{"id":12967,"date":"2019-11-21T16:25:29","date_gmt":"2019-11-21T08:25:29","guid":{"rendered":"http:\/\/211.76.170.196\/wp2\/?page_id=12967"},"modified":"2024-11-21T16:59:22","modified_gmt":"2024-11-21T08:59:22","slug":"%e7%b0%a1%e4%bb%8b_1081120","status":"publish","type":"page","link":"https:\/\/mohwcrp.tw\/surveillance\/","title":{"rendered":"\u6210\u679c\u7c21\u4ecb"},"content":{"rendered":"

\u764c\u75c7\u76e3\u6e2c\u7684\u91cd\u8981\u6027<\/h4>\n
\n

\u81ea1982\u5e74\u8fc4\u4eca\uff0c\u764c\u75c7\u9023\u7e8c37\u5e74\u70ba\u6211\u570b\u5341\u5927\u6b7b\u56e0\u4e4b\u9996\uff0c\u5f71\u97ff\u75c5\u4eba\u8207\u5bb6\u4eba\u4e4b\u751f\u6d3b\uff0c\u66f4\u6df1\u6df1\u5f71\u97ff\u6211\u570b\u7684\u7af6\u722d\u529b\uff0c\u56e0\u6b64\uff0c\u764c\u75c7\u9632\u6cbb\u662f\u7576\u524d\u91cd\u8981\u4e4b\u516c\u5171\u885b\u751f\u8b70\u984c\uff0c\u6301\u7e8c\u5730\u764c\u75c7\u76e3\u6e2c\uff0c\u53ef\u505a\u70ba\u672a\u4f86\u764c\u75c7\u653f\u7b56\u5236\u5b9a\u4e4b\u91cd\u8981\u53c3\u8003\u3002<\/p>\n

\u6211\u5011\u91dd\u5c0d\u53f0\u7063\u5e38\u898b\u4e4b\u764c\u75c7\uff0c\u5229\u7528\u570b\u969b\u9593\u5e38\u7528\u4e14\u8f03\u65b0\u7684\u65b9\u6cd5\uff0c\u8a08\u7b97\u764c\u75c7\u767c\u751f\u7387\u53ca\u6de8\u5b58\u6d3b\u7387\uff0c\u4e26\u8207\u570b\u969b\u767c\u8868\u4e4b\u7d50\u679c\u9032\u884c\u6bd4\u8f03\uff0c\u9032\u884c\u9577\u671f\u4e4b\u76e3\u6e2c\uff0c\u76ee\u524d\u6211\u5011\u5b8c\u6210\u4e73\u764c\u4e0d\u540c\u5e74\u9f61\u4e16\u4ee3\u4e4b\u767c\u751f\u7387\u53ca\u8207\u7f8e\u570b\u7684\u7d50\u679c\u6bd4\u8f03[1]<\/a>(\u7d93\u8cbb\u4f86\u6e90\u70ba\u885b\u798f\u90e8\u63a8\u52d5\u4e4b\u7b2c\u4e8c\u671f\u764c\u75c7\u7814\u7a76\u8a08\u756b)\uff0c\u4ee5\u53ca\u4e8c\u5341\u7a2e\u5e38\u898b\u764c\u75c7\u7684\u5b58\u6d3b\u7387\u7d71\u8a08[2]<\/a>\uff0c\u671f\u671b\u5c0d\u65bc\u964d\u4f4e\u570b\u4eba\u764c\u75c7\u8ca0\u64d4\uff0c\u4ee5\u53ca\u964d\u4f4e\u764c\u75c7\u6b7b\u4ea1\u7387\u76f8\u95dc\u4e4b\u7814\u7a76\u6216\u9632\u6cbb\u63aa\u65bd\u6709\u6240\u5e6b\u52a9\u3002<\/p>\n<\/div>\n

\u76e3\u6e2c\u7d50\u679c<\/h4>\n
\n
    \n
  1. \u4e73\u764c\u767c\u751f\u7387\uff1a\n
      \n
    1. \u4e0d\u540c\u51fa\u751f\u4e16\u4ee3\u5728\u5404\u8a3a\u65b7\u5e74\u9f61\u5c64\u4e73\u764c\u767c\u751f\u7387\u4e4b\u8da8\u52e2 \u524d\u5f80\u4e92\u52d5\u5f0f\u4e3b\u984c\u5340<\/a>\n
      \n
      \n
      A.<\/div>\n

      \"\"
      \n      \u653e\u5927\u5716A<\/a><\/p>\n<\/div>\n

      \n
      B.<\/div>\n

      \"\"
      \n      \u653e\u5927\u5716B<\/a><\/p>\n<\/div>\n<\/div>\n

      \u5728\u53f0\u7063(\u5716A)\u6700\u5de6\u908a\u7684\u66f2\u7dda(\u6dfa\u7d2b\u8272)\uff0c\u662f1956\u5e74\u51fa\u751f\u7684\u4eba\u5f9e35\u6b72\u523055\u6b72\u768420\u5e74\u9593\u7684\u4e73\u764c\u767c\u751f\u7387\uff0c\u9019\u4e9b\u767c\u751f\u7387\u5f9e\u7d0435\u6b72\u6642\u7684\u6bcf\u5341\u842c\u4eba\u5e7440\u4eba\u5347\u523055\u6b72\u7684\u6bcf\u5341\u842c\u4eba\u5e74190\u4eba\u3002\u5de6\u908a\u7b97\u4f86\u7b2c4\u689d\u66f2\u7dda(\u6dfa\u85cd\u8272)\uff0c\u662f1941\u5e74\u51fa\u751f\u7684\u4eba\uff0c\u5f9e50\u6b72\u523070\u6b72\u7684\u767c\u751f\u7387\uff0c\u5927\u7d04\u5f9e60\u4eba\u5347\u5230190\u4eba\u3002\u5de6\u908a\u7b97\u4f86\u7b2c6\u689d\u66f2\u7dda(\u6dfa\u7da0\u8272)\uff0c\u662f1931\u5e74\u51fa\u751f\u7684\u4eba\uff0c\u5f9e60\u6b72\u523080\u6b72\u7684\u767c\u751f\u7387\uff0c\u5f9e60\u6b72\u768480\u4eba\u5347\u523075\u6b72\u7684130\u4eba\uff0c\u7136\u5f8c\u958b\u59cb\u4e0b\u964d\u3002\u5f9e\u9019\u4e9b\u66f2\u7dda\u53ef\u4ee5\u770b\u51fa\uff0c\u5728\u6bcf\u4e00\u51fa\u751f\u4e16\u4ee3\u4e2d\uff0c\u572875\u6b72\u4ee5\u524d\uff0c\u767c\u751f\u7387\u90fd\u662f\u96a8\u5e74\u9f61\u589e\u52a0\u800c\u589e\u52a0\u3002<\/p>\n

      \u540c\u6a23\u7684\uff0c\u6211\u5011\u7528\u4e86\u540c\u4e00\u6642\u671f\u7f8e\u570b\u7684\u6578\u64da\uff0c\u5f97\u51fa\u5716B\uff0c\u4e0a\u8ff0\u9019\u4e9b\u89c0\u5bdf\uff0c\u5c0d\u7f8e\u570b\u7684\u6bcf\u4e00\u4e16\u4ee3\u4e5f\u6210\u7acb\u3002\u56e0\u6b64\uff0c\u5c0d\u6bcf\u4e00\u51fa\u751f\u4e16\u4ee3\uff0c\u4e0d\u7ba1\u5728\u53f0\u7063\u3001\u9084\u662f\u7f8e\u570b\uff0c\u5e74\u9f61\u5c0d\u767c\u751f\u7387\u6709\u985e\u4f3c\u7684\u5f71\u97ff\u3002\u6b64\u5916\uff0c\u4e0d\u8ad6\u662f\u54ea\u4e00\u500b\u51fa\u751f\u4e16\u4ee3\uff0c\u540c\u4e00\u5e74\u7d00\u4e4b\u53f0\u7063\u5973\u6027\u4e73\u764c\u7684\u767c\u751f\u7387\u7686\u6bd4\u7f8e\u570b\u4f86\u5f97\u4f4e\u3002\u53f0\u7063\u5e74\u7d00\u8f03\u8f15\u7684\u4e16\u4ee3\u548c\u7f8e\u570b\u5e74\u7d00\u8f03\u8f15\u4e16\u4ee3\u7684\u5dee\u7570\u8f03\u5c0f\uff0c\u53f0\u7063\u5e74\u7d00\u8f03\u5927\u4e4b\u4e16\u4ee3\u548c\u7f8e\u570b\u5e74\u7d00\u8f03\u5927\u7684\u4e16\u4ee3\u7684\u767c\u751f\u7387\u5dee\u8ddd\u8f03\u5927\u3002<\/p>\n

      \u9019\u4e9b\u5716\u544a\u8a34\u6211\u5011\u7684\u7b2c\u4e8c\u4ef6\u4e8b\u662f\u5728\u53f0\u7063\uff0c\u5c0d\u6bcf\u4e00\u5e74\u9f61\u5c64\uff0c\u665a\u51fa\u751f\u7684\u4eba\u7684\u767c\u751f\u7387\u6bd4\u8f03\u9ad8\u3002\u8b6c\u5982\u8aaa\uff0c\u5c0d50\u6b72\u7684\u4eba\u4f86\u8b1b\uff0c1956\u5e74\u51fa\u751f\u7684\u4eba\u572850\u6b72\u6642\u7684\u767c\u751f\u7387\u8981\u6bd41951\u5e74\u51fa\u751f\u7684\u4eba\u572850\u6b72\u7684\u767c\u751f\u7387\u8981\u9ad8\u3002\u9019\u60c5\u5f62\u5728\u7f8e\u570b\u662f\u6c92\u6709\u7684\uff0c\u5728\u7f8e\u570b\uff0c1956\u5e74\u51fa\u751f\u7684\u4eba\u572850\u6b72\u7684\u767c\u751f\u7387\u82071951\u5e74\u51fa\u751f\u572850\u6b72\u7684\u767c\u751f\u7387\u5dee\u4e0d\u591a\uff1b\u4f46\u662f\u572860\u6b72\u5247\u76f8\u53cd\uff0c1946\u5e74\u51fa\u751f\u7684\u4eba\u572860\u6b72\u7684\u767c\u751f\u7387\u6bd41951\u5e74\u768460\u6b72\u7684\u4eba\u767c\u751f\u7387\u8981\u9ad8\u3002\u8ad6\u6587\u5df2\u767c\u8868\u5728Cancer Medicine (2017) [1,3]<\/a> \u3002<\/li>\n

    2. \u4e0d\u540c\u8a3a\u65b7\u5e74\u9f61\u5176\u7279\u5b9a\u4e16\u4ee3\u4e4b\u5973\u6027\u4e73\u764c\u767c\u751f\u7387 \u524d\u5f80\u4e92\u52d5\u5f0f\u4e3b\u984c\u5340<\/a>\n
      \n
      \n
      A.<\/div>\n

      \"\"
      \n      \u653e\u5927\u5716A<\/a><\/p>\n<\/div>\n

      \n
      B.<\/div>\n

      \"\"
      \n      \u653e\u5927\u5716B<\/a><\/p>\n<\/div>\n<\/div>\n

      \u7531\u5716(A)\u53ef\u4ee5\u770b\u5230\uff0c\u4ee5\u53f0\u7063\u4f86\u8aaa\uff0c\u6bcf\u500b\u8a3a\u65b7\u5e74\u9f61\u66f2\u7dda\u7686\u5448\u73fe\uff1a\u51fa\u751f\u5e74\u4ee3\u6108\u665a\uff0c\u5176\u4e73\u764c\u767c\u751f\u7387\u6108\u4e0a\u5347\u3002\u800c\u5716(B)\u7f8e\u570b\u5448\u73fe\u4e4b\u60c5\u5f62\u537b\u4e0d\u4e00\u6a23\uff0c\u6bcf\u500b\u8a3a\u65b7\u5e74\u9f61\u66f2\u7dda\uff0c\u96a8\u8457\u51fa\u751f\u5e74\u4ee3\u6108\u665a\uff0c\u5176\u4e73\u764c\u767c\u751f\u7387\u5148\u4e0a\u5347\u518d\u4e0b\u964d\uff0c\u5c24\u5176\u4ee5\u6700\u8001\u4e4b\u8a3a\u65b7\u5e74\u9f61\u66f2\u7dda (84\u6b72)\uff0c\u5176\u767c\u751f\u7387\u5dee\u7570\u6700\u5927\u3002<\/li>\n<\/ol>\n<\/li>\n

    3. \u764c\u75c7\u5b58\u6d3b\u7387\uff1a\n
      \n
      \"\"<\/div>\n
      \n

      \u5728\u5e38\u898b\u7684\u4e8c\u5341\u7a2e\u764c\u75c7\u7576\u4e2d\uff0c\u5927\u90e8\u5206\u764c\u75c7\u60a3\u8005\u4e00\u5e74\u548c\u4e94\u5e74\u4e4b\u5b58\u6d3b\u7387\u7686\u96a8\u8457\u5e74\u9f61\u5c64\u589e\u52a0\u800c\u9010\u6f38\u964d\u4f4e\uff0c\u4f8b\u5982\u570b\u5167\u5e38\u898b\u7684\u4e94\u5927\u764c\u5225\uff1a\u53e3\u8154\u764c\u3001\u4e73\u764c\u3001\u5927\u8178\u76f4\u8178\u764c\u3001\u80ba\u764c\u3001\u4ee5\u53ca\u809d\u764c\u3002<\/p>\n

      \u524d\u5f80\u4e92\u52d5\u5f0f\u4e3b\u984c\u5340<\/a><\/p>\n<\/div>\n<\/div>\n<\/li>\n

    4. \u4e0d\u540c\u793e\u7d93\u5730\u4f4d\u4e4b\u764c\u75c7\u5b58\u6d3b\u7387\uff1a\n
      \n
      \"\"<\/div>\n
      \n

      \u5728\u5e38\u898b\u7684\u4e8c\u5341\u7a2e\u764c\u75c7\u7576\u4e2d\uff0c\u5927\u90e8\u5206\u764c\u75c7\u75c5\u60a3\u70ba\u793e\u7d93\u5730\u4f4d\u6108\u9ad8\uff0c\u5b58\u6d3b\u7387\u6108\u9ad8\u3002\u53ea\u6709\u5b50\u5bae\u9838\u764c\u3001\u5176\u4ed6\u81bd\u76f8\u95dc\u764c\u75c7\u4ee5\u53ca\u651d\u8b77\u817a\u764c\u9019\u4e09\u7a2e\u764c\u5225\u6c92\u6709\u96a8\u8457\u793e\u7d93\u5730\u4f4d\u6108\u9ad8\u5b58\u6d3b\u7387\u6108\u9ad8\u9019\u500b\u8da8\u52e2\u3002<\/p>\n

      \u524d\u5f80\u4e92\u52d5\u5f0f\u4e3b\u984c\u5340<\/a><\/p>\n<\/div>\n<\/div>\n<\/li>\n<\/ol>\n

      \n
      \u8a3b<\/div>\n
        \n
      1. \u767c\u751f\u7387(Incidence)\uff1a\u767c\u751f\u7387\u662f\u6307\u4e00\u6bb5\u6642\u9593\u5167\u65b0\u767c\u75c5\u7684\u75c5\u4f8b\u6578\u548c\u5e73\u5747\u7e3d\u4eba\u53e3\u6578\u7684\u6bd4\u503c[4]<\/a>\u3002\u4f8b\u5982\uff0c\u5c0d\u65bc\u4e00\u7fa4\u5305\u542b100,000\u4eba\u7684\u672a\u60a3\u75c5\u7684\u98a8\u96aa\u4eba\u7fa4\u9032\u884c\u70ba\u671f\u4e00\u5e74\u7684\u89c0\u5bdf\u4e4b\u5f8c\uff0c\u767c\u73fe\u6709X\u4eba\u60a3\u75c5\uff0c\u5247\u6b64\u75be\u75c5\u4e4b\u767c\u751f\u7387\u70ba\u6bcf\u5e74X\u4f8b\/100,000\u4eba\u3002<\/li>\n
      2. \u5b58\u6d3b\u7387(Survival)\uff1a\u672c\u6587\u6240\u793a\u4e4b\u5b58\u6d3b\u7387\u5747\u70ba\u6de8\u5b58\u6d3b\u7387\u3002\u764c\u75c7\u7684\u6de8\u5b58\u6d3b\u7387(Net Survival)\u5e38\u7528\u4e4b\u5169\u500b\u65b9\u6cd5\u6709\u76f8\u5c0d\u5b58\u6d3b\u7387 (Relative Survival, RS)\u53ca\u7279\u5b9a\u6b7b\u56e0\u5b58\u6d3b\u7387 (Cause-Specific Survival, CSS)\uff0c\u7279\u5b9a\u6b7b\u56e0\u5b58\u6d3b\u7387\u5728\u672c\u6587\u4e2d\u4fc2\u8a08\u7b97\u56e0\u764c\u75c7\u6b7b\u4ea1\u4e4b\u5b58\u6d3b\u7387\u3002\u7576RS\u53caCSS\u4e00\u81f4\u6027\u9ad8\u6642\uff0c\u5176\u7d50\u679c\u8f03\u53ef\u9760\uff0c\u6211\u5011\u5df2\u65bc\u5148\u524d\u7684\u7814\u7a76\u8207\u7f8e\u570b\u6bd4\u8f03\u904e[2]<\/a>\uff0c\u53f0\u7063RS\u53caCSS\u7684\u4e00\u81f4\u6027\u6bd4\u7f8e\u570b\u9ad8\uff0c\u56e0\u6b64\u672c\u7db2\u9801\u53ea\u5448\u73feCSS\u4e4b\u7d50\u679c\u3002<\/li>\n<\/ol>\n<\/div>\n<\/div>\n

        \u8cc7\u6599\u4f86\u6e90<\/h4>\n
        \n\u672c\u7db2\u9801\u70ba\u885b\u798f\u90e8\u7b2c\u4e09\u671f\u764c\u75c7\u7814\u7a76\u8a08\u756b\u7814\u7a76\u6210\u679c\uff0c\u8a08\u756b\u8cc7\u8a0a\u5982\u4e0b:
        \n\u8a08\u756b\u540d\u7a31: \u7b2c\u4e09\u671f\u764c\u75c7\u7814\u7a76\u8de8\u6a5f\u69cb\u5408\u4f5c\u5e73\u53f0\u53ca\u5176\u6574\u5408\u61c9\u7528 \u5206\u9805\u8a08\u756b 3\uff1a\u764c\u75c7\u8cc7\u8a0a\u8207\u6559\u80b2\u5206\u4eab\u5e73\u53f0
        \n\u4f5c\u8005: \u5f35\u61b6\u58fd\u540d\u8b7d\u7814\u7a76\u54e1 I-Shou Chang
        \n\u8ad6\u6587\u767c\u8868:<\/div>\n
          \n
        1. Li-Hsin Chien, Tzu-Jui Tseng, Chung-Hsing Chen, Hsin-Fang Jiang, Fang-Yu Tsai, Tsang-Wu Liu, Chao A. Hsiung, I-Shou Chang<\/u>. Comparison of annual percentage change in breast cancer incidence rate between Taiwan and the United States-A smoothed Lexis diagram approach.<\/i> Cancer Medicine, 2017. 6<\/span>(7): p.1762-1775.<\/li>\n
        2. Li-Hsin Chien, Tzu-Jui Tseng, Fang-Yu Tsai, Jie-Huei Wang, Chao A Hsiung, Tsang-Wu Liu, I-Shou Chang<\/u>. Patterns of age-specific socioeconomic inequalities in net survival for common cancers in Taiwan, a country with universal health coverage.<\/i> Cancer Epidemiology, 2018. 53<\/span>: p.42-8.<\/li>\n<\/ol>\n

          \u53c3\u8003\u6587\u737b<\/h4>\n
          \n
            \n
          1. \u751f\u6280\u91ab\u85e5\u751f\u7269\u8cc7\u8a0a\u6838\u5fc3\u8a2d\u65bd\uff1a\u751f\u6280\u91ab\u85e5\u751f\u7269\u8cc7\u8a0a\u6838\u5fc3\u8a2d\u65bd\u96fb\u5b50\u5831 Vol.15, 2017 https:\/\/www.tbi.org.tw\/enews\/TMBD\/Vol15.html<\/a><\/li>\n
          2. \u9673\u5efa\u4ec1\uff1a\u6d41\u884c\u75c5\u5b78\uff0c\u7b2c\u4e8c\u7248\u3002\u53f0\u5317\uff0c\u4f19\u4f34\u51fa\u7248\u516c\u53f8\uff0c1983:82\u3002<\/li>\n<\/ol>\n<\/div>\n

            \u806f\u7d61\u6211\u5011<\/h4>\n

            \u82e5\u6709\u4efb\u4f55\u7591\u554f\u8acb\u6d3d\u8a62\u806f\u7d61\u7a97\u53e3\uff1a
            \n\u8521\u82b3\u6986\u5973\u58eb
            \n037-206166 ext.36157
            \n            tatufish@nhri.edu.tw<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

            \u764c\u75c7\u76e3\u6e2c\u7684\u91cd\u8981\u6027 \u81ea1982\u5e74\u8fc4\u4eca\uff0c\u764c\u75c7\u9023\u7e8c37\u5e74\u70ba\u6211\u570b\u5341\u5927\u6b7b\u56e0\u4e4b\u9996\uff0c\u5f71\u97ff\u75c5\u4eba\u8207\u5bb6\u4eba\u4e4b\u751f\u6d3b\uff0c\u66f4\u6df1\u6df1\u5f71…<\/p>\n

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