{"id":41188,"date":"2021-08-17T19:43:00","date_gmt":"2021-08-17T12:43:00","guid":{"rendered":"https:\/\/www.xinwengao.com\/cn\/pr\/2021081719430041188"},"modified":"2021-08-17T21:37:12","modified_gmt":"2021-08-17T13:37:12","slug":"%e5%ae%89%e8%bf%9b%e6%ac%a7%e6%b3%b0%e4%b9%90r%ef%bc%88%e9%98%bf%e6%99%ae%e7%b1%b3%e5%8f%b8%e7%89%b9%e7%89%87%ef%bc%89%e5%9c%a8%e5%8d%8e%e8%8e%b7%e6%89%b9","status":"publish","type":"post","link":"https:\/\/www.xinwengao.com\/cn\/pr\/2021081719430041188","title":{"rendered":"\u5b89\u8fdb\u6b27\u6cf0\u4e50(R)\uff08\u963f\u666e\u7c73\u53f8\u7279\u7247\uff09\u5728\u534e\u83b7\u6279"},"content":{"rendered":"<p><p><span class=\"xn-subheadline\">\u4e3a\u4e2d\u56fd\u94f6\u5c51\u75c5\u60a3\u8005\u5e26\u6765\u53e3\u670d\u836f\u7269\u65b0\u9009\u62e9<\/span><\/p>\n<p>\u4e0a\u6d772021\u5e748\u670817\u65e5 \/\u7f8e\u901a\u793e\/ &#8212; \u5b89\u8fdb\u516c\u53f8\u5ba3\u5e03\uff0c\u5176\u521b\u65b0\u53e3\u670d\u9776\u5411\u836f\u7269\u6b27\u6cf0\u4e50<sup>&reg;<\/sup>\uff08\u82f1\u6587\u540d\uff1aOtezla<sup>&reg;<\/sup>\uff1b\u901a\u7528\u540d\uff1a\u963f\u666e\u7c73\u53f8\u7279\u7247\uff0cApremilast Tablets\uff09\u5df2\u83b7\u5f97\u56fd\u5bb6\u836f\u54c1\u76d1\u7763\u7ba1\u7406\u5c40\u6279\u51c6\uff0c\u7528\u4e8e\u6cbb\u7597\u7b26\u5408\u63a5\u53d7\u5149\u7597\u6216\u7cfb\u7edf\u6cbb\u7597\u6307\u5f81\u7684\u4e2d\u5ea6\u81f3\u91cd\u5ea6\u6591\u5757\u72b6\u94f6\u5c51\u75c5\u7684\u6210\u4eba\u60a3\u8005\u3002\u963f\u666e\u7c73\u53f8\u7279\u662f\u4e2d\u56fd\u9996\u4e2a\u4e5f\u662f\u76ee\u524d\u552f\u4e00\u4e00\u4e2a\u83b7\u6279\u7528\u4e8e\u6591\u5757\u72b6\u94f6\u5c51\u75c5\u6cbb\u7597\u7684\u53e3\u670d\u78f7\u9178\u4e8c\u916f\u91764\uff08PDE4\uff09\u6291\u5236\u5242\uff0c\u53e3\u670d\u6bcf\u65e5\u4e24\u6b21\u3001\u6bcf\u6b21\u4e00\u7247\uff0c\u65e0\u9700\u7528\u836f\u524d\u7b5b\u67e5\u53ca\u5e38\u89c4\u5b9e\u9a8c\u5ba4\u76d1\u6d4b\u3002<\/p>\n<p><b>\u544a\u522b\u9891\u7e41\u76d1\u6d4b\uff0c\u94f6\u5c51\u75c5\u60a3\u8005\u7684\u201c\u5e73\u8861\u4e4b\u9009\u201d<\/b><\/p>\n<p>\u76ee\u524d\uff0c\u6211\u56fd\u7ea6\u6709650\u4e07\u94f6\u5c51\u75c5\u60a3\u8005<sup>[1]<\/sup>\uff0c\u4e2d\u91cd\u5ea6\u60a3\u8005\u7ea6\u536057.3%<sup>[2]<\/sup>\u3002\u968f\u7740\u94f6\u5c51\u75c5\u6cbb\u7597\u9009\u62e9\u7684\u4e30\u5bcc\uff0c\u6211\u4eec\u5df2\u7ecf\u544a\u522b\u201c\u5916\u4e0d\u6cbb\u7663\u201d\u7684\u65f6\u4ee3\uff0c\u4f46\u60a3\u8005\u6cbb\u7597\u4f9d\u4ece\u6027\u4ecd\u4e0d\u7406\u60f3\u3002\u300a\u7f8e\u56fd\u76ae\u80a4\u75c5\u5b66\u4f1a\u6742\u5fd7\u300b\u53d1\u8868\u7684\u4e00\u9879\u5bf9\u94f6\u5c51\u75c5\u548c\u94f6\u5c51\u75c5\u5173\u8282\u708e\u7684\u8de8\u56fd\u7814\u7a76\u663e\u793a\uff1a57%\u4f7f\u7528\u4f20\u7edf\u53e3\u670d\u6cbb\u7597\u7684\u60a3\u8005\u548c45%\u4f7f\u7528\u751f\u7269\u5236\u5242\u7684\u60a3\u8005\u56e0\u4e3a\u836f\u7269\u5b89\u5168\u6027\u3001\u8010\u53d7\u6027\u6216\u6709\u6548\u6027\u95ee\u9898\u800c\u505c\u6b62\u6cbb\u7597<sup>[3]<\/sup>\u3002<\/p>\n<p>\u6b64\u6b21\u83b7\u6279\u7684\u521b\u65b0\u53e3\u670d\u836f\u963f\u666e\u7c73\u53f8\u7279\u7247\uff0c<b>\u7597\u6548\u660e\u786e<\/b>\uff0c\u53ef\u57282-4\u5468\u8d77\u6548\uff0c\u5168\u9762\u6301\u4e45\u6539\u5584\u94f6\u5c51\u75c5\u60a3\u8005\u76ae\u635f\u53ca\u7279\u6b8a\u90e8\u4f4d\u75c7\u72b6<sup>[4]<\/sup><sup>,[5]<\/sup>\uff1b<b>\u5b89\u5168\u6027\u826f\u597d<\/b>\uff0c3\u5e74\u968f\u8bbf\u6570\u636e\u663e\u793a\uff0c\u65e0\u660e\u663e\u7684\u809d\u80be\u6bd2\u6027\u548c\u9aa8\u9ad3\u6291\u5236\uff0c\u672a\u51fa\u73b0\u7ed3\u6838\u590d\u53d1[6]\uff1b<b>\u4f7f\u7528\u4fbf\u6377<\/b>\uff0c\u836f\u54c1\u8bf4\u660e\u4e66\u672a\u8981\u6c42\u7528\u836f\u524d\u7b5b\u67e5\u4ee5\u53ca\u8840\u5e38\u89c4\u3001\u809d\u80be\u529f\u80fd\u7b49\u5b9e\u9a8c\u5ba4\u76d1\u6d4b\uff0c\u6bcf\u65e5\u53e3\u670d\u4e24\u6b21\u3001\u6bcf\u6b21\u4e00\u7247\uff1b\u53ef\u6ee1\u8db3\u60a3\u8005\u9664\u76ae\u635f\u6539\u5584\u4e4b\u5916\u7684\u591a\u79cd\u6cbb\u7597\u9700\u6c42\uff0c\u5305\u62ec\u7f13\u89e3\u7619\u75d2\u3001\u63d0\u5347\u6cbb\u7597\u4fe1\u5fc3\u3001\u6062\u590d\u6b63\u5e38\u751f\u6d3b\u7684\u80fd\u529b\u7b49\uff0c\u8ba9\u60a3\u8005\u5168\u9762\u83b7\u76ca\uff0c\u63d0\u5347\u751f\u6d3b\u8d28\u91cf<sup>[6]<\/sup>\u3002<\/p>\n<p><b>\u4e2d\u534e\u533b\u5b66\u4f1a\u76ae\u80a4\u6027\u75c5\u5b66\u5206\u4f1a\u94f6\u5c51\u75c5\u4e13\u59d4\u4f1a\u4e3b\u4efb\u59d4\u5458\u517c\u9996\u5e2d\u4e13\u5bb6\u3001\u590d\u65e6\u5927\u5b66\u76ae\u80a4\u75c5\u7814\u7a76\u6240\u6240\u957f\u5f20\u5b66\u519b\u6559\u6388<\/b>\u8868\u793a\uff1a\u201c\u9776\u5411\u53e3\u670d\u836f\u7269\u7684\u95ee\u4e16\uff0c\u5bf9\u94f6\u5c51\u75c5\u6cbb\u7597\u5177\u6709\u91cc\u7a0b\u7891\u5f0f\u7684\u610f\u4e49\u3002\u4f20\u7edf\u53e3\u670d\u836f\u5927\u591a\u4e3a\u5e7f\u8c31\u514d\u75ab\u6291\u5236\u5242\uff0c\u5728\u6539\u5584\u75be\u75c5\u75c7\u72b6\u7684\u540c\u65f6\uff0c\u53ef\u80fd\u5e26\u6765\u8bb8\u591a\u526f\u4f5c\u7528\u3002\u800c\u963f\u666e\u7c73\u53f8\u7279\u4e3a\u4e00\u79cd\u65b0\u578b\u5c0f\u5206\u5b50\u9776\u5411\u836f\u7269\uff0c\u4f5c\u7528\u673a\u5236\u660e\u786e\uff0c\u76f8\u5bf9\u4e8e\u4f20\u7edf\u53e3\u670d\u836f\u7269\uff0c\u526f\u4f5c\u7528\u66f4\u5c11\uff0c\u5b89\u5168\u6027\u66f4\u9ad8\uff1b\u76f8\u5bf9\u4e8e\u9700\u8981\u6ce8\u5c04\u7ed9\u836f\u7684\u751f\u7269\u5236\u5242\uff0c\u4f7f\u7528\u66f4\u65b9\u4fbf\u3002\u4f17\u6240\u5468\u77e5\uff0c\u94f6\u5c51\u75c5\u6709\u56db\u4e2a\u6027\u8d28\uff0c\u5373\u2018\u6162\u6027\u2019\u3001\u2018\u590d\u53d1\u6027\u2019\u3001\u2018\u708e\u75c7\u6027\u2019\u548c\u2018\u7cfb\u7edf\u6027\u2019\u3002\u963f\u666e\u7c73\u53f8\u7279\u80fd\u591f\u957f\u671f\u6709\u6548\u63a7\u5236\u94f6\u5c51\u75c5\uff0c\u51cf\u5c11\u75be\u75c5\u590d\u53d1\uff0c\u4ece\u673a\u5236\u4e0a\u7f13\u89e3\u94f6\u5c51\u75c5\u708e\u75c7\uff0c\u6539\u5584\u94f6\u5c51\u75c5\u5171\u75c5\uff0c\u5168\u9762\u6ee1\u8db3\u94f6\u5c51\u75c5\u60a3\u8005\u7684\u6cbb\u7597\u9700\u6c42\u3002\u201d<\/p>\n<p><b>\u521b\u65b0\u673a\u5236\uff0c\u9776\u5411\u8c03\u8282\u7cfb\u7edf\u6027\u708e\u75c7<\/b><\/p>\n<p>\u963f\u666e\u7c73\u53f8\u7279\u662f\u4e00\u79cd\u5c0f\u5206\u5b50\u78f7\u9178\u4e8c\u916f\u9176-4\uff08PDE-4\uff09\u6291\u5236\u5242\u3002PDE-4\u662f\u73af\u78f7\u9178\u817a\u82f7\uff08cAMP\uff09\u7279\u5f02\u6027\u6c34\u89e3\u9176\uff0c\u8868\u8fbe\u4e8e\u591a\u79cd\u708e\u75c7\u7ec6\u80de\u3002\u963f\u666e\u7c73\u53f8\u7279\u901a\u8fc7\u6291\u5236PDE-4\u6d3b\u6027\uff0c\u963b\u6b62cAMP\u6c34\u89e3\uff0c\u63d0\u9ad8\u7ec6\u80de\u5185cAMP\u6c34\u5e73\uff0c\u964d\u4f4e\u591a\u79cd\u4fc3\u708e\u56e0\u5b50\u7684\u8868\u8fbe\uff0c\u540c\u65f6\u4fc3\u8fdb\u6297\u708e\u56e0\u5b50\u8868\u8fbe\uff0c\u4ece\u800c\u8c03\u8282\u708e\u75c7\u53cd\u5e94\uff0c\u6cbb\u7597\u548c\u63a7\u5236\u94f6\u5c51\u75c5\u75c7\u72b6\uff1b\u5177\u6709\u7597\u6548\u660e\u786e\u3001\u5b89\u5168\u6027\u826f\u597d\u7684\u7279\u70b9\uff0c\u88ab\u5217\u5165\u4e2d\u56fd\u7b2c\u4e00\u6279\u4e34\u5e8a\u6025\u9700\u5883\u5916\u65b0\u836f\u540d\u5355\u3002<\/p>\n<p>\u4e24\u9879\u5173\u952e\u6027\u4e09\u671f\u4e34\u5e8a\u7814\u7a76ESTEEM 1&amp;2\u8868\u660e\uff0c\u963f\u666e\u7c73\u53f8\u7279\u6cbb\u7597\u4e2d\u91cd\u5ea6\u6591\u5757\u72b6\u94f6\u5c51\u75c5\u60a3\u800516\u5468\u65f6\u8fbe\u5230PASI\uff08\u94f6\u5c51\u75c5\u76ae\u635f\u9762\u79ef\u548c\u4e25\u91cd\u7a0b\u5ea6\u6307\u6570\uff0975\u548cPASI 50\u7684\u60a3\u8005\u6bd4\u4f8b\u5206\u522b\u4e3a33.1%<sup>[4]<\/sup>\u548c55.5%<sup>[5]<\/sup>\uff0c\u663e\u8457\u4f18\u4e8e\u5b89\u6170\u5242\uff1b\u540c\u65f6\uff0c\u963f\u666e\u7c73\u53f8\u7279\u663e\u8457\u6539\u5584\u60a3\u8005\u6307\u7532\u3001\u5934\u76ae\u548c\u638c\u8dd6\u7b49\u96be\u6cbb\u90e8\u4f4d\u75c5\u53d8<sup>[5]<\/sup>\u3002\u4e09\u5e74\u957f\u671f\u968f\u8bbf\u7ed3\u679c\u663e\u793a\uff0c\u963f\u666e\u7c73\u53f8\u7279\u6cbb\u7597\u94f6\u5c51\u75c5\u5b89\u5168\u6027\u826f\u597d\uff0c\u672a\u51fa\u73b0\u809d\u80be\u6bd2\u6027\u4e0e\u9aa8\u9ad3\u6291\u5236\u7b49\u4e25\u91cd\u4e0d\u826f\u53cd\u5e94\uff0c\u672a\u51fa\u73b0\u7ed3\u6838\u590d\u53d1\uff1b\u5e38\u89c1\u7684\u4e0d\u826f\u53cd\u5e94\u5305\u62ec\u8179\u6cfb\u4e0e\u6076\u5fc3\u7b49\uff0c\u5927\u90e8\u5206\u662f\u8f7b\u4e2d\u5ea6\uff0c\u4e14\u591a\u53ef\u4e8e1\u4e2a\u6708\u5185\u7f13\u89e3<sup>[6]<\/sup>\u3002<\/p>\n<p><b>\u805a\u7126\u672a\u88ab\u6ee1\u8db3\u7684\u9700\u6c42\uff0c\u7528\u521b\u65b0\u6539\u5584\u60a3\u8005\u5065\u5eb7<\/b><\/p>\n<p>\u201c\u6211\u4eec\u81f4\u529b\u4e8e\u5f15\u5165\u4e0e\u4e2d\u56fd\u60a3\u8005\u9700\u6c42\u9ad8\u5ea6\u5951\u5408\u7684\u4ea7\u54c1\uff0c\u6539\u5584\u60a3\u8005\u7684\u751f\u547d\u8d28\u91cf\uff0c\u52a9\u529b\u60a3\u8005\u3001\u5bb6\u5c5e\u548c\u5168\u793e\u4f1a\u5171\u540c\u5e94\u5bf9\u4e25\u91cd\u75be\u75c5\u7684\u6311\u6218\u3002\u201d<b>\u5b89\u8fdb\u526f\u603b\u88c1\u517c\u4e2d\u56fd\u603b\u7ecf\u7406\u8bb8\u853c\u9f84\u5973\u58eb<\/b>\u8868\u793a\uff1a\u201c\u5e0c\u671b\u963f\u666e\u7c73\u53f8\u7279\u7247\u7684\u83b7\u6279\u548c\u5e94\u7528\uff0c\u53ef\u4ee5\u4e3a\u4e2d\u56fd\u60a3\u8005\u63d0\u4f9b\u66f4\u4f18\u6cbb\u7597\u9009\u62e9\uff0c\u52a9\u529b\u4ed6\u4eec\u62e5\u6709\u66f4\u5065\u5eb7\u7684\u76ae\u80a4\u3001\u66f4\u4e50\u89c2\u7684\u5fc3\u6001\u3001\u66f4\u81ea\u4fe1\u7684\u4eba\u751f\uff01\u5b89\u8fdb\u4e5f\u5c06\u7ee7\u7eed\u79c9\u6301\u670d\u52a1\u60a3\u8005\u7684\u4f7f\u547d\uff0c\u643a\u624b\u653f\u5e9c\u3001\u534f\u4f1a\u3001\u533b\u7597\u670d\u52a1\u673a\u6784\u7b49\u5404\u65b9\u529b\u91cf\uff0c\u4e0d\u65ad\u63d0\u5347\u836f\u7269\u53ef\u53ca\u6027\uff0c\u8ba9\u66f4\u591a\u4e2d\u56fd\u60a3\u8005\u5c3d\u65e9\u83b7\u76ca\u3002\u201d<\/p>\n<p>\u5728\u5168\u7403\uff0c\u963f\u666e\u7c73\u53f8\u7279\u7247\u5df2\u572850\u591a\u4e2a\u56fd\u5bb6\u548c\u5e02\u573a\u83b7\u6279\uff0c\u5176\u5728\u7f8e\u56fd\u83b7\u6279\u7684\u9002\u5e94\u75c7\u5305\u62ec\u7528\u4e8e\u6cbb\u7597\u6210\u4eba\u6d3b\u52a8\u6027\u94f6\u5c51\u75c5\u6027\u5173\u8282\u708e\u3001\u7528\u4e8e\u6cbb\u7597\u7b26\u5408\u63a5\u53d7\u5149\u7597\u6216\u7cfb\u7edf\u6cbb\u7597\u6307\u5f81\u7684\u4e2d\u5ea6\u81f3\u91cd\u5ea6\u6591\u5757\u72b6\u94f6\u5c51\u75c5\u7684\u6210\u4eba\u60a3\u8005\u3001\u4ee5\u53ca\u7528\u4e8e\u6cbb\u7597\u4e0e\u767d\u585e\u6c0f\u75c5\u76f8\u5173\u7684\u6210\u4eba\u53e3\u8154\u6e83\u75a1\u60a3\u8005\u3002<\/p>\n<\/p>\n<hr \/>\n<div>\n<table id=\"convertedTablef830\" cellspacing=\"0\" cellpadding=\"0\" border=\"0\" class=\"prnsbt0 prnsbr0 prnbcc prnsbb0 prnsbl0\">\n<tbody>\n<tr>\n<td class=\"prngen2\">\n<p class=\"prnews_p\"><span class=\"prnews_span\"><sup>[1]<\/sup>&nbsp;\u4e2d\u534e\u533b\u5b66\u4f1a\u76ae\u80a4\u6027\u75c5\u5b66\u5206\u4f1a\u94f6\u5c51\u75c5\u4e13\u4e1a\u59d4\u5458\u4f1a.\u4e2d\u56fd\u94f6\u5c51\u75c5\u8bca\u7597\u6307\u5357(2018\u7b80\u7248)[J].\u4e2d\u534e\u76ae\u80a4\u79d1\u6742\u5fd7,2019,52(4):223-230.<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"prngen2\">\n<p class=\"prnews_p\"><span class=\"prnews_span\"><sup>[2]<\/sup>&nbsp;Chen, K., Wang, G., Jin, H., Xu, J., Zhu, X., Zheng, M., &amp; Gu, H. (2017). Clinic characteristics of psoriasis in China: a nationwide survey in over 12000 patients.&nbsp;<i>Oncotarget<\/i>,&nbsp;<i>8<\/i>(28), 46381\u201346389. https:\/\/doi.org\/10.18632\/oncotarget.18453<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"prngen2\">\n<p class=\"prnews_p\"><span class=\"prnews_span\"><sup>[3]<\/sup>&nbsp;Lebwohl, M. G., Bachelez, H., Barker, J., Girolomoni, G., Kavanaugh, A., Langley, R. G., &#8230; &amp; van de Kerkhof, P. C. (2014). Patient perspectives in the management of psoriasis: results from the population-based Multinational Assessment of Psoriasis and Psoriatic Arthritis Survey.&nbsp;<i>Journal of the American Academy of Dermatology<\/i>,&nbsp;<i>70<\/i>(5), 871-881.<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"prngen2\">\n<p class=\"prnews_p\"><span class=\"prnews_span\"><sup>[4]<\/sup>&nbsp;Papp, K., Reich, K., Leonardi, C. L., Kircik, L., Chimenti, S., Langley, R. G., &#8230; &amp; Griffiths, C. E. (2015). Apremilast, an oral phosphodiesterase 4 (PDE4) inhibitor, in patients with moderate to severe plaque psoriasis: results of a phase III, randomized, controlled trial (Efficacy and Safety Trial Evaluating the Effects of Apremilast in Psoriasis [ESTEEM] 1).&nbsp;<i>Journal of the American Academy of Dermatology<\/i>,&nbsp;<i>73<\/i>(1), 37-49.<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"prngen2\">\n<p class=\"prnews_p\"><span class=\"prnews_span\"><sup>[5]<\/sup>&nbsp;Paul, C., Cather, J., Gooderham, M., Poulin, Y., Mrowietz, U., Ferrandiz, C., &#8230; &amp; Gottlieb, A. B. (2015). Efficacy and safety of apremilast, an oral phosphodiesterase 4 inhibitor, in patients with moderate\u2013to\u2013severe plaque psoriasis over 52 weeks: a phase III, randomized controlled trial (ESTEEM 2).&nbsp;<i>British Journal of Dermatology<\/i>,&nbsp;<i>173<\/i>(6), 1387-1399.<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"prngen2\">\n<p class=\"prnews_p\"><span class=\"prnews_span\"><sup>[6]<\/sup>&nbsp;Crowley J,Tha&ccedil;i D,Joly P,et al.Long-term safety and tolerability of apremilast in patients with psoriasis:Pooled safety analysis for\u2265156 weeks from 2 phase 3,randomized,controlled trials(ESTEEM 1 and 2).J Am Acad Dermatol.2017 Aug;77(2):310-317.e1.doi:10.1016\/j.jaad.2017.01.052.Epub 2017 Apr 14.<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u4e3a\u4e2d\u56fd\u94f6\u5c51\u75c5\u60a3\u8005\u5e26\u6765\u53e3\u670d\u836f\u7269\u65b0\u9009\u62e9 \u4e0a\u6d772021\u5e748\u670817\u65e5 \/\u7f8e\u901a\u793e\/ &#8212; \u5b89\u8fdb\u516c\u53f8\u5ba3\u5e03\uff0c\u5176\u521b\u65b0\u53e3\u670d\u9776\u5411\u836f\u7269\u6b27\u6cf0\u4e50&reg;\uff08\u82f1\u6587\u540d\uff1aOtezla&reg;\uff1b\u901a\u7528\u540d\uff1a\u963f\u666e\u7c73\u53f8\u7279\u7247\uff0cApremilast Tablets\uff09\u5df2\u83b7\u5f97\u56fd\u5bb6\u836f\u54c1\u76d1\u7763\u7ba1\u7406\u5c40\u6279\u51c6\uff0c\u7528\u4e8e\u6cbb\u7597\u7b26\u5408\u63a5\u53d7\u5149\u7597\u6216\u7cfb\u7edf\u6cbb\u7597\u6307\u5f81\u7684\u4e2d\u5ea6\u81f3\u91cd\u5ea6\u6591\u5757\u72b6\u94f6\u5c51\u75c5\u7684\u6210\u4eba\u60a3\u8005\u3002\u963f\u666e\u7c73\u53f8\u7279\u662f\u4e2d\u56fd\u9996\u4e2a\u4e5f\u662f\u76ee\u524d\u552f\u4e00\u4e00\u4e2a\u83b7\u6279\u7528\u4e8e\u6591\u5757\u72b6\u94f6\u5c51\u75c5\u6cbb\u7597\u7684\u53e3\u670d\u78f7\u9178\u4e8c\u916f\u91764\uff08PDE4\uff09\u6291\u5236\u5242\uff0c\u53e3\u670d\u6bcf\u65e5\u4e24\u6b21\u3001\u6bcf\u6b21\u4e00\u7247\uff0c\u65e0\u9700\u7528\u836f\u524d\u7b5b\u67e5\u53ca\u5e38\u89c4\u5b9e\u9a8c\u5ba4\u76d1\u6d4b\u3002 \u544a\u522b\u9891\u7e41\u76d1\u6d4b\uff0c\u94f6\u5c51\u75c5\u60a3\u8005\u7684\u201c\u5e73\u8861\u4e4b\u9009\u201d \u76ee\u524d\uff0c\u6211\u56fd\u7ea6\u6709650\u4e07\u94f6\u5c51\u75c5\u60a3\u8005[1]\uff0c\u4e2d\u91cd\u5ea6\u60a3\u8005\u7ea6\u536057.3%[2]\u3002\u968f\u7740\u94f6\u5c51\u75c5\u6cbb\u7597\u9009\u62e9\u7684\u4e30\u5bcc\uff0c\u6211\u4eec\u5df2\u7ecf\u544a\u522b\u201c\u5916\u4e0d\u6cbb\u7663\u201d\u7684\u65f6\u4ee3\uff0c\u4f46\u60a3\u8005\u6cbb\u7597\u4f9d\u4ece\u6027\u4ecd\u4e0d\u7406\u60f3\u3002\u300a\u7f8e\u56fd\u76ae\u80a4\u75c5\u5b66\u4f1a\u6742\u5fd7\u300b\u53d1\u8868\u7684\u4e00\u9879\u5bf9\u94f6\u5c51\u75c5\u548c\u94f6\u5c51\u75c5\u5173\u8282\u708e\u7684\u8de8\u56fd\u7814\u7a76\u663e\u793a\uff1a57%\u4f7f\u7528\u4f20\u7edf\u53e3\u670d\u6cbb\u7597\u7684\u60a3\u8005\u548c45%\u4f7f\u7528\u751f\u7269\u5236\u5242\u7684\u60a3\u8005\u56e0\u4e3a\u836f\u7269\u5b89\u5168\u6027\u3001\u8010\u53d7\u6027\u6216\u6709\u6548\u6027\u95ee\u9898\u800c\u505c\u6b62\u6cbb\u7597[3]\u3002 \u6b64\u6b21\u83b7\u6279\u7684\u521b\u65b0\u53e3\u670d\u836f\u963f\u666e\u7c73\u53f8\u7279\u7247\uff0c\u7597\u6548\u660e\u786e\uff0c\u53ef\u57282-4\u5468\u8d77\u6548\uff0c\u5168\u9762\u6301\u4e45\u6539\u5584\u94f6\u5c51\u75c5\u60a3\u8005\u76ae\u635f\u53ca\u7279\u6b8a\u90e8\u4f4d\u75c7\u72b6[4],[5]\uff1b\u5b89\u5168\u6027\u826f\u597d\uff0c3\u5e74\u968f\u8bbf\u6570\u636e\u663e\u793a\uff0c\u65e0\u660e\u663e\u7684\u809d\u80be\u6bd2\u6027\u548c\u9aa8\u9ad3\u6291\u5236\uff0c\u672a\u51fa\u73b0\u7ed3\u6838\u590d\u53d1[6]\uff1b\u4f7f\u7528\u4fbf\u6377\uff0c\u836f\u54c1\u8bf4\u660e\u4e66\u672a\u8981\u6c42\u7528\u836f\u524d\u7b5b\u67e5\u4ee5\u53ca\u8840\u5e38\u89c4\u3001\u809d\u80be\u529f\u80fd\u7b49\u5b9e\u9a8c\u5ba4\u76d1\u6d4b\uff0c\u6bcf\u65e5\u53e3\u670d\u4e24\u6b21\u3001\u6bcf\u6b21\u4e00\u7247\uff1b\u53ef\u6ee1\u8db3\u60a3\u8005\u9664\u76ae\u635f\u6539\u5584\u4e4b\u5916\u7684\u591a\u79cd\u6cbb\u7597\u9700\u6c42\uff0c\u5305\u62ec\u7f13\u89e3\u7619\u75d2\u3001\u63d0\u5347\u6cbb\u7597\u4fe1\u5fc3\u3001\u6062\u590d\u6b63\u5e38\u751f\u6d3b\u7684\u80fd\u529b\u7b49\uff0c\u8ba9\u60a3\u8005\u5168\u9762\u83b7\u76ca\uff0c\u63d0\u5347\u751f\u6d3b\u8d28\u91cf[6]\u3002 \u4e2d\u534e\u533b\u5b66\u4f1a\u76ae\u80a4\u6027\u75c5\u5b66\u5206\u4f1a\u94f6\u5c51\u75c5\u4e13\u59d4\u4f1a\u4e3b\u4efb\u59d4\u5458\u517c\u9996\u5e2d\u4e13\u5bb6\u3001\u590d\u65e6\u5927\u5b66\u76ae\u80a4\u75c5\u7814\u7a76\u6240\u6240\u957f\u5f20\u5b66\u519b\u6559\u6388\u8868\u793a\uff1a\u201c\u9776\u5411\u53e3\u670d\u836f\u7269\u7684\u95ee\u4e16\uff0c\u5bf9\u94f6\u5c51\u75c5\u6cbb\u7597\u5177\u6709\u91cc\u7a0b\u7891\u5f0f\u7684\u610f\u4e49\u3002\u4f20\u7edf\u53e3\u670d\u836f\u5927\u591a\u4e3a\u5e7f\u8c31\u514d\u75ab\u6291\u5236\u5242\uff0c\u5728\u6539\u5584\u75be\u75c5\u75c7\u72b6\u7684\u540c\u65f6\uff0c\u53ef\u80fd\u5e26\u6765\u8bb8\u591a\u526f\u4f5c\u7528\u3002\u800c\u963f\u666e\u7c73\u53f8\u7279\u4e3a\u4e00\u79cd\u65b0\u578b\u5c0f\u5206\u5b50\u9776\u5411\u836f\u7269\uff0c\u4f5c\u7528\u673a\u5236\u660e\u786e\uff0c\u76f8\u5bf9\u4e8e\u4f20\u7edf\u53e3\u670d\u836f\u7269\uff0c\u526f\u4f5c\u7528\u66f4\u5c11\uff0c\u5b89\u5168\u6027\u66f4\u9ad8\uff1b\u76f8\u5bf9\u4e8e\u9700\u8981\u6ce8\u5c04\u7ed9\u836f\u7684\u751f\u7269\u5236\u5242\uff0c\u4f7f\u7528\u66f4\u65b9\u4fbf\u3002\u4f17\u6240\u5468\u77e5\uff0c\u94f6\u5c51\u75c5\u6709\u56db\u4e2a\u6027\u8d28\uff0c\u5373\u2018\u6162\u6027\u2019\u3001\u2018\u590d\u53d1\u6027\u2019\u3001\u2018\u708e\u75c7\u6027\u2019\u548c\u2018\u7cfb\u7edf\u6027\u2019\u3002\u963f\u666e\u7c73\u53f8\u7279\u80fd\u591f\u957f\u671f\u6709\u6548\u63a7\u5236\u94f6\u5c51\u75c5\uff0c\u51cf\u5c11\u75be\u75c5\u590d\u53d1\uff0c\u4ece\u673a\u5236\u4e0a\u7f13\u89e3\u94f6\u5c51\u75c5\u708e\u75c7\uff0c\u6539\u5584\u94f6\u5c51\u75c5\u5171\u75c5\uff0c\u5168\u9762\u6ee1\u8db3\u94f6\u5c51\u75c5\u60a3\u8005\u7684\u6cbb\u7597\u9700\u6c42\u3002\u201d \u521b\u65b0\u673a\u5236\uff0c\u9776\u5411\u8c03\u8282\u7cfb\u7edf\u6027\u708e\u75c7 \u963f\u666e\u7c73\u53f8\u7279\u662f\u4e00\u79cd\u5c0f\u5206\u5b50\u78f7\u9178\u4e8c\u916f\u9176-4\uff08PDE-4\uff09\u6291\u5236\u5242\u3002PDE-4\u662f\u73af\u78f7\u9178\u817a\u82f7\uff08cAMP\uff09\u7279\u5f02\u6027\u6c34\u89e3\u9176\uff0c\u8868\u8fbe\u4e8e\u591a\u79cd\u708e\u75c7\u7ec6\u80de\u3002\u963f\u666e\u7c73\u53f8\u7279\u901a\u8fc7\u6291\u5236PDE-4\u6d3b\u6027\uff0c\u963b\u6b62cAMP\u6c34\u89e3\uff0c\u63d0\u9ad8\u7ec6\u80de\u5185cAMP\u6c34\u5e73\uff0c\u964d\u4f4e\u591a\u79cd\u4fc3\u708e\u56e0\u5b50\u7684\u8868\u8fbe\uff0c\u540c\u65f6\u4fc3\u8fdb\u6297\u708e\u56e0\u5b50\u8868\u8fbe\uff0c\u4ece\u800c\u8c03\u8282\u708e\u75c7\u53cd\u5e94\uff0c\u6cbb\u7597\u548c\u63a7\u5236\u94f6\u5c51\u75c5\u75c7\u72b6\uff1b\u5177\u6709\u7597\u6548\u660e\u786e\u3001\u5b89\u5168\u6027\u826f\u597d\u7684\u7279\u70b9\uff0c\u88ab\u5217\u5165\u4e2d\u56fd\u7b2c\u4e00\u6279\u4e34\u5e8a\u6025\u9700\u5883\u5916\u65b0\u836f\u540d\u5355\u3002 \u4e24\u9879\u5173\u952e\u6027\u4e09\u671f\u4e34\u5e8a\u7814\u7a76ESTEEM 1&amp;2\u8868\u660e\uff0c\u963f\u666e\u7c73\u53f8\u7279\u6cbb\u7597\u4e2d\u91cd\u5ea6\u6591\u5757\u72b6\u94f6\u5c51\u75c5\u60a3\u800516\u5468\u65f6\u8fbe\u5230PASI\uff08\u94f6\u5c51\u75c5\u76ae\u635f\u9762\u79ef\u548c\u4e25\u91cd\u7a0b\u5ea6\u6307\u6570\uff0975\u548cPASI 50\u7684\u60a3\u8005\u6bd4\u4f8b\u5206\u522b\u4e3a33.1%[4]\u548c55.5%[5]\uff0c\u663e\u8457\u4f18\u4e8e\u5b89\u6170\u5242\uff1b\u540c\u65f6\uff0c\u963f\u666e\u7c73\u53f8\u7279\u663e\u8457\u6539\u5584\u60a3\u8005\u6307\u7532\u3001\u5934\u76ae\u548c\u638c\u8dd6\u7b49\u96be\u6cbb\u90e8\u4f4d\u75c5\u53d8[5]\u3002\u4e09\u5e74\u957f\u671f\u968f\u8bbf\u7ed3\u679c\u663e\u793a\uff0c\u963f\u666e\u7c73\u53f8\u7279\u6cbb\u7597\u94f6\u5c51\u75c5\u5b89\u5168\u6027\u826f\u597d\uff0c\u672a\u51fa\u73b0\u809d\u80be\u6bd2\u6027\u4e0e\u9aa8\u9ad3\u6291\u5236\u7b49\u4e25\u91cd\u4e0d\u826f\u53cd\u5e94\uff0c\u672a\u51fa\u73b0\u7ed3\u6838\u590d\u53d1\uff1b\u5e38\u89c1\u7684\u4e0d\u826f\u53cd\u5e94\u5305\u62ec\u8179\u6cfb\u4e0e\u6076\u5fc3\u7b49\uff0c\u5927\u90e8\u5206\u662f\u8f7b\u4e2d\u5ea6\uff0c\u4e14\u591a\u53ef\u4e8e1\u4e2a\u6708\u5185\u7f13\u89e3[6]\u3002 \u805a\u7126\u672a\u88ab\u6ee1\u8db3\u7684\u9700\u6c42\uff0c\u7528\u521b\u65b0\u6539\u5584\u60a3\u8005\u5065\u5eb7 \u201c\u6211\u4eec\u81f4\u529b\u4e8e\u5f15\u5165\u4e0e\u4e2d\u56fd\u60a3\u8005\u9700\u6c42\u9ad8\u5ea6\u5951\u5408\u7684\u4ea7\u54c1\uff0c\u6539\u5584\u60a3\u8005\u7684\u751f\u547d\u8d28\u91cf\uff0c\u52a9\u529b\u60a3\u8005\u3001\u5bb6\u5c5e\u548c\u5168\u793e\u4f1a\u5171\u540c\u5e94\u5bf9\u4e25\u91cd\u75be\u75c5\u7684\u6311\u6218\u3002\u201d\u5b89\u8fdb\u526f\u603b\u88c1\u517c\u4e2d\u56fd\u603b\u7ecf\u7406\u8bb8\u853c\u9f84\u5973\u58eb\u8868\u793a\uff1a\u201c\u5e0c\u671b\u963f\u666e\u7c73\u53f8\u7279\u7247\u7684\u83b7\u6279\u548c\u5e94\u7528\uff0c\u53ef\u4ee5\u4e3a\u4e2d\u56fd\u60a3\u8005\u63d0\u4f9b\u66f4\u4f18\u6cbb\u7597\u9009\u62e9\uff0c\u52a9\u529b\u4ed6\u4eec\u62e5\u6709\u66f4\u5065\u5eb7\u7684\u76ae\u80a4\u3001\u66f4\u4e50\u89c2\u7684\u5fc3\u6001\u3001\u66f4\u81ea\u4fe1\u7684\u4eba\u751f\uff01\u5b89\u8fdb\u4e5f\u5c06\u7ee7\u7eed\u79c9\u6301\u670d\u52a1\u60a3\u8005\u7684\u4f7f\u547d\uff0c\u643a\u624b\u653f\u5e9c\u3001\u534f\u4f1a\u3001\u533b\u7597\u670d\u52a1\u673a\u6784\u7b49\u5404\u65b9\u529b\u91cf\uff0c\u4e0d\u65ad\u63d0\u5347\u836f\u7269\u53ef\u53ca\u6027\uff0c\u8ba9\u66f4\u591a\u4e2d\u56fd\u60a3\u8005\u5c3d\u65e9\u83b7\u76ca\u3002\u201d \u5728\u5168\u7403\uff0c\u963f\u666e\u7c73\u53f8\u7279\u7247\u5df2\u572850\u591a\u4e2a\u56fd\u5bb6\u548c\u5e02\u573a\u83b7\u6279\uff0c\u5176\u5728\u7f8e\u56fd\u83b7\u6279\u7684\u9002\u5e94\u75c7\u5305\u62ec\u7528\u4e8e\u6cbb\u7597\u6210\u4eba\u6d3b\u52a8\u6027\u94f6\u5c51\u75c5\u6027\u5173\u8282\u708e\u3001\u7528\u4e8e\u6cbb\u7597\u7b26\u5408\u63a5\u53d7\u5149\u7597\u6216\u7cfb\u7edf\u6cbb\u7597\u6307\u5f81\u7684\u4e2d\u5ea6\u81f3\u91cd\u5ea6\u6591\u5757\u72b6\u94f6\u5c51\u75c5\u7684\u6210\u4eba\u60a3\u8005\u3001\u4ee5\u53ca\u7528\u4e8e\u6cbb\u7597\u4e0e\u767d\u585e\u6c0f\u75c5\u76f8\u5173\u7684\u6210\u4eba\u53e3\u8154\u6e83\u75a1\u60a3\u8005\u3002 [1]&nbsp;\u4e2d\u534e\u533b\u5b66\u4f1a\u76ae\u80a4\u6027\u75c5\u5b66\u5206\u4f1a\u94f6\u5c51\u75c5\u4e13\u4e1a\u59d4\u5458\u4f1a.\u4e2d\u56fd\u94f6\u5c51\u75c5\u8bca\u7597\u6307\u5357(2018\u7b80\u7248)[J].\u4e2d\u534e\u76ae\u80a4\u79d1\u6742\u5fd7,2019,52(4):223-230. [2]&nbsp;Chen, K., Wang, G., Jin, H., Xu, J., Zhu, X., Zheng, M., &amp; Gu, H. (2017). Clinic characteristics of psoriasis in China: a nationwide survey in over 12000 patients.&nbsp;Oncotarget,&nbsp;8(28), 46381\u201346389. https:\/\/doi.org\/10.18632\/oncotarget.18453 [3]&nbsp;Lebwohl, M. G., Bachelez, H.,&hellip; <a class=\"read-more\" href=\"https:\/\/www.xinwengao.com\/cn\/pr\/2021081719430041188\">Read More<\/a><\/p>\n","protected":false},"author":556,"featured_media":8278,"comment_status":"close","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1965],"tags":[],"class_list":["post-41188","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-partnerships"],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/www.xinwengao.com\/cn\/wp-json\/wp\/v2\/posts\/41188","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.xinwengao.com\/cn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.xinwengao.com\/cn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.xinwengao.com\/cn\/wp-json\/wp\/v2\/users\/556"}],"replies":[{"embeddable":true,"href":"https:\/\/www.xinwengao.com\/cn\/wp-json\/wp\/v2\/comments?post=41188"}],"version-history":[{"count":1,"href":"https:\/\/www.xinwengao.com\/cn\/wp-json\/wp\/v2\/posts\/41188\/revisions"}],"predecessor-version":[{"id":41189,"href":"https:\/\/www.xinwengao.com\/cn\/wp-json\/wp\/v2\/posts\/41188\/revisions\/41189"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.xinwengao.com\/cn\/wp-json\/wp\/v2\/media\/8278"}],"wp:attachment":[{"href":"https:\/\/www.xinwengao.com\/cn\/wp-json\/wp\/v2\/media?parent=41188"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.xinwengao.com\/cn\/wp-json\/wp\/v2\/categories?post=41188"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.xinwengao.com\/cn\/wp-json\/wp\/v2\/tags?post=41188"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}