{"id":18459,"date":"2026-10-28T18:02:49","date_gmt":"2026-10-28T10:02:49","guid":{"rendered":"https:\/\/globalhealth.dukekunshan.edu.cn\/?post_type=calab-pub&p=18459"},"modified":"2026-10-28T21:08:09","modified_gmt":"2026-10-28T13:08:09","slug":"policy-brief-11","status":"publish","type":"calab-pub","link":"https:\/\/globalhealth.dukekunshan.edu.cn\/zh-hans\/calab-publication\/policy-brief-11\/","title":{"rendered":"\u4ece\u9884\u9632\u611f\u67d3\u5230\u963b\u65ad\u764c\u53d8\uff1a\u5b8c\u5584\u6211\u56fd\u611f\u67d3\u76f8\u5173\u764c\u75c7\u4e00\u7ea7\u9884\u9632\u4f53\u7cfb\u7684\u653f\u7b56\u5efa\u8bae"},"content":{"rendered":"\n

\u611f\u67d3\u76f8\u5173\u764c\u75c7\u662f\u6307\u4e0e\u7279\u5b9a\u75c5\u6bd2\u3001\u7ec6\u83cc\u7b49\u75c5\u539f\u4f53\u6301\u7eed\u611f\u67d3\u5bc6\u5207\u76f8\u5173\uff0c\u5e76\u53ef\u7531\u611f\u67d3\u53ca\u5176\u5f15\u53d1\u7684\u751f\u7269\u5b66\u8fc7\u7a0b\u4fc3\u8fdb\u53d1\u751f\u53d1\u5c55\u7684\u6076\u6027\u80bf\u7624\u3002\u4e3b\u8981\u81f4\u764c\u6027\u611f\u67d3\u5305\u62ec\u5e7d\u95e8\u87ba\u6746\u83cc\uff08HP\uff09\u3001\u4eba\u4e73\u5934\u7624\u75c5\u6bd2\uff08HPV\uff09\u3001\u4e59\u578b\u809d\u708e\u75c5\u6bd2\uff08HBV\uff09\u3001\u4e19\u578b\u809d\u708e\u75c5\u6bd2\uff08HCV\uff09\u548cEB\u75c5\u6bd2\uff08EBV\uff09\u7b49\u3002\u611f\u67d3\u76f8\u5173\u764c\u75c7\u5177\u6709\u75c5\u56e0\u76f8\u5bf9\u660e\u786e\u3001\u90e8\u5206\u81f4\u764c\u6027\u611f\u67d3\u53ef\u5728\u764c\u75c7\u53d1\u751f\u524d\u5b9e\u65bd\u6709\u6548\u5e72\u9884\u7b49\u7279\u70b9\uff0c\u4e3a\u4e00\u7ea7\u9884\u9632\u63d0\u4f9b\u4e86\u91cd\u8981\u5207\u5165\u70b9\u3002\u8fd1\u51e0\u5341\u5e74\u6765\uff0c\u6211\u56fd\u5728\u75ab\u82d7\u63a5\u79cd\u548c\u76f8\u5173\u611f\u67d3\u9632\u63a7\u65b9\u9762\u5df2\u53d6\u5f97\u4e0d\u5c11\u8fdb\u5c55\uff0c\u4f46\u4e0d\u540c\u75c5\u539f\u4f53\u7684\u9632\u63a7\u63aa\u65bd\u4ecd\u5206\u6563\u4e8e\u514d\u75ab\u89c4\u5212\u3001\u4f20\u67d3\u75c5\u9632\u6cbb\u3001\u764c\u75c7\u9632\u63a7\u548c\u57fa\u5c42\u5065\u5eb7\u7ba1\u7406\u7b49\u4e0d\u540c\u4f53\u7cfb\uff0c\u90e8\u5206\u6709\u6548\u5e72\u9884\u63aa\u65bd\u5728\u8986\u76d6\u3001\u670d\u52a1\u8854\u63a5\u548c\u91cd\u70b9\u4eba\u7fa4\u53ef\u53ca\u6027\u65b9\u9762\u4ecd\u5b58\u5728\u4e0d\u8db3\u3002\u5982\u4f55\u5c06\u5206\u75c5\u79cd\u63aa\u65bd\u8854\u63a5\u4e3a\u8fde\u7eed\u670d\u52a1\u3001\u63d0\u9ad8\u91cd\u70b9\u4eba\u7fa4\u8986\u76d6\u5e76\u4f18\u5316\u8d44\u6e90\u914d\u7f6e\uff0c\u662f\u8fdb\u4e00\u6b65\u964d\u4f4e\u611f\u67d3\u76f8\u5173\u764c\u75c7\u8d1f\u62c5\u7684\u91cd\u8981\u653f\u7b56\u8bae\u9898\u3002\u672c\u6587\u56f4\u7ed5\u4e0a\u8ff0\u6846\u67b6\u5206\u6790\u5f53\u524d\u4e3b\u8981\u7f3a\u53e3\uff0c\u7ed3\u5408\u56fd\u9645\u7ecf\u9a8c\u63d0\u51fa\u653f\u7b56\u5efa\u8bae\uff0c\u4e3a\u5b8c\u5584\u611f\u67d3\u76f8\u5173\u764c\u75c7\u4e00\u7ea7\u9884\u9632\u4f53\u7cfb\u63d0\u4f9b\u53c2\u8003\u3002<\/p>\n\n\n\n

\u4e00\u3001\u6211\u56fd\u611f\u67d3\u76f8\u5173\u764c\u75c7\u7684\u75be\u75c5\u8d1f\u62c5\u53ca\u653f\u7b56\u5b9e\u8df5<\/strong><\/strong><\/h1>\n\n\n\n

\u6700\u65b0\u5168\u7403\u764c\u75c7\u72b6\u51b5\u62a5\u544a\u663e\u793a2024\u5e74\u5168\u7403\u65b0\u53d1\u764c\u75c7\u75c5\u4f8b\u8d85\u8fc72000\u4e07[1]<\/sup>\uff0c\u5176\u4e2d\u7ea613%\u7684\u764c\u75c7\u65b0\u53d1\u75c5\u4f8b\u53ef\u5f52\u56e0\u4e8e\u81f4\u764c\u6027\u611f\u67d3[3]<\/sup>\u3002\u6211\u56fd\u611f\u67d3\u76f8\u5173\u764c\u75c7\u8d1f\u62c5\u5c24\u4e3a\u7a81\u51fa[2]<\/sup>\uff0c\u636e\u56fd\u9645\u764c\u75c7\u7814\u7a76\u673a\u6784IARC\u4f30\u8ba1\uff0c\u5168\u7403\u8d85\u8fc71\/3\u7684\u611f\u67d3\u5f52\u56e0\u764c\u75c7\u75c5\u4f8b\u53d1\u751f\u5728\u4e2d\u56fd\uff0c\u5176\u4e2d\u5e7d\u95e8\u87ba\u6746\u83cc\uff08Helicobacter pylori\uff0cHP\uff09\u548c\u4e59\u578b\u809d\u708e\u75c5\u6bd2\uff08Hepatitis B virus\uff0cHBV\uff09\u76f8\u5173\u764c\u75c7\u8d1f\u62c5\u8f83\u91cd[3]<\/sup>\u3002<\/p>\n\n\n\n

\u9488\u5bf9\u75c5\u56e0\u76f8\u5bf9\u660e\u786e\u4e14\u5177\u6709\u6709\u6548\u5e72\u9884\u624b\u6bb5\u7684\u81f4\u764c\u6027\u611f\u67d3\uff0c\u52a0\u5f3a\u4e00\u7ea7\u9884\u9632\uff0c\u662f\u51cf\u8f7b\u6211\u56fd\u764c\u75c7\u8d1f\u62c5\u7684\u91cd\u8981\u7740\u529b\u70b9\u3002\u6211\u56fd\u5df2\u521d\u6b65\u5177\u5907\u9488\u5bf9\u4e3b\u8981\u81f4\u764c\u6027\u611f\u67d3\u7684\u653f\u7b56\u5b9e\u8df5\u57fa\u7840[4-5]<\/sup>\uff0c\u4e3b\u8981\u611f\u67d3\u76f8\u5173\u764c\u75c7\u7684\u53ef\u7528\u5e72\u9884\u5de5\u5177\u4e0e\u653f\u7b56\u91cd\u70b9\u8be6\u89c1\u88681[6-12]<\/sup>\u3002\u9002\u9f84\u5973\u5b69HPV\u75ab\u82d7\u63a5\u79cd\u5df2\u4ece\u5730\u65b9\u8bd5\u70b9\u8fdb\u5165\u56fd\u5bb6\u514d\u75ab\u89c4\u5212[7-8]<\/sup>\uff0cHBV\u9632\u63a7\u4ee5\u65b0\u751f\u513f\u63a5\u79cd\u548c\u6bcd\u5a74\u4f20\u64ad\u963b\u65ad\u4e3a\u57fa\u7840\uff0c\u79ef\u7d2f\u4e86\u8f83\u6210\u719f\u7684\u5b9e\u65bd\u7ecf\u9a8c\uff1b\u300a\u4e2d\u56fd\u9632\u6cbb\u75c5\u6bd2\u6027\u809d\u708e\u884c\u52a8\u8ba1\u5212\uff082025\u20142030\u5e74\uff09\u300b\u8fdb\u4e00\u6b65\u63a8\u52a8\u809d\u708e\u7efc\u5408\u9632\u6cbb[9]<\/sup>\uff1b\u80c3\u764c\u7b5b\u67e5\u4e0e\u65e9\u8bca\u65e9\u6cbb\u65b9\u6848\u53ca\u76f8\u5173\u6307\u5357\u4e5f\u4e3aHP\u611f\u67d3\u7ba1\u7406\u63d0\u4f9b\u4e86\u8854\u63a5\u57fa\u7840[10-11]<\/sup>\u3002\u603b\u4f53\u4e0a\uff0c\u6211\u56fd\u5df2\u5177\u5907\u5206\u75c5\u79cd\u9632\u63a7\u7684\u653f\u7b56\u4e0e\u670d\u52a1\u57fa\u7840\uff0c\u4e0b\u4e00\u6b65\u7684\u91cd\u70b9\u662f\u63d0\u9ad8\u6709\u6548\u9884\u9632\u63aa\u65bd\u8986\u76d6\uff0c\u5e76\u63a8\u52a8\u63a5\u79cd\u3001\u611f\u67d3\u53d1\u73b0\u3001\u89c4\u8303\u6cbb\u7597\u548c\u968f\u8bbf\u7b49\u670d\u52a1\u6709\u6548\u8854\u63a5\u3002<\/p>\n\n\n\n

\u672c\u6587\u6240\u8ba8\u8bba\u7684\u611f\u67d3\u68c0\u6d4b\u4e0e\u89c4\u8303\u6cbb\u7597\uff0c\u662f\u6307\u5728\u764c\u75c7\u53d1\u751f\u524d\u901a\u8fc7\u5e72\u9884\u81f4\u764c\u6027\u611f\u67d3\u964d\u4f4e\u764c\u75c7\u98ce\u9669\uff0c\u53ef\u4e0e\u73b0\u6709\u764c\u75c7\u7b5b\u67e5\u548c\u5065\u5eb7\u7ba1\u7406\u670d\u52a1\u76f8\u8854\u63a5\uff1b\u4f46\u4e0d\u5305\u62ec\u5bab\u9888\u764c\u53ca\u764c\u524d\u75c5\u53d8\u7b5b\u67e5\u3001\u809d\u764c\u76d1\u6d4b\u7b49\u764c\u75c7\u7b5b\u67e5\u548c\u540e\u7eed\u7ba1\u7406\u63aa\u65bd\u3002<\/p>\n\n\n\n

\u88681 \u4e3b\u8981\u81f4\u764c\u6027\u611f\u67d3\u7684\u9632\u63a7\u5de5\u5177\u4e0e\u653f\u7b56\u91cd\u70b9<\/strong><\/p>\n\n\n\n

\u75c5\u539f\u4f53<\/strong><\/td>\u4e3b\u8981\u76f8\u5173\u764c\u75c7<\/strong><\/td>\u4e2d\u56fd\u8d1f\u62c5\u4e0e\u9632\u63a7\u7279\u70b9<\/strong><\/td>\u5df2\u6709\u4e00\u7ea7\u9884\u9632\u5de5\u5177<\/strong><\/td>\u5f53\u524d\u4e3b\u8981\u653f\u7b56\u7f3a\u53e3<\/strong><\/td><\/tr><\/thead>
HPV<\/td>\u5bab\u9888\u764c\u7b49<\/td>\u5bab\u9888\u764c\u662f\u91cd\u8981\u9632\u63a7\u5bf9\u8c61\uff1b\u5df2\u7eb3\u5165\u56fd\u5bb6\u514d\u75ab\u89c4\u5212[6]<\/sup><\/td>\u9884\u9632\u6027\u75ab\u82d7\uff1b\u51cf\u5c11\u4f20\u64ad\u76f8\u5173\u98ce\u9669[7-8]<\/sup><\/td>\u843d\u5b9e\u76ee\u6807\u7fa4\u4f53\u63a5\u79cd\uff1b\u8986\u76d6\u5931\u5b66\u3001\u6d41\u52a8\u7b49\u6613\u6f0f\u79cd\u4eba\u7fa4<\/td><\/tr>
HBV<\/td>\u809d\u764c<\/td>\u611f\u67d3\u5f52\u56e0\u764c\u75c7\u8d1f\u62c5\u7a81\u51fa\uff1b\u65b0\u751f\u513f\u63a5\u79cd\u5df2\u6709\u826f\u597d\u57fa\u7840<\/td>\u75ab\u82d7\u4e0e\u6bcd\u5a74\u963b\u65ad\uff1b\u611f\u67d3\u68c0\u6d4b\u53ca\u89c4\u8303\u6297\u75c5\u6bd2\u6cbb\u7597[9]<\/sup><\/td>\u6210\u4eba\u6613\u611f\u91cd\u70b9\u4eba\u7fa4\u63a5\u79cd\uff1b\u611f\u67d3\u8005\u8bca\u7597\u4e0e\u968f\u8bbf\u8854\u63a5<\/td><\/tr>
HCV<\/td>\u809d\u764c<\/td>\u809d\u764c\u75c5\u56e0\u4e4b\u4e00\uff1b\u9632\u63a7\u4f9d\u8d56\u611f\u67d3\u53d1\u73b0\u548c\u6cbb\u7597\u8854\u63a5<\/td>\u5b89\u5168\u7528\u8840\u548c\u6ce8\u5c04\uff1b\u68c0\u6d4b\u4e0e\u76f4\u63a5\u6297\u75c5\u6bd2\u836f\u7269\u6cbb\u7597<\/td>\u4ece\u6297\u4f53\u7b5b\u67e5\u5230\u786e\u8bca\u3001\u6cbb\u7597\u3001\u7597\u6548\u8bc4\u4f30\u7684\u8fde\u7eed\u670d\u52a1<\/td><\/tr>
HP<\/td>\u80c3\u764c\u53ca\u80c3\u9ecf\u819c\u76f8\u5173\u6dcb\u5df4\u7ec4\u7ec7\u6dcb\u5df4\u7624<\/td>\u611f\u67d3\u5f52\u56e0\u80c3\u764c\u8d1f\u62c5\u7a81\u51fa<\/td>\u611f\u67d3\u68c0\u6d4b\u4e0e\u89c4\u8303\u6839\u9664\uff1b\u536b\u751f\u884c\u4e3a\u5e72\u9884[10-11]<\/sup><\/td>\u9ad8\u53d1\u5730\u533a\u5b9e\u65bd\u8def\u5f84\uff1b\u6839\u9664\u540e\u590d\u67e5\u4e0e\u8010\u836f\u76d1\u6d4b<\/td><\/tr>
EBV<\/td>\u9f3b\u54bd\u764c\u53ca\u90e8\u5206\u6dcb\u5df4\u7624\u7b49<\/td>\u6d89\u53ca\u6211\u56fd\u9f3b\u54bd\u764c\u7b49\u91cd\u70b9\u9632\u63a7\u764c\u79cd<\/td>\u5c1a\u65e0\u6210\u719f\u4e14\u53ef\u666e\u904d\u5b9e\u65bd\u7684\u7279\u5f02\u6027\u4e00\u7ea7\u9884\u9632\u5de5\u5177[12]<\/sup><\/td>\u75ab\u82d7\u53ca\u5176\u4ed6\u5e72\u9884\u7814\u7a76\uff1b\u9ad8\u98ce\u9669\u4eba\u7fa4\u7b56\u7565\u9a8c\u8bc1<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

\u4e8c\u3001\u6211\u56fd\u611f\u67d3\u76f8\u5173\u764c\u75c7\u4e00\u7ea7\u9884\u9632\u9762\u4e34\u7684\u4e3b\u8981\u6311\u6218<\/strong><\/h1>\n\n\n\n

\uff08\u4e00\uff09\u6709\u6548\u9884\u9632\u5de5\u5177\u7684\u8986\u76d6\u4e0e\u5b9e\u65bd\u4ecd\u9700\u52a0\u5f3a<\/h2>\n\n\n\n

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HCV\u65b9\u9762\uff0c\u6211\u56fd\u5df2\u5efa\u7acb\u4e19\u578b\u809d\u708e\u9632\u6cbb\u4fe1\u606f\u7cfb\u7edf\uff0c\u4f46\u68c0\u6d4b\u4e0e\u6cbb\u7597\u4e4b\u95f4\u4ecd\u5b58\u5728\u660e\u663e\u8131\u5931\u3002\u622a\u81f32024\u5e7410\u6708\u5e95\uff0c2022\u5e74\u4ee5\u6765\u65b0\u62a5\u544a\u6297-HCV\u9633\u6027\u8005\u7684\u6838\u9178\u68c0\u6d4b\u7387\u4e3a73.4%\uff0c\u540c\u671f\u65b0\u62a5\u544a\u4e14\u7b26\u5408\u6cbb\u7597\u6761\u4ef6\u7684\u6162\u6027\u4e19\u578b\u809d\u708e\u60a3\u8005\u6297\u75c5\u6bd2\u6cbb\u7597\u7387\u4e3a54.5%\uff0c\u53cd\u6620\u51fa\u611f\u67d3\u53d1\u73b0\u3001\u786e\u8bca\u548c\u6cbb\u7597\u8854\u63a5\u4ecd\u9700\u52a0\u5f3a[17]<\/sup>\u3002<\/p>\n\n\n\n

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\u9488\u5bf9\u611f\u67d3\u76f8\u5173\u764c\u75c7\u7684\u9632\u63a7\uff0cIARC\u3001\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\uff08World Health Organization, WHO\uff09\u53ca\u90e8\u5206\u53d1\u8fbe\u56fd\u5bb6\u5df2\u5f62\u6210\u4e86\u8f83\u4e3a\u7cfb\u7edf\u7684\u9632\u63a7\u6307\u5357\u4e0e\u653f\u7b56\u6846\u67b6\u3002\u4ece\u73b0\u6709\u56fd\u9645\u5171\u8bc6\u4e0e\u5404\u56fd\u5b9e\u8df5\u7ecf\u9a8c\u6765\u770b\uff0c\u611f\u67d3\u76f8\u5173\u764c\u75c7\u7684\u4e00\u7ea7\u9884\u9632\u63aa\u65bd\u5927\u81f4\u53ef\u5f52\u7eb3\u4e3a\u75ab\u82d7\u63a5\u79cd\u3001\u75c5\u539f\u4f53\u7b5b\u67e5\u4e0e\u6839\u9664\u3001\u5065\u5eb7\u751f\u6d3b\u65b9\u5f0f\u4fc3\u8fdb\u3001\u5b8c\u5584\u76d1\u6d4b\u4f53\u7cfb\u7b49\u3002\u300a\u6b27\u6d32\u9632\u764c\u51c6\u5219\u300b\u660e\u786e\u5efa\u8bae\u4e2a\u4eba\u6309\u672c\u56fd\u63a8\u8350\u53c2\u4e0eHBV\u3001HCV\u548cHP\u7684\u68c0\u6d4b\u4e0e\u6cbb\u7597\uff0c\u5e76\u4e8e2026\u5e74\u7b2c\u4e94\u7248\u9996\u6b21\u5c06\u5efa\u8bae\u5bf9\u8c61\u6269\u5c55\u81f3\u653f\u7b56\u5236\u5b9a\u8005\uff0c\u5f3a\u8c03\u653f\u7b56\u5c42\u9762\u5e94\u6269\u5927\u75ab\u82d7\u63a5\u79cd\u8986\u76d6\u9762\u5e76\u6539\u5584\u68c0\u6d4b\u4e0e\u6cbb\u7597\u7684\u53ef\u53ca\u6027[18-19]<\/sup>\u3002\u8fd9\u4e9b\u7ecf\u9a8c\u4e5f\u4e3a\u6211\u56fd\u4f18\u5316\u611f\u67d3\u76f8\u5173\u764c\u75c7\u7684\u4e00\u7ea7\u9884\u9632\u7b56\u7565\u63d0\u4f9b\u4e86\u91cd\u8981\u53c2\u8003\u3002<\/p>\n\n\n\n

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\uff08\u4e8c\uff09\u75c5\u539f\u4f53\u68c0\u6d4b\u4e0e\u6cbb\u7597<\/h2>\n\n\n\n

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\uff08\u4e09\uff09\u5065\u5eb7\u751f\u6d3b\u65b9\u5f0f\u4fc3\u8fdb<\/h2>\n\n\n\n

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