\u4f17\u6240\u5468\u77e5\uff0c\u5f53\u6211\u4eec\u60f3\u5173\u5fc3\u4e00\u4e2a\u4eba\uff0c\u5374\u53c8\u4e0d\u77e5\u9053\u8bf4\u70b9\u4ec0\u4e48\u7684\u65f6\u5019\uff0c\u53ef\u4ee5\u53d1\u4e00\u53e5\u4e07\u80fd\u7684\u201c\u591a\u559d\u70ed\u6c34\u201d\u3002<\/p>\n
\u8fd9\u4e2a\u4e07\u91d1\u6cb9\u7684\u5631\u5490\u770b\u8d77\u6765\u96be\u514d\u6709\u4e9b\u6577\u884d\uff0c\u4f46\u201c\u9002\u5f53\u8865\u6c34\u6709\u76ca\u5065\u5eb7\u201d\u4e5f\u786e\u5b9e\u662f\u6df1\u5165\u4eba\u5fc3\u7684\u5e38\u8bc6\u3002\u4e0d\u8fc7\uff0c\u559d\u6c34\u5177\u4f53\u6709\u4ec0\u4e48\u786e\u5207\u7684\u597d\u5904\u5462\uff1f\u591a\u6570\u4eba\u6216\u8bb8\u90fd\u542c\u8fc7\u4e00\u4e9b\u96f6\u661f\u7684\u79d1\u666e\uff0c\u4f46\u6ca1\u6709\u7cfb\u7edf\u6027\u7684\u6982\u5ff5\u3002\u8fd9\u5f88\u6b63\u5e38\uff0c\u56e0\u4e3a\u79d1\u5b66\u5bb6\u4eec\u4e5f\u6ca1\u6709\u3002\u8fd1\u671f\uff0c\u6709\u6743\u5a01\u4e13\u5bb6\u5c06\u65e2\u5f80\u4e0e\u559d\u6c34\u6709\u5173\u7684\u7814\u7a76\u6c47\u603b\u540e\u8fdb\u884c\u4e86\u7cfb\u7edf\u6027\u5206\u6790\uff0c\u7ed3\u8bba\u662f\uff1a\u559d\u6c34\u786e\u5b9e\u6709\u591a\u79cd\u660e\u786e\u7684\u548c\u6f5c\u5728\u7684\u597d\u5904\uff0c\u503c\u5f97\u8fdb\u4e00\u6b65\u8bc4\u4f30\u559d\u6c34\u7684\u5065\u5eb7\u6536\u76ca\u3002\u8be5\u7814\u7a76\u4e8e 11 \u6708\u5e95\u53d1\u8868\u4e8e\u300a\u7f8e\u56fd\u533b\u5b66\u4f1a\u6742\u5fd7\u300b\u5b50\u520a(JAMA Network Open)\u4e0a\u3002<\/p>\n<\/p>\n
\u591a\u559d\u6c34<\/strong><\/p>\n \u6709\u76ca\u4e8e\u51cf\u80a5\u548c\u6cbb\u7597\u80be\u7ed3\u77f3<\/strong><\/p>\n \u8fd9\u9879\u7cfb\u7edf\u6027\u5206\u6790\u4ece\u591a\u4e2a\u6570\u636e\u5e93\u91cc\u627e\u5230\u4e86 1464 \u4efd\u7814\u7a76\uff0c\u6700\u7ec8\u7eb3\u5165\u4e86 1999 \u5e74\u81f3 2023 \u5e74\u671f\u95f4\u53d1\u8868\u7684 18 \u9879\u57fa\u4e8e\u4eba\u7fa4\u7684\u968f\u673a\u5bf9\u7167\u8bd5\u9a8c\u3002<\/p>\n 3 \u9879\u7814\u7a76\u53d1\u73b0\uff1a\u8d85\u91cd\u6216\u80a5\u80d6\u7684\u6210\u5e74\u4eba\u5982\u679c\u9910\u524d\u996e\u6c34\uff0c\u6bcf\u5929\u5171 1500ml \uff0c\u6301\u7eed12 \u5468\u5230 12 \u4e2a\u6708\u540e\uff0c\u4e0e\u4e0d\u5728\u9910\u524d\u996e\u6c34\u7684\u8d85\u91cd\u3001\u80a5\u80d6\u6210\u4eba\u76f8\u6bd4\uff0c\u4f53\u91cd\u51cf\u8f7b\u5e45\u5ea6\u66f4\u5927(\u4e0e\u5bf9\u7167\u7ec4\u76f8\u6bd4\uff0c\u4f53\u91cd\u51cf\u8f7b\u5e45\u5ea6\u5206\u522b\u7ea6\u4e3a100%\u300187%\u548c44%)\u3002<\/p>\n \u4e0d\u8fc7\uff0c\u53e6\u6709\u4e00\u9879\u7eb3\u5165 38 \u540d\u53c2\u4e0e\u8005\u7684\u7814\u7a76\u8868\u660e\uff0c\u996e\u6c34\u65f6\u673a\u4e0d\u653e\u5728\u9910\u524d\u65f6\uff0c\u672a\u53d1\u73b0\u591a\u996e\u6c34\u4e0e\u4f53\u91cd\u7684\u5173\u8054\u3002\u8fd9\u53ef\u80fd\u548c\u9910\u524d\u996e\u6c34\u589e\u5f3a\u9971\u8179\u611f\u3001\u51cf\u5c11\u81b3\u98df\u6444\u5165\u603b\u91cf\u3001\u4ee3\u66ff\u9ad8\u70ed\u91cf\u996e\u6599\u7b49\u56e0\u7d20\u6709\u5173\u3002<\/p>\n \u4e24\u9879\u7814\u7a76\u63ed\u793a\u4e86\u589e\u52a0\u996e\u6c34\u91cf\u4e0e\u80be\u7ed3\u77f3\u98ce\u9669\u7684\u5173\u7cfb\u3002\u4e00\u9879\u9488\u5bf9 25\uff5e50 \u5c81\u5065\u5eb7\u6210\u5e74\u4eba\u7684\u7814\u7a76\u53d1\u73b0\uff0c\u6bcf\u5929\u989d\u5916\u589e\u52a0\u996e\u6c34 2000ml \u7684\u4eba\u80be\u7ed3\u77f3\u98ce\u9669\u4e0b\u964d\uff0c\u53cd\u4e4b\u5219\u4e0a\u5347\u3002\u53e6\u4e00\u9879\u7814\u7a76\u9488\u5bf9\u9996\u6b21\u786e\u8bca\u9499\u8d28\u80be\u7ed3\u77f3\u7684\u60a3\u8005\u8fdb\u884c\u5bf9\u7167\u5b9e\u9a8c\uff0c\u5b9e\u9a8c\u7ec4\u589e\u52a0\u996e\u6c34\u91cf\u81f3\u5c3f\u91cf \u22652000ml\/ \u5929\uff0c5 \u5e74\u540e\u4e0e\u5bf9\u7167\u7ec4\u76f8\u6bd4\uff0c\u6bcf 100 \u540d\u53c2\u4e0e\u8005\u590d\u53d1\u4eba\u6b21\u51cf\u5c11 15\u4eba \uff0c\u4e14\u996e\u6c34\u7ec4\u80be\u7ed3\u77f3\u7684\u590d\u53d1\u65f6\u95f4\u4e5f\u660e\u663e\u66f4\u665a\u3002\u4e5f\u5c31\u662f\u8bf4\uff0c\u591a\u996e\u6c34\u4e0d\u4ec5\u53ef\u4ee5\u964d\u4f4e\u5065\u5eb7\u4eba\u7fa4\u53d1\u751f\u80be\u7ed3\u77f3\u7684\u98ce\u9669\uff0c\u4e5f\u53ef\u4ee5\u663e\u8457\u964d\u4f4e\u80be\u7ed3\u77f3\u60a3\u8005\u7684\u590d\u53d1\u98ce\u9669\u3001\u63a8\u8fdf\u590d\u53d1\u65f6\u95f4\u3002<\/p>\n \u591a\u559d\u6c34<\/strong><\/p>\n \u53ef\u80fd\u5bf9\u591a\u79cd\u75be\u75c5\u7684<\/strong><\/p>\n \u9884\u9632\u548c\u7f13\u89e3\u6709\u76ca<\/strong><\/p>\n \u4e24\u9879\u7814\u7a76\u8868\u660e\uff0c\u591a\u559d\u6c34\u80fd\u964d\u4f4e\u7cd6\u5c3f\u75c5\u60a3\u8005\u7684\u7a7a\u8179\u8840\u7cd6\u6c34\u5e73\uff0c\u539f\u7406\u53ef\u80fd\u548c\u9910\u524d\u996e\u6c34\u5e2e\u52a9\u63a7\u5236\u4f53\u91cd\u3001\u65e5\u5e38\u996e\u6c34\u589e\u52a0\u8840\u6d46\u6db2\u4f53\u91cf\u6709\u5173\u3002<\/p>\n \u6709\u9650\u7684\u8bc1\u636e\u8868\u660e\uff0c\u589e\u52a0\u996e\u6c34\u91cf\u5bf9\u504f\u5934\u75db\u7684\u9884\u9632\u548c\u6cbb\u7597\u53ef\u80fd\u6709\u76ca\uff0c\u5177\u4f53\u673a\u5236\u53ef\u80fd\u65e2\u6709\u5ba2\u89c2\u5f71\u54cd\uff0c\u4e5f\u6709\u4e3b\u89c2\u5fc3\u7406\u56e0\u7d20\u3002<\/p>\n \u590d\u53d1\u6027\u5c3f\u8def\u611f\u67d3\u7684\u5973\u6027\u5982\u679c\u6bcf\u65e5\u6db2\u4f53\u6444\u5165\u91cf\u4e0d\u8db3 1500 \u6beb\u5347\uff0c\u6bcf\u5929\u591a\u6444\u5165 1500 \u6beb\u5347\u7684\u6c34\u53ef\u51cf\u5c11\u590d\u53d1\u6027\u5c3f\u8def\u611f\u67d3\u7684\u53d1\u4f5c\u6b21\u6570\u5e76\u5ef6\u957f\u53d1\u4f5c\u95f4\u9694\u65f6\u95f4\u3002<\/p>\n \u5bf9\u4e8e\u60a3\u6709\u4f4e\u8840\u538b\u7684\u5e74\u8f7b\u4eba\uff0c\u589e\u52a0\u996e\u6c34\u91cf\u4e0e\u65e5\u95f4\u5e73\u5747\u52a8\u8109\u8840\u538b\u5347\u9ad8\u6709\u5173\u3002<\/p>\n \u5065\u5eb7\u996e\u6c34<\/strong><\/p>\n \u8fd8\u9700\u8981\u6ce8\u610f\u8fd9\u4e9b<\/strong><\/p>\n \u770b\u5230\u8fd9\u91cc\uff0c\u4f60\u6709\u6ca1\u6709\u53d7\u5230\u9f13\u52b1\uff0c\u51b3\u5b9a\u7b49\u4e0b\u5c31\u53bb\u5012\u4e00\u676f\u6c34\u559d\u5462\uff1f\u5148\u522b\u7740\u6025\u3002\u60f3\u8ba9\u559d\u6c34\u6709\u76ca\u5065\u5eb7\uff0c\u8fd8\u9700\u8981\u6ce8\u610f\u4ee5\u4e0b\u51e0\u70b9\uff1a<\/p>\n 1<\/strong><\/p>\n \u559d\u6c34\u8981\u9002\u91cf<\/strong><\/p>\n \u559d\u6c34\u592a\u5c11\u5bfc\u81f4\u8eab\u4f53\u7f3a\u6c34\u56fa\u7136\u4e0d\u5229\u4e8e\u5065\u5eb7\uff0c\u559d\u6c34\u592a\u591a\u5374\u4e5f\u6709\u98ce\u9669\u3002\u8fc7\u53bb\u4e5f\u4e0d\u4e4f\u996e\u6c34\u8fc7\u591a\u3001\u8fc7\u5feb\u5bfc\u81f4\u6c34\u4e2d\u6bd2\u7684\u65b0\u95fb\u3002\u4e2d\u56fd\u5c45\u6c11\u5e73\u8861\u81b3\u98df\u5b9d\u5854(2022)\u63a8\u8350\u7684\u6bcf\u65e5\u6c34\u91cf\u662f 1500~1700ml \uff0c\u6bcf\u4e2a\u4eba\u8eab\u9ad8\u3001\u4f53\u91cd\u4e0d\u540c\uff0c\u53ef\u4ee5\u6839\u636e\u81ea\u5df1\u7684\u4f53\u578b\u914c\u60c5\u589e\u51cf\u3002<\/p>\n<\/p>\n \u9700\u8981\u6ce8\u610f\u7684\u662f\uff0c\u98df\u7269\u4e2d\u6444\u5165\u7684\u6c34\u5206\u4e5f\u5728\u6bcf\u5929\u6444\u5165\u6c34\u5206\u7684\u603b\u91cf\u4e2d\u3002\u9ad8\u6e29\u5929\u6c14\u3001\u4f53\u529b\u52b3\u52a8\u3001\u4f53\u80b2\u953b\u70bc\u7b49\u6d88\u8017\u91cf\u5927\u3001\u6392\u51fa\u6c34\u5206\u591a\u7684\u60c5\u51b5\u4e0b\uff0c\u9700\u8981\u589e\u52a0\u6c34\u5206\u6444\u5165\u3002<\/p>\n \u90a3\u4e48\uff0c\u5982\u4f55\u5224\u65ad\u81ea\u5df1\u6444\u5165\u7684\u6c34\u5206\u662f\u5426\u9002\u91cf\u5462\uff1f\u5bf9\u4e8e\u5065\u5eb7\u4eba\u7fa4\u800c\u8a00\uff0c\u5c0f\u4fbf\u7684\u9891\u6b21\u662f\u4e2a\u53ef\u4f9b\u53c2\u8003\u7684\u6307\u6807\u3002\u82f1\u56fd\u7684\u8180\u80f1\u548c\u80a0\u9053\u793e\u533a\u7684\u5efa\u8bae\u662f\uff1a\u591a\u6570\u4eba\u6bcf\u5929\u5c0f\u4fbf 6\uff5e7 \u6b21\uff0c\u4f46\u5982\u679c\u4f60\u81ea\u5df1\u4e0d\u89c9\u5f97\u56f0\u6270\u7684\u8bdd\uff0c4\uff5e10 \u6b21\u4e5f\u5c5e\u6b63\u5e38\u3002<\/p>\n 2<\/strong><\/p>\n \u6c34\u6e29\u4e0d\u8981\u592a\u9ad8(<65\u2103)<\/strong><\/p>\n \u5176\u5b9e\uff0c\u4e0e\u5176\u8bf4\u662f\u201c\u591a\u559d\u70ed\u6c34\u201d\uff0c\u66f4\u5408\u9002\u7684\u8bf4\u6cd5\u5e94\u8be5\u662f\u201c\u591a\u559d\u6e29\u6c34\u201d\uff0c\u56e0\u4e3a\u9ad8\u6e29\u996e\u98df\u7684\u70ed\u635f\u4f24\u662f\u98df\u7ba1\u764c\u7684\u660e\u786e\u5371\u9669\u56e0\u7d20\uff0c\u6709\u5927\u91cf\u7814\u7a76\u8bc1\u660e\u4e60\u60ef\u9ad8\u6e29\u996e\u98df\u7684\u5730\u533a\u98df\u7ba1\u764c\u53d1\u75c5\u7387\u663e\u8457\u589e\u9ad8\u3002<\/p>\n 2016 \u5e74\uff0c\u7531 10 \u4e2a\u56fd\u5bb6\u7684 23 \u540d\u79d1\u5b66\u5bb6\u7ec4\u6210\u7684\u5de5\u4f5c\u7ec4\u5728\u6cd5\u56fd\u91cc\u6602\u7684\u56fd\u9645\u764c\u75c7\u7814\u7a76\u673a\u6784(IARC)\u5f00\u4f1a\u8bc4\u4f30\u996e\u7528\u5496\u5561\u3001\u9a6c\u9edb\u8336\u548c\u70ed\u996e\u7684\u81f4\u764c\u6027\u3002\u8be5\u5c0f\u7ec4\u7814\u7a76\u4e86 1000 \u591a\u9879\u9488\u5bf9 20 \u591a\u79cd\u764c\u75c7\u7684\u7814\u7a76\uff0c\u8ba4\u4e3a\u996e\u7528\u4efb\u4f55\u6e29\u5ea6\u8d85\u8fc7 65\u2103 \u7684\u996e\u6599\u90fd\u53ef\u80fd\u5bf9\u4eba\u7c7b\u81f4\u764c\uff0c\u7814\u7a76\u7ed3\u679c\u516c\u5e03\u4e8e\u67f3\u53f6\u5200\u5b50\u520a\u300a\u67f3\u53f6\u5200\u00b7\u80bf\u7624\u5b66\u300b(The Lancet Oncology)\u3002<\/p>\n \u5bf9\u4e8e\u65e5\u5e38\u4e60\u60ef\u559d\u70ed\u6c34\u3001\u70ed\u6c64\uff0c\u8010\u53d7\u4e86\u9ad8\u6e29\u7684\u4eba\u6765\u8bf4\uff0c65\u2103 \u6216\u8bb8\u5e76\u4e0d\u662f\u4f1a\u8ba9\u4eba\u89c9\u5f97\u70eb\u7684\u6e29\u5ea6\u3002\u5bf9\u8fd9\u4e2a\u6e29\u5ea6\u6ca1\u6709\u6982\u5ff5\u7684\u4eba\u53ef\u4ee5\u7528\u53a8\u623f\u6e29\u5ea6\u8ba1\u68c0\u6d4b\u4e00\u4e0b\u70ed\u6c34\u6216\u8005\u70ed\u6c64\u7684\u6e29\u5ea6\uff0c\u5728 65\u2103 \u5de6\u53f3\u7684\u65f6\u5019\u996e\u4e0b\uff0c\u8bb0\u4f4f\u8eab\u4f53\u7684\u611f\u89c9\uff0c\u4ee5\u540e\u5c31\u53ef\u4ee5\u5bf9\u9ad8\u6e29\u996e\u98df\u7684\u5224\u65ad\u5fc3\u4e2d\u6709\u6570\u4e86\u3002<\/p>\n 3<\/strong><\/p>\n \u559d\u996e\u6599\u2260\u559d\u6c34<\/strong><\/p>\n 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