{"id":213,"date":"2020-09-29T00:38:32","date_gmt":"2020-09-28T16:38:32","guid":{"rendered":"https:\/\/tpcha.tw\/?p=213"},"modified":"2026-02-20T19:35:39","modified_gmt":"2026-02-20T11:35:39","slug":"%e5%b0%91%e5%b9%b4%e7%b6%ad%e7%89%b9%e7%9a%84%e5%8f%a6%e4%b8%80%e5%80%8b%e7%85%a9%e6%83%b1%ef%bc%9a%e6%b7%ba%e8%ab%87%e7%94%9f%e9%95%b7%e7%99%bc%e8%82%b2%e5%8f%8a%e6%80%a7%e6%97%a9%e7%86%9f","status":"publish","type":"post","link":"https:\/\/tpcha.tw\/?p=213","title":{"rendered":"\u5c11\u5e74\u7dad\u7279\u7684\u53e6\u4e00\u500b\u7169\u60f1\uff1a\u6dfa\u8ac7\u751f\u9577\u767c\u80b2\u53ca\u6027\u65e9\u719f"},"content":{"rendered":"\n
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\u6eab\u7f8e\u7d05\u91ab\u5e2b<\/strong><\/p>\n\n\n\n

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\u751f\u9577\u671f\u7537\u5973\u4e0d\u4e00\u6a23<\/span><\/p>\n\n\n\n

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\u9aa8\u9f61\u5224\u8b80
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\u6027\u65e9\u719f\u7684\u7279\u5fb5\u8207\u6cbb\u7642<\/span><\/p>\n\n\n\n

\u4f55\u8b02\u6027\u65e9\u719f(Precocious puberty)\uff1f\u5973\u5b69\u5728\u516b\u6b72\u4ee5\u524d\u3001\u7537\u5b69\u5728\u4e5d\u6b72\u4ee5\u524d\u958b\u59cb\u6709\u6027\u767c\u80b2\u7684\u73fe\u8c61\u3002<\/span>\u7d0485%\u7684\u5973\u751f\u767c\u80b2\u7684\u7b2c\u4e00\u8868\u5fb5\u70ba\u4e73\u623f\u958b\u59cb\u9577\u5927\uff0c\u610f\u601d\u5c31\u662f\u8aaa\uff0c\u516b\u6b72\u4ee5\u5f8c\u4e73\u623f\u958b\u59cb\u767c\u80b2\u662f\u53ef\u88ab\u63a5\u53d7\u7684\uff1b\u7d0415%\u7684\u7b2c\u4e00\u8868\u5fb5\u70ba\u51fa\u73fe\u9670\u6bdb\uff0c\u521d\u7d93\u5247\u591a\u5728\u7b2c\u4e00\u8868\u5fb5\u958b\u59cb\u51fa\u73fe\u7684\u5169\u3001\u4e09\u5e74\u5f8c\u958b\u59cb\u767c\u751f\uff08\u5e73\u5747\u9aa8\u9f61\u70ba12\u6b72\u534a\uff09\u3002\u7537\u751f98%\u7b2c\u4e00\u8868\u5fb5\u662f\u776a\u4e38\u958b\u59cb\u9577\u5927\uff0c\u516d\u500b\u6708\u5f8c\u9670\u6bdb\u51fa\u73fe\uff0c\u5341\u4e8c\u81f3\u5341\u516b\u500b\u6708\u5f8c\u9670\u8396\u958b\u59cb\u9577\u5927\uff0c\u6240\u4ee5\u958b\u59cb\u767c\u80b2\u7684\u6642\u9593\u4e0d\u50cf\u5973\u751f\u9019\u9ebc\u597d\u89c0\u5bdf\u3002\u5728\u81e8\u5e8a\u4e0a\u6703\u9047\u5230\u6709\u4e9b\u5973\u751f\u53ef\u80fd\u53ea\u6709\u55ae\u7d14\u4e73\u623f\u63d0\u65e9\u767c\u80b2(Premature thelarche)\u6216\u662f\u55ae\u7d14\u9670\u6bdb\u63d0\u65e9\u51fa\u73fe(Premature pubarche)\uff0c\u4ed6\u5011\u7684\u5171\u901a\u9ede\u5c31\u662f\u975e\u9032\u884c\u6027\u6216\u7de9\u6162\u9032\u884c\uff0c\u751f\u9577\u4e0d\u6703\u52a0\u901f\uff0c\u6240\u4ee5\u9aa8\u9f61\u53ca\u81e8\u5e8a\u7684\u8ffd\u8e64\u4fbf\u5f88\u91cd\u8981\u3002<\/p>\n\n\n\n

\u6027\u65e9\u719f\u6309\u767c\u75c5\u6a5f\u5236\u548c\u81e8\u5e8a\u8868\u73fe\u53ef\u5206\u70ba\u4e2d\u6a1e\u578b(\u4fc3\u6027\u817a\u6fc0\u7d20\u91cb\u653e\u6fc0\u7d20\u4f9d\u8cf4\u6027)\u548c\u672b\u68a2\u578b(\u975e\u4fc3\u6027\u817a\u6fc0\u7d20\u91cb\u653e\u6fc0\u7d20\u4f9d\u8cf4\u6027)\u3002\u4e2d\u6a1e\u578b\u6027\u65e9\u719f(Central precocious puberty, CPP)\u7684\u539f\u56e0\u6709\u8166\u7624\u3001\u6c34\u8166\u75c7\u3001\u982d\u90e8\u5275\u50b7\u3001\u8166\u90e8\u611f\u67d3\u53ca\u539f\u56e0\u4e0d\u660e\u7684\u539f\u767c\u6027\u6027\u65e9\u719f(idiopathic CPP)\u3002<\/span>\u5728\u6027\u65e9\u719f\u7684\u6848\u4f8b\uff0c\u5973\u751f\u6709\u4e5d\u6210\u4ee5\u4e0a\u662f\u539f\u767c\u6027\uff0c\u800c\u7537\u751f\u5247\u5927\u90e8\u5206\u662f\u5668\u8cea\u6027\uff0c\u4e5f\u5c31\u662f\u6709\u539f\u56e0\u5c0e\u81f4\u7684\uff0c\u6240\u4ee5\u7537\u751f\u4e2d\u6a1e\u578b\u6027\u65e9\u719f\u5b89\u6392\u8166\u90e8\u5f71\u50cf\u5b78\u651d\u5f71\u662f\u5fc5\u8981\u7684\u3002\u8a18\u5f97\u6709\u4e00\u6848\u4f8b\uff0c\u56e0\u5bb6\u5c6c\u767c\u73fe\u516d\u6b72\u7537\u7ae5\u9670\u8396\u6bd4\u5176\u4ed6\u5c0f\u670b\u53cb\u5927\uff0c\u5e36\u4f86\u9580\u8a3a\uff0c\u8eab\u9ad8\u9ad4\u91cd\u7686\u572895\u767e\u5206\u4f4d\uff0c\u9aa8\u9f61\u662f\u4e5d\u6b72\u5927\uff0c\u7d50\u679c\u96fb\u8166\u65b7\u5c64\u767c\u73fe\u5728\u4e0b\u8996\u4e18\u6709\u500b1\u516c\u5206\u5927\u7684\u816b\u7624\u3002<\/p>\n\n\n\n

\u800c\u672b\u68a2\u578b\u6027\u65e9\u719f(Peripheral precocious puberty)\u7684\u539f\u56e0\u6709\uff1a\u63a5\u89f8\u5230\u6027\u8377\u723e\u8499\u3001\u6027\u817a\u548c\u814e\u4e0a\u817a\u4e4b\u816b\u7624\u3001\u5375\u5de3\u56ca\u816b\u3001\u5148\u5929\u6027\u814e\u4e0a\u817a\u589e\u751f\u75c7\u3001McCune-Albright syndrome\u7b49\u7b49\u3002<\/span>\u6027\u65e9\u719f\u7684\u5b69\u7ae5\u525b\u958b\u59cb\u8eab\u9ad8\u53ef\u80fd\u7279\u5225\u9ad8\uff0c\u65e9\u65e9\u9054\u5230\u751f\u9577\u9ad8\u5cf0\uff0c\u4f46\u4e5f\u63d0\u65e9\u7d50\u675f\u751f\u9577\u7684\u671f\u9650\uff0c\u5c0e\u81f4\u6700\u7d42\u8eab\u9ad8\u4e0d\u7406\u60f3\u3002\u6709\u4e9b\u5229\u7528\u9aa8\u9f61\u53ca\u7576\u4e0b\u8eab\u9ad8\u53bb\u9810\u6e2c\u6210\u4eba\u8eab\u9ad8(Predict adult height, PAH)\u7684\u516c\u5f0f\uff0c\u6709\u4e9b\u7e41\u7463\u4e26\u5e38\u6709\u8aa4\u5dee\uff0c\u5728\u6b64\u4e0d\u8d05\u8ff0\u3002\u6240\u4ee5\u65e9\u719f\u4e0d\u50c5\u53ef\u80fd\u5c0e\u81f4\u8eab\u6750\u77ee\u5c0f\uff0c\u6709\u6642\u63d0\u65e9\u767c\u751f\u7684\u6027\u5fb5\uff0c\u8b6c\u5982\u4e73\u623f\u8b8a\u5927\u6216\u6708\u7d93\u4f86\u6f6e\uff0c\u53ef\u80fd\u8b93\u7ae5\u7a1a\u5fc3\u9748\u7684\u5c0f\u5b69\u4e0d\u77e5\u6240\u63aa\uff0c\u82e5\u906d\u540c\u5b78\u5632\u7b11\uff0c\u66f4\u6703\u5f71\u97ff\u5fc3\u7406\u7684\u5065\u5168\u767c\u5c55\u3002\u6700\u8fd1\u9580\u8a3a\u624d\u767c\u73fe\u4e00\u4f4d\u5167\u5411\u7684\u570b\u5c0f\u4e09\u5e74\u7d1a\u5973\u751f\uff0c\u56e0\u6708\u7d93\u4f86\u6f6e\uff0c\u81ea\u5df1\u76f8\u7576\u6050\u614c\uff0c\u4e0d\u6562\u8aaa\u800c\u4e14\u4e00\u76f4\u62d4\u81ea\u5df1\u7684\u7709\u6bdb\u548c\u982d\u9aee\uff0c\u4e0d\u660e\u5c31\u88e1\u7684\u7236\u6bcd\u9084\u8cac\u5099\u5c0f\u5b69\uff0c\u771f\u662f\u51a4\u6789\uff01<\/p>\n\n\n\n

\u6cbb\u7642\u6027\u65e9\u719f\u7684\u5065\u4fdd\u689d\u4ef6<\/span><\/p>\n\n\n\n

\u76ee\u524d\u5065\u4fdd\u7d66\u4ed8\u6027\u65e9\u719f\u6cbb\u7642\u85e5\u7269Gonadotropin-releasing hormone analogue (GnRHa \u5982Leuprorelin acetate)\u7684\u4f9d\u64da\u70ba: \u6027\u91cb\u7d20\u6aa2\u67e5(LHRH\u6e2c\u8a66)\u5448LH\u53cd\u6620\u6700\u9ad8\u503c\u5927\u65bc10MIU\/ml\u4e14\u5408\u4f75\u7b2c\u4e8c\u6027\u5fb5\uff0c\u800c\u6cbb\u7642\u689d\u4ef6\u9808\u7b26\u5408\u4ee5\u4e0b\u8981\u6c42\uff1a<\/p>\n\n\n\n

    \n
  1. \u5973\u5b69\u2266\u4e03\u6b72\uff0c\u7537\u5b69\u2266\u516b\u6b72\uff0c\u958b\u59cb\u6709\u7b2c\u4e8c\u6027\u5fb5\uff1b<\/li>\n\n\n\n
  2. \u9aa8\u9f61\u6bd4\u5be6\u969b\u5e74\u9f61\u81f3\u5c11\u8d85\u524d\u5169\u5e74\uff1b<\/li>\n\n\n\n
  3. \u9810\u4f30\u6210\u4eba\u8eab\u9ad8\u5973\u2266153\u516c\u5206\uff0c\u7537\u2266165\u516c\u5206\uff1b\u6bd4\u6a19\u7684\u8eab\u9ad8\u81f3\u5c11\u76f8\u540c\u6216\u8f03\u77ee\uff1b\u5728\u8ffd\u8e64\u516d\u81f3\u5341\u4e8c\u500b\u6708\u671f\u9593\uff0c\u9aa8\u9f61\u589e\u52a0\u8207\u5e74\u9f61\u589e\u52a02\u500d\u4ee5\u4e0a\uff0c\u4e14\u9810\u4f30\u8eab\u9ad8(PAH)\u6e1b\u5c11\u81f3\u5c11\u4e94\u516c\u5206\u3002<\/li>\n\n\n\n
  4. \u75c5\u7406\u6027\u65e9\u719f\u4e2d\u5408\u4f75\u4e2d\u6a1e\u795e\u7d93\u75be\u75c5\u8005\u4e0d\u53d72.3.\u9805\u7684\u9650\u5236\u3002<\/li>\n<\/ol>\n\n\n\n

    \u5065\u4fdd\u8667\u9322\uff0c\u9019\u985e\u9ad8\u50f9\u85e5\u7269\u7684\u5be9\u6838\u4e5f\u5c31\u8d8a\u4f86\u8d8a\u56b4\uff0c\u5373\u4f7f\u6240\u6709\u689d\u4ef6\u7b26\u5408\uff0c\u53ea\u5dee\u6c92\u6709\u5728\u91ab\u9662\u8ffd\u8e64\u500b\u300c\u4e00\u5e74\u534a\u8f09\u300d\uff0c\u7533\u8acb\u7d66\u4ed8\u4e5f\u662f\u5f88\u96e3\u904e\u95dc\u7684\u3002<\/p>\n\n\n\n

    \u638c\u63e1\u6cbb\u7642\u6a5f\u6703 \u8b93\u751f\u9577\u4e0d\u7559\u907a\u61be<\/span><\/p>\n\n\n\n

    \u5728\u9580\u8a3a\u96d6\u7136\u5e38\u5b89\u6170\u751f\u9577\u677f\u5df2\u7652\u5408\u6216\u5e7e\u4e4e\u7652\u5408\u7121\u6cd5\u518d\u9577\u9ad8\u7684\u5c0f\u5b69\u8aaa\uff1a\u8eab\u9ad8\u4e26\u4e0d\u662f\u4e00\u5207\uff0c\u4f46\u6211\u5fc3\u60f3\uff0c\u4ee5\u81ea\u5df1\u70ba\u4eba\u7236\u6bcd\u7684\u5fc3\u60c5\uff0c\u5728\u53ef\u6ce8\u610f\u3001\u53ef\u6cbb\u7642\u7684\u60c5\u6cc1\uff0c\u9084\u662f\u4e0d\u8981\u932f\u5931\u6a5f\u6703\u3002<\/span>\u6709\u4e00\u6b21\u5728\u9580\u8a3a\u4e00\u4f4d\u570b\u4e00\u5973\u751f\u8eab\u9ad8\u53ea\u6709143\u516c\u5206\uff0c\u521d\u7d93\u5c0f\u4e94\u5c31\u4f86\u4e86\uff0c\u7576\u6211\u770b\u8457\u5979\u7684\u624b\u90e8X\u5149\u7247\uff0c\u544a\u8a34\u5979\u4e0d\u53ef\u80fd\u518d\u9577\u9ad8\u7684\u7576\u4e0b\uff0c\u5979\u7684\u773c\u6dda\u99ac\u4e0a\u6389\u4e0b\u4f86\uff1b\u53e6\u5916\u662f\u4e00\u4f4d\u570b\u4e09\u7537\u751f\uff0c\u4e56\u5de7\u53c8\u529f\u8ab2\u597d\uff0c\u8eab\u9ad8\u53ea\u6709155\u516c\u5206\uff0c\u9aa8\u9aba\u5e7e\u4e4e\u5df2\u5168\u7652\u5408\uff0c\u9019\u6b21\u662f\u5abd\u5abd\u7576\u5834\u6dda\u4e0b\uff0c\u771f\u662f\u65bc\u5fc3\u4e0d\u5fcd\uff01<\/p>\n\n\n\n

    \u6240\u4ee5\u7e3d\u7d50\uff0c\u82e5\u5b78\u9f61\u524d\u6216\u5b78\u9f61\u5152\u7ae5\u7684\u8eab\u9ad8\u662f\u57283\u500b\u767e\u5206\u4f4d\u4ee5\u4e0b\u3001\u751f\u9577\u901f\u7387\u6bcf\u5e74\u5c0f\u65bc4\u516c\u5206\u3001\u6216\u662f\u8eab\u9ad8\u767e\u5206\u4f4d\u5dee\u6a19\u7684\u8eab\u9ad8\u7684\u767e\u5206\u4f4d\u751a\u591a\uff0c\u8acb\u8f49\u4ecb\u81f3\u5c0f\u5152\u5167\u5206\u6ccc\u6216\u65b0\u9673\u4ee3\u8b1d\u79d1\uff1b\u6b64\u5916\u5c0f\u5b69\u8eab\u9ad8\u767c\u80b2\u7279\u5225\u63d0\u65e9\uff0c\u4e5f\u662f\u8acb\u5c0f\u5fc3\uff0c\u8f49\u4ecb\u81f3\u5c0f\u5152\u5167\u5206\u6ccc\u6216\u65b0\u9673\u4ee3\u8b1d\u79d1\u7167\u500b\u9aa8\u9f61\uff0c\u5225\u8b93\u5c11\u5e74\u7dad\u7279\u7684\u53e6\u4e00\u500b\u7169\u60f1\u8b8a\u6210\u6c38\u9060\u7684\u907a\u61be!<\/p>\n","protected":false},"excerpt":{"rendered":"

    \u751f\u9577\u8207\u767c\u80b2\u662f\u5b69\u7ae5\u6642\u671f\u7279\u6709\u7684\u73fe\u8c61\uff0c\u6240\u8b02\u7684\u751f\u9577\u662f\u6307\u8eab\u9ad4\u6703\u96a8\u8457\u5e74\u9f61\u589e\u52a0\u800c\u4ee5\u4e00\u5b9a\u7684\u901f\u5ea6\u9577\u5927\uff0c\u767c\u80b2\u72c0\u6cc1\u53ef\u7531\u8eab\u9ad8\u3001\u9ad4\u91cd\u53ca\u5916\u89c0\u6027\u5fb5\u8b8a\u5316\u4f5c\u70ba\u5224\u65b7\u4f9d\u64da\u3002\u73fe\u4ee3\u5bb6\u5ead\u7684\u751f\u6d3b\u3001\u6559\u80b2\u6c34\u6e96\u63d0\u9ad8\uff0c\u5c0f\u5b69\u751f\u7684\u5c11\uff0c\u52a0\u4e0a\u91cd\u8996\u8eab\u6750\u5916\u89c0\u7684\u793e\u6703\u73fe\u8c61\uff0c\u751f\u9577\u767c\u80b2\u554f\u984c\u4fbf\u6210\u70ba\u7236\u6bcd\u89aa\u6700\u95dc\u5fc3\u7684\u8ab2\u984c\uff0c\u5728\u5152\u79d1\u9580\u8a3a\u5f88\u5e38\u88ab\u8a62\u554f\u9019\u985e\u7684\u554f\u984c\u3002<\/p>\n","protected":false},"author":1,"featured_media":262,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","footnotes":""},"categories":[6],"tags":[31,27,29,68,28],"class_list":["post-213","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-6","tag-31","tag-27","tag-29","tag-68","tag-28"],"_links":{"self":[{"href":"https:\/\/tpcha.tw\/index.php?rest_route=\/wp\/v2\/posts\/213","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tpcha.tw\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tpcha.tw\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tpcha.tw\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tpcha.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=213"}],"version-history":[{"count":11,"href":"https:\/\/tpcha.tw\/index.php?rest_route=\/wp\/v2\/posts\/213\/revisions"}],"predecessor-version":[{"id":1321,"href":"https:\/\/tpcha.tw\/index.php?rest_route=\/wp\/v2\/posts\/213\/revisions\/1321"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tpcha.tw\/index.php?rest_route=\/wp\/v2\/media\/262"}],"wp:attachment":[{"href":"https:\/\/tpcha.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=213"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tpcha.tw\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=213"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tpcha.tw\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=213"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}