[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-111-1-medical-surgical-072":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":64},"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":26},"nurse-111-1-內外科護理學-072","nurse-111-1-medical-surgical-072",111,1,72,"有關糖化血紅素（HbA1c）的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"當＜10%表示控制良好","反應過去 6 個月內血糖控制的情形","不受禁食、驗血時間所影響","正常人約 4～9%","C",null,[],"本題考點在於糖化血色素(HbA1c)的臨床意義。依其生成原理,葡萄糖持續且不可逆地與紅血球血色素結合,反映的是紅血球壽命期間的平均血糖,因此檢驗結果「不受單次禁食或抽血時間影響」,C 正確,為本題答案。A 一般以 HbA1c \u003C7% 為多數糖尿病患的控制良好目標,「\u003C10%」門檻過寬,錯誤。B 紅血球壽命約 120 天,HbA1c 反映的是過去約 2～3 個月而非 6 個月的平均血糖,錯誤。D 正常人約 4～6%,「4～9%」上限過高,錯誤。","HbA1c 反映期間對應紅血球壽命(約 120 天),故約看 3 個月平均血糖,不受當下飲食波動影響,是評估長期血糖控制的黃金指標。須注意會被影響 HbA1c 的情況:溶血性貧血、近期輸血、缺鐵性貧血等紅血球代謝異常會使結果失真。與空腹血糖、隨機血糖互補使用,診斷糖尿病 HbA1c 標準為 ≥6.5%。",[24,27,29,31,34],{"term":25,"count":26},"糖化血色素",3,{"term":28,"count":26},"紅血球壽命",{"term":30,"count":26},"平均血糖",{"term":32,"count":33},"血糖控制目標",2,{"term":35,"count":10},"糖尿病診斷",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-111-1-medical-surgical-073","有關甲狀腺功能低下症之護理措施，下列何者正確？",73,{"webId":42,"stem":43,"number":44,"year":45,"session":10},"nurse-112-1-medical-surgical-009","B 型肝炎病毒帶原者且 HBeAg（+），下列敘述何者正確？",9,112,{"webId":47,"stem":48,"number":49,"year":45,"session":33},"nurse-112-2-medical-surgical-023","有關喉癌術後放置永久性喉切除管（Laryngectomy tube）病人的出院護理指導，下列何者不適宜？",23,{"webId":51,"stem":52,"number":53,"year":54,"session":33},"nurse-113-2-medical-surgical-041","同時會出現在腎病症候群與急性腎絲球腎炎之臨床表徵，下列何者正確？①水腫 ②高血脂 ③蛋白尿 ④血尿",41,113,{"webId":56,"stem":57,"number":58,"year":59,"session":26},"nurse-114-3-medical-surgical-045","有關造成糖尿病人血糖過高之促因，下列敘述何者最不適當？",45,114,{"webId":61,"stem":62,"number":44,"year":63,"session":33},"nurse-106-2-medical-surgical-009","有關肝硬化病人會出現手掌紅斑之原因，下列何者正確？",106,"2026-09-04",1788510735069]