[{"data":1,"prerenderedAt":61},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-061":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":31,"lastmod":60},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":25},"nurse-107-1-內外科護理學-061","nurse-107-1-medical-surgical-061",107,1,61,"有關應力性尿失禁的處置方式，下列何者的治療效益有限？",{"A":14,"B":15,"C":16,"D":17},"藥物","骨盆底肌肉運動","生理回饋訓練","生活型態修正","A",null,[],"本題考點為應力性尿失禁的第一線處置與各療法效益。應力性尿失禁源於骨盆底肌肉鬆弛與尿道括約肌閉鎖不全,依此機轉,強化骨盆底肌力與行為訓練最能改善,而藥物缺乏明確作用標的、治療效益有限,故選A。B骨盆底肌肉運動(凱格爾運動)直接強化尿道支持結構,為首選;C生理回饋訓練協助病人正確收縮骨盆底肌、提升運動成效;D生活型態修正如減重、戒菸、避免腹壓驟增,可減少漏尿誘因,三者皆有實證效益。相對於急迫性尿失禁可用抗膽鹼藥物,應力型缺乏理想藥物,因此藥物才是效益有限者。","對比急迫性尿失禁(逼尿肌過動)可用抗膽鹼藥或β3受體促效劑,應力性尿失禁的藥物選擇十分有限,過去使用的α腎上腺素受體促效劑或雌激素效果都不理想。記憶口訣:「應力靠肌肉、急迫靠藥物」。保守治療無效的重度應力性尿失禁才進一步考慮尿道中段吊帶手術(TVT\u002FTOT)。",[24,26,28,29],{"term":15,"count":25},2,{"term":27,"count":10},"應力性尿失禁",{"term":16,"count":10},{"term":30,"count":10},"尿道括約肌功能不全",[32,36,40,45,50,55],{"webId":33,"stem":34,"number":35,"year":9,"session":10},"nurse-107-1-medical-surgical-062","末期腎疾病（ESRD）病人需接受透析治療的指標，下列何者錯誤？",62,{"webId":37,"stem":38,"number":39,"year":9,"session":25},"nurse-107-2-medical-surgical-078","有關敗血症治療之敘述，下列何者錯誤？",78,{"webId":41,"stem":42,"number":43,"year":44,"session":25},"nurse-108-2-medical-surgical-012","下列何者是造成腹膜炎常見的致病菌？",12,108,{"webId":46,"stem":47,"number":48,"year":49,"session":25},"nurse-109-2-medical-surgical-050","有關全身性紅斑性狼瘡之致病機轉，下列何者正確？",50,109,{"webId":51,"stem":52,"number":53,"year":54,"session":10},"nurse-111-1-medical-surgical-014","有關口腔炎的分類及臨床表徵，下列何者正確？",14,111,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-112-1-medical-surgical-048","有關器官移植前的組織配對，降低排斥反應之檢驗項目，不包含下列何者？",48,112,"2026-09-04",1788510703027]