u81ea\u52d5\u5316\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u5831\u92b7\u91d1\u984d\u50c5\u70ba\u6bcf\u6b21 2.70 \u7f8e\u5143\u2014\u2014\u751a\u81f3\u4f4e\u65bc\u4e00\u676f\u5496\u5561\u7684\u50f9\u683c\u2014\u2014\u800c\u5168\u81ea\u52d5\u5316\u6aa2\u6e2c\u4ea6\u4e0d\u518d\u70ba\u81e8\u5e8a\u5be6\u9a57\u5ba4\u5e36\u4f86\u4eba\u624b\u8ca0\u64d4\u3002 \u7576\u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u4e00\u4f75\u6aa2\u6e2c\u6642\uff0c\u5176\u65b0\u589e\u6295\u5165\u6210\u672c\u6975\u4f4e\u3002 \u800c\u900f\u904e\u907f\u514d\u8aa4\u8a3a\u53ca\u5176\u8ddf\u9032\u6210\u672c\u6240\u5e36\u4f86\u7684\u56de\u5831\u9060\u9060\u8d85\u904e\u6210\u672c\uff0c\u5169\u8005\u5b8c\u5168\u4e0d\u5728\u540c\u4e00\u500b\u91cf\u7d1a\u3002 \u5be6\u9a57\u5ba4\u6aa2\u6e2c\u6210\u672c\u901a\u5e38\u9060\u4f4e\u65bc\u5831\u92b7\u91d1\u984d\uff0c\u8a00\u9032\u4e00\u6b65\u589e\u5f37\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u6210\u672c\u6548\u76ca\u3002 \u4f5c\u8005\u6307\u51fa\uff1a\u300c\u73fe\u4ee3\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u5206\u6790\u5100\u5feb\u901f\u3001\u81ea\u52d5\u5316\u4e14\u6210\u672c\u4f4e\u5ec9\u3002 \u904e\u53bb\u8a8d\u70ba\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u6703\u70ba\u5be6\u9a57\u5ba4\u8cc7\u6e90\u5e36\u4f86\u8ca0\u64d4\u7684\u8aaa\u6cd5\uff0c\u5df2\u4e0d\u518d\u6210\u7acb\u3002 \u554f\u984c\u5728\u65bc\u5176\u8a3a\u65b7\u50f9\u503c\u662f\u5426\u8db3\u4ee5\u652f\u6301\u76f8\u95dc\u6210\u672c\u2014\u2014\u800c\u5c0d\u65bc\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u7b56\u7565\u800c\u8a00\uff0c\u7b54\u6848\u986f\u7136\u662f\u80af\u5b9a\u3002\u300d \u7814\u7a76\u8a2d\u8a08\u8207\u7bc4\u570d \u8a72\u7814\u7a76\u63a1\u7528\u6c7a\u7b56\u6a39\u7d93\u6fdf\u6a21\u578b\uff0c\u6a21\u64ec 100 \u540d\u60a3\u8005\u7d44\u6210\u7684\u7fa4\u7d44\uff0c\u4e26\u5f9e\u7f8e\u570b\u91ab\u7642\u9ad4\u7cfb\u652f\u4ed8\u65b9\u7684\u89d2\u5ea6\u9032\u884c\u8a55\u4f30\u3002 \u5206\u6790\u6db5\u84cb\u4e86\u516b\u7a2e\u75be\u75c5\uff1a\u985e\u98a8\u6fd5\u95dc\u7bc0\u708e\u3001\u8178\u767c\u708e\u75be\u75c5\u3001\u5047\u9ad4\u5468\u570d\u95dc\u7bc0\u611f\u67d3\u3001\u5de8\u7d30\u80de\u52d5\u8108\u708e\u3001\u80f0\u817a\u708e\u3001\u611f\u67d3\u3001\u81ea\u8eab\u514d\u75ab\u75be\u75c5\u53ca\u764c\u75c7\u3002 \u654f\u611f\u5ea6\u53ca\u7279\u7570\u5ea6\u6578\u64da\u5747\u6458\u81ea\u5df2\u767c\u8868\u7684\u81e8\u5e8a\u6587\u737b\u3002 \u6210\u672c\u6578\u64da\u4f86\u81ea\u7f8e\u570b\u91ab\u7642\u4fdd\u96aa\u8207\u91ab\u7642\u88dc\u52a9\u670d\u52d9\u4e2d\u5fc3 (Centers for Medicare &amp; Medicaid Services) \u7684\u5831\u92b7\u6a19\u6e96\uff08ESR\uff1a2.70 \u7f8e\u5143\uff1bCRP\uff1a5.18 \u7f8e\u5143\uff09\u3002 \u8207\u8aa4\u8a3a\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\u7531\u7f8e\u570b\u81e8\u5e8a\u6307\u5357\u63a8\u7b97\uff0c\u4e26\u7d93\u81e8\u5e8a\u91ab\u751f\u9a57\u8b49\u3002 \u5728\u6539\u8b8a\u6e2c\u8a66\u6210\u672c\u3001\u8ddf\u9032\u8cbb\u7528\u53ca\u8a3a\u65b7\u6e96\u78ba\u5ea6\u7b49\u8b8a\u9805\u7684\u5404\u7a2e\u60c5\u5883\u5206\u6790\u4e0b\uff0c\u7814\u7a76\u7d50\u679c\u7686\u5c55\u73fe\u51fa\u6975\u9ad8\u7684\u7a69\u5065\u6027\u3002 \u91cd\u9ede\u7e3d\u7d50 \u4e8b\u5be6\u8b49\u660e\uff0c\u70ba\u7bc0\u7701\u6210\u672c\u800c\u524a\u6e1b\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u53cd\u800c\u9069\u5f97\u5176\u53cd\u3002 \u7576\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u540c\u6642\u6aa2\u6e2c\u6642\uff0c\u8aa4\u8a3a\u7387\u4e0b\u964d\uff0c\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\u4ea6\u96a8\u4e4b\u964d\u4f4e\u3002 \u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u5177\u5099\u5feb\u901f\u3001\u81ea\u52d5\u5316\u53ca\u4f4e\u6210\u672c\u7684\u512a\u52e2\u3002 \u7576\u5f9e\u6574\u9ad4\u91ab\u7642\u9ad4\u7cfb\u6210\u672c\u9032\u884c\u8a55\u4f30\u6642\uff0c\u4e3b\u5f35\u6dd8\u6c70\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u8ad6\u9ede\u4e26\u4e0d\u6210\u7acb\u3002 \u5982\u679c\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\uff08\u5169\u8005\u5747\u70ba\u5168\u81ea\u52d5\u5316\u4e14\u4f4e\u6210\u672c\u7684\u767c\u708e\u6307\u6a19\uff09\u6709\u52a9\u6e1b\u5c11\u8aa4\u8a3a\uff0c\u70ba\u4f55\u524a\u6e1b\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u58d3\u529b\u4f9d\u7136\u5b58\u5728\uff1f \u5728\u73fe\u5be6\u61c9\u7528\u4e2d\uff0c\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u7684\u5be6\u969b\u6210\u6548\uff0c\u53d6\u6c7a\u65bc\u6a5f\u69cb\u3001\u75be\u75c5\u985e\u578b\u3001\u60a3\u8005\u7fa4\u9ad4\u3001\u75be\u75c5\u76db\u884c\u7387\u7b49\u591a\u9805\u56e0\u7d20\u3002 \u7136\u800c\uff0c\u4fdd\u7559\u4e00\u9805\u7d93\u904e\u9577\u671f\u9a57\u8b49\u3001\u5177\u81e8\u5e8a\u50f9\u503c\u4e14\u6bcf\u6b21\u50c5\u9700\u652f\u4ed8 2.70 \u7f8e\u5143\u7684\u6aa2\u6e2c\uff0c\u4ee5\u5354\u52a9\u907f\u514d\u4e0d\u5fc5\u8981\u7684\u8ddf\u9032\u6aa2\u67e5\uff0c\u7121\u7591\u662f\u5408\u7406\u4e4b\u8209\u3002 \u95dc\u65bc\u672c\u7814\u7a76 \u5f15\u7528\uff1aYarnoff B, Morris W, Zivaripiran H, McCutcheon M, Koshy T. &quot;Economic Evaluation of Combined Testing Strategies Using Erythrocyte Sedimentation Rate and C-Reactive Protein Tests.&quot;\uff08\u7d50\u5408\u7d05\u8840\u7403\u6c89\u964d\u7387\u8207 C \u53cd\u61c9\u86cb\u767d\u6aa2\u6e2c\u7b56\u7565\u7684\u7d93\u6fdf\u8a55\u4f30\uff09 ClinicoEconomics and Outcomes Research\uff08\u81e8\u5e8a\u7d93\u6fdf\u8207\u6210\u679c\u7814\u7a76\uff09\u3002 2026;18:578961. DOI: 10.2147\/CEOR.S578961 \u8cc7\u52a9\uff1a\u672c\u7814\u7a76\u7531 ALCOR Scientific LLC \u8d0a\u52a9\u3002 \u5a92\u9ad4\u806f\u7d61\u4eba\uff1aLexa Sullivan\uff0cALCOR Scientific\u96fb\u90f5\uff1alsullivan@alcorscientific.com\u5b8c\u6574\u7814\u7a76\u53ef\u65bc\u4ee5\u4e0b\u9023\u7d50\u514d\u8cbb\u67e5\u95b1\uff1ahttps:\/\/doi.org\/10.2147\/CEOR\u3002S578961\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pingtungtimes.com.tw\/?p=420721\" \/>\n<meta property=\"og:site_name\" content=\"\u5c4f\u6771\u6642\u5831\u96fb\u5b50\u5831\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/pingtungnews\" \/>\n<meta property=\"article:published_time\" content=\"2026-03-24T17:11:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pingtungtimes.com.tw\/wp-content\/uploads\/2023\/02\/logo-150.png\" \/>\n\t<meta property=\"og:image:width\" content=\"3000\" \/>\n\t<meta property=\"og:image:height\" content=\"1990\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"\u7f8e\u901a\u793e\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u4f5c\u8005:\" \/>\n\t<meta name=\"twitter:data1\" content=\"\u7f8e\u901a\u793e\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u9810\u4f30\u95b1\u8b80\u6642\u9593\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 \u5206\u9418\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"NewsArticle\",\"@id\":\"https:\\\/\\\/pingtungtimes.com.tw\\\/?p=420721#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pingtungtimes.com.tw\\\/?p=420721\"},\"author\":{\"name\":\"\u7f8e\u901a\u793e\",\"@id\":\"https:\\\/\\\/pingtungtimes.com.tw\\\/#\\\/schema\\\/person\\\/683b937f29ec1537972f6c41e22a2cf3\"},\"headline\":\"\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u6216\u53ef\u6bcf\u5e74\u70ba\u91ab\u9662\u7bc0\u7701\u6578\u767e\u842c\u6210\u672c&#8212;-\u65b0\u7814\u7a76\u6311\u6230\u5169\u8005\u53ef\u4e92\u76f8\u66ff\u4ee3\u7684\u89c0\u5ff5\",\"datePublished\":\"2026-03-24T17:11:00+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pingtungtimes.com.tw\\\/?p=420721\"},\"wordCount\":125,\"publisher\":{\"@id\":\"https:\\\/\\\/pingtungtimes.com.tw\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pingtungtimes.com.tw\\\/?p=420721#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pingtungtimes.com.tw\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/ESR_and_CRP_complementary.jpg\",\"articleSection\":[\"\u7f8e\u901a\u793e\"],\"inLanguage\":\"zh-TW\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/pingtungtimes.com.tw\\\/?p=420721\",\"url\":\"https:\\\/\\\/pingtungtimes.com.tw\\\/?p=420721\",\"name\":\"\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u6216\u53ef\u6bcf\u5e74\u70ba\u91ab\u9662\u7bc0\u7701\u6578\u767e\u842c\u6210\u672c-\u65b0\u7814\u7a76\u6311\u6230\u5169\u8005\u53ef\u4e92\u76f8\u66ff\u4ee3\u7684\u89c0\u5ff5 - \u5c4f\u6771\u6642\u5831\u96fb\u5b50\u5831\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pingtungtimes.com.tw\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pingtungtimes.com.tw\\\/?p=420721#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pingtungtimes.com.tw\\\/?p=420721#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pingtungtimes.com.tw\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/ESR_and_CRP_complementary.jpg\",\"datePublished\":\"2026-03-24T17:11:00+00:00\",\"description\":\"\u7d93\u540c\u884c\u8a55\u5be9\u7684\u7d93\u6fdf\u5206\u6790\u986f\u793a\uff0c\u76f8\u8f03\u55ae\u7368\u6aa2\u6e2c C \u53cd\u61c9\u86cb\u767d (CRP)\uff0c\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u7b56\u7565\u53ef\u6e1b\u5c11\u8aa4\u8a3a\uff0c\u4e26\u5e36\u4f86\u6de8\u6210\u672c\u7bc0\u7701 \u7f85\u5fb7\u5cf6\u5dde\u53f2\u5bc6\u65af\u83f2\u723e\u5fb72026\u5e743\u670825\u65e5 \\\/\u7f8e\u901a\u793e\\\/ -- \u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u5177\u6709\u4e92\u88dc\u4f5c\u7528 \u50f9\u503c 995 \u842c\u7f8e\u5143\u7684\u95dc\u9375\u554f\u984c\uff1a\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u662f\u5426\u503c\u5f97\u4fdd\u7559\uff1f \u4e00\u9805\u7531 ALCOR Scientific \u8d0a\u52a9\u3001\u5df2\u767c\u8868\u65bc ClinicoEconomics and Outcomes Research \u7684\u7d93\u540c\u884c\u8a55\u5be9\u7814\u7a76\uff0c\u5f9e\u7d93\u6fdf\u89d2\u5ea6\u6709\u529b\u6307\u51fa\uff0c\u5728\u7ba1\u7406\u767c\u708e\u75be\u75c5\u60a3\u8005\u6642\uff0c\u61c9\u540c\u6642\u4fdd\u7559\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u2014\u2014\u6b64\u7d50\u8ad6\u76f4\u63a5\u6311\u6230\u4ee5\u7bc0\u7701\u6210\u672c\u70ba\u7531\u4e3b\u5f35\u6dd8\u6c70\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u89c0\u9ede\u3002\u00a0 \u7814\u7a76\u767c\u73fe\uff0c\u76f8\u8f03\u55ae\u7368\u6aa2\u6e2c C \u53cd\u61c9\u86cb\u767d (CRP) \uff0c\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u53ef\u6e1b\u5c11\u8aa4\u8a3a\u4e26\u5e36\u4f86\u53ef\u89c0\u7684\u6de8\u6210\u672c\u7bc0\u7701\u3002 \u4ee5\u7f8e\u570b\u4e00\u5bb6\u64c1\u6709 739 \u5f35\u75c5\u5e8a\u7684\u5178\u578b\u5b78\u8853\u91ab\u5b78\u4e2d\u5fc3\u70ba\u4f8b\uff0c\u8a72\u5206\u6790\u9810\u6e2c\uff0c\u900f\u904e\u6e1b\u5c11\u8207\u8aa4\u8a3a\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\uff0c\u6bcf\u5e74\u53ef\u7bc0\u7701 995 \u842c\u7f8e\u5143\u2014\u2014\u4e3b\u8981\u6e90\u65bc\u907f\u514d\u56e0 C \u53cd\u61c9\u86cb\u767d (CRP) \u5047\u967d\u6027\u6240\u5f15\u767c\u7684\u4e0d\u5fc5\u8981\u6aa2\u67e5\u3002 \u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u4e26\u975e\u76f8\u540c\u7684\u6aa2\u6e2c \u6279\u8a55\u7d50\u5408\u6aa2\u6e2c\u7684\u4eba\u58eb\u8a8d\u70ba\uff0c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u5c6c\u65bc\u91cd\u8907\u6aa2\u6e2c\u3002 \u7136\u800c\uff0c\u672c\u7814\u7a76\u6b63\u9762\u6311\u6230\u9019\u4e00\u5047\u8a2d\u3002 \u4f5c\u8005\u6307\u51fa\uff1a\u300cC \u53cd\u61c9\u86cb\u767d (CRP) \u8207\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u52d5\u529b\u5b78\u7279\u6027\u5728\u672c\u8cea\u4e0a\u622a\u7136\u4e0d\u540c\u3002\u300d C \u53cd\u61c9\u86cb\u767d (CRP) \u5728\u6025\u6027\u767c\u708e\u5f8c\u6578\u5c0f\u6642\u5167\u8fc5\u901f\u5347\u9ad8\uff0c\u4e26\u65bc\u6578\u65e5\u5167\u6062\u5fa9\u6b63\u5e38\u3002 \u76f8\u6bd4\u4e4b\u4e0b\uff0c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u4e0a\u5347\u8f03\u70ba\u7de9\u6162\uff0c\u901a\u5e38\u9700\u6642 24 \u81f3 48 \u5c0f\u6642\uff0c\u4e14\u7dad\u6301\u5347\u9ad8\u7684\u6642\u9593\u66f4\u9577\u2014\u2014\u9019\u4f7f\u5176\u5728\u6aa2\u6e2c\u6162\u6027\u53ca\u4e9e\u6025\u6027\u767c\u708e\u75be\u75c5\u65b9\u9762\u5c24\u70ba\u91cd\u8981\uff0c\u4f8b\u5982\u98a8\u6fd5\u6027\u591a\u808c\u75db\u3001\u5de8\u7d30\u80de\u52d5\u8108\u708e\u3001\u7d05\u6591\u72fc\u7621\uff0c\u4ee5\u53ca\u67d0\u4e9b\u60e1\u6027\u816b\u7624\u3002 \u9019\u4e9b\u751f\u7269\u5b78\u5dee\u7570\u610f\u5473\u8457\uff0c\u5169\u9805\u6aa2\u6e2c\u6240\u63d0\u4f9b\u7684\u662f\u4e92\u88dc\u800c\u975e\u91cd\u8907\u7684\u81e8\u5e8a\u8cc7\u8a0a\u3002 \u5728\u6b63\u78ba\u89e3\u8b80\u7684\u60c5\u6cc1\u4e0b\uff0c\u540c\u6642\u4f7f\u7528\u5169\u8005\u53ef\u63d0\u5347\u8a3a\u65b7\u6e96\u78ba\u6027\uff0c\u800c\u9019\u662f\u55ae\u4e00\u6aa2\u6e2c\u7121\u6cd5\u9054\u5230\u3002 \u70ba\u4f55\u9019\u9805\u7814\u7a76\u81f3\u95dc\u91cd\u8981 \u9019\u9805\u7814\u7a76\u7d50\u679c\uff0c\u9069\u9022 value-based\uff08\u4ee5\u50f9\u503c\u70ba\u672c\uff09\u91ab\u7642\u6a21\u5f0f\u767c\u5c55\u7684\u95dc\u9375\u6642\u523b\u3002 \u904e\u53bb\u7684\u300cChoosing Wisely\u300d\u5021\u8b70\u66fe\u4fc3\u4f7f\u91ab\u9662\u524a\u6e1b\u88ab\u8996\u70ba\u300c\u91cd\u8907\u300d\u7684\u5be6\u9a57\u5ba4\u6aa2\u6e2c\uff0c\u5176\u4e2d\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7d93\u5e38\u88ab\u5217\u70ba\u524a\u6e1b\u76ee\u6a19\u3002 \u8a72\u5021\u8b70\u59cb\u65bc\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u4ecd\u5c6c\u4eba\u5de5\u64cd\u4f5c\u7684\u6642\u671f\uff08\u800c\u4e0d\u662f\u50cf\u73fe\u4eca\u7684\u5168\u81ea\u52d5\u5316\u6aa2\u6e2c\uff09\u4e14\u5176\u5c0d\u91ab\u7642\u9ad4\u7cfb\u7684\u8ca1\u52d9\u5f71\u97ff\u4ea6\u7f3a\u4e4f\u5145\u5206\u8b49\u64da\u3002 \u73fe\u6642\u5728\u7f8e\u570b\uff0c\u81ea\u52d5\u5316\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u5831\u92b7\u91d1\u984d\u50c5\u70ba\u6bcf\u6b21 2.70 \u7f8e\u5143\u2014\u2014\u751a\u81f3\u4f4e\u65bc\u4e00\u676f\u5496\u5561\u7684\u50f9\u683c\u2014\u2014\u800c\u5168\u81ea\u52d5\u5316\u6aa2\u6e2c\u4ea6\u4e0d\u518d\u70ba\u81e8\u5e8a\u5be6\u9a57\u5ba4\u5e36\u4f86\u4eba\u624b\u8ca0\u64d4\u3002 \u7576\u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u4e00\u4f75\u6aa2\u6e2c\u6642\uff0c\u5176\u65b0\u589e\u6295\u5165\u6210\u672c\u6975\u4f4e\u3002 \u800c\u900f\u904e\u907f\u514d\u8aa4\u8a3a\u53ca\u5176\u8ddf\u9032\u6210\u672c\u6240\u5e36\u4f86\u7684\u56de\u5831\u9060\u9060\u8d85\u904e\u6210\u672c\uff0c\u5169\u8005\u5b8c\u5168\u4e0d\u5728\u540c\u4e00\u500b\u91cf\u7d1a\u3002 \u5be6\u9a57\u5ba4\u6aa2\u6e2c\u6210\u672c\u901a\u5e38\u9060\u4f4e\u65bc\u5831\u92b7\u91d1\u984d\uff0c\u8a00\u9032\u4e00\u6b65\u589e\u5f37\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u6210\u672c\u6548\u76ca\u3002 \u4f5c\u8005\u6307\u51fa\uff1a\u300c\u73fe\u4ee3\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u5206\u6790\u5100\u5feb\u901f\u3001\u81ea\u52d5\u5316\u4e14\u6210\u672c\u4f4e\u5ec9\u3002 \u904e\u53bb\u8a8d\u70ba\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u6703\u70ba\u5be6\u9a57\u5ba4\u8cc7\u6e90\u5e36\u4f86\u8ca0\u64d4\u7684\u8aaa\u6cd5\uff0c\u5df2\u4e0d\u518d\u6210\u7acb\u3002 \u554f\u984c\u5728\u65bc\u5176\u8a3a\u65b7\u50f9\u503c\u662f\u5426\u8db3\u4ee5\u652f\u6301\u76f8\u95dc\u6210\u672c\u2014\u2014\u800c\u5c0d\u65bc\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u7b56\u7565\u800c\u8a00\uff0c\u7b54\u6848\u986f\u7136\u662f\u80af\u5b9a\u3002\u300d \u7814\u7a76\u8a2d\u8a08\u8207\u7bc4\u570d \u8a72\u7814\u7a76\u63a1\u7528\u6c7a\u7b56\u6a39\u7d93\u6fdf\u6a21\u578b\uff0c\u6a21\u64ec 100 \u540d\u60a3\u8005\u7d44\u6210\u7684\u7fa4\u7d44\uff0c\u4e26\u5f9e\u7f8e\u570b\u91ab\u7642\u9ad4\u7cfb\u652f\u4ed8\u65b9\u7684\u89d2\u5ea6\u9032\u884c\u8a55\u4f30\u3002 \u5206\u6790\u6db5\u84cb\u4e86\u516b\u7a2e\u75be\u75c5\uff1a\u985e\u98a8\u6fd5\u95dc\u7bc0\u708e\u3001\u8178\u767c\u708e\u75be\u75c5\u3001\u5047\u9ad4\u5468\u570d\u95dc\u7bc0\u611f\u67d3\u3001\u5de8\u7d30\u80de\u52d5\u8108\u708e\u3001\u80f0\u817a\u708e\u3001\u611f\u67d3\u3001\u81ea\u8eab\u514d\u75ab\u75be\u75c5\u53ca\u764c\u75c7\u3002 \u654f\u611f\u5ea6\u53ca\u7279\u7570\u5ea6\u6578\u64da\u5747\u6458\u81ea\u5df2\u767c\u8868\u7684\u81e8\u5e8a\u6587\u737b\u3002 \u6210\u672c\u6578\u64da\u4f86\u81ea\u7f8e\u570b\u91ab\u7642\u4fdd\u96aa\u8207\u91ab\u7642\u88dc\u52a9\u670d\u52d9\u4e2d\u5fc3 (Centers for Medicare &amp; Medicaid Services) \u7684\u5831\u92b7\u6a19\u6e96\uff08ESR\uff1a2.70 \u7f8e\u5143\uff1bCRP\uff1a5.18 \u7f8e\u5143\uff09\u3002 \u8207\u8aa4\u8a3a\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\u7531\u7f8e\u570b\u81e8\u5e8a\u6307\u5357\u63a8\u7b97\uff0c\u4e26\u7d93\u81e8\u5e8a\u91ab\u751f\u9a57\u8b49\u3002 \u5728\u6539\u8b8a\u6e2c\u8a66\u6210\u672c\u3001\u8ddf\u9032\u8cbb\u7528\u53ca\u8a3a\u65b7\u6e96\u78ba\u5ea6\u7b49\u8b8a\u9805\u7684\u5404\u7a2e\u60c5\u5883\u5206\u6790\u4e0b\uff0c\u7814\u7a76\u7d50\u679c\u7686\u5c55\u73fe\u51fa\u6975\u9ad8\u7684\u7a69\u5065\u6027\u3002 \u91cd\u9ede\u7e3d\u7d50 \u4e8b\u5be6\u8b49\u660e\uff0c\u70ba\u7bc0\u7701\u6210\u672c\u800c\u524a\u6e1b\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u53cd\u800c\u9069\u5f97\u5176\u53cd\u3002 \u7576\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u540c\u6642\u6aa2\u6e2c\u6642\uff0c\u8aa4\u8a3a\u7387\u4e0b\u964d\uff0c\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\u4ea6\u96a8\u4e4b\u964d\u4f4e\u3002 \u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u5177\u5099\u5feb\u901f\u3001\u81ea\u52d5\u5316\u53ca\u4f4e\u6210\u672c\u7684\u512a\u52e2\u3002 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\u7136\u800c\uff0c\u672c\u7814\u7a76\u6b63\u9762\u6311\u6230\u9019\u4e00\u5047\u8a2d\u3002 \u4f5c\u8005\u6307\u51fa\uff1a\u300cC \u53cd\u61c9\u86cb\u767d (CRP) \u8207\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u52d5\u529b\u5b78\u7279\u6027\u5728\u672c\u8cea\u4e0a\u622a\u7136\u4e0d\u540c\u3002\u300d C \u53cd\u61c9\u86cb\u767d (CRP) \u5728\u6025\u6027\u767c\u708e\u5f8c\u6578\u5c0f\u6642\u5167\u8fc5\u901f\u5347\u9ad8\uff0c\u4e26\u65bc\u6578\u65e5\u5167\u6062\u5fa9\u6b63\u5e38\u3002 \u76f8\u6bd4\u4e4b\u4e0b\uff0c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u4e0a\u5347\u8f03\u70ba\u7de9\u6162\uff0c\u901a\u5e38\u9700\u6642 24 \u81f3 48 \u5c0f\u6642\uff0c\u4e14\u7dad\u6301\u5347\u9ad8\u7684\u6642\u9593\u66f4\u9577\u2014\u2014\u9019\u4f7f\u5176\u5728\u6aa2\u6e2c\u6162\u6027\u53ca\u4e9e\u6025\u6027\u767c\u708e\u75be\u75c5\u65b9\u9762\u5c24\u70ba\u91cd\u8981\uff0c\u4f8b\u5982\u98a8\u6fd5\u6027\u591a\u808c\u75db\u3001\u5de8\u7d30\u80de\u52d5\u8108\u708e\u3001\u7d05\u6591\u72fc\u7621\uff0c\u4ee5\u53ca\u67d0\u4e9b\u60e1\u6027\u816b\u7624\u3002 \u9019\u4e9b\u751f\u7269\u5b78\u5dee\u7570\u610f\u5473\u8457\uff0c\u5169\u9805\u6aa2\u6e2c\u6240\u63d0\u4f9b\u7684\u662f\u4e92\u88dc\u800c\u975e\u91cd\u8907\u7684\u81e8\u5e8a\u8cc7\u8a0a\u3002 \u5728\u6b63\u78ba\u89e3\u8b80\u7684\u60c5\u6cc1\u4e0b\uff0c\u540c\u6642\u4f7f\u7528\u5169\u8005\u53ef\u63d0\u5347\u8a3a\u65b7\u6e96\u78ba\u6027\uff0c\u800c\u9019\u662f\u55ae\u4e00\u6aa2\u6e2c\u7121\u6cd5\u9054\u5230\u3002 \u70ba\u4f55\u9019\u9805\u7814\u7a76\u81f3\u95dc\u91cd\u8981 \u9019\u9805\u7814\u7a76\u7d50\u679c\uff0c\u9069\u9022 value-based\uff08\u4ee5\u50f9\u503c\u70ba\u672c\uff09\u91ab\u7642\u6a21\u5f0f\u767c\u5c55\u7684\u95dc\u9375\u6642\u523b\u3002 \u904e\u53bb\u7684\u300cChoosing Wisely\u300d\u5021\u8b70\u66fe\u4fc3\u4f7f\u91ab\u9662\u524a\u6e1b\u88ab\u8996\u70ba\u300c\u91cd\u8907\u300d\u7684\u5be6\u9a57\u5ba4\u6aa2\u6e2c\uff0c\u5176\u4e2d\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7d93\u5e38\u88ab\u5217\u70ba\u524a\u6e1b\u76ee\u6a19\u3002 \u8a72\u5021\u8b70\u59cb\u65bc\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u4ecd\u5c6c\u4eba\u5de5\u64cd\u4f5c\u7684\u6642\u671f\uff08\u800c\u4e0d\u662f\u50cf\u73fe\u4eca\u7684\u5168\u81ea\u52d5\u5316\u6aa2\u6e2c\uff09\u4e14\u5176\u5c0d\u91ab\u7642\u9ad4\u7cfb\u7684\u8ca1\u52d9\u5f71\u97ff\u4ea6\u7f3a\u4e4f\u5145\u5206\u8b49\u64da\u3002 \u73fe\u6642\u5728\u7f8e\u570b\uff0c\u81ea\u52d5\u5316\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u5831\u92b7\u91d1\u984d\u50c5\u70ba\u6bcf\u6b21 2.70 \u7f8e\u5143\u2014\u2014\u751a\u81f3\u4f4e\u65bc\u4e00\u676f\u5496\u5561\u7684\u50f9\u683c\u2014\u2014\u800c\u5168\u81ea\u52d5\u5316\u6aa2\u6e2c\u4ea6\u4e0d\u518d\u70ba\u81e8\u5e8a\u5be6\u9a57\u5ba4\u5e36\u4f86\u4eba\u624b\u8ca0\u64d4\u3002 \u7576\u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u4e00\u4f75\u6aa2\u6e2c\u6642\uff0c\u5176\u65b0\u589e\u6295\u5165\u6210\u672c\u6975\u4f4e\u3002 \u800c\u900f\u904e\u907f\u514d\u8aa4\u8a3a\u53ca\u5176\u8ddf\u9032\u6210\u672c\u6240\u5e36\u4f86\u7684\u56de\u5831\u9060\u9060\u8d85\u904e\u6210\u672c\uff0c\u5169\u8005\u5b8c\u5168\u4e0d\u5728\u540c\u4e00\u500b\u91cf\u7d1a\u3002 \u5be6\u9a57\u5ba4\u6aa2\u6e2c\u6210\u672c\u901a\u5e38\u9060\u4f4e\u65bc\u5831\u92b7\u91d1\u984d\uff0c\u8a00\u9032\u4e00\u6b65\u589e\u5f37\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u6210\u672c\u6548\u76ca\u3002 \u4f5c\u8005\u6307\u51fa\uff1a\u300c\u73fe\u4ee3\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u5206\u6790\u5100\u5feb\u901f\u3001\u81ea\u52d5\u5316\u4e14\u6210\u672c\u4f4e\u5ec9\u3002 \u904e\u53bb\u8a8d\u70ba\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u6703\u70ba\u5be6\u9a57\u5ba4\u8cc7\u6e90\u5e36\u4f86\u8ca0\u64d4\u7684\u8aaa\u6cd5\uff0c\u5df2\u4e0d\u518d\u6210\u7acb\u3002 \u554f\u984c\u5728\u65bc\u5176\u8a3a\u65b7\u50f9\u503c\u662f\u5426\u8db3\u4ee5\u652f\u6301\u76f8\u95dc\u6210\u672c\u2014\u2014\u800c\u5c0d\u65bc\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u7b56\u7565\u800c\u8a00\uff0c\u7b54\u6848\u986f\u7136\u662f\u80af\u5b9a\u3002\u300d \u7814\u7a76\u8a2d\u8a08\u8207\u7bc4\u570d \u8a72\u7814\u7a76\u63a1\u7528\u6c7a\u7b56\u6a39\u7d93\u6fdf\u6a21\u578b\uff0c\u6a21\u64ec 100 \u540d\u60a3\u8005\u7d44\u6210\u7684\u7fa4\u7d44\uff0c\u4e26\u5f9e\u7f8e\u570b\u91ab\u7642\u9ad4\u7cfb\u652f\u4ed8\u65b9\u7684\u89d2\u5ea6\u9032\u884c\u8a55\u4f30\u3002 \u5206\u6790\u6db5\u84cb\u4e86\u516b\u7a2e\u75be\u75c5\uff1a\u985e\u98a8\u6fd5\u95dc\u7bc0\u708e\u3001\u8178\u767c\u708e\u75be\u75c5\u3001\u5047\u9ad4\u5468\u570d\u95dc\u7bc0\u611f\u67d3\u3001\u5de8\u7d30\u80de\u52d5\u8108\u708e\u3001\u80f0\u817a\u708e\u3001\u611f\u67d3\u3001\u81ea\u8eab\u514d\u75ab\u75be\u75c5\u53ca\u764c\u75c7\u3002 \u654f\u611f\u5ea6\u53ca\u7279\u7570\u5ea6\u6578\u64da\u5747\u6458\u81ea\u5df2\u767c\u8868\u7684\u81e8\u5e8a\u6587\u737b\u3002 \u6210\u672c\u6578\u64da\u4f86\u81ea\u7f8e\u570b\u91ab\u7642\u4fdd\u96aa\u8207\u91ab\u7642\u88dc\u52a9\u670d\u52d9\u4e2d\u5fc3 (Centers for Medicare &amp; Medicaid Services) \u7684\u5831\u92b7\u6a19\u6e96\uff08ESR\uff1a2.70 \u7f8e\u5143\uff1bCRP\uff1a5.18 \u7f8e\u5143\uff09\u3002 \u8207\u8aa4\u8a3a\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\u7531\u7f8e\u570b\u81e8\u5e8a\u6307\u5357\u63a8\u7b97\uff0c\u4e26\u7d93\u81e8\u5e8a\u91ab\u751f\u9a57\u8b49\u3002 \u5728\u6539\u8b8a\u6e2c\u8a66\u6210\u672c\u3001\u8ddf\u9032\u8cbb\u7528\u53ca\u8a3a\u65b7\u6e96\u78ba\u5ea6\u7b49\u8b8a\u9805\u7684\u5404\u7a2e\u60c5\u5883\u5206\u6790\u4e0b\uff0c\u7814\u7a76\u7d50\u679c\u7686\u5c55\u73fe\u51fa\u6975\u9ad8\u7684\u7a69\u5065\u6027\u3002 \u91cd\u9ede\u7e3d\u7d50 \u4e8b\u5be6\u8b49\u660e\uff0c\u70ba\u7bc0\u7701\u6210\u672c\u800c\u524a\u6e1b\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u53cd\u800c\u9069\u5f97\u5176\u53cd\u3002 \u7576\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u540c\u6642\u6aa2\u6e2c\u6642\uff0c\u8aa4\u8a3a\u7387\u4e0b\u964d\uff0c\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\u4ea6\u96a8\u4e4b\u964d\u4f4e\u3002 \u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u5177\u5099\u5feb\u901f\u3001\u81ea\u52d5\u5316\u53ca\u4f4e\u6210\u672c\u7684\u512a\u52e2\u3002 \u7576\u5f9e\u6574\u9ad4\u91ab\u7642\u9ad4\u7cfb\u6210\u672c\u9032\u884c\u8a55\u4f30\u6642\uff0c\u4e3b\u5f35\u6dd8\u6c70\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u8ad6\u9ede\u4e26\u4e0d\u6210\u7acb\u3002 \u5982\u679c\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\uff08\u5169\u8005\u5747\u70ba\u5168\u81ea\u52d5\u5316\u4e14\u4f4e\u6210\u672c\u7684\u767c\u708e\u6307\u6a19\uff09\u6709\u52a9\u6e1b\u5c11\u8aa4\u8a3a\uff0c\u70ba\u4f55\u524a\u6e1b\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u58d3\u529b\u4f9d\u7136\u5b58\u5728\uff1f \u5728\u73fe\u5be6\u61c9\u7528\u4e2d\uff0c\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u7684\u5be6\u969b\u6210\u6548\uff0c\u53d6\u6c7a\u65bc\u6a5f\u69cb\u3001\u75be\u75c5\u985e\u578b\u3001\u60a3\u8005\u7fa4\u9ad4\u3001\u75be\u75c5\u76db\u884c\u7387\u7b49\u591a\u9805\u56e0\u7d20\u3002 \u7136\u800c\uff0c\u4fdd\u7559\u4e00\u9805\u7d93\u904e\u9577\u671f\u9a57\u8b49\u3001\u5177\u81e8\u5e8a\u50f9\u503c\u4e14\u6bcf\u6b21\u50c5\u9700\u652f\u4ed8 2.70 \u7f8e\u5143\u7684\u6aa2\u6e2c\uff0c\u4ee5\u5354\u52a9\u907f\u514d\u4e0d\u5fc5\u8981\u7684\u8ddf\u9032\u6aa2\u67e5\uff0c\u7121\u7591\u662f\u5408\u7406\u4e4b\u8209\u3002 \u95dc\u65bc\u672c\u7814\u7a76 \u5f15\u7528\uff1aYarnoff B, Morris W, Zivaripiran H, McCutcheon M, Koshy T. \"Economic Evaluation of Combined Testing Strategies Using Erythrocyte Sedimentation Rate and C-Reactive Protein Tests.\"\uff08\u7d50\u5408\u7d05\u8840\u7403\u6c89\u964d\u7387\u8207 C \u53cd\u61c9\u86cb\u767d\u6aa2\u6e2c\u7b56\u7565\u7684\u7d93\u6fdf\u8a55\u4f30\uff09 ClinicoEconomics and Outcomes Research\uff08\u81e8\u5e8a\u7d93\u6fdf\u8207\u6210\u679c\u7814\u7a76\uff09\u3002 2026;18:578961. DOI: 10.2147\/CEOR.S578961 \u8cc7\u52a9\uff1a\u672c\u7814\u7a76\u7531 ALCOR Scientific LLC \u8d0a\u52a9\u3002 \u5a92\u9ad4\u806f\u7d61\u4eba\uff1aLexa Sullivan\uff0cALCOR Scientific\u96fb\u90f5\uff1alsullivan@alcorscientific.com\u5b8c\u6574\u7814\u7a76\u53ef\u65bc\u4ee5\u4e0b\u9023\u7d50\u514d\u8cbb\u67e5\u95b1\uff1ahttps:\/\/doi.org\/10.2147\/CEOR\u3002S578961","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=420721","og_locale":"zh_TW","og_type":"article","og_title":"\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u6216\u53ef\u6bcf\u5e74\u70ba\u91ab\u9662\u7bc0\u7701\u6578\u767e\u842c\u6210\u672c-\u65b0\u7814\u7a76\u6311\u6230\u5169\u8005\u53ef\u4e92\u76f8\u66ff\u4ee3\u7684\u89c0\u5ff5 - \u5c4f\u6771\u6642\u5831\u96fb\u5b50\u5831","og_description":"\u7d93\u540c\u884c\u8a55\u5be9\u7684\u7d93\u6fdf\u5206\u6790\u986f\u793a\uff0c\u76f8\u8f03\u55ae\u7368\u6aa2\u6e2c C \u53cd\u61c9\u86cb\u767d (CRP)\uff0c\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u7b56\u7565\u53ef\u6e1b\u5c11\u8aa4\u8a3a\uff0c\u4e26\u5e36\u4f86\u6de8\u6210\u672c\u7bc0\u7701 \u7f85\u5fb7\u5cf6\u5dde\u53f2\u5bc6\u65af\u83f2\u723e\u5fb72026\u5e743\u670825\u65e5 \/\u7f8e\u901a\u793e\/ --      \u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u5177\u6709\u4e92\u88dc\u4f5c\u7528  \u50f9\u503c 995 \u842c\u7f8e\u5143\u7684\u95dc\u9375\u554f\u984c\uff1a\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u662f\u5426\u503c\u5f97\u4fdd\u7559\uff1f \u4e00\u9805\u7531 ALCOR Scientific \u8d0a\u52a9\u3001\u5df2\u767c\u8868\u65bc ClinicoEconomics and Outcomes Research \u7684\u7d93\u540c\u884c\u8a55\u5be9\u7814\u7a76\uff0c\u5f9e\u7d93\u6fdf\u89d2\u5ea6\u6709\u529b\u6307\u51fa\uff0c\u5728\u7ba1\u7406\u767c\u708e\u75be\u75c5\u60a3\u8005\u6642\uff0c\u61c9\u540c\u6642\u4fdd\u7559\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u2014\u2014\u6b64\u7d50\u8ad6\u76f4\u63a5\u6311\u6230\u4ee5\u7bc0\u7701\u6210\u672c\u70ba\u7531\u4e3b\u5f35\u6dd8\u6c70\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u89c0\u9ede\u3002\u00a0 \u7814\u7a76\u767c\u73fe\uff0c\u76f8\u8f03\u55ae\u7368\u6aa2\u6e2c C \u53cd\u61c9\u86cb\u767d (CRP) \uff0c\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u53ef\u6e1b\u5c11\u8aa4\u8a3a\u4e26\u5e36\u4f86\u53ef\u89c0\u7684\u6de8\u6210\u672c\u7bc0\u7701\u3002 \u4ee5\u7f8e\u570b\u4e00\u5bb6\u64c1\u6709 739 \u5f35\u75c5\u5e8a\u7684\u5178\u578b\u5b78\u8853\u91ab\u5b78\u4e2d\u5fc3\u70ba\u4f8b\uff0c\u8a72\u5206\u6790\u9810\u6e2c\uff0c\u900f\u904e\u6e1b\u5c11\u8207\u8aa4\u8a3a\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\uff0c\u6bcf\u5e74\u53ef\u7bc0\u7701 995 \u842c\u7f8e\u5143\u2014\u2014\u4e3b\u8981\u6e90\u65bc\u907f\u514d\u56e0 C \u53cd\u61c9\u86cb\u767d (CRP) \u5047\u967d\u6027\u6240\u5f15\u767c\u7684\u4e0d\u5fc5\u8981\u6aa2\u67e5\u3002 \u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u4e26\u975e\u76f8\u540c\u7684\u6aa2\u6e2c \u6279\u8a55\u7d50\u5408\u6aa2\u6e2c\u7684\u4eba\u58eb\u8a8d\u70ba\uff0c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u5c6c\u65bc\u91cd\u8907\u6aa2\u6e2c\u3002 \u7136\u800c\uff0c\u672c\u7814\u7a76\u6b63\u9762\u6311\u6230\u9019\u4e00\u5047\u8a2d\u3002 \u4f5c\u8005\u6307\u51fa\uff1a\u300cC \u53cd\u61c9\u86cb\u767d (CRP) \u8207\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u52d5\u529b\u5b78\u7279\u6027\u5728\u672c\u8cea\u4e0a\u622a\u7136\u4e0d\u540c\u3002\u300d C \u53cd\u61c9\u86cb\u767d (CRP) \u5728\u6025\u6027\u767c\u708e\u5f8c\u6578\u5c0f\u6642\u5167\u8fc5\u901f\u5347\u9ad8\uff0c\u4e26\u65bc\u6578\u65e5\u5167\u6062\u5fa9\u6b63\u5e38\u3002 \u76f8\u6bd4\u4e4b\u4e0b\uff0c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u4e0a\u5347\u8f03\u70ba\u7de9\u6162\uff0c\u901a\u5e38\u9700\u6642 24 \u81f3 48 \u5c0f\u6642\uff0c\u4e14\u7dad\u6301\u5347\u9ad8\u7684\u6642\u9593\u66f4\u9577\u2014\u2014\u9019\u4f7f\u5176\u5728\u6aa2\u6e2c\u6162\u6027\u53ca\u4e9e\u6025\u6027\u767c\u708e\u75be\u75c5\u65b9\u9762\u5c24\u70ba\u91cd\u8981\uff0c\u4f8b\u5982\u98a8\u6fd5\u6027\u591a\u808c\u75db\u3001\u5de8\u7d30\u80de\u52d5\u8108\u708e\u3001\u7d05\u6591\u72fc\u7621\uff0c\u4ee5\u53ca\u67d0\u4e9b\u60e1\u6027\u816b\u7624\u3002 \u9019\u4e9b\u751f\u7269\u5b78\u5dee\u7570\u610f\u5473\u8457\uff0c\u5169\u9805\u6aa2\u6e2c\u6240\u63d0\u4f9b\u7684\u662f\u4e92\u88dc\u800c\u975e\u91cd\u8907\u7684\u81e8\u5e8a\u8cc7\u8a0a\u3002 \u5728\u6b63\u78ba\u89e3\u8b80\u7684\u60c5\u6cc1\u4e0b\uff0c\u540c\u6642\u4f7f\u7528\u5169\u8005\u53ef\u63d0\u5347\u8a3a\u65b7\u6e96\u78ba\u6027\uff0c\u800c\u9019\u662f\u55ae\u4e00\u6aa2\u6e2c\u7121\u6cd5\u9054\u5230\u3002 \u70ba\u4f55\u9019\u9805\u7814\u7a76\u81f3\u95dc\u91cd\u8981 \u9019\u9805\u7814\u7a76\u7d50\u679c\uff0c\u9069\u9022 value-based\uff08\u4ee5\u50f9\u503c\u70ba\u672c\uff09\u91ab\u7642\u6a21\u5f0f\u767c\u5c55\u7684\u95dc\u9375\u6642\u523b\u3002 \u904e\u53bb\u7684\u300cChoosing Wisely\u300d\u5021\u8b70\u66fe\u4fc3\u4f7f\u91ab\u9662\u524a\u6e1b\u88ab\u8996\u70ba\u300c\u91cd\u8907\u300d\u7684\u5be6\u9a57\u5ba4\u6aa2\u6e2c\uff0c\u5176\u4e2d\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7d93\u5e38\u88ab\u5217\u70ba\u524a\u6e1b\u76ee\u6a19\u3002 \u8a72\u5021\u8b70\u59cb\u65bc\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u4ecd\u5c6c\u4eba\u5de5\u64cd\u4f5c\u7684\u6642\u671f\uff08\u800c\u4e0d\u662f\u50cf\u73fe\u4eca\u7684\u5168\u81ea\u52d5\u5316\u6aa2\u6e2c\uff09\u4e14\u5176\u5c0d\u91ab\u7642\u9ad4\u7cfb\u7684\u8ca1\u52d9\u5f71\u97ff\u4ea6\u7f3a\u4e4f\u5145\u5206\u8b49\u64da\u3002 \u73fe\u6642\u5728\u7f8e\u570b\uff0c\u81ea\u52d5\u5316\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u5831\u92b7\u91d1\u984d\u50c5\u70ba\u6bcf\u6b21 2.70 \u7f8e\u5143\u2014\u2014\u751a\u81f3\u4f4e\u65bc\u4e00\u676f\u5496\u5561\u7684\u50f9\u683c\u2014\u2014\u800c\u5168\u81ea\u52d5\u5316\u6aa2\u6e2c\u4ea6\u4e0d\u518d\u70ba\u81e8\u5e8a\u5be6\u9a57\u5ba4\u5e36\u4f86\u4eba\u624b\u8ca0\u64d4\u3002 \u7576\u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u4e00\u4f75\u6aa2\u6e2c\u6642\uff0c\u5176\u65b0\u589e\u6295\u5165\u6210\u672c\u6975\u4f4e\u3002 \u800c\u900f\u904e\u907f\u514d\u8aa4\u8a3a\u53ca\u5176\u8ddf\u9032\u6210\u672c\u6240\u5e36\u4f86\u7684\u56de\u5831\u9060\u9060\u8d85\u904e\u6210\u672c\uff0c\u5169\u8005\u5b8c\u5168\u4e0d\u5728\u540c\u4e00\u500b\u91cf\u7d1a\u3002 \u5be6\u9a57\u5ba4\u6aa2\u6e2c\u6210\u672c\u901a\u5e38\u9060\u4f4e\u65bc\u5831\u92b7\u91d1\u984d\uff0c\u8a00\u9032\u4e00\u6b65\u589e\u5f37\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u6210\u672c\u6548\u76ca\u3002 \u4f5c\u8005\u6307\u51fa\uff1a\u300c\u73fe\u4ee3\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u5206\u6790\u5100\u5feb\u901f\u3001\u81ea\u52d5\u5316\u4e14\u6210\u672c\u4f4e\u5ec9\u3002 \u904e\u53bb\u8a8d\u70ba\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u6703\u70ba\u5be6\u9a57\u5ba4\u8cc7\u6e90\u5e36\u4f86\u8ca0\u64d4\u7684\u8aaa\u6cd5\uff0c\u5df2\u4e0d\u518d\u6210\u7acb\u3002 \u554f\u984c\u5728\u65bc\u5176\u8a3a\u65b7\u50f9\u503c\u662f\u5426\u8db3\u4ee5\u652f\u6301\u76f8\u95dc\u6210\u672c\u2014\u2014\u800c\u5c0d\u65bc\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u7b56\u7565\u800c\u8a00\uff0c\u7b54\u6848\u986f\u7136\u662f\u80af\u5b9a\u3002\u300d \u7814\u7a76\u8a2d\u8a08\u8207\u7bc4\u570d \u8a72\u7814\u7a76\u63a1\u7528\u6c7a\u7b56\u6a39\u7d93\u6fdf\u6a21\u578b\uff0c\u6a21\u64ec 100 \u540d\u60a3\u8005\u7d44\u6210\u7684\u7fa4\u7d44\uff0c\u4e26\u5f9e\u7f8e\u570b\u91ab\u7642\u9ad4\u7cfb\u652f\u4ed8\u65b9\u7684\u89d2\u5ea6\u9032\u884c\u8a55\u4f30\u3002 \u5206\u6790\u6db5\u84cb\u4e86\u516b\u7a2e\u75be\u75c5\uff1a\u985e\u98a8\u6fd5\u95dc\u7bc0\u708e\u3001\u8178\u767c\u708e\u75be\u75c5\u3001\u5047\u9ad4\u5468\u570d\u95dc\u7bc0\u611f\u67d3\u3001\u5de8\u7d30\u80de\u52d5\u8108\u708e\u3001\u80f0\u817a\u708e\u3001\u611f\u67d3\u3001\u81ea\u8eab\u514d\u75ab\u75be\u75c5\u53ca\u764c\u75c7\u3002 \u654f\u611f\u5ea6\u53ca\u7279\u7570\u5ea6\u6578\u64da\u5747\u6458\u81ea\u5df2\u767c\u8868\u7684\u81e8\u5e8a\u6587\u737b\u3002 \u6210\u672c\u6578\u64da\u4f86\u81ea\u7f8e\u570b\u91ab\u7642\u4fdd\u96aa\u8207\u91ab\u7642\u88dc\u52a9\u670d\u52d9\u4e2d\u5fc3 (Centers for Medicare &amp; Medicaid Services) \u7684\u5831\u92b7\u6a19\u6e96\uff08ESR\uff1a2.70 \u7f8e\u5143\uff1bCRP\uff1a5.18 \u7f8e\u5143\uff09\u3002 \u8207\u8aa4\u8a3a\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\u7531\u7f8e\u570b\u81e8\u5e8a\u6307\u5357\u63a8\u7b97\uff0c\u4e26\u7d93\u81e8\u5e8a\u91ab\u751f\u9a57\u8b49\u3002 \u5728\u6539\u8b8a\u6e2c\u8a66\u6210\u672c\u3001\u8ddf\u9032\u8cbb\u7528\u53ca\u8a3a\u65b7\u6e96\u78ba\u5ea6\u7b49\u8b8a\u9805\u7684\u5404\u7a2e\u60c5\u5883\u5206\u6790\u4e0b\uff0c\u7814\u7a76\u7d50\u679c\u7686\u5c55\u73fe\u51fa\u6975\u9ad8\u7684\u7a69\u5065\u6027\u3002 \u91cd\u9ede\u7e3d\u7d50 \u4e8b\u5be6\u8b49\u660e\uff0c\u70ba\u7bc0\u7701\u6210\u672c\u800c\u524a\u6e1b\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u53cd\u800c\u9069\u5f97\u5176\u53cd\u3002 \u7576\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u540c\u6642\u6aa2\u6e2c\u6642\uff0c\u8aa4\u8a3a\u7387\u4e0b\u964d\uff0c\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\u4ea6\u96a8\u4e4b\u964d\u4f4e\u3002 \u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u5177\u5099\u5feb\u901f\u3001\u81ea\u52d5\u5316\u53ca\u4f4e\u6210\u672c\u7684\u512a\u52e2\u3002 \u7576\u5f9e\u6574\u9ad4\u91ab\u7642\u9ad4\u7cfb\u6210\u672c\u9032\u884c\u8a55\u4f30\u6642\uff0c\u4e3b\u5f35\u6dd8\u6c70\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u8ad6\u9ede\u4e26\u4e0d\u6210\u7acb\u3002 \u5982\u679c\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\uff08\u5169\u8005\u5747\u70ba\u5168\u81ea\u52d5\u5316\u4e14\u4f4e\u6210\u672c\u7684\u767c\u708e\u6307\u6a19\uff09\u6709\u52a9\u6e1b\u5c11\u8aa4\u8a3a\uff0c\u70ba\u4f55\u524a\u6e1b\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u58d3\u529b\u4f9d\u7136\u5b58\u5728\uff1f \u5728\u73fe\u5be6\u61c9\u7528\u4e2d\uff0c\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u7684\u5be6\u969b\u6210\u6548\uff0c\u53d6\u6c7a\u65bc\u6a5f\u69cb\u3001\u75be\u75c5\u985e\u578b\u3001\u60a3\u8005\u7fa4\u9ad4\u3001\u75be\u75c5\u76db\u884c\u7387\u7b49\u591a\u9805\u56e0\u7d20\u3002 \u7136\u800c\uff0c\u4fdd\u7559\u4e00\u9805\u7d93\u904e\u9577\u671f\u9a57\u8b49\u3001\u5177\u81e8\u5e8a\u50f9\u503c\u4e14\u6bcf\u6b21\u50c5\u9700\u652f\u4ed8 2.70 \u7f8e\u5143\u7684\u6aa2\u6e2c\uff0c\u4ee5\u5354\u52a9\u907f\u514d\u4e0d\u5fc5\u8981\u7684\u8ddf\u9032\u6aa2\u67e5\uff0c\u7121\u7591\u662f\u5408\u7406\u4e4b\u8209\u3002 \u95dc\u65bc\u672c\u7814\u7a76 \u5f15\u7528\uff1aYarnoff B, Morris W, Zivaripiran H, McCutcheon M, Koshy T. \"Economic Evaluation of Combined Testing Strategies Using Erythrocyte Sedimentation Rate and C-Reactive Protein Tests.\"\uff08\u7d50\u5408\u7d05\u8840\u7403\u6c89\u964d\u7387\u8207 C \u53cd\u61c9\u86cb\u767d\u6aa2\u6e2c\u7b56\u7565\u7684\u7d93\u6fdf\u8a55\u4f30\uff09 ClinicoEconomics and Outcomes Research\uff08\u81e8\u5e8a\u7d93\u6fdf\u8207\u6210\u679c\u7814\u7a76\uff09\u3002 2026;18:578961. DOI: 10.2147\/CEOR.S578961 \u8cc7\u52a9\uff1a\u672c\u7814\u7a76\u7531 ALCOR Scientific LLC \u8d0a\u52a9\u3002 \u5a92\u9ad4\u806f\u7d61\u4eba\uff1aLexa Sullivan\uff0cALCOR Scientific\u96fb\u90f5\uff1alsullivan@alcorscientific.com\u5b8c\u6574\u7814\u7a76\u53ef\u65bc\u4ee5\u4e0b\u9023\u7d50\u514d\u8cbb\u67e5\u95b1\uff1ahttps:\/\/doi.org\/10.2147\/CEOR\u3002S578961","og_url":"https:\/\/pingtungtimes.com.tw\/?p=420721","og_site_name":"\u5c4f\u6771\u6642\u5831\u96fb\u5b50\u5831","article_publisher":"https:\/\/www.facebook.com\/pingtungnews","article_published_time":"2026-03-24T17:11:00+00:00","og_image":[{"width":3000,"height":1990,"url":"https:\/\/pingtungtimes.com.tw\/wp-content\/uploads\/2023\/02\/logo-150.png","type":"image\/jpeg"}],"author":"\u7f8e\u901a\u793e","twitter_card":"summary_large_image","twitter_misc":{"\u4f5c\u8005:":"\u7f8e\u901a\u793e","\u9810\u4f30\u95b1\u8b80\u6642\u9593":"1 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\u6aa2\u6e2c\u6216\u53ef\u6bcf\u5e74\u70ba\u91ab\u9662\u7bc0\u7701\u6578\u767e\u842c\u6210\u672c&#8212;-\u65b0\u7814\u7a76\u6311\u6230\u5169\u8005\u53ef\u4e92\u76f8\u66ff\u4ee3\u7684\u89c0\u5ff5","datePublished":"2026-03-24T17:11:00+00:00","mainEntityOfPage":{"@id":"https:\/\/pingtungtimes.com.tw\/?p=420721"},"wordCount":125,"publisher":{"@id":"https:\/\/pingtungtimes.com.tw\/#organization"},"image":{"@id":"https:\/\/pingtungtimes.com.tw\/?p=420721#primaryimage"},"thumbnailUrl":"https:\/\/pingtungtimes.com.tw\/wp-content\/uploads\/2026\/03\/ESR_and_CRP_complementary.jpg","articleSection":["\u7f8e\u901a\u793e"],"inLanguage":"zh-TW"},{"@type":"WebPage","@id":"https:\/\/pingtungtimes.com.tw\/?p=420721","url":"https:\/\/pingtungtimes.com.tw\/?p=420721","name":"\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u6216\u53ef\u6bcf\u5e74\u70ba\u91ab\u9662\u7bc0\u7701\u6578\u767e\u842c\u6210\u672c-\u65b0\u7814\u7a76\u6311\u6230\u5169\u8005\u53ef\u4e92\u76f8\u66ff\u4ee3\u7684\u89c0\u5ff5 - \u5c4f\u6771\u6642\u5831\u96fb\u5b50\u5831","isPartOf":{"@id":"https:\/\/pingtungtimes.com.tw\/#website"},"primaryImageOfPage":{"@id":"https:\/\/pingtungtimes.com.tw\/?p=420721#primaryimage"},"image":{"@id":"https:\/\/pingtungtimes.com.tw\/?p=420721#primaryimage"},"thumbnailUrl":"https:\/\/pingtungtimes.com.tw\/wp-content\/uploads\/2026\/03\/ESR_and_CRP_complementary.jpg","datePublished":"2026-03-24T17:11:00+00:00","description":"\u7d93\u540c\u884c\u8a55\u5be9\u7684\u7d93\u6fdf\u5206\u6790\u986f\u793a\uff0c\u76f8\u8f03\u55ae\u7368\u6aa2\u6e2c C \u53cd\u61c9\u86cb\u767d (CRP)\uff0c\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u7b56\u7565\u53ef\u6e1b\u5c11\u8aa4\u8a3a\uff0c\u4e26\u5e36\u4f86\u6de8\u6210\u672c\u7bc0\u7701 \u7f85\u5fb7\u5cf6\u5dde\u53f2\u5bc6\u65af\u83f2\u723e\u5fb72026\u5e743\u670825\u65e5 \/\u7f8e\u901a\u793e\/ -- \u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u5177\u6709\u4e92\u88dc\u4f5c\u7528 \u50f9\u503c 995 \u842c\u7f8e\u5143\u7684\u95dc\u9375\u554f\u984c\uff1a\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u662f\u5426\u503c\u5f97\u4fdd\u7559\uff1f \u4e00\u9805\u7531 ALCOR Scientific \u8d0a\u52a9\u3001\u5df2\u767c\u8868\u65bc ClinicoEconomics and Outcomes Research \u7684\u7d93\u540c\u884c\u8a55\u5be9\u7814\u7a76\uff0c\u5f9e\u7d93\u6fdf\u89d2\u5ea6\u6709\u529b\u6307\u51fa\uff0c\u5728\u7ba1\u7406\u767c\u708e\u75be\u75c5\u60a3\u8005\u6642\uff0c\u61c9\u540c\u6642\u4fdd\u7559\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u2014\u2014\u6b64\u7d50\u8ad6\u76f4\u63a5\u6311\u6230\u4ee5\u7bc0\u7701\u6210\u672c\u70ba\u7531\u4e3b\u5f35\u6dd8\u6c70\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u89c0\u9ede\u3002\u00a0 \u7814\u7a76\u767c\u73fe\uff0c\u76f8\u8f03\u55ae\u7368\u6aa2\u6e2c C \u53cd\u61c9\u86cb\u767d (CRP) \uff0c\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u53ef\u6e1b\u5c11\u8aa4\u8a3a\u4e26\u5e36\u4f86\u53ef\u89c0\u7684\u6de8\u6210\u672c\u7bc0\u7701\u3002 \u4ee5\u7f8e\u570b\u4e00\u5bb6\u64c1\u6709 739 \u5f35\u75c5\u5e8a\u7684\u5178\u578b\u5b78\u8853\u91ab\u5b78\u4e2d\u5fc3\u70ba\u4f8b\uff0c\u8a72\u5206\u6790\u9810\u6e2c\uff0c\u900f\u904e\u6e1b\u5c11\u8207\u8aa4\u8a3a\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\uff0c\u6bcf\u5e74\u53ef\u7bc0\u7701 995 \u842c\u7f8e\u5143\u2014\u2014\u4e3b\u8981\u6e90\u65bc\u907f\u514d\u56e0 C \u53cd\u61c9\u86cb\u767d (CRP) \u5047\u967d\u6027\u6240\u5f15\u767c\u7684\u4e0d\u5fc5\u8981\u6aa2\u67e5\u3002 \u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u4e26\u975e\u76f8\u540c\u7684\u6aa2\u6e2c \u6279\u8a55\u7d50\u5408\u6aa2\u6e2c\u7684\u4eba\u58eb\u8a8d\u70ba\uff0c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u5c6c\u65bc\u91cd\u8907\u6aa2\u6e2c\u3002 \u7136\u800c\uff0c\u672c\u7814\u7a76\u6b63\u9762\u6311\u6230\u9019\u4e00\u5047\u8a2d\u3002 \u4f5c\u8005\u6307\u51fa\uff1a\u300cC \u53cd\u61c9\u86cb\u767d (CRP) \u8207\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u52d5\u529b\u5b78\u7279\u6027\u5728\u672c\u8cea\u4e0a\u622a\u7136\u4e0d\u540c\u3002\u300d C \u53cd\u61c9\u86cb\u767d (CRP) \u5728\u6025\u6027\u767c\u708e\u5f8c\u6578\u5c0f\u6642\u5167\u8fc5\u901f\u5347\u9ad8\uff0c\u4e26\u65bc\u6578\u65e5\u5167\u6062\u5fa9\u6b63\u5e38\u3002 \u76f8\u6bd4\u4e4b\u4e0b\uff0c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u4e0a\u5347\u8f03\u70ba\u7de9\u6162\uff0c\u901a\u5e38\u9700\u6642 24 \u81f3 48 \u5c0f\u6642\uff0c\u4e14\u7dad\u6301\u5347\u9ad8\u7684\u6642\u9593\u66f4\u9577\u2014\u2014\u9019\u4f7f\u5176\u5728\u6aa2\u6e2c\u6162\u6027\u53ca\u4e9e\u6025\u6027\u767c\u708e\u75be\u75c5\u65b9\u9762\u5c24\u70ba\u91cd\u8981\uff0c\u4f8b\u5982\u98a8\u6fd5\u6027\u591a\u808c\u75db\u3001\u5de8\u7d30\u80de\u52d5\u8108\u708e\u3001\u7d05\u6591\u72fc\u7621\uff0c\u4ee5\u53ca\u67d0\u4e9b\u60e1\u6027\u816b\u7624\u3002 \u9019\u4e9b\u751f\u7269\u5b78\u5dee\u7570\u610f\u5473\u8457\uff0c\u5169\u9805\u6aa2\u6e2c\u6240\u63d0\u4f9b\u7684\u662f\u4e92\u88dc\u800c\u975e\u91cd\u8907\u7684\u81e8\u5e8a\u8cc7\u8a0a\u3002 \u5728\u6b63\u78ba\u89e3\u8b80\u7684\u60c5\u6cc1\u4e0b\uff0c\u540c\u6642\u4f7f\u7528\u5169\u8005\u53ef\u63d0\u5347\u8a3a\u65b7\u6e96\u78ba\u6027\uff0c\u800c\u9019\u662f\u55ae\u4e00\u6aa2\u6e2c\u7121\u6cd5\u9054\u5230\u3002 \u70ba\u4f55\u9019\u9805\u7814\u7a76\u81f3\u95dc\u91cd\u8981 \u9019\u9805\u7814\u7a76\u7d50\u679c\uff0c\u9069\u9022 value-based\uff08\u4ee5\u50f9\u503c\u70ba\u672c\uff09\u91ab\u7642\u6a21\u5f0f\u767c\u5c55\u7684\u95dc\u9375\u6642\u523b\u3002 \u904e\u53bb\u7684\u300cChoosing Wisely\u300d\u5021\u8b70\u66fe\u4fc3\u4f7f\u91ab\u9662\u524a\u6e1b\u88ab\u8996\u70ba\u300c\u91cd\u8907\u300d\u7684\u5be6\u9a57\u5ba4\u6aa2\u6e2c\uff0c\u5176\u4e2d\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7d93\u5e38\u88ab\u5217\u70ba\u524a\u6e1b\u76ee\u6a19\u3002 \u8a72\u5021\u8b70\u59cb\u65bc\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u4ecd\u5c6c\u4eba\u5de5\u64cd\u4f5c\u7684\u6642\u671f\uff08\u800c\u4e0d\u662f\u50cf\u73fe\u4eca\u7684\u5168\u81ea\u52d5\u5316\u6aa2\u6e2c\uff09\u4e14\u5176\u5c0d\u91ab\u7642\u9ad4\u7cfb\u7684\u8ca1\u52d9\u5f71\u97ff\u4ea6\u7f3a\u4e4f\u5145\u5206\u8b49\u64da\u3002 \u73fe\u6642\u5728\u7f8e\u570b\uff0c\u81ea\u52d5\u5316\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u5831\u92b7\u91d1\u984d\u50c5\u70ba\u6bcf\u6b21 2.70 \u7f8e\u5143\u2014\u2014\u751a\u81f3\u4f4e\u65bc\u4e00\u676f\u5496\u5561\u7684\u50f9\u683c\u2014\u2014\u800c\u5168\u81ea\u52d5\u5316\u6aa2\u6e2c\u4ea6\u4e0d\u518d\u70ba\u81e8\u5e8a\u5be6\u9a57\u5ba4\u5e36\u4f86\u4eba\u624b\u8ca0\u64d4\u3002 \u7576\u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u4e00\u4f75\u6aa2\u6e2c\u6642\uff0c\u5176\u65b0\u589e\u6295\u5165\u6210\u672c\u6975\u4f4e\u3002 \u800c\u900f\u904e\u907f\u514d\u8aa4\u8a3a\u53ca\u5176\u8ddf\u9032\u6210\u672c\u6240\u5e36\u4f86\u7684\u56de\u5831\u9060\u9060\u8d85\u904e\u6210\u672c\uff0c\u5169\u8005\u5b8c\u5168\u4e0d\u5728\u540c\u4e00\u500b\u91cf\u7d1a\u3002 \u5be6\u9a57\u5ba4\u6aa2\u6e2c\u6210\u672c\u901a\u5e38\u9060\u4f4e\u65bc\u5831\u92b7\u91d1\u984d\uff0c\u8a00\u9032\u4e00\u6b65\u589e\u5f37\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u7684\u6210\u672c\u6548\u76ca\u3002 \u4f5c\u8005\u6307\u51fa\uff1a\u300c\u73fe\u4ee3\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u5206\u6790\u5100\u5feb\u901f\u3001\u81ea\u52d5\u5316\u4e14\u6210\u672c\u4f4e\u5ec9\u3002 \u904e\u53bb\u8a8d\u70ba\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u6703\u70ba\u5be6\u9a57\u5ba4\u8cc7\u6e90\u5e36\u4f86\u8ca0\u64d4\u7684\u8aaa\u6cd5\uff0c\u5df2\u4e0d\u518d\u6210\u7acb\u3002 \u554f\u984c\u5728\u65bc\u5176\u8a3a\u65b7\u50f9\u503c\u662f\u5426\u8db3\u4ee5\u652f\u6301\u76f8\u95dc\u6210\u672c\u2014\u2014\u800c\u5c0d\u65bc\u5c07\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u7d50\u5408\u4f7f\u7528\u7684\u6aa2\u6e2c\u7b56\u7565\u800c\u8a00\uff0c\u7b54\u6848\u986f\u7136\u662f\u80af\u5b9a\u3002\u300d \u7814\u7a76\u8a2d\u8a08\u8207\u7bc4\u570d \u8a72\u7814\u7a76\u63a1\u7528\u6c7a\u7b56\u6a39\u7d93\u6fdf\u6a21\u578b\uff0c\u6a21\u64ec 100 \u540d\u60a3\u8005\u7d44\u6210\u7684\u7fa4\u7d44\uff0c\u4e26\u5f9e\u7f8e\u570b\u91ab\u7642\u9ad4\u7cfb\u652f\u4ed8\u65b9\u7684\u89d2\u5ea6\u9032\u884c\u8a55\u4f30\u3002 \u5206\u6790\u6db5\u84cb\u4e86\u516b\u7a2e\u75be\u75c5\uff1a\u985e\u98a8\u6fd5\u95dc\u7bc0\u708e\u3001\u8178\u767c\u708e\u75be\u75c5\u3001\u5047\u9ad4\u5468\u570d\u95dc\u7bc0\u611f\u67d3\u3001\u5de8\u7d30\u80de\u52d5\u8108\u708e\u3001\u80f0\u817a\u708e\u3001\u611f\u67d3\u3001\u81ea\u8eab\u514d\u75ab\u75be\u75c5\u53ca\u764c\u75c7\u3002 \u654f\u611f\u5ea6\u53ca\u7279\u7570\u5ea6\u6578\u64da\u5747\u6458\u81ea\u5df2\u767c\u8868\u7684\u81e8\u5e8a\u6587\u737b\u3002 \u6210\u672c\u6578\u64da\u4f86\u81ea\u7f8e\u570b\u91ab\u7642\u4fdd\u96aa\u8207\u91ab\u7642\u88dc\u52a9\u670d\u52d9\u4e2d\u5fc3 (Centers for Medicare &amp; Medicaid Services) \u7684\u5831\u92b7\u6a19\u6e96\uff08ESR\uff1a2.70 \u7f8e\u5143\uff1bCRP\uff1a5.18 \u7f8e\u5143\uff09\u3002 \u8207\u8aa4\u8a3a\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\u7531\u7f8e\u570b\u81e8\u5e8a\u6307\u5357\u63a8\u7b97\uff0c\u4e26\u7d93\u81e8\u5e8a\u91ab\u751f\u9a57\u8b49\u3002 \u5728\u6539\u8b8a\u6e2c\u8a66\u6210\u672c\u3001\u8ddf\u9032\u8cbb\u7528\u53ca\u8a3a\u65b7\u6e96\u78ba\u5ea6\u7b49\u8b8a\u9805\u7684\u5404\u7a2e\u60c5\u5883\u5206\u6790\u4e0b\uff0c\u7814\u7a76\u7d50\u679c\u7686\u5c55\u73fe\u51fa\u6975\u9ad8\u7684\u7a69\u5065\u6027\u3002 \u91cd\u9ede\u7e3d\u7d50 \u4e8b\u5be6\u8b49\u660e\uff0c\u70ba\u7bc0\u7701\u6210\u672c\u800c\u524a\u6e1b\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u53cd\u800c\u9069\u5f97\u5176\u53cd\u3002 \u7576\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u540c\u6642\u6aa2\u6e2c\u6642\uff0c\u8aa4\u8a3a\u7387\u4e0b\u964d\uff0c\u76f8\u95dc\u7684\u8ddf\u9032\u6210\u672c\u4ea6\u96a8\u4e4b\u964d\u4f4e\u3002 \u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u5177\u5099\u5feb\u901f\u3001\u81ea\u52d5\u5316\u53ca\u4f4e\u6210\u672c\u7684\u512a\u52e2\u3002 \u7576\u5f9e\u6574\u9ad4\u91ab\u7642\u9ad4\u7cfb\u6210\u672c\u9032\u884c\u8a55\u4f30\u6642\uff0c\u4e3b\u5f35\u6dd8\u6c70\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u8ad6\u9ede\u4e26\u4e0d\u6210\u7acb\u3002 \u5982\u679c\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\uff08\u5169\u8005\u5747\u70ba\u5168\u81ea\u52d5\u5316\u4e14\u4f4e\u6210\u672c\u7684\u767c\u708e\u6307\u6a19\uff09\u6709\u52a9\u6e1b\u5c11\u8aa4\u8a3a\uff0c\u70ba\u4f55\u524a\u6e1b\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u6aa2\u6e2c\u7684\u58d3\u529b\u4f9d\u7136\u5b58\u5728\uff1f \u5728\u73fe\u5be6\u61c9\u7528\u4e2d\uff0c\u540c\u6642\u9032\u884c\u7d05\u8840\u7403\u6c89\u964d\u7387 (ESR) \u8207 C \u53cd\u61c9\u86cb\u767d (CRP) \u6aa2\u6e2c\u7684\u5be6\u969b\u6210\u6548\uff0c\u53d6\u6c7a\u65bc\u6a5f\u69cb\u3001\u75be\u75c5\u985e\u578b\u3001\u60a3\u8005\u7fa4\u9ad4\u3001\u75be\u75c5\u76db\u884c\u7387\u7b49\u591a\u9805\u56e0\u7d20\u3002 \u7136\u800c\uff0c\u4fdd\u7559\u4e00\u9805\u7d93\u904e\u9577\u671f\u9a57\u8b49\u3001\u5177\u81e8\u5e8a\u50f9\u503c\u4e14\u6bcf\u6b21\u50c5\u9700\u652f\u4ed8 2.70 \u7f8e\u5143\u7684\u6aa2\u6e2c\uff0c\u4ee5\u5354\u52a9\u907f\u514d\u4e0d\u5fc5\u8981\u7684\u8ddf\u9032\u6aa2\u67e5\uff0c\u7121\u7591\u662f\u5408\u7406\u4e4b\u8209\u3002 \u95dc\u65bc\u672c\u7814\u7a76 \u5f15\u7528\uff1aYarnoff B, Morris W, Zivaripiran H, McCutcheon M, Koshy T. \"Economic Evaluation of Combined Testing Strategies Using Erythrocyte Sedimentation Rate and C-Reactive Protein Tests.\"\uff08\u7d50\u5408\u7d05\u8840\u7403\u6c89\u964d\u7387\u8207 C \u53cd\u61c9\u86cb\u767d\u6aa2\u6e2c\u7b56\u7565\u7684\u7d93\u6fdf\u8a55\u4f30\uff09 ClinicoEconomics and Outcomes Research\uff08\u81e8\u5e8a\u7d93\u6fdf\u8207\u6210\u679c\u7814\u7a76\uff09\u3002 2026;18:578961. 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