{"id":205,"date":"2025-07-30T15:14:00","date_gmt":"2025-07-30T07:14:00","guid":{"rendered":"https:\/\/demo.make9.tw\/?p=205"},"modified":"2025-08-19T11:02:39","modified_gmt":"2025-08-19T03:02:39","slug":"aub","status":"publish","type":"post","link":"https:\/\/www.co-chinese-med.com\/en\/2025\/07\/30\/aub\/","title":{"rendered":"\u7570\u5e38\u5b50\u5bae\u51fa\u8840\u662f\u4ec0\u9ebc\uff1f\u638c\u63e1\u5e38\u7528\u5206\u985e\u3001\u539f\u56e0\u8207\u6700\u65b0\u81e8\u5e8a\u89c0\u5ff5"},"content":{"rendered":"<p class=\"\">(2025.7.30\u66f4\u65b0)\u6708\u7d93\u9031\u671f\u4e82\u3001\u7d93\u8840\u8b8a\u591a\u6216\u7d93\u671f\u5916\u51fa\u8840\uff1f\u4f60\u53ef\u80fd\u9047\u4e0a\u300c\u7570\u5e38\u5b50\u5bae\u51fa\u8840\u300d\uff0c\u9019\u7bc7\u5e6b\u4f60\u4e00\u6b21\u91d0\u6e05\u75c5\u56e0\u8207\u5c0d\u7b56\uff01<\/p>\n\n\n\n<h2 id=\"%e4%bb%80%e9%ba%bc%e6%98%af%e7%95%b0%e5%b8%b8%e5%ad%90%e5%ae%ae%e5%87%ba%e8%a1%80%ef%bc%88aub%ef%bc%89%ef%bc%9f\" class=\"wp-block-heading\">\u4ec0\u9ebc\u662f\u7570\u5e38\u5b50\u5bae\u51fa\u8840\uff08AUB\uff09\uff1f<\/h2>\n\n\n\n<p class=\"\">\u7570\u5e38\u5b50\u5bae\u51fa\u8840\uff08Abnormal Uterine Bleeding, AUB\uff09\u662f\u80b2\u9f61\u5973\u6027\u8207\u66f4\u5e74\u671f\u5973\u6027\u5e38\u898b\u7684\u5a66\u79d1\u554f\u984c\uff0c\u8868\u73fe\u53ef\u80fd\u5305\u62ec\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">\u505c\u7d93\u5f8c\u518d\u6b21\u51fa\u8840<\/li>\n\n\n\n<li class=\"\">\u6708\u7d93\u9031\u671f\u6df7\u4e82\u3001\u7d93\u671f\u5ef6\u9577\u6216\u7e2e\u77ed<\/li>\n\n\n\n<li class=\"\">\u7d93\u8840\u91cf\u904e\u591a\u6216\u904e\u5c11<\/li>\n\n\n\n<li class=\"\">\u975e\u7d93\u671f\u51fa\u8840\uff08\u9ede\u72c0\u51fa\u8840\uff09<\/li>\n<\/ul>\n\n\n\n<p class=\"\">\u9019\u4e0d\u53ea\u662f\u751f\u6d3b\u56f0\u64fe\uff0c\u66f4\u53ef\u80fd\u662f<strong>\u8377\u723e\u8499\u5931\u8abf\u3001\u5b50\u5bae\u5167\u75c5\u8b8a\u3001\u751a\u81f3\u60e1\u6027\u816b\u7624<\/strong>\u7684\u5fb5\u5146\uff0c\u52d9\u5fc5\u53ca\u65e9\u8a55\u4f30\u3002<\/p>\n\n\n\n<h4 id=\"%e5%9c%8b%e9%9a%9b%e6%9c%80%e6%96%b0%e5%88%86%e9%a1%9e%ef%bc%9apalm-coein-%e6%98%af%e4%bb%80%e9%ba%bc%ef%bc%9f\" class=\"wp-block-heading\">\u570b\u969b\u6700\u65b0\u5206\u985e\uff1aPALM\u2011COEIN \u662f\u4ec0\u9ebc\uff1f<\/h4>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th><strong>\u5206\u985e<\/strong><\/th><th>\u539f\u56e0<\/th><th><strong>\u5e38\u898b\u7279\u5fb5<\/strong><\/th><\/tr><\/thead><tbody><tr><td><strong>P \u2013 Polyp\uff08\u606f\u8089\uff09<\/strong><\/td><td>\u5b50\u5bae\u5167\u819c\u6216\u5b50\u5bae\u9838\u606f\u8089      <\/td><td>           \u9ede\u72c0\u6216\u4e2d\u671f\u51fa\u8840<\/td><\/tr><tr><td><strong>A \u2013 Adenomyosis\uff08\u5b50\u5bae\u817a\u808c\u75c7\uff09<\/strong><\/td><td>\u5b50\u5bae\u808c\u5c64\u5167\u6709\u7570\u4f4d\u5167\u819c<\/td><td>           \u7d93\u75db\u3001\u7d93\u8840\u591a<\/td><\/tr><tr><td><strong>L \u2013 Leiomyoma\uff08\u5b50\u5bae\u808c\u7624\uff09<\/strong><\/td><td>\u5b50\u5bae\u5e73\u6ed1\u808c\u826f\u6027\u816b\u7624<\/td><td>        \u58d3\u8feb\u611f\u3001\u7d93\u91cf\u8b8a\u5316\u3001\u4e0d\u5b55<\/td><\/tr><tr><td><strong>M \u2013 Malignancy \/ Hyperplasia\uff08\u60e1\u6027\u6216\u589e\u751f<\/strong><\/td><td>\u5b50\u5bae\u5167\u819c\u7570\u5e38\u589e\u751f\u6216\u764c\u8b8a<\/td><td>        \u505c\u7d93\u5f8c\u51fa\u8840\u3001\u6708\u7d93\u5931\u63a7<\/td><\/tr><tr><td><strong>C \u2013 Coagulopathy<\/strong><br><strong>\uff08\u51dd\u8840\u7570\u5e38\uff09<\/strong><\/td><td>\u5982 von Willebrand \u75c5<\/td><td>        \u5e38\u898b\u65bc\u9752\u6625\u671f\u3001\u6708\u7d93\u904e\u591a<\/td><\/tr><tr><td><strong>O \u2013 Ovulatory dysfunction\uff08\u6392\u5375\u969c\u7919\uff09<\/strong><\/td><td>\u591a\u56ca\u5375\u5de2\u3001\u58d3\u529b\u5927\u3001\u9ad4\u91cd\u6ce2\u52d5<\/td><td>         \u6708\u7d93\u9031\u671f\u6df7\u4e82<\/td><\/tr><tr><td><strong>E \u2013 Endometrial\uff08\u5167\u819c\u7570\u5e38\uff09<\/strong><\/td><td>\u5167\u819c\u8840\u7ba1\u53cd\u61c9\u8207\u4fee\u5fa9\u554f\u984c<\/td><td>         \u6392\u9664\u5176\u4ed6\u539f\u56e0\u5f8c\u8003\u616e<\/td><\/tr><tr><td><strong>I \u2013 Iatrogenic\uff08\u91ab\u6e90\u6027\uff09<\/strong><\/td><td>\u907f\u5b55\u5668\u3001\u8cc0\u723e\u8499\u85e5\u7269\u3001\u6297\u51dd\u5291<\/td><td>         \u8a55\u4f30\u7528\u85e5\u8207\u6cbb\u7642\u53f2<\/td><\/tr><tr><td><strong>N \u2013 Not classified\uff08\u672a\u5206\u985e\uff09<\/strong><\/td><td>\u52d5\u975c\u8108\u7578\u5f62\u3001\u8853\u5f8c\u7622\u75d5\u7b49   <\/td><td>         \u8f03\u5c11\u898b\uff0c\u9700\u5f71\u50cf\u6aa2\u67e5<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 id=\"%e6%9c%80%e6%96%b0%e8%87%a8%e5%ba%8a%e8%a7%80%e5%bf%b5%ef%bc%882024-2025%ef%bc%89%ef%bc%9apalm-coein-%e6%8c%81%e7%ba%8c%e8%87%a8%e5%ba%8a%e6%b2%bf%e7%94%a8\" class=\"wp-block-heading\">\u6700\u65b0\u81e8\u5e8a\u89c0\u5ff5\uff082024\u20132025\uff09\uff1aPALM-COEIN \u6301\u7e8c\u81e8\u5e8a\u6cbf\u7528<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\"><strong>2024\u20132025\u5e74\u6700\u65b0\u7814\u7a76\u6307\u51fa<\/strong>\uff0cPALM\u2011COEIN \u4ecd\u70ba\u5168\u7403\u5a66\u7522\u79d1\u81e8\u5e8a\u4e3b\u6d41\uff0c\u80fd\u6709\u6548\u63d0\u5347\u8a3a\u65b7\u6e96\u78ba\u6027\u8207\u554f\u8a3a\u7d50\u69cb\u6027\u3010ScienceDirect, 2025\u3011\u3002<\/li>\n\n\n\n<li class=\"\">\u4e00\u7bc7\u4f86\u81ea\u6c99\u70cf\u5730\u963f\u62c9\u4f2f\u7684\u5927\u578b\u56de\u9867\u7814\u7a76\u5206\u6790\u4e86 2724 \u4f4d AUB \u60a3\u8005\uff0c<strong>\u4ee5 PALM\u2011COEIN \u5206\u985e\u5f8c\uff0cAUB-O\uff08\u6392\u5375\u7570\u5e38\uff09\u4f54 23%\uff0cAUB-L\uff08\u808c\u7624\uff09\u4f54 18%<\/strong>\uff0c\u70ba\u6700\u5e38\u898b\u539f\u56e0\u3010PMC, 2024\u3011\u3002<\/li>\n\n\n\n<li class=\"\">FIGO \u5b98\u65b9\u767c\u5e03\u554f\u5377\u986f\u793a\uff0c<strong>\u5168\u7403\u6709\u8d85\u904e 93% \u7684\u5a66\u7522\u79d1\u91ab\u5e2b\u4ecd\u5728\u65e5\u5e38\u5be6\u52d9\u4e2d\u4f7f\u7528\u6b64\u5206\u985e<\/strong>\uff0c\u5728\u4e9e\u6d32\u5730\u5340\uff08\u5982\u53f0\u7063\uff09\u4f7f\u7528\u7387\u6975\u9ad8\u3010FIGO, 2024\u3011\u3002<\/li>\n<\/ul>\n\n\n\n<p class=\"\">PALM-COIEN *von Willebrand disease: \u70ba\u4e00\u7a2e\u8840\u5c0f\u677f\u51dd\u805a\u904e\u7a0b\u7f3a\u4e4f\u6240\u9700\u86cb\u767d\u8907\u5408\u9ad4\u9020\u6210\u7684\u51dd\u8840\u7570\u5e38\u75be\u75c5\u3002\u6709\u8af8\u591a\u5206\u578b\uff0c\u53ef\u5206\u70ba1\u30012A\u30012B\u30012N\u30013\u578b\u3002 **LNG-IUS: levonorgestrel-releasing intrauterine system, \u5b50\u5bae\u5167\u6295\u85e5\u7cfb\u7d71<\/p>\n\n\n\n<h3 id=\"%e4%b8%ad%e9%86%ab%e8%a3%9c%e5%85%85%e8%a7%80%e9%bb%9e%ef%bc%9a\" class=\"wp-block-heading\"><strong>\u4e2d\u91ab\u88dc\u5145\u89c0\u9ede\uff1a<\/strong><\/h3>\n\n\n\n<p class=\"\">\u4e0d\u540c\u9ad4\u8cea\u8207\u6c23\u8840\u8abf\u7bc0\u80fd\u529b\u6703\u5f71\u97ff\u5b50\u5bae\u5167\u819c\u7a69\u5b9a\u6027\uff0c\u4f8b\u5982\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">\u814e\u865b\u578b\uff1a\u898b\u65bc\u66f4\u5e74\u671f\u5973\u6027\uff0c\u6708\u7d93\u4e0d\u898f\u5f8b\u8207\u8170\u75e0\u4e26\u898b<\/li>\n\n\n\n<li class=\"\">\u809d\u9b31\u578b\uff1a\u58d3\u529b\u5927\u6642\u7d93\u671f\u6613\u63d0\u524d\u6216\u5ef6\u5f8c<\/li>\n\n\n\n<li class=\"\">\u813e\u865b\u578b\uff1a\u5bb9\u6613\u6709\u7d93\u8840\u62d6\u5c3e\u3001\u8272\u6de1<\/li>\n<\/ul>\n\n\n\n<h3 id=\"%e4%bb%80%e9%ba%bc%e6%83%85%e6%b3%81%e9%9c%80%e8%a6%81%e5%b0%b1%e9%86%ab%e8%a9%95%e4%bc%b0%ef%bc%9f\" class=\"wp-block-heading\">\u4ec0\u9ebc\u60c5\u6cc1\u9700\u8981\u5c31\u91ab\u8a55\u4f30\uff1f<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">\u6708\u7d93\u4e0d\u898f\u5f8b\u8d85\u904e 3 \u500b\u6708<\/li>\n\n\n\n<li class=\"\">\u7d93\u8840\u904e\u591a\u3001\u5c0e\u81f4\u8ca7\u8840\u6216\u751f\u6d3b\u5e72\u64fe<\/li>\n\n\n\n<li class=\"\">\u7d93\u671f\u5916\u53cd\u8986\u51fa\u8840<\/li>\n\n\n\n<li class=\"\">\u505c\u7d93\u5f8c\u518d\u6b21\u51fa\u8840<\/li>\n\n\n\n<li class=\"\">\u6709\u751f\u80b2\u8a08\u756b\u4f46\u9031\u671f\u96e3\u4ee5\u638c\u63e1<\/li>\n<\/ul>\n\n\n\n<p class=\"\">\u5efa\u8b70\u5148\u63a5\u53d7<strong>\u5a66\u7522\u79d1\u8d85\u97f3\u6ce2\u3001\u8377\u723e\u8499\u8207\u8840\u6db2\u6aa2\u67e5<\/strong>\uff0c\u518d\u642d\u914d\u4e2d\u91ab\u9ad4\u8cea\u8a55\u4f30\uff0c\u80fd\u91dd\u5c0d\u6027\u6539\u5584\u9031\u671f\u7d0a\u4e82\u3002<\/p>\n\n\n\n<h3 id=\"%e4%b8%ad%e9%86%ab%e5%a6%82%e4%bd%95%e5%8d%94%e5%8a%a9%e7%95%b0%e5%b8%b8%e5%87%ba%e8%a1%80%ef%bc%9f\" class=\"wp-block-heading\">\u4e2d\u91ab\u5982\u4f55\u5354\u52a9\u7570\u5e38\u51fa\u8840\uff1f<\/h3>\n\n\n\n<p class=\"\">\u5728\u78ba\u8a8d\u7121\u60e1\u6027\u816b\u7624\u6216\u91cd\u5927\u5668\u8cea\u75c5\u8b8a\u5f8c\uff0c<strong>\u4e2d\u91ab\u8abf\u7d93<\/strong>\u53ef\u8f14\u52a9\u7a69\u5b9a\u5167\u5206\u6ccc\u8207\u6539\u5584\u5b50\u5bae\u74b0\u5883\u3002\u6211\u5011\u7684\u5a66\u79d1\u8abf\u7406\u7279\u8272\u5305\u62ec\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\">\u98f2\u98df\u751f\u6d3b\u5efa\u8b70\uff0c\u5e6b\u52a9\u6392\u5375\u8207\u8840\u7ba1\u7a69\u5b9a<\/li>\n\n\n\n<li class=\"\">\u96f7\u5c04\u91dd\u7078\uff0c\u6539\u5584\u6c23\u8840\u5faa\u74b0\u8207\u5167\u819c\u4fee\u5fa9<\/li>\n\n\n\n<li class=\"\">\u4e2d\u85e5\u8abf\u7d93\uff0c\u5c0d\u61c9\u9ad4\u8cea\u7528\u65b9\uff08\u5982\u758f\u809d\u7406\u6c23\u3001\u5065\u813e\u88dc\u814e\uff09<\/li>\n<\/ul>\n\n\n\n<p class=\"\"><strong>\u6b61\u8fce\u9810\u7d04\u4e2d\u91ab\u5a66\u79d1\u5c08\u696d\u8aee\u8a62\uff5c<\/strong><a href=\"https:\/\/register.cgmh.org.tw\/Department_WEEK\/1\/1C300A1C110J1C100J\">\u9ede\u9019\u88e1\u9810\u7d04(\u53f0\u5317)<\/a>\u3001<a href=\"https:\/\/register.cgmh.org.tw\/Department_WEEK\/3\/3C300A3C310A\">\u9ede\u9019\u88e1\u9810\u7d04(\u6797\u53e3)<\/a><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\"><\/li>\n<\/ul>\n\n\n\n<h3 id=\"%e5%8f%83%e8%80%83%e8%b3%87%e6%96%99\" class=\"wp-block-heading\">\u53c3\u8003\u8cc7\u6599<\/h3>\n\n\n\n<p class=\"\"><sup>Jain, V., Chodankar, R. R., Maybin, J. A., &amp; Critchley, H. O. D. (2022). <em>Uterine bleeding: How understanding endometrial physiology underpins menstrual health<\/em>. Nature Reviews Endocrinology, 18(8), 486\u2013502. <br>FIGO. (2024). <em>Understanding the global impact of AUB classification systems<\/em>. Retrieved from <br>Al-Muhaimeed, T. M., et al. (2024). <em>Abnormal Uterine Bleeding Patterns Based on the PALM\u2013COEIN Classification: A Retrospective Analysis of 2724 Patients in Saudi Arabia<\/em>. <em>Journal of Taibah University Medical Sciences<\/em>, 19(3). <br>ScienceDirect. (2025). <em>Standardized AUB Evaluation with PALM-COEIN Improves Clinical Diagnosis and Triage<\/em>. <\/sup><\/p>\n\n\n\n<p class=\"\"><\/p>\n\n\n\n<p class=\"\"><\/p>","protected":false},"excerpt":{"rendered":"<p>(2025.7.30\u66f4\u65b0)\u6708\u7d93\u9031\u671f\u4e82\u3001\u7d93\u8840\u8b8a\u591a\u6216\u7d93\u671f\u5916\u51fa\u8840\uff1f&hellip;<\/p>","protected":false},"author":1,"featured_media":1859,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[88,87],"tags":[345,124,123,346,347,116,348,122],"powerkit_post_featured":[],"class_list":{"0":"post-205","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-88","8":"category-87","9":"tag-palm-coien","10":"tag-124","11":"tag-123","12":"tag-346","13":"tag-347","14":"tag-116","15":"tag-348","16":"tag-122"},"_links":{"self":[{"href":"https:\/\/www.co-chinese-med.com\/en\/wp-json\/wp\/v2\/posts\/205","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.co-chinese-med.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.co-chinese-med.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.co-chinese-med.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.co-chinese-med.com\/en\/wp-json\/wp\/v2\/comments?post=205"}],"version-history":[{"count":20,"href":"https:\/\/www.co-chinese-med.com\/en\/wp-json\/wp\/v2\/posts\/205\/revisions"}],"predecessor-version":[{"id":2410,"href":"https:\/\/www.co-chinese-med.com\/en\/wp-json\/wp\/v2\/posts\/205\/revisions\/2410"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.co-chinese-med.com\/en\/wp-json\/wp\/v2\/media\/1859"}],"wp:attachment":[{"href":"https:\/\/www.co-chinese-med.com\/en\/wp-json\/wp\/v2\/media?parent=205"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.co-chinese-med.com\/en\/wp-json\/wp\/v2\/categories?post=205"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.co-chinese-med.com\/en\/wp-json\/wp\/v2\/tags?post=205"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/www.co-chinese-med.com\/en\/wp-json\/wp\/v2\/powerkit_post_featured?post=205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}