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医生职级越高,越爱喝咖啡?研究医生喝咖啡竟能发BMJ……

2021-11-08 梅斯医学 MedSci原创

鉴于医生经常过度劳累、精神及肉体遭受双重摧残的现状,咖啡,仿佛已经成为21世纪的医学界“刚需”。

可能在很多人眼里,医生属于一种“无限资源”,一旦需要,打开复印机就能直接复印出百八十个,而且不用吃、不用喝、不恋爱、不休息、不陪伴家人、全年无休、永不疲倦、永不出错地工作……

知乎上有一个问题:医生加班到底有多恐怖。其中有一条回答写道:“我觉得外科系的值班完不能下班继续接着加班做第二天的择期手术最让人受不了,简直就是马拉松到终点了再加20公里的感觉,复杂一点的,做到晚上真是不要太酸爽……”

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(图源:知乎)

鉴于医生经常过度劳累、精神及肉体遭受双重摧残的现状,咖啡,仿佛已经成为21世纪的医学界“刚需”。医生喝咖啡的最主要原因便是缓解长时间工作的疲劳,其次是在夜班中坚守岗位,还有一部分医生是为了保持清醒的工作状态。

除了提神醒脑,喝咖啡还可以提高医生的认知能力。一项发表在Annals of surgery 的研究指出,在外科医生当中,喝咖啡后外科手术时反应会更加迅速,手术完成的时间也会更短

­图片

(图片来源:Annals of surgery)

不同的医生对咖啡的喜好不同。2015年,瑞士的科学家对“医生爱喝咖啡”这个有趣的问题进行了探讨,相关文章发表在了BMJ上。

 

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                                       (图片来源:BMJ)

这项号称史上最“奇葩”的调查发现,在不同医生之间,购买咖啡的数量存在显著性差异。外科医生要比内科医生喝的多(将近一倍!),麻醉剂医师喝的最少。平均来看,整形外科医师在一年中喝的咖啡数量最多,其次是放射科医师和普外科医生。

图片

图上可见:整形外科医师每年每人喝的咖啡最多(平均189,标准差136),麻醉医生最少,平均每人每年只喝39杯咖啡(标准差48) 

这可能是因为瑞士的整形外科医师将“努力工作、爱玩、爱喝酒”(work hard/play hard/drink hard)的好习惯发挥地淋漓尽致,所以经常到食堂买咖啡;并且瑞士整形外科医师的空闲时间比较多,需要一些消磨时光的好方法。

有趣的是,对于 “受宠程度”而言,不同种类的咖啡在性别中也展现出了不同:男医生更爱意式浓缩咖啡,女医生更爱卡布奇诺。作者认为,男女医生在咖啡态度上的差异,与市场宣传分不开。“咖啡广告普遍会利用性别角色,男人们享受着意式浓缩咖啡,而女人们则在沙发上喝着卡布奇诺与朋友聊天。

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按性别划分的每人每年购买咖啡的平均数量

影响他们咖啡喜好的也许不完全是科室与性别,作者惊讶的发现,就连不同职级的医生,对咖啡的喜爱程度也不同。年资越高的医生,越爱喝咖啡。

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咖啡摄入量与等级之间呈正相关(F = 4.546;P = 0.004)

当高年资的医生们青春逝去,喝咖啡大概是用来对抗衰老和疲劳的“灵丹妙药”。因为只有这样,才能跟上年轻人的步伐,不被时代的潮流“卷”走。同时,高年资医生也意味着拥有更大的社交圈:较大的咖啡购买需求也可能是“请喝咖啡”的社交体现。

在中国,医生对咖啡也十分喜爱。医院开始纷纷推出与咖啡厅的“跨界组合”。

浙大四院的“双城咖啡馆”便是其中的杰出代表。几年前,浙大四院门诊4楼的最西侧仍是一个占地约300平米、人迹罕至的露台。前院长陈亚岗出于为辛劳的医护人员提供一个休憩身心的空间,主导改造露台,将其变成一个咖啡馆。

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“双城咖啡馆现状”

(图源:浙大四院宣传办)

在这里,医生护士可以交流工作中的喜怒哀乐,年轻医生也可以放下繁文缛节和前辈谈心交流。受到了委屈,这里也是绝佳的宣泄地点。由于不接外客,双城咖啡馆也是一个相对私密的“内部场所”,不适合在公共场合讨论的患者病情也可以在这里进行自由的专业探讨。

看来,医生喝咖啡这一私人爱好,已经成为了人尽皆知甚至得到官方支持的“大型集体活动”。

那么,除了咖啡这个洋玩意儿,医生还有别的提神醒脑神器吗?

茶是在中国流行了几千年的饮料,无论什么职业,绝大多数中国人都爱喝茶(其实全世界人民都爱喝茶)。上到国家领导,帝王将相,下到平民百姓,很多都喜欢喝上一壶。

那么,中国医生在传统饮品界“扛巴子”——茶叶和咖啡中又会如何抉择呢?

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(图源:Pexels)

其实,包括医生在内,人们对茶或咖啡的偏好,早就是心理学家和社会学家津津乐道的话题。坊间传闻:喝茶的人较为传统,追求宁静淡泊的生活,喝咖啡的人富有创新精神,适应快节奏的生活;喝茶的人喜爱早起,喝咖啡的人习惯熬夜;喝茶的人有较低的伤害回避性,较高的自我导向性和坚持性,喝咖啡的人有较高的内向性和神经质,较高的自我导向性,较高的奖励依赖性……

科学家对此也进行了研究。一项发表在Scientific Reports的研究指出,人类对苦味物质的感知与拥有某组特定基因有关,这种感知会影响他们对咖啡、茶或酒精的偏好。

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(图片来源:Nature)

研究人员运用英国生物样本库中40多万名参与者的样本,通过分析与丙硫氧嘧啶(PROP)、奎宁和咖啡因这3种苦味物质的感知有关的基因变异,评估了苦味感知对咖啡、茶和酒精摄入的影响。

结果表明,与常人相比,拥有更多咖啡因苦味基因受体的人们,有大量喝咖啡(一天4杯以上)的倾向。每增加一个咖啡因苦味基因受体,喜爱喝咖啡的比率会提高20%。对咖啡因的喜好与舌感也有关系,由于对咖啡丰富的味道更敏感一些,因此饮用量也会增加。对咖啡因味道敏感的人,喝茶的量则呈减少趋势。

喜欢喝茶者大多是奎宁/丙硫氧嘧啶苦味基因受体较多。与常人相比,每增加一个奎宁/丙硫氧嘧啶苦味基因受体,每天多喝一杯茶的比率会提高4%~9%。

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丙硫氧嘧啶、奎宁和咖啡因的苦味感知对(a)咖啡、茶和酒精的摄入量以及(b)重度咖啡、茶和酒精饮酒者的因果影响

这些发现表明,我们对苦味的感知,是由基因决定的,这种感知会决定我们对咖啡、茶和酒精的偏好。所以爱喝茶or爱喝咖啡,和职业甚至性格喜好都没什么关系。

对于医生来说,这可能更取决于现状。相比于国外医疗机构,中国医生的工作压力更大、任务更重。高节奏的看诊和高强度的轮班工作使得年轻的医护大多会选择花最少的时间,冲最“速溶”的咖啡。

而对于资深医生而言,传统思想文化的熏陶下,手中捧着的那一杯普洱可能就是夜晚诊室里最迷人的味道了。

那么,现在还在写病历的你,最喜爱coffee还是tea呢?

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    2021-12-07 gaoxiaoe
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    2022-04-24 微风山谷smile

    很有趣的研究

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1849325, encodeId=2ed718493254c, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Tue Dec 07 21:13:42 CST 2021, time=2021-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1213899, encodeId=a04b12138998e, content=很有趣的研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/12/05/9151d1e89e73add788e7d96c55fb5dec.jpg, createdBy=dcfd2497546, createdName=微风山谷smile, createdTime=Sun Apr 24 14:36:00 CST 2022, time=2022-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068096, encodeId=e0a8106809645, content=整形外科?骨科?, beContent=null, objectType=article, channel=null, level=null, likeNumber=167, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=70112317755, createdName=12242441m26(暂无昵称), createdTime=Mon Nov 08 12:54:56 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068192, encodeId=78e410681922b, content=只喝白开水的内分泌科主任医师飘过,,,茶和咖啡令小心脏心率加快(因人而异哈),所以对这些好东西敬而远之!, beContent=null, objectType=article, channel=null, level=null, likeNumber=167, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/AF43A7988964C1346E091DE08822DCC1/100, createdBy=1b2b1959838, createdName=jiazhoudexue, createdTime=Mon Nov 08 19:10:41 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068105, encodeId=ebe91068105c3, content=厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=179, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=71734776539, createdName=MS8826622222, createdTime=Mon Nov 08 13:19:06 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068052, encodeId=67e51068052ca, content=Coffee , beContent=null, objectType=article, channel=null, level=null, likeNumber=153, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210121/3066131e88ca4c31a238db2bedac2f10/1d8e8a6a6c4c4256b2b4a24b6723d68a.jpg, createdBy=91092531490, createdName=滚滚兔🐰, createdTime=Mon Nov 08 09:35:48 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068067, encodeId=5b11106806ed2, content=茶+咖啡。小编要加上这个选项😎, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33a45611629, createdName=ms5000000407327578, createdTime=Mon Nov 08 10:51:38 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068056, encodeId=3f03106805639, content=海报, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=bd465548676, createdName=ms8000000656115287, createdTime=Mon Nov 08 09:56:29 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068055, encodeId=59ec10680553c, content=竟有如此之解, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c3045695343, createdName=ms9000000266694635, createdTime=Mon Nov 08 09:54:09 CST 2021, time=2021-11-08, status=1, ipAttribution=)]
    2021-11-08 12242441m26(暂无昵称)

    整形外科?骨科?

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1849325, encodeId=2ed718493254c, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Tue Dec 07 21:13:42 CST 2021, time=2021-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1213899, encodeId=a04b12138998e, content=很有趣的研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/12/05/9151d1e89e73add788e7d96c55fb5dec.jpg, createdBy=dcfd2497546, createdName=微风山谷smile, createdTime=Sun Apr 24 14:36:00 CST 2022, time=2022-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068096, encodeId=e0a8106809645, content=整形外科?骨科?, beContent=null, objectType=article, channel=null, level=null, likeNumber=167, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=70112317755, createdName=12242441m26(暂无昵称), createdTime=Mon Nov 08 12:54:56 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068192, encodeId=78e410681922b, content=只喝白开水的内分泌科主任医师飘过,,,茶和咖啡令小心脏心率加快(因人而异哈),所以对这些好东西敬而远之!, beContent=null, objectType=article, channel=null, level=null, likeNumber=167, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/AF43A7988964C1346E091DE08822DCC1/100, createdBy=1b2b1959838, createdName=jiazhoudexue, createdTime=Mon Nov 08 19:10:41 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068105, encodeId=ebe91068105c3, content=厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=179, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=71734776539, createdName=MS8826622222, createdTime=Mon Nov 08 13:19:06 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068052, encodeId=67e51068052ca, content=Coffee , beContent=null, objectType=article, channel=null, level=null, likeNumber=153, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210121/3066131e88ca4c31a238db2bedac2f10/1d8e8a6a6c4c4256b2b4a24b6723d68a.jpg, createdBy=91092531490, createdName=滚滚兔🐰, createdTime=Mon Nov 08 09:35:48 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068067, encodeId=5b11106806ed2, content=茶+咖啡。小编要加上这个选项😎, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33a45611629, createdName=ms5000000407327578, createdTime=Mon Nov 08 10:51:38 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068056, encodeId=3f03106805639, content=海报, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=bd465548676, createdName=ms8000000656115287, createdTime=Mon Nov 08 09:56:29 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068055, encodeId=59ec10680553c, content=竟有如此之解, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c3045695343, createdName=ms9000000266694635, createdTime=Mon Nov 08 09:54:09 CST 2021, time=2021-11-08, status=1, ipAttribution=)]
    2021-11-08 jiazhoudexue

    只喝白开水的内分泌科主任医师飘过,,,茶和咖啡令小心脏心率加快(因人而异哈),所以对这些好东西敬而远之!

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1849325, encodeId=2ed718493254c, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Tue Dec 07 21:13:42 CST 2021, time=2021-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1213899, encodeId=a04b12138998e, content=很有趣的研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/12/05/9151d1e89e73add788e7d96c55fb5dec.jpg, createdBy=dcfd2497546, createdName=微风山谷smile, createdTime=Sun Apr 24 14:36:00 CST 2022, time=2022-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068096, encodeId=e0a8106809645, content=整形外科?骨科?, beContent=null, objectType=article, channel=null, level=null, likeNumber=167, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=70112317755, createdName=12242441m26(暂无昵称), createdTime=Mon Nov 08 12:54:56 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068192, encodeId=78e410681922b, content=只喝白开水的内分泌科主任医师飘过,,,茶和咖啡令小心脏心率加快(因人而异哈),所以对这些好东西敬而远之!, beContent=null, objectType=article, channel=null, level=null, likeNumber=167, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/AF43A7988964C1346E091DE08822DCC1/100, createdBy=1b2b1959838, createdName=jiazhoudexue, createdTime=Mon Nov 08 19:10:41 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068105, encodeId=ebe91068105c3, content=厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=179, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=71734776539, createdName=MS8826622222, createdTime=Mon Nov 08 13:19:06 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068052, encodeId=67e51068052ca, content=Coffee , beContent=null, objectType=article, channel=null, level=null, likeNumber=153, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210121/3066131e88ca4c31a238db2bedac2f10/1d8e8a6a6c4c4256b2b4a24b6723d68a.jpg, createdBy=91092531490, createdName=滚滚兔🐰, createdTime=Mon Nov 08 09:35:48 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068067, encodeId=5b11106806ed2, content=茶+咖啡。小编要加上这个选项😎, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33a45611629, createdName=ms5000000407327578, createdTime=Mon Nov 08 10:51:38 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068056, encodeId=3f03106805639, content=海报, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=bd465548676, createdName=ms8000000656115287, createdTime=Mon Nov 08 09:56:29 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068055, encodeId=59ec10680553c, content=竟有如此之解, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c3045695343, createdName=ms9000000266694635, createdTime=Mon Nov 08 09:54:09 CST 2021, time=2021-11-08, status=1, ipAttribution=)]
    2021-11-08 MS8826622222

    厉害

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1849325, encodeId=2ed718493254c, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Tue Dec 07 21:13:42 CST 2021, time=2021-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1213899, encodeId=a04b12138998e, content=很有趣的研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/12/05/9151d1e89e73add788e7d96c55fb5dec.jpg, createdBy=dcfd2497546, createdName=微风山谷smile, createdTime=Sun Apr 24 14:36:00 CST 2022, time=2022-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068096, encodeId=e0a8106809645, content=整形外科?骨科?, beContent=null, objectType=article, channel=null, level=null, likeNumber=167, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=70112317755, createdName=12242441m26(暂无昵称), createdTime=Mon Nov 08 12:54:56 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068192, encodeId=78e410681922b, content=只喝白开水的内分泌科主任医师飘过,,,茶和咖啡令小心脏心率加快(因人而异哈),所以对这些好东西敬而远之!, beContent=null, objectType=article, channel=null, level=null, likeNumber=167, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/AF43A7988964C1346E091DE08822DCC1/100, createdBy=1b2b1959838, createdName=jiazhoudexue, createdTime=Mon Nov 08 19:10:41 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068105, encodeId=ebe91068105c3, content=厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=179, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=71734776539, createdName=MS8826622222, createdTime=Mon Nov 08 13:19:06 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068052, encodeId=67e51068052ca, content=Coffee , beContent=null, objectType=article, channel=null, level=null, likeNumber=153, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210121/3066131e88ca4c31a238db2bedac2f10/1d8e8a6a6c4c4256b2b4a24b6723d68a.jpg, createdBy=91092531490, createdName=滚滚兔🐰, createdTime=Mon Nov 08 09:35:48 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068067, encodeId=5b11106806ed2, content=茶+咖啡。小编要加上这个选项😎, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33a45611629, createdName=ms5000000407327578, createdTime=Mon Nov 08 10:51:38 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068056, encodeId=3f03106805639, content=海报, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=bd465548676, createdName=ms8000000656115287, createdTime=Mon Nov 08 09:56:29 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068055, encodeId=59ec10680553c, content=竟有如此之解, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c3045695343, createdName=ms9000000266694635, createdTime=Mon Nov 08 09:54:09 CST 2021, time=2021-11-08, status=1, ipAttribution=)]
    2021-11-08 滚滚兔🐰

    Coffee

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1849325, encodeId=2ed718493254c, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Tue Dec 07 21:13:42 CST 2021, time=2021-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1213899, encodeId=a04b12138998e, content=很有趣的研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/12/05/9151d1e89e73add788e7d96c55fb5dec.jpg, createdBy=dcfd2497546, createdName=微风山谷smile, createdTime=Sun Apr 24 14:36:00 CST 2022, time=2022-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068096, encodeId=e0a8106809645, content=整形外科?骨科?, beContent=null, objectType=article, channel=null, level=null, likeNumber=167, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=70112317755, createdName=12242441m26(暂无昵称), createdTime=Mon Nov 08 12:54:56 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068192, encodeId=78e410681922b, content=只喝白开水的内分泌科主任医师飘过,,,茶和咖啡令小心脏心率加快(因人而异哈),所以对这些好东西敬而远之!, beContent=null, objectType=article, channel=null, level=null, likeNumber=167, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/AF43A7988964C1346E091DE08822DCC1/100, createdBy=1b2b1959838, createdName=jiazhoudexue, createdTime=Mon Nov 08 19:10:41 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068105, encodeId=ebe91068105c3, content=厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=179, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=71734776539, createdName=MS8826622222, createdTime=Mon Nov 08 13:19:06 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068052, encodeId=67e51068052ca, content=Coffee , beContent=null, objectType=article, channel=null, level=null, likeNumber=153, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210121/3066131e88ca4c31a238db2bedac2f10/1d8e8a6a6c4c4256b2b4a24b6723d68a.jpg, createdBy=91092531490, createdName=滚滚兔🐰, createdTime=Mon Nov 08 09:35:48 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068067, encodeId=5b11106806ed2, content=茶+咖啡。小编要加上这个选项😎, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33a45611629, createdName=ms5000000407327578, createdTime=Mon Nov 08 10:51:38 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068056, encodeId=3f03106805639, content=海报, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=bd465548676, createdName=ms8000000656115287, createdTime=Mon Nov 08 09:56:29 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068055, encodeId=59ec10680553c, content=竟有如此之解, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c3045695343, createdName=ms9000000266694635, createdTime=Mon Nov 08 09:54:09 CST 2021, time=2021-11-08, status=1, ipAttribution=)]
    2021-11-08 ms5000000407327578

    茶+咖啡。小编要加上这个选项😎

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1849325, encodeId=2ed718493254c, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Tue Dec 07 21:13:42 CST 2021, time=2021-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1213899, encodeId=a04b12138998e, content=很有趣的研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/12/05/9151d1e89e73add788e7d96c55fb5dec.jpg, createdBy=dcfd2497546, createdName=微风山谷smile, createdTime=Sun Apr 24 14:36:00 CST 2022, time=2022-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068096, encodeId=e0a8106809645, content=整形外科?骨科?, beContent=null, objectType=article, channel=null, level=null, likeNumber=167, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=70112317755, createdName=12242441m26(暂无昵称), createdTime=Mon Nov 08 12:54:56 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068192, encodeId=78e410681922b, content=只喝白开水的内分泌科主任医师飘过,,,茶和咖啡令小心脏心率加快(因人而异哈),所以对这些好东西敬而远之!, beContent=null, objectType=article, channel=null, level=null, likeNumber=167, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/AF43A7988964C1346E091DE08822DCC1/100, createdBy=1b2b1959838, createdName=jiazhoudexue, createdTime=Mon Nov 08 19:10:41 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068105, encodeId=ebe91068105c3, content=厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=179, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=71734776539, createdName=MS8826622222, createdTime=Mon Nov 08 13:19:06 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068052, encodeId=67e51068052ca, content=Coffee , beContent=null, objectType=article, channel=null, level=null, likeNumber=153, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210121/3066131e88ca4c31a238db2bedac2f10/1d8e8a6a6c4c4256b2b4a24b6723d68a.jpg, createdBy=91092531490, createdName=滚滚兔🐰, createdTime=Mon Nov 08 09:35:48 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068067, encodeId=5b11106806ed2, content=茶+咖啡。小编要加上这个选项😎, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33a45611629, createdName=ms5000000407327578, createdTime=Mon Nov 08 10:51:38 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068056, encodeId=3f03106805639, content=海报, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=bd465548676, createdName=ms8000000656115287, createdTime=Mon Nov 08 09:56:29 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068055, encodeId=59ec10680553c, content=竟有如此之解, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c3045695343, createdName=ms9000000266694635, createdTime=Mon Nov 08 09:54:09 CST 2021, time=2021-11-08, status=1, ipAttribution=)]
    2021-11-08 ms8000000656115287

    海报

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1849325, encodeId=2ed718493254c, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Tue Dec 07 21:13:42 CST 2021, time=2021-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1213899, encodeId=a04b12138998e, content=很有趣的研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2018/12/05/9151d1e89e73add788e7d96c55fb5dec.jpg, createdBy=dcfd2497546, createdName=微风山谷smile, createdTime=Sun Apr 24 14:36:00 CST 2022, time=2022-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068096, encodeId=e0a8106809645, content=整形外科?骨科?, beContent=null, objectType=article, channel=null, level=null, likeNumber=167, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=70112317755, createdName=12242441m26(暂无昵称), createdTime=Mon Nov 08 12:54:56 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068192, encodeId=78e410681922b, content=只喝白开水的内分泌科主任医师飘过,,,茶和咖啡令小心脏心率加快(因人而异哈),所以对这些好东西敬而远之!, beContent=null, objectType=article, channel=null, level=null, likeNumber=167, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/AF43A7988964C1346E091DE08822DCC1/100, createdBy=1b2b1959838, createdName=jiazhoudexue, createdTime=Mon Nov 08 19:10:41 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068105, encodeId=ebe91068105c3, content=厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=179, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=71734776539, createdName=MS8826622222, createdTime=Mon Nov 08 13:19:06 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068052, encodeId=67e51068052ca, content=Coffee , beContent=null, objectType=article, channel=null, level=null, likeNumber=153, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210121/3066131e88ca4c31a238db2bedac2f10/1d8e8a6a6c4c4256b2b4a24b6723d68a.jpg, createdBy=91092531490, createdName=滚滚兔🐰, createdTime=Mon Nov 08 09:35:48 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068067, encodeId=5b11106806ed2, content=茶+咖啡。小编要加上这个选项😎, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33a45611629, createdName=ms5000000407327578, createdTime=Mon Nov 08 10:51:38 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068056, encodeId=3f03106805639, content=海报, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=bd465548676, createdName=ms8000000656115287, createdTime=Mon Nov 08 09:56:29 CST 2021, time=2021-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1068055, encodeId=59ec10680553c, content=竟有如此之解, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c3045695343, createdName=ms9000000266694635, createdTime=Mon Nov 08 09:54:09 CST 2021, time=2021-11-08, status=1, ipAttribution=)]
    2021-11-08 ms9000000266694635

    竟有如此之解

    0

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