{"id":2545,"date":"2013-12-30T10:46:58","date_gmt":"2013-12-30T02:46:58","guid":{"rendered":"http:\/\/sex.ncu.edu.tw\/blognews\/?p=2545"},"modified":"2014-10-15T15:23:23","modified_gmt":"2014-10-15T07:23:23","slug":"side-effects%e5%89%af%e4%bd%9c%e7%94%a8%ef%bc%9a%e4%b8%8d%e8%89%af%e4%ba%8b%e4%bb%b6%e8%88%87%e5%89%af%e4%bd%9c%e7%94%a8","status":"publish","type":"post","link":"https:\/\/sex.ncu.edu.tw\/blognews\/?p=2545","title":{"rendered":"Side Effects\u526f\u4f5c\u7528\uff1a\u4e0d\u826f\u4e8b\u4ef6\u8207\u526f\u4f5c\u7528"},"content":{"rendered":"<h3 align=\"left\"><b>1.\u4e0d\u826f\u4e8b\u4ef6\u8207\u526f\u4f5c\u7528\u6982\u8ff0<\/b><\/h3>\n<p align=\"left\">\u76ee\u524d\u50b3\u51fa\u4e09\u4ef6\u6b7b\u4ea1\u6848\u4f8b\u8207RU486\u548c\u524d\u5217\u817a\u7d20\u76f8\u95dc\u3002\u5169\u4ef6\u8207RU486\u548cmisoprostol\u76f8\u95dc\u3002<\/p>\n<p align=\"left\"><!--more--><\/p>\n<p align=\"left\">\u5728\u7f8e\u570b\u7684RU486\/misoprostol\u8a66\u9a57\u4e2d\uff0c\u81f3\u5c1199%\u7684\u53d7\u8a66\u8005\u7d93\u6b77\u904e\u81f3\u5c11\u4e00\u9805\u4e0b\u5217\u7684\u4e0d\u9069\u75c7\uff1a<\/p>\n<ul>\n<li>\n<p align=\"left\">\u8179\u75db\uff08\u75d9\u6523\uff09(97%)<\/p>\n<\/li>\n<li>\n<p align=\"left\">\u4f5c\u5614\u53cd\u80c3(67%)<\/p>\n<\/li>\n<li>\n<p align=\"left\">\u982d\u75db(32%)<\/p>\n<\/li>\n<li>\n<p align=\"left\">\u5614\u5410(34%)<\/p>\n<\/li>\n<li>\n<p align=\"left\">\u8179\u7009(23%)<\/p>\n<\/li>\n<li>\n<p align=\"left\">\u6688\u7729(12%)<\/p>\n<\/li>\n<li>\n<p align=\"left\">\u75b2\u52de(9%)<\/p>\n<\/li>\n<li>\n<p align=\"left\">\u80cc\u75db(9%)<\/p>\n<\/li>\n<li>\n<p align=\"left\">\u5b50\u5bae\u51fa\u8840(7%)<\/p>\n<\/li>\n<li>\n<p align=\"left\">\u767c\u71d2(7%)<\/p>\n<\/li>\n<li>\n<p align=\"left\">\u904e\u6ffe\u6027\u75c5\u6bd2\u611f\u67d3(4%)<\/p>\n<\/li>\n<li>\n<p align=\"left\">\u9670\u9053\u708e(4%)<\/p>\n<\/li>\n<li>\n<p align=\"left\">\u767c\u5bd2\uff08\u767c\u51b7\/\u767c\u6296\uff09(3%)<\/p>\n<\/li>\n<\/ul>\n<p align=\"left\">\u201c\u591a\u6578\u75c5\u4eba\u90fd\u5831\u544a\u767c\u751f\u8d85\u904e\u4e00\u4ef6\u4ee5\u4e0a\u7684\u4e0d\u826f\u4e8b\u4ef6&#8230;<b>\u7d0423%\u7684\u4e0d\u826f\u4e8b\u4ef6&#8230;\u88ab\u8a3a\u65b7\u70ba\u56b4\u91cd<\/b>\u3002\u201d<\/p>\n<p><b>Cytotec(misoprostol)\u724c<\/b>\u7684\u85e5\u7f50\u4e0a\u6a19\u6709\u201c\u7d66\u5a66\u5973\u7684\u8b66\u8a9e\u201d\uff0c\u90e8\u4efd\u5982\u4e0b\u201cCytotec\u9020\u6210\u7684\u6d41\u7522\u53ef\u80fd\u6703\u4e0d\u5b8c\u5168\uff0c\u53ef\u80fd\u5c0e\u81f4\u5371\u96aa\u7684\u51fa\u8840\u3001\u4f4f\u9662\u3001\u624b\u8853\u3001\u4e0d\u5b55\u6216\u6bcd\u9ad4\uff0c\u6216\u80da\u80ce\u7684\u6b7b\u4ea1\u3002\u201d<\/p>\n<p><b>\u4f4f\u9662<\/b>\u3002\u5728\u7f8e\u570b\u7684\u53d7\u8a66\u8005\u90fd\u53d7\u5230\u4ed4\u7d30\u7684\u89c0\u5bdf\u4ee5\u78ba\u4fdd\u5065\u5eb7\u72c0\u614b\u826f\u597d\uff0c<b>\u7136\u800c\u6709\u5341\u56db\u4f4d\u5fc5\u9808\u4f4f\u9662\uff0c\u5176\u4e2d\u516b\u4f4d\u6709\u56b4\u91cd\u5927\u91cf\u51fa\u8840<\/b>\u3002<\/p>\n<p><b>\u6025\u8a3a\u5ba4\u6cbb\u7642<\/b>\u3002\u53e6\u5916\u5341\u4e5d\u4f4d\u75c5\u4eba\u88ab\u9001\u5230\u6025\u8a3a\u5ba4\uff0c\u4f46\u4e0d\u7528\u5230\u4f4f\u9662\u7684\u5730\u6b65\u3002\u5176\u4e2d\u5341\u516d\u4f4d\u6709\u5927\u91cf\u51fa\u8840\uff0c\u53e6\u5916\u7684\u4eba\u5247\u6709\u80f8\u75db\u3001\u75d9\u6523\u3001\u53cd\u80c3\u548c\u5614\u5410\u3002<\/p>\n<h3><b>2.\u9aa8\u76c6\u8154\u6aa2\u67e5<\/b><\/h3>\n<p align=\"left\"><b>\u4e00\u540d\u4f4f\u5728\u52a0\u5dde\u7684\u5c11\u5973\uff0cHolly Patterson\uff0c\u670d\u7528RU486\u5f8c\u5f15\u767c\u6557\u8840\u6027\u4f11\u514b\u65bc2003\u5e74\u4e5d\u6708\u53bb\u4e16<\/b>\u3002\u5979\u5728\u670d\u7528\u85e5\u7269\u5e7e\u5929\u5f8c\u5230\u91ab\u9662\uff0c\u6839\u64da\u820a\u91d1\u5c71\u7d00\u4e8b\u5831\u5831\u5c0e\uff0c\u5c11\u5973\u88ab\u544a\u77e5\u201c\u75bc\u75db\u8207\u51fa\u8840\u70ba\u6b63\u5e38\u73fe\u8c61\uff0c\u958b\u4e86\u6b62\u75db\u85e5\u5f8c\u4fbf\u88ab\u9001\u56de\u5bb6\u3002\u201d\u4e09\u5929\u5f8c\uff0c\u5c11\u5973\u56de\u5230\u91ab\u9662\uff0c\u4e26\u56e0\u6557\u8840\u6027\u4f11\u514b\u5728\u91ab\u9662\u53bb\u4e16\u3002<\/p>\n<p><b>2001\u5e749\u67081\u65e5\u53c3\u52a0\u52a0\u62ff\u5927\u5730\u5340\u7684\u8a66\u9a57\u7684\u5a66\u5973\uff0c\u56e0\u70ba\u7d30\u83cc\u611f\u67d3\u5f15\u767c\u7684\u6557\u8840\u6027\u4f11\u514b\u53bb\u4e16\uff0cPopulation Council\u56e0\u6b64\u4e2d\u6b62\u52a0\u62ff\u5927\u5730\u5340\u7684\u4eba\u9ad4\u8a66\u9a57<\/b>\u3002\u6839\u64da\u52a0\u62ff\u5927\u7576\u5730\u7684\u5a92\u9ad4\u570b\u5bb6\u90f5\u5831\u5831\u5c0e\uff0c\u8a72\u5a66\u5973\u65bc8\u670823\u65e5\u670d\u7528RU486\uff0c\u5169\u5929\u5f8c\u518d\u670d\u7528misoprostol\u30028\u670828\u65e5\u5979\u958b\u59cb\u51fa\u8840\u4e26\u75d9\u6523\u3002\u5979\u56e0\u70ba\u672a\u5177\u9ad4\u8aaa\u660e\u7684\u526f\u4f5c\u7528\u88ab\u9001\u9032\u91ab\u9662\uff0c\u4e26\u56e0\u70ba\u7d30\u83cc\u611f\u67d3\uff08Clostridium sordelli\uff09\u5f15\u767c\u7684\u4e2d\u6bd2\u6027\u4f11\u514b\u75c7\u72c0\uff0c\u65bc9\u67081\u65e5\u53bb\u4e16\u3002<b>\u6eab\u54e5\u83ef\u5730\u5340\u7684\u4e3b\u8fa6\u8005\uff0cEllen Wiebe\u535a\u58eb\u8ddf\u570b\u5bb6\u90f5\u5831\u8868\u793a\u201c\u85e5\u7269\u5f15\u767c\u6d41\u7522\uff0c\u800c\u611f\u67d3\u8ddf\u6d41\u7522\u6709\u95dc&#8230;\u3002\u201d<\/b><\/p>\n<p>\u4f7f\u7528RU486\u58ae\u80ce\u5f15\u767c\u7684\u611f\u67d3\u7387\u7814\u7a76<\/p>\n<p>\u5728\u4e16\u754c\u885b\u751f\u7d44\u7e54(WHO)\u7684\u7814\u7a76\u4e2d\uff0c30%\u6d41\u7522\u672a\u5b8c\u5168\u7684\u5a66\u5973\u6709\u9aa8\u76c6\u8154\/\u9670\u9053\u767c\u708e\u7684\u73fe\u8c61\uff0c\u56e0\u70ba\u8a72\u85e5\u7269\u7684\u4f5c\u7528\u4e4b\u4e00\u5c31\u662f\u6291\u5236\u514d\u75ab\u7cfb\u7d71\u7684\u53cd\u61c9\u3002\u4e8b\u5be6\u4e0a\uff0cWHO\u7684\u7814\u7a76\u4e2d\u547c\u7c72\u4f7f\u7528RU486\u7684\u5a66\u5973\uff0c\u670d\u7528RU486\u5f8c\u518d\u670d\u7528\u516d\u9031\u7684\u6297\u751f\u7d20\u3002<\/p>\n<p>\u4e00\u4efd\u91dd\u5c0d\u5168\u7403\u767c\u8868\u7684\uff0c\u5305\u542b\u4e00\u9805\u67092000\u540d\u500b\u6848\u7684RU486\/\u524d\u5217\u817a\u7d20\u7ba1\u7406\u7684\u5831\u544a\u6307\u51fa\uff0c\u201c\u6700\u5e38\u4f34\u96a8\u7684\u554f\u984c\u662f\u6301\u7e8c\u7684\u75bc\u75db\uff0c\u9670\u9053\u51fa\u8840\uff0c\u548c\u4ee4\u4eba\u4e0d\u6085\u7684\u5206\u6ccc\u7269(offensive discharge)\uff0c1322\u540d\u5a66\u5973\u4e2d\u76845%\u88ab\u65bd\u4e88\u6297\u751f\u7d20\u4ee5\u6cbb\u7642\u9670\u9053\u611f\u67d3\u3002\u201d<\/p>\n<p>\u5728\u7f8e\u570b\u8a66\u9a57\u4e2d\uff0c\u767e\u5206\u4e4b\u56db\u7684\u5a66\u5973\u670d\u7528RU486\u5f8c\uff0c\u6709\u767c\u71d2\uff0c\u904e\u6ffe\u6027\u75c5\u6bd2\u611f\u67d3\u548c\u9670\u9053\u708e\u3002\u6709\u5341\u4ef6\u500b\u6848\u767c\u751f\u5b50\u5bae\u5167\u819c\u708e\u3002<\/p>\n<h3><b>3.\u904e\u91cf\u51fa\u8840<br \/>\n<\/b><br \/>\n<b>\u5728\u7f8e\u570b\u8207\u4e2d\u570b\u767c\u751f\u7684\u8fd1\u4e4e\u81f4\u6b7b\u4e8b\u4ef6<\/b><\/h3>\n<p>\u7f8e\u570b\u611b\u8377\u83ef\u5dde\u3002\u4e00\u540d\u6025\u8a3a\u5ba4\u91ab\u751fMark Louviere\u70ba\u4e00\u540d\u53c3\u52a0\u7576\u5730\u5bb6\u5ead\u8a08\u756b\uff0c\u5df2\u670d\u7528RU486\u5169\u9031\u7684\u5a66\u5973\u6cbb\u7642\u3002<b>\u7576\u5979\u88ab\u9001\u5230\u6025\u8a3a\u5ba4\u6642\uff0c\u6839\u64da\u91ab\u751f\u7684\u8b49\u8a5e\uff0c\u5979\u201c\u5448\u73fe\u5f88\u660e\u986f\u7684\u4f11\u514b\u72c0\u614b\u201d\u4e26\u201c\u5931\u53bb\u4e00\u534a\u5230\u4e09\u5206\u4e4b\u4e8c\u7684\u8840\u91cf<\/b>&#8230;\u6839\u64da\u6211\u7684\u7d93\u9a57\uff0c\u5979\u53ef\u80fd\u5f88\u5feb\u6703\u5931\u53bb\u751f\u547d&#8230;\u6211\u751a\u81f3\u76f4\u63a5\u8df3\u904e\u6211\u5011\u5e73\u5e38\u624b\u8853\u524d\u8981\u505a\u7684\u4f8b\u884c\u6e96\u5099\u5de5\u4f5c\uff0c<b>\u56e0\u70ba\u6211\u77e5\u9053\u6211\u4e00\u5b9a\u8981\u7acb\u523b\u5e6b\u5979\u52d5\u624b\u8853\u4ee5\u633d\u6551\u5979\u7684\u751f\u547d<\/b>\u3002\u201d<\/p>\n<p>\u4e2d\u570b\u3002\u6839\u64da\u7f8e\u570b\u99d0\u5317\u4eac\u5927\u4f7f\u9928\u8868\u793a\uff0c\u201c\u6cb3\u5357\u7701\u8207\u6210\u90fd\u90fd\u50b3\u51fa\u6709\u5a66\u5973\u5728\u6c92\u6709\u91ab\u751f\u76e3\u7763\u4e0b\u670d\u7528RU486\u5927\u5931\u8840\u5e7e\u4e4e\u81f4\u6b7b\u7684\u65b0\u805e\u201d\u3002\u6709\u4e9b\u4e2d\u570b\u5a66\u5973\u900f\u904e\u85e5\u623f\u8207\u9ed1\u5e02\u53d6\u5f97\u85e5\u7269\u3002\u6700\u8fd1\u4e2d\u570b\u7981\u6b62\u85e5\u623f\u8ca9\u552eRU486\u4ee5\u201c\u4fdd\u8b77\u75c5\u4eba\u7684\u5b89\u5168\u8207\u5065\u5eb7\u201d\u3002<\/p>\n<p>\u56b4\u91cd\u5927\u51fa\u8840\u3002\u7531\u65bc\u5927\u91cf\u51fa\u8840\uff0c\u7f8e\u570b\u8a66\u9a57\u4e2d\u670925\u4f4d\u5a66\u5973\u5fc5\u9808\u4f4f\u9662\u6216\u5230\u6025\u8a3a\u5ba4\u63a5\u53d7\u6cbb\u7642\uff0c56\u4f4d\u9700\u8981\u624b\u8853\uff0c22\u4f4d\u5247\u662f\u63a5\u53d7intravenous fluids\u3002<\/p>\n<p>\u7f8e\u570b\u8a66\u9a57\u7684\u56db\u540d\u53d7\u8a66\u8005\u9700\u8981\u8f38\u8840\uff0c\u5176\u4e2d\u4e09\u4f4d\u9700\u8981\u4f4f\u9662\u3002146\u4f4d\u75c5\u4eba\uff08\u7d04\u767e\u5206\u4e4b\u4e03\uff09\u9700\u8981\u65bd\u4e88\u5b50\u5bae\u6536\u7e2e\u85e5\u4f86\u6b62\u8840\u3002<\/p>\n<p>\u6709\u767e\u5206\u4e4b\u516b\u7684\u75c5\u4eba\u7684\u8840\u8272\u7d20\u6216\u8840\u7403\u5bb9\u7a4d\u4e0b\u964d20%\u3002<\/p>\n<p><b>\u51fa\u8840\u7684\u6642\u9593\u9577\u5ea6<\/b>\u3002\u7f8e\u570b\u8a66\u9a57\u4e2d9%\u7684\u5a66\u5973\u51fa\u8840\u6642\u9593\u8d85\u904e30\u5929\uff0c1%\u7684\u5a66\u5973\u5247\u51fa\u884060\u5929\u3002<\/p>\n<p>\u54e5\u502b\u6bd4\u4e9e\u5927\u5b78\u7684\u7814\u7a76\u986f\u793a\uff0c20%\u7684\u5a66\u5973\u6709\u51fa\u8840\u8ddf\u9ede\u72c0\u51fa\u8840\u9054\u4e94\u5230\u516d\u9031\u3002<\/p>\n<p>\u5169\u540d\u5a66\u5973\u63cf\u8ff0\u5979\u5011\u51fa\u8840\u7684\u72c0\u6cc1\u3002\u5728\u611b\u8377\u83ef\u5dde\u53c3\u52a0\u7684\u5169\u540d\u75c5\u4eba\u544a\u8a34\u6642\u4ee3\u96dc\u8a8c\u8aaa\u5979\u5011\u7684\u51fa\u8840\u201c\u50cf\u5012\u6c34\u7f50\u4e00\u6a23\u201d\u548c\u201c\u50cf\u6253\u958b\u6c34\u9f8d\u982d\u4e00\u6a23\u3002\u6709\u80a1\u7a69\u5b9a\u7684\u8840\u6d41\u3002\u6211\u6392\u51fa\u4e00\u500b\u50cf\u9ad8\u723e\u592b\u7403\u6a23\u7684\u8840\u584a\u5687\u5230\u6211\u81ea\u5df1\u3002\u201d<\/p>\n<h3><b>4.\u904e\u654f\u53cd\u61c9<\/b><\/h3>\n<p align=\"left\">FDA\u8b66\u544a\u5c0dRU486\u6210\u4efd\u904e\u654f\u7684\u5973\u6027\u4e0d\u53ef\u670d\u7528\uff0c\u4f46\u662f\u537b\u6c92\u8aaa\u660e\u5a66\u5973\u8981\u600e\u9ebc\u505a\u624d\u77e5\u9053\u5979\u5011\u5c0dRU486\u904e\u654f\u3002<\/p>\n<p align=\"left\"><i>\u201c\u5e38\u898b\u7684\u85e5\u7269\u6d41\u7522\uff08\u5982RU486\uff0c\u524d\u5217\u817a\u7d20\u7b49\uff09\u4f75\u767c\u75c7\u662f\u5927\u91cf\u51fa\u8840\u8207\u904e\u654f&#8230;<\/i><\/p>\n<h3 align=\"left\"><i><b>\u904e\u654f\u53cd\u61c9\u5f88\u5e38\u898b<\/b>\uff0c\u8868\u73fe\u5728\u81c9\u90e8\u6c34\u816b\uff0c\u76ae\u819a\u8d77\u75b9\u5b50\u548c\u767c\u7662\uff0c\u624b\u8173\u75f2\u75f9\uff0c\u751a\u81f3\u56b4\u91cd\u7684\u904e\u654f\u6027\u4f11\u514b\u3002\u56e0\u70ba\u6709\u6f5b\u5728\u5f15\u767c\u904e\u654f\u7684\u5371\u96aa\uff0c\u6240\u4ee5\u9019\u662f\u75c5\u4eba\u7559\u5728\u91ab\u9662\u88e1\u89c0\u5bdf\u7684\u4e00\u9805\u539f\u56e0\u3002\u201d<br \/>\n<\/i><br 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