[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-115-2-內外科護理學-047","nurse-115-2-medical-surgical-047",115,2,47,"有關糖化血色素（HbA1c）檢查之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"是指葡萄糖分子與血紅素結合的反應值","可用來作為糖尿病與溶血性貧血的檢查","HbA1c≧6.0%即可確定診斷糖尿病","HbA1c 結果不受驗血時間（飯前或飯後）影響","C",null,[],"本題考點是糖化血色素的原理與診斷切點。依糖化反應,葡萄糖與血色素以非酵素方式結合,其比例反映紅血球生命期內約二至三個月的平均血糖;現行糖尿病診斷標準為糖化血色素大於或等於 6.5%,6.0% 僅落在糖尿病前期範圍而不足以確診,故 C 錯誤。A 正確,其本質即葡萄糖分子與血色素結合的量化值。D 正確,因反映長期平均值,故不受抽血當時空腹或飯後、單次進食或短期波動影響,這也是它相對方便的原因。B 的敘述較為粗略,但紅血球生命期縮短會使數值偏低而干擾判讀,故溶血性貧血確實與此檢驗相關,相較之下 C 的數字錯誤明確,才是本題答案。","延伸原理:糖化血色素之所以能代表平均血糖,關鍵在紅血球壽命約一百二十天,故凡是改變紅血球壽命或血色素結構的狀況都會使結果失真——溶血性貧血、近期輸血、缺鐵性貧血與異常血色素症都在此列,此時需改以空腹血糖、口服葡萄糖耐量試驗或連續血糖監測輔助判讀。診斷數字整理:空腹血糖大於或等於 126 mg\u002FdL、口服葡萄糖耐量試驗兩小時血糖大於或等於 200 mg\u002FdL、糖化血色素大於或等於 6.5%,或典型症狀合併隨機血糖大於或等於 200 mg\u002FdL;前期則是空腹 100 至 125 mg\u002FdL 或糖化血色素 5.7% 至 6.4%。血糖自我監測看的是即時起伏,糖化血色素看的是趨勢,兩者互補而不可互相取代。可連結概念:控制目標個別化、糖尿病前期的生活型態介入。",[24,27,29,31,33],{"term":25,"count":26},"糖化血色素原理",1,{"term":28,"count":26},"糖尿病診斷切點",{"term":30,"count":26},"紅血球生命期",{"term":32,"count":26},"溶血性貧血對數值的干擾",{"term":34,"count":26},"空腹血糖與葡萄糖耐量試驗",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-medical-surgical-048","有關中毒症狀與處置之敘述，下列何者正確？",48,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-2-medical-surgical-014","有關罹患膽結石的高風險族群，下列何者錯誤？",14,106,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-107-1-medical-surgical-028","有關風濕熱與風濕性心臟病之敘述，下列何者錯誤？",28,107,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-108-1-medical-surgical-066","有關接受腎移植而服用免疫抑制劑 cyclosporine 之敘述，下列何者錯誤？",66,108,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"nurse-109-2-medical-surgical-030","曾先生心臟衰竭住院，住院時出現臉色蒼白、冒冷汗、陣發性夜間呼吸困難及咳出大量帶有血絲的泡沫痰。請問曾先生出現那一種合併症？",30,109,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-110-2-medical-surgical-064","下列何種疾病的常見臨床症狀不包括血尿？",64,110,"2026-08-06",1787299037368]