{"id":5335,"date":"2020-05-06T13:42:38","date_gmt":"2020-05-06T05:42:38","guid":{"rendered":"https:\/\/rms.tmu.edu.tw\/%e3%80%90%e5%a5%bd%e5%ad%95%e6%96%b0%e7%9f%a5%e3%80%91%e5%ae%89%e8%83%8e%e8%97%a5%e6%87%89%e7%94%a8%e5%9c%a8%e4%b8%8d%e5%ad%95%e8%88%87%e6%b5%81%e7%94%a2%e7%99%82%e7%a8%8b\/"},"modified":"2020-05-06T13:44:15","modified_gmt":"2020-05-06T05:44:15","slug":"%e3%80%90%e5%a5%bd%e5%ad%95%e6%96%b0%e7%9f%a5%e3%80%91%e5%ae%89%e8%83%8e%e8%97%a5%e6%87%89%e7%94%a8%e5%9c%a8%e4%b8%8d%e5%ad%95%e8%88%87%e6%b5%81%e7%94%a2%e7%99%82%e7%a8%8b","status":"publish","type":"post","link":"https:\/\/rms.tmu.edu.tw\/zh-hans\/%e3%80%90%e5%a5%bd%e5%ad%95%e6%96%b0%e7%9f%a5%e3%80%91%e5%ae%89%e8%83%8e%e8%97%a5%e6%87%89%e7%94%a8%e5%9c%a8%e4%b8%8d%e5%ad%95%e8%88%87%e6%b5%81%e7%94%a2%e7%99%82%e7%a8%8b\/","title":{"rendered":"\u3010\u597d\u5b55\u65b0\u77e5\u3011\u5b89\u80ce\u836f\u5e94\u7528\u5728\u4e0d\u5b55\u4e0e\u6d41\u4ea7\u7597\u7a0b"},"content":{"rendered":"

\u7981\u5f97\u8d77\u8003\u9a8c\u7684\u8001\u836f\uff0c\u8d70\u8fc7\u4e00\u7532\u5b50\u7684\u5b89\u80ce\u836f\uff01
\n\u5168\u7403\u8d85\u8fc7\u4e24\u5343\u4e07\u5b55\u5987\u4f7f\u7528\uff0c\u8001\u836f\u65b0\u7528\u7684\u6700\u4f73\u6848\u4f8b\uff0c\u8fd1\u5e74\u6765\u5e7f\u6cdb\u5e94\u7528\u5728\u4e0d\u5b55\u75c7\u4ee5\u53ca\u6d41\u4ea7\u7597\u7a0b\u7684\u5d2d\u65b0\u65c5\u7a0b\uff1a<\/p>\n

\u5728\u4e0d\u5b55\u75c7\u7684\u6cbb\u7597\u5468\u671f\u4e2d\uff0c\u4e0d\u5b55\u75c7\u79d1\u7684\u533b\u5e08\u5e38\u4f7f\u7528\u9ec4\u4f53\u7d20\u6765\u4f5c\u9ec4\u4f53\u671f\u652f\u6301 (luteal phase support; LPS)\u3002 LPS\u6709\u591a\u79cd\u9014\u5f84\uff0c\u5305\u62ec\u9634\u9053\/\u809b\u95e8\/\u820c\u4e0b\u7ed9\u4e88\u9ec4\u4f53\u7d20\u3001\u808c\u8089\/\u76ae\u4e0b\u6ce8\u5c04\u9ec4\u4f53\u7d20\u3001\u53e3\u670d\u9ec4\u4f53\u7d20 (\u5982Duphaston \u6216UG) \u6216\u6ce8\u5c04hCG\uff0c\u6709\u4e9b\u533b\u5e08\u5219\u4f1a\u5408\u5e76\u6570\u79cd\u9014\u5f84\u540c\u65f6\u4f7f\u7528\u3002<\/p>\n

\u4f5c\u9ec4\u4f53\u671f\u652f\u6301\u7684\u7528\u836f\u6295\u4e0e\u9014\u5f84\u7a76\u7adf\u4f55\u79cd\u6bd4\u8f83\u53d7\u4e0d\u5b55\u75c7\u60a3\u8005\u7684\u504f\u597d\u5462?<\/p>\n

\u4e00\u7bc7\u5bf9\u6bd4\u9634\u9053\u6216\u53e3\u670d\u6295\u4e0emisoprostol\u7684\u7814\u7a76\u663e\u793a1\uff0c\u5927\u591a\u6570\u60a3\u8005\u559c\u6b22\u53e3\u670d\u7528\u836f\u3002 2015\u5e74Chakravarty\u7b49\u4eba\u4e00\u9879\u91c7\u7528\u968f\u673a\u53d1\u653e\u95ee\u5377\u7684\u65b9\u5f0f\u8fdb\u884c\u7814\u7a762\uff0c\u53d1\u73b0\u4f7f\u7528\u4e00\u59292\u6b21\u53e3\u670ddydrogestereone (Duphaston) 10 mg\u548c\u4e00\u5929\u9634\u9053\u6295\u4e0e3\u6b21200mg\u5fae\u7c92\u5316\u9ec4\u4f53\u7d20(micronized progestereone)\uff0c\u660e\u663e\u75c5\u60a3\u559c\u6b22\u53e3\u670d\u9014\u5f84\u3002<\/p>\n

\u90a3\u76ee\u524d\u5e02\u9762\u4e0a\u5230\u5e95\u6709\u54ea\u4e9b\u53e3\u670d\u7684\u9ec3\u9ad4\u7d20\u5462?<\/strong><\/p>\n

\n
    \n
  1. \u5ee3\u70ba\u88ab\u5927\u5bb6\u8a8d\u77e5\u53ca\u4f7f\u7528\u7684\u662fUtrogestan\uff0c\u6210\u4efd\u70ba\u5fae\u7c92\u5316\u5f8c\u7684pregestereone\uff0c\u4e5f\u53ef\u4ee5\u85c9\u7531\u9670\u9053\u9014\u5f91\u7d66\u85e53\u3002<\/li>\n
  2. \u53e6\u5916\u4e00\u7a2e\u5e38\u7528\u7684\u9ec3\u9ad4\u7d20\u70baDuphaston (dydrogestereone) \uff0c\u540c\u6a23\u6703\u4f5c\u7528\u5728progesterone receptor (PR)\uff0c\u4f46\u7531\u65bc\u578b\u614b\u4e0a\u7684\u6539\u8b8a\uff0cdydrogestereone\u6bd4progesterone\u5c0dPR\u7684\u89aa\u548c\u529b\u66f4\u5f37\uff0c\u751f\u9ad4\u53ef\u7528\u7387\u9ad84\u3002<\/li>\n<\/ol>\n

    \u56e0\u6b64\uff0cdydrogestereone\u53ea\u9700\u89811\/10~1\/20\u5242\u91cf\u5c31\u53ef\u4ee5\u8fbe\u5230micronized progestereone\u7684\u76f8\u540c\u7684\u6548\u679c\uff0c\u4e5f\u6bd4\u8f83\u4e0d\u4f1a\u53d1\u751f\u53e3\u670d\u540e\u5934\u75db\u53ca\u75b2\u52b3\u7684\u73b0\u8c61\u3002 Dydrogestereone\u5176\u5b9e\u81ea60\u5e74\u4ee3\u5c31\u5f00\u59cb\u4f7f\u7528\uff0c\u56e0\u6b64\u5b89\u5168\u6027\u6765\u8bf4\u5df2\u5e7f\u6cdb\u83b7\u5f97\u8ba4\u53ef\u3002<\/p>\n

    \u4eba\u5de5\u751f\u6b96\u4e2d\u7684\u9ec4\u4f53\u671f\u652f\u6301(LPS) \u8fd0\u7528dydrogestereone\u59cb\u4e8e\u8377\u5170(2017\u5e746\u6708)\uff0c\u73b0\u5728\u5305\u62ec\u53f0\u6e7e\u5df2\u6709\u903e30\u4e2a\u5176\u4ed6\u56fd\u5bb6\u6838\u53ef\u6b64\u79cd\u4f7f\u75285\uff1b\u6b64\u5916\uff0c\u505c\u7ecf\u5987\u5973\u7684\u66f4\u5e74\u671f\u8377\u5c14\u8499\u8865\u5145\u4e5f\u53ef\u4ee5\u8fd0\u7528\u3002\u81ea1960\u5e7404\u670822\u65e5\uff0cDuphaston \u88ab\u7814\u53d1\u51fa\u6765\uff0cDuphaston \u7531\u8377\u5170\u539f\u88c5\u8fdb\u53e3\u6765\u53f0\uff0c\u81f3\u4eca\u5168\u4e16\u754c\u5df2\u7ecf\u8d85\u8fc71\u4ebf\u4e3a\u5973\u6027\u7684\u4e34\u5e8a\u4f7f\u7528\u7ecf\u9a8c\u3002<\/p>\n

    \u8fd1\u5e74\u6765\uff0c\u5e7f\u6cdb\u4f7f\u7528dydrogestereone\u4f5c\u4e3a\u9ec4\u4f53\u671f\u652f\u6301\u662f\u4e00\u79cd\u65b9\u4fbf\u3001\u4e14\u5b89\u5168\u3001\u6548\u679c\u4f73\u7684\u826f\u597d\u9009\u62e9\u3002
    \n\u5728\u5317\u533b\u8fd9\u8fb9\u4e5f\u8d85\u8fc7\u6570\u5343\u4f4d\u5987\u5973\u6709\u4e34\u5e8a\u4f7f\u7528\u7ecf\u9a8c\u3002\u900f\u8fc7\u4f7f\u7528\u53e3\u670d\u7684dydrogestereone\uff0c\u4e5f\u53ef\u4ee5\u4e0d\u7528\u4f7f\u7528\u9634\u9053\u6295\u4e0e\u7684\u65b9\u5f0f\uff0c\u964d\u4f4e\u611f\u67d3\u98ce\u9669\u4ee5\u53ca\u4e0d\u65b9\u4fbf\u6027\uff0c\u589e\u52a0\u4f17\u591a\u5987\u5973\u5728\u4e34\u5e8a\u4e0a\u7684\u65b9\u4fbf\u6027\u3002<\/p>\n

    Reference:<\/p>\n

    1. BJOG 2003; 110: 1057\u201361.
    \n2. J Steroid Biochem Mol Biol 2005;97:416\u201320.
    \n3. Utrogestan PI
    \n4. Maturitas 2008;61(1\u20132):171\u2013180
    \n5. Duphaston PI<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

    \u7981\u5f97\u8d77\u8003\u9a8c\u7684\u8001\u836f\uff0c\u8d70\u8fc7\u4e00\u7532\u5b50\u7684\u5b89\u80ce\u836f\uff01 \u5168\u7403\u8d85\u8fc7\u4e24\u5343\u4e07\u5b55\u5987\u4f7f\u7528\uff0c\u8001\u836f\u65b0\u7528\u7684\u6700\u4f73\u6848\u4f8b\uff0c\u8fd1\u5e74\u6765\u5e7f\u6cdb\u5e94\u7528\u5728\u4e0d\u5b55\u75c7\u4ee5\u53ca […]<\/p>\n","protected":false},"author":12,"featured_media":5330,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[79],"tags":[],"class_list":["post-5335","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-79"],"_links":{"self":[{"href":"https:\/\/rms.tmu.edu.tw\/zh-hans\/wp-json\/wp\/v2\/posts\/5335","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rms.tmu.edu.tw\/zh-hans\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rms.tmu.edu.tw\/zh-hans\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rms.tmu.edu.tw\/zh-hans\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/rms.tmu.edu.tw\/zh-hans\/wp-json\/wp\/v2\/comments?post=5335"}],"version-history":[{"count":1,"href":"https:\/\/rms.tmu.edu.tw\/zh-hans\/wp-json\/wp\/v2\/posts\/5335\/revisions"}],"predecessor-version":[{"id":5336,"href":"https:\/\/rms.tmu.edu.tw\/zh-hans\/wp-json\/wp\/v2\/posts\/5335\/revisions\/5336"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rms.tmu.edu.tw\/zh-hans\/wp-json\/wp\/v2\/media\/5330"}],"wp:attachment":[{"href":"https:\/\/rms.tmu.edu.tw\/zh-hans\/wp-json\/wp\/v2\/media?parent=5335"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rms.tmu.edu.tw\/zh-hans\/wp-json\/wp\/v2\/categories?post=5335"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rms.tmu.edu.tw\/zh-hans\/wp-json\/wp\/v2\/tags?post=5335"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}