{"id":16270,"date":"2026-01-05T14:50:36","date_gmt":"2026-01-05T06:50:36","guid":{"rendered":"https:\/\/globalhealth.dukekunshan.edu.cn\/?post_type=calab-pub&p=16270"},"modified":"2026-01-06T17:26:21","modified_gmt":"2026-01-06T09:26:21","slug":"policy-brief-4","status":"publish","type":"calab-pub","link":"https:\/\/globalhealth.dukekunshan.edu.cn\/zh-hans\/calab-publication\/policy-brief-4\/","title":{"rendered":"\u6211\u56fd\u5e38\u89c1\u764c\u75c7\u7b5b\u67e5\u6280\u672f\u8bc4\u4f30\u5de5\u4f5c\u7684\u6311\u6218\u4e0e\u5efa\u8bae"},"content":{"rendered":"\n

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10. \u7b5b\u67e5\u5e94\u8be5\u662f\u4e00\u4e2a\u6301\u7eed\u7684\u8fc7\u7a0b\uff0c\u800c\u4e0d\u4ec5\u4ec5\u662f\u4e00\u6b21\u6027\u6295\u5165<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

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\u7f8e\u56fdUSPSTF\u5bf9\u5e38\u89c1\u764c\u75c7\u7b5b\u67e5\u7684\u63a8\u8350\u7b49\u7ea7\u5982\u4e0b\uff1a\u5bab\u9888\u764c\u548c\u7ed3\u76f4\u80a0\u764c\u4e3a\u201c\u5f3a\u70c8\u63a8\u8350\u201d\uff08A\u7ea7\uff09[7, 8]<\/sup>\uff1b\u4e73\u817a\u764c\u548c\u80ba\u764c\u4e3a\u201c\u63a8\u8350\u201d\uff08B\u7ea7\uff09[9, 10]<\/sup>\uff1b\u524d\u5217\u817a\u764c\u7b5b\u67e5\u5219\u5efa\u8bae\u7ed3\u5408\u4e2a\u4f53\u60c5\u51b5\u4e0e\u533b\u751f\u5171\u540c\u51b3\u7b56\uff08C\u7ea7\uff09[11]<\/sup>\u3002\u5177\u4f53\u63a8\u8350\u610f\u89c1\u53ca\u5bf9\u5e94\u7b5b\u67e5\u6280\u672f\u8be6\u89c1\u88682\u3002<\/p>\n\n\n\n

\u8868<\/strong>2  USPSTF<\/strong>\u5e38\u89c1\u764c\u75c7\u7b5b\u67e5\u63a8\u8350\u610f\u89c1<\/strong><\/strong><\/td><\/tr>
\u764c\u75c7<\/strong><\/strong><\/td>\u7b5b\u67e5\u5efa\u8bae\u53ca\u7b5b\u67e5\u6280\u672f<\/strong><\/strong><\/td>\u63a8\u8350\u7b49\u7ea7<\/strong><\/strong><\/td><\/tr>
\u5bab\u9888\u764c<\/td>21-29\u5c81\u5973\u6027\uff1a\u5bab\u9888\u7ec6\u80de\u5b66\u68c0\u67e5\uff1b 30-65\u5c81\u5973\u6027\uff1a\u5bab\u9888\u7ec6\u80de\u5b66\u68c0\u67e5\u3001\u9ad8\u5371\u578b\u4eba\u4e73\u5934\u7624\u75c5\u6bd2\uff08hrHPV\uff09\u68c0\u6d4b\u6216\u8054\u5408\u7ec6\u80de\u5b66\u68c0\u67e5<\/td>A<\/td><\/tr>
\u7ed3\u76f4\u80a0\u764c<\/td>50-75\u5c81\u6210\u5e74\u4eba\uff1a\u9ad8\u7075\u654f\u5ea6\u6108\u521b\u6728\u916f\u7caa\u4fbf\u6f5c\u8840\u8bd5\u9a8c\uff08HSgFOBT\uff09\u6216\u7caa\u4fbf\u514d\u75ab\u5316\u5b66\u8bd5\u9a8c\uff08FIT\uff09\uff1b\u7caa\u4fbfDNA-FIT \u68c0\u6d4b\uff1bCT\u7ed3\u80a0\u6210\u50cf\u68c0\u67e5\uff1b\u4e59\u72b6\u7ed3\u80a0\u955c\u6216\u7ed3\u80a0\u955c\u68c0\u67e5<\/td>A<\/td><\/tr>
45-49\u5c81\u6210\u5e74\u4eba\uff1a\u9ad8\u7075\u654f\u5ea6\u6108\u521b\u6728\u916f\u7caa\u4fbf\u6f5c\u8840\u8bd5\u9a8c\uff08HSgFOBT\uff09\u6216\u7caa\u4fbf\u514d\u75ab\u5316\u5b66\u8bd5\u9a8c\uff08FIT\uff09\uff1b\u7caa\u4fbfDNA-FIT \u68c0\u6d4b\uff1bCT\u7ed3\u80a0\u6210\u50cf\u68c0\u67e5\uff1b\u4e59\u72b6\u7ed3\u80a0\u955c\u6216\u7ed3\u80a0\u80a0\u955c\u68c0\u67e5<\/td>B<\/td><\/tr>
\u4e73\u817a\u764c<\/td>40-74\u5c81\u5973\u6027\uff1a\u4e73\u817aX\u7ebf\u68c0\u67e5<\/td>B<\/td><\/tr>
\u80ba\u764c<\/td>50-80\u5c81\u3001\u6709 20 \u5305\u5e74\u5438\u70df\u53f2\u4e14\u76ee\u524d\u4ecd\u5728\u5438\u70df\u6216\u6212\u70df\u4e0d\u8db315\u5e74\u7684\u6210\u5e74\u4eba\uff1a\u4f4e\u5242\u91cf\u8ba1\u7b97\u673a\u65ad\u5c42\u626b\u63cf\uff08LDCT\uff09<\/td>B<\/td><\/tr>
\u524d\u5217\u817a\u764c<\/td>55-69\u5c81\u7684\u7537\u6027\uff1a\u524d\u5217\u817a\u7279\u5f02\u6027\u6297\u539f\uff08PSA\uff09<\/td>C<\/td><\/tr>
USPSTF\u7b49\u7ea7\u8bf4\u660e\uff1aA\u7ea7\uff1a\u5f3a\u70c8\u63a8\u8350\uff0c\u6709\u5145\u5206\u7684\u8bc1\u636e\u8868\u660e\uff0c\u8be5\u670d\u52a1\u5bf9\u76ee\u6807\u4eba\u7fa4\u6709\u663e\u8457\u7684\u76ca\u5904\u3002B\u7ea7\uff1a\u63a8\u8350\uff0c\u6709\u5145\u5206\u6216\u4e2d\u7b49\u7a0b\u5ea6\u7684\u8bc1\u636e\u8868\u660e\uff0c\u8be5\u670d\u52a1\u5bf9\u76ee\u6807\u4eba\u7fa4\u6709\u76ca\u5904\u3002C\u7ea7\uff1a\u6839\u636e\u610f\u613f\u6709\u9009\u62e9\u5730\u63d0\u4f9b\uff0c\u81f3\u5c11\u6709\u4e2d\u7b49\u7a0b\u5ea6\u8bc1\u636e\u8868\u660e\u51c0\u6536\u76ca\u8f83\u5c0f\u3002<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

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\u7f8e\u56fd\u548c\u82f1\u56fd\u5747\u91c7\u7528\u6743\u5a01\u3001\u72ec\u7acb\u3001\u5e38\u8bbe\u7684\u8de8\u5b66\u79d1\u4e13\u5bb6\u59d4\u5458\u4f1a\u673a\u5236\uff08\u7f8e\u56fdUSPSTF[13]<\/sup>\u548c\u82f1\u56fd\u56fd\u5bb6\u7b5b\u67e5\u59d4\u5458\u4f1aUK NSC[14]<\/sup>\uff09\uff0c\u901a\u8fc7\u5236\u5b9a\u6807\u51c6\u5316\u7684\u8bc4\u4f30\u6807\u51c6\u4e0e\u900f\u660e\u5316\u64cd\u4f5c\u6d41\u7a0b\uff0c\u5b9a\u671f\u5f00\u5c55\u7cfb\u7edf\u6027\u8bc1\u636e\u8bc4\u4ef7\u4e0e\u83b7\u76ca-\u98ce\u9669\u6743\u8861\uff0c\u4ece\u800c\u53ca\u65f6\u9ad8\u6548\u5730\u6574\u5408\u73b0\u6709\u79d1\u5b66\u8bc1\u636e\uff0c\u4e3a\u7b5b\u67e5\u9879\u76ee\u7684\u51b3\u7b56\u63d0\u4f9b\u575a\u5b9e\u7684\u79d1\u5b66\u4f9d\u636e\u3002<\/p>\n\n\n\n

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1. \u6211\u56fd\u90e8\u5206\u5e38\u89c1\u7624\u79cd\u7684\u7b5b\u67e5\u6548\u679c\u548c\u4ef7\u503c\u7f3a\u4e4f\u9ad8\u7b49\u7ea7\u8bc1\u636e\u652f\u6301<\/strong><\/h4>\n\n\n\n

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\u5bf9\u4e8e\u5df2\u5e7f\u6cdb\u5b9e\u65bd\u7684\u7b5b\u67e5\u9879\u76ee\uff0c\u53ef\u5f00\u5c55\u8bbe\u8ba1\u4e25\u8c28\u3001\u6570\u636e\u8d28\u63a7\u4e25\u683c\u7684\u771f\u5b9e\u4e16\u754c\u7814\u7a76\u6216\u76ee\u6807\u8bd5\u9a8c\u6a21\u62df\u7814\u7a76\uff0c\u4ee5\u660e\u786e\u4e0d\u540c\u5730\u57df\u3001\u4eba\u7fa4\u4e0e\u536b\u751f\u8d44\u6e90\u9650\u5b9a\u4e0b\u7b5b\u67e5\u6280\u672f\u7684\u5b9e\u9645\u6548\u80fd\uff0c\u5e76\u8bc4\u4f30\u5176\u662f\u5426\u7b26\u5408\u536b\u751f\u7ecf\u6d4e\u5b66\u8981\u6c42\u53ca\u76ee\u6807\u4eba\u7fa4\u7684\u793e\u4f1a\u7ecf\u6d4e\u53d1\u5c55\u6c34\u5e73\uff0c\u4ece\u800c\u4e3a\u7b5b\u67e5\u6280\u672f\u65b9\u6848\u7684\u6301\u7eed\u4f18\u5316\u4e0e\u66f4\u65b0\u63d0\u4f9b\u6838\u5fc3\u8bc1\u636e\u3002<\/p>\n\n\n\n

2. \u56fd\u9645\u8bc1\u636e\u5728\u4e2d\u56fd\u4eba\u7fa4\u4e2d\u7684\u9002\u7528\u6027\u6709\u9650\uff0c\u4e9f\u9700\u672c\u571f\u5316\u9a8c\u8bc1<\/strong><\/h4>\n\n\n\n

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\u622a\u81f3\u76ee\u524d\uff0c\u56fd\u5185\u5df2\u9646\u7eed\u5f00\u5c55\u591a\u9879\u9488\u5bf9\u9ad8\u53d1\u764c\u79cd\u7684\u5927\u89c4\u6a21\u4eba\u7fa4RCT\u7814\u7a76\u3002\u5176\u4e2d\uff0c\u5728\u7ed3\u76f4\u80a0\u764c\u65b9\u9762\uff0c\u4e00\u9879\u591a\u4e2d\u5fc3RCT\u7814\u7a76\uff08ChiCTR1800015506\uff09\u8bc1\u5b9e\u57fa\u4e8e\u98ce\u9669\u5206\u5c42\u7684\u7b5b\u67e5\u7b56\u7565\u5177\u5907\u53ef\u884c\u6027\u3001\u6709\u6548\u6027\u53ca\u6210\u672c\u6548\u679c[25]<\/sup>\u3002\u6b64\u5916\uff0c\u53e6\u4e00\u9879\u8986\u76d6\u7ed3\u76f4\u80a0\u764c\u548c\u80ba\u764c\u7684\u5927\u89c4\u6a21\u4eba\u7fa4RCT\uff08ChiCTR1900025257\uff09\u6b63\u5728\u8fdb\u884c\u4e2d[26]<\/sup>\u3002\u7136\u800c\uff0c\u9488\u5bf9\u809d\u764c\u3001\u5bab\u9888\u764c\u3001\u4e73\u817a\u764c\u7b49\u9ad8\u53d1\u764c\u79cd\u7684\u672c\u571f\u5316\u9ad8\u8d28\u91cf\u7814\u7a76\u4ecd\u975e\u5e38\u6709\u9650\uff0c\u4e9f\u5f85\u63a8\u8fdb\u76f8\u5173\u5de5\u4f5c\u4ee5\u586b\u8865\u8bc1\u636e\u7a7a\u767d\u3002<\/p>\n\n\n\n

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1. <\/strong>\u5f00\u5c55\u9ad8\u8d28\u91cf\u7b5b\u67e5\u6280\u672f\u8bc4\u4f30\u7814\u7a76\uff0c\u4e3a\u7b5b\u67e5\u6280\u672f\u6548\u679c\u4e0e\u4ef7\u503c\u63d0\u4f9b\u79d1\u5b66\u8bc1\u636e<\/strong><\/strong><\/h4>\n\n\n\n

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2.<\/strong> <\/strong><\/a>\u5b8c\u5584\u4eba\u624d\u4e0e\u7ecf\u8d39\u4fdd\u969c\u4f53\u7cfb\uff0c\u7740\u529b\u652f\u6491\u957f\u671f\u7684\u201c\u51b7\u677f\u51f3\u201d\u7814\u7a76<\/strong><\/h4>\n\n\n\n

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