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临床研究我也想做,可是基本思路是什么呢?

2015-07-08 石岩岩,赵一鸣 临床流行病学和询证医学

临床研究目前处于火热状态。身边很多临床工作者最近提起过这样一个问题:手头有那么多病人,那么多病例资料,同时也有很多临床问题仍不能解释,我是不是也能开展一项临床研究?怎样开展一项高质量的临床研究呢? 举个例子:某医生提及,某市艾滋病病例有数千个,想利用这些病例进行一些临床研究,如何开展?这个问题比较宽泛,但也恰好能够引出一般临床研究的基本实施思路及其中涉及的常用统计学工具。 首先,确定研究目的,

临床研究目前处于火热状态。身边很多临床工作者最近提起过这样一个问题:手头有那么多病人,那么多病例资料,同时也有很多临床问题仍不能解释,我是不是也能开展一项临床研究?怎样开展一项高质量的临床研究呢?

举个例子:某医生提及,某市艾滋病病例有数千个,想利用这些病例进行一些临床研究,如何开展?这个问题比较宽泛,但也恰好能够引出一般临床研究的基本实施思路及其中涉及的常用统计学工具。

首先,确定研究目的,设计试验方案,进行资料收集。这一点看似简单,其实是非常关键的,而且将彻底影响整个研究过程。所以:解决什么临床问题、期待分析哪些临床资料、是否需要随访

这些都需要提前确定。最简单的Excel即可帮助实现资料收集过程。此外,Epidata软件是一个比较专业的数据录入和数据管理软件,如果您的病例需要收集较长时间、涉及较多变量或病例来自多个中心,那么Epidata将发挥它的优势,使所收集的数据资料更加可靠、稳定。需要指出的是,临床研究与基础研究也是密切联系的,如果您的研究目的中希望包含与临床相关的基础研究,那么在收集临床资料的同时,临床样本的收集应同步进行,否则,事后再想弥补则是比较困难的。

经过严谨、漫长、艰辛的资料收集过程后,临床研究工作已完成大半。接下来要做的就是:分析。拿到了成百上千的临床病例,每个病例都有一大把的变量在其后飘忽,下一步该用什么软件怎么分析其中的奥秘?

四款临床研究中常用的数据统计软件,包括SPSS、SAS、Stata和R软件。这四款软件各有优势,均能进行数据统计。可以根据您个人的喜好、习惯决定选用哪款软件,一般SPSS应用较多见。

而我们的统计分析过程,不管是描述临床病例的基本特征(Clinical characteristics of the subjects),还是分析某指标检测水平与临床疾病之间的相关性(Correlation)、比较病例组和对照组的临床特征(Comparison)等,这些分析在资料收集的前提下,在您研究目的确定的基础上,都能够利用统计分析软件来实现。而专业队伍则对研究者的统计分析起到了保驾护航的作用。

总的来看,做一个高质量的临床研究,离不开精心的试验设计、缜密的资料收集、严谨的统计分析。当临床医生在工作中遇到了尚不能清晰解释的问题时,就出现了研究的契机。在临床研究的道路上,让我们一起齐心协力、勇往直前吧~

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    2016-01-27 I come

    写的详细

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=60186, encodeId=3e76601864a, content=写的详细, beContent=null, objectType=article, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Wed Jan 27 00:18:00 CST 2016, time=2016-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39016, encodeId=6ac6390160d, content=mark, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=69061653887, createdName=mxg330, createdTime=Sat Oct 17 03:39:00 CST 2015, time=2015-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34841, encodeId=2b7f348414f, content=做一个高质量的临床研究,离不开精心的试验设计、缜密的资料收集、严谨的统计分析。, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 16:30:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34842, encodeId=f97134842fe, content=任何研究都不是这么简单的, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 16:30:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34840, encodeId=7bb634840a7, content=手头有那么多病人,那么多病例资料,同时也有很多临床问题仍不能解释,我是不是也能开展一项临床研究?怎样开展一项高质量的临床研究呢?, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 16:29:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=32398, encodeId=5db43239869, content=临床问题科研化?, beContent=null, objectType=article, channel=null, level=null, likeNumber=146, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=498553551, createdName=caojiyu, createdTime=Sun Jul 12 08:24:00 CST 2015, time=2015-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31858, encodeId=57263185889, content=mark, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhRUzmFEmHvdIaOns4DmF3BicVffXjkOjBTiaMUIA4o7feGvE5IJ0SfSco4ib955Rx7bvWlib7j9V15xp/0, createdBy=814d1631326, createdName=cmn, createdTime=Thu Jul 09 12:00:00 CST 2015, time=2015-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31760, encodeId=dffd31e604e, content=一起努力, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3b2c1627329, createdName=owlhealth, createdTime=Thu Jul 09 07:20:00 CST 2015, time=2015-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31734, encodeId=59ed31e34b1, content=喜欢这样文章!, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCEEr4dM45RatXXGAkFCicnNYiasFiaRicicO1YWsIeTFOhgapauqib8Z8TChNB3ttVC5RqNHptDvAxA72Q/0, createdBy=a82a1611288, createdName=yydlt, createdTime=Thu Jul 09 00:13:00 CST 2015, time=2015-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31735, encodeId=417d31e35ef, content=其实医生都想做的更好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCEEr4dM45RatXXGAkFCicnNYiasFiaRicicO1YWsIeTFOhgapauqib8Z8TChNB3ttVC5RqNHptDvAxA72Q/0, createdBy=a82a1611288, createdName=yydlt, createdTime=Thu Jul 09 00:13:00 CST 2015, time=2015-07-09, status=1, ipAttribution=)]
    2015-10-17 mxg330

    mark

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=60186, encodeId=3e76601864a, content=写的详细, beContent=null, objectType=article, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Wed Jan 27 00:18:00 CST 2016, time=2016-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39016, encodeId=6ac6390160d, content=mark, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=69061653887, createdName=mxg330, createdTime=Sat Oct 17 03:39:00 CST 2015, time=2015-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34841, encodeId=2b7f348414f, content=做一个高质量的临床研究,离不开精心的试验设计、缜密的资料收集、严谨的统计分析。, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 16:30:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34842, encodeId=f97134842fe, content=任何研究都不是这么简单的, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 16:30:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34840, encodeId=7bb634840a7, content=手头有那么多病人,那么多病例资料,同时也有很多临床问题仍不能解释,我是不是也能开展一项临床研究?怎样开展一项高质量的临床研究呢?, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 16:29:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=32398, encodeId=5db43239869, content=临床问题科研化?, beContent=null, objectType=article, channel=null, level=null, likeNumber=146, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=498553551, createdName=caojiyu, createdTime=Sun Jul 12 08:24:00 CST 2015, time=2015-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31858, encodeId=57263185889, content=mark, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhRUzmFEmHvdIaOns4DmF3BicVffXjkOjBTiaMUIA4o7feGvE5IJ0SfSco4ib955Rx7bvWlib7j9V15xp/0, createdBy=814d1631326, createdName=cmn, createdTime=Thu Jul 09 12:00:00 CST 2015, time=2015-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31760, encodeId=dffd31e604e, content=一起努力, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3b2c1627329, createdName=owlhealth, createdTime=Thu Jul 09 07:20:00 CST 2015, time=2015-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31734, encodeId=59ed31e34b1, content=喜欢这样文章!, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCEEr4dM45RatXXGAkFCicnNYiasFiaRicicO1YWsIeTFOhgapauqib8Z8TChNB3ttVC5RqNHptDvAxA72Q/0, createdBy=a82a1611288, createdName=yydlt, createdTime=Thu Jul 09 00:13:00 CST 2015, time=2015-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31735, encodeId=417d31e35ef, content=其实医生都想做的更好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCEEr4dM45RatXXGAkFCicnNYiasFiaRicicO1YWsIeTFOhgapauqib8Z8TChNB3ttVC5RqNHptDvAxA72Q/0, createdBy=a82a1611288, createdName=yydlt, createdTime=Thu Jul 09 00:13:00 CST 2015, time=2015-07-09, status=1, ipAttribution=)]
    2015-08-06 hlycom3356

    做一个高质量的临床研究,离不开精心的试验设计、缜密的资料收集、严谨的统计分析。

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=60186, encodeId=3e76601864a, content=写的详细, beContent=null, objectType=article, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Wed Jan 27 00:18:00 CST 2016, time=2016-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39016, encodeId=6ac6390160d, content=mark, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=69061653887, createdName=mxg330, createdTime=Sat Oct 17 03:39:00 CST 2015, time=2015-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34841, encodeId=2b7f348414f, content=做一个高质量的临床研究,离不开精心的试验设计、缜密的资料收集、严谨的统计分析。, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 16:30:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34842, encodeId=f97134842fe, content=任何研究都不是这么简单的, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 16:30:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34840, encodeId=7bb634840a7, content=手头有那么多病人,那么多病例资料,同时也有很多临床问题仍不能解释,我是不是也能开展一项临床研究?怎样开展一项高质量的临床研究呢?, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 16:29:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=32398, encodeId=5db43239869, content=临床问题科研化?, beContent=null, objectType=article, channel=null, level=null, likeNumber=146, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=498553551, createdName=caojiyu, createdTime=Sun Jul 12 08:24:00 CST 2015, time=2015-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31858, encodeId=57263185889, content=mark, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhRUzmFEmHvdIaOns4DmF3BicVffXjkOjBTiaMUIA4o7feGvE5IJ0SfSco4ib955Rx7bvWlib7j9V15xp/0, createdBy=814d1631326, createdName=cmn, createdTime=Thu Jul 09 12:00:00 CST 2015, time=2015-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31760, encodeId=dffd31e604e, content=一起努力, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3b2c1627329, createdName=owlhealth, createdTime=Thu Jul 09 07:20:00 CST 2015, time=2015-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31734, encodeId=59ed31e34b1, content=喜欢这样文章!, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCEEr4dM45RatXXGAkFCicnNYiasFiaRicicO1YWsIeTFOhgapauqib8Z8TChNB3ttVC5RqNHptDvAxA72Q/0, createdBy=a82a1611288, createdName=yydlt, createdTime=Thu Jul 09 00:13:00 CST 2015, time=2015-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31735, encodeId=417d31e35ef, content=其实医生都想做的更好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCEEr4dM45RatXXGAkFCicnNYiasFiaRicicO1YWsIeTFOhgapauqib8Z8TChNB3ttVC5RqNHptDvAxA72Q/0, createdBy=a82a1611288, createdName=yydlt, createdTime=Thu Jul 09 00:13:00 CST 2015, time=2015-07-09, status=1, ipAttribution=)]
    2015-08-06 hlycom3356

    任何研究都不是这么简单的

    0

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    2015-08-06 hlycom3356

    手头有那么多病人,那么多病例资料,同时也有很多临床问题仍不能解释,我是不是也能开展一项临床研究?怎样开展一项高质量的临床研究呢?

    0

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    2015-07-12 caojiyu

    临床问题科研化?

    0

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    2015-07-09 cmn

    mark

    0

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    2015-07-09 owlhealth

    一起努力

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=60186, encodeId=3e76601864a, content=写的详细, beContent=null, objectType=article, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Wed Jan 27 00:18:00 CST 2016, time=2016-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39016, encodeId=6ac6390160d, content=mark, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=69061653887, createdName=mxg330, createdTime=Sat Oct 17 03:39:00 CST 2015, time=2015-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34841, encodeId=2b7f348414f, content=做一个高质量的临床研究,离不开精心的试验设计、缜密的资料收集、严谨的统计分析。, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 16:30:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34842, encodeId=f97134842fe, content=任何研究都不是这么简单的, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 16:30:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=34840, encodeId=7bb634840a7, content=手头有那么多病人,那么多病例资料,同时也有很多临床问题仍不能解释,我是不是也能开展一项临床研究?怎样开展一项高质量的临床研究呢?, beContent=null, objectType=article, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=332823945, createdName=hlycom3356, createdTime=Thu Aug 06 16:29:00 CST 2015, time=2015-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=32398, encodeId=5db43239869, content=临床问题科研化?, beContent=null, objectType=article, channel=null, level=null, likeNumber=146, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=498553551, createdName=caojiyu, createdTime=Sun Jul 12 08:24:00 CST 2015, time=2015-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31858, encodeId=57263185889, content=mark, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhRUzmFEmHvdIaOns4DmF3BicVffXjkOjBTiaMUIA4o7feGvE5IJ0SfSco4ib955Rx7bvWlib7j9V15xp/0, createdBy=814d1631326, createdName=cmn, createdTime=Thu Jul 09 12:00:00 CST 2015, time=2015-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31760, encodeId=dffd31e604e, content=一起努力, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3b2c1627329, createdName=owlhealth, createdTime=Thu Jul 09 07:20:00 CST 2015, time=2015-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31734, encodeId=59ed31e34b1, content=喜欢这样文章!, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCEEr4dM45RatXXGAkFCicnNYiasFiaRicicO1YWsIeTFOhgapauqib8Z8TChNB3ttVC5RqNHptDvAxA72Q/0, createdBy=a82a1611288, createdName=yydlt, createdTime=Thu Jul 09 00:13:00 CST 2015, time=2015-07-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=31735, encodeId=417d31e35ef, content=其实医生都想做的更好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCEEr4dM45RatXXGAkFCicnNYiasFiaRicicO1YWsIeTFOhgapauqib8Z8TChNB3ttVC5RqNHptDvAxA72Q/0, createdBy=a82a1611288, createdName=yydlt, createdTime=Thu Jul 09 00:13:00 CST 2015, time=2015-07-09, status=1, ipAttribution=)]
    2015-07-09 yydlt

    喜欢这样文章!

    0

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    2015-07-09 yydlt

    其实医生都想做的更好!

    0

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