Baidu
map

美国内分泌学会临床实践指南:建议所有住院患者检测血糖

2012-01-25 MedSci MedSci原创

 2012年1月6日,一部来自美国内分泌学会的新版临床实践指南(CPG)建议医院为所有住院患者实施血糖检测,并指出优化高血糖患者的管理并非需要深切关怀。该指南发表在2012年1月《临床内分泌与代谢杂志》(J Clin Endocrinol Metabol)上。   “高血糖与住院时间延长,感染的发病率增加和在非危重住院病人死亡相关,”CPG专家小组主席、来自美国佐治

 2012年1月6日,一部来自美国内分泌学会的新版临床实践指南(CPG)建议医院为所有住院患者实施血糖检测,并指出优化高血糖患者的管理并非需要深切关怀。该指南发表在2012年1月《临床内分泌与代谢杂志》(J Clin Endocrinol Metabol)上。

  “高血糖与住院时间延长,感染的发病率增加和在非危重住院病人死亡相关,”CPG专家小组主席、来自美国佐治亚州亚特兰大埃默里大学的吉列尔莫·翁彼雷斯(Guillermo Umpierrez)博士指出,“该新版指南综合了非重症监护条件下住院患者高血糖管理领域相关专家的一致建议。”

  既往观察性研究显示,高血糖症影响着32%至38%的社区医院患者,且不仅限于有糖尿病史的个体。观察性研究和随机对照试验表明,普通内科和手术治疗患者更好的血糖控制与更少的院内并发症相关。此外,指南还还设定了血糖达标值,并描述了协助实现血糖达标的方法和系统改进。

  指南建议要点如下:

  1、所有患者,不论前期是否诊断为糖尿病,均应在入院时进行实验室血糖检测。如果最近2个或3个月未进行该检测,已知的糖尿病或高血糖(血糖> 7.8 mmol / L)住院患者应检测糖化血红蛋白水平。

  2、对于大多数住院非重症患者,餐前血糖的目标值是低于140 mg/dl,随机血糖测定水平的目标是小于180 mg/dl。如果血糖水平低于5.6 mmol/L(100 mg/dl),则应当重新评估抗糖尿病治疗;如果血糖水平低于3.9 mmol/L(70 mg/dl),应修改抗糖尿病治疗方案。

  3、血糖目标值应根据临床状态进行调整。不易发生低血糖的患者,其血糖应被予以更严格的控制;对于疾病终末期、预期寿命有限或低血糖高风险的患者,目标值范围应当提高(<11.1 mmol / L或200 mg/dl)。

  4、在家接受胰岛素治疗的糖尿病患者,在其住院时应接受皮下胰岛素注射的预定治疗方案。

  5、为预防围手术期高血糖,所有1型糖尿病患者和大多数接受手术的2型糖​​尿病患者,应当接受静脉持续胰岛素输注或皮下基础胰岛素注射治疗(需要时采用胰岛素泵)。

  6、所有入院时的血糖值较高患者(> 7.8 mmol / L,即140 mg/dl),以及所有接受肠内或肠外营养患者,不论有无糖尿病史,均应床旁即时监测血糖。该建议同样适用于接受高血糖相关治疗的患者(例如糖皮质激素或奥曲肽)。

  7、至少在静脉持续胰岛素输注治疗中断前1至2小时,所有1型和2型糖尿病患者应转为预定的皮下胰岛素治疗。

  链接:

  Guidelines Suggest Blood Glucose Testing for All Inpatients

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (7)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2138928, encodeId=7cb7213892875, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/23/914ab8c212b86139546fc16eed98b36f.jpg, createdBy=90821711402, createdName=1dea4a7em68(暂无匿称), createdTime=Thu May 25 07:07:04 CST 2023, time=2023-05-25, status=1, ipAttribution=福建省), GetPortalCommentsPageByObjectIdResponse(id=37328, encodeId=521e3e32835, content=That's a sensible answer to a chganenlilg question, beContent=null, objectType=article, channel=null, level=null, likeNumber=150, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=uelly, createdTime=Sun Sep 27 06:52:00 CST 2015, time=2015-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2023922, encodeId=b91120239227f, content=<a href='/topic/show?id=a8c5654e39a' target=_blank style='color:#2F92EE;'>#测血糖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65473, encryptionId=a8c5654e39a, topicName=测血糖)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=baf586, createdName=wangbingxhy, createdTime=Fri Aug 17 12:32:00 CST 2012, time=2012-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2030961, encodeId=b7d9203096181, content=<a href='/topic/show?id=5df2460e269' target=_blank style='color:#2F92EE;'>#实践指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46072, encryptionId=5df2460e269, topicName=实践指南)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=796422, createdName=lvliquan, createdTime=Sun Apr 08 13:32:00 CST 2012, time=2012-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1682114, encodeId=d2311682114c2, content=<a href='/topic/show?id=d4d031e8074' target=_blank style='color:#2F92EE;'>#分泌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31780, encryptionId=d4d031e8074, topicName=分泌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0da227938338, createdName=gwc392, createdTime=Tue Oct 23 10:32:00 CST 2012, time=2012-10-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1323577, encodeId=b67013235e700, content=<a href='/topic/show?id=42b922e7350' target=_blank style='color:#2F92EE;'>#临床实践#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22773, encryptionId=42b922e7350, topicName=临床实践)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=35fc2500023, createdName=yanjie6253_56072842, createdTime=Fri Jan 27 13:32:00 CST 2012, time=2012-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571911, encodeId=76f715e19119e, content=<a href='/topic/show?id=413922e74cd' target=_blank style='color:#2F92EE;'>#临床实践指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22774, encryptionId=413922e74cd, topicName=临床实践指南)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=276d15780972, createdName=lily1621, createdTime=Fri Jan 27 13:32:00 CST 2012, time=2012-01-27, status=1, ipAttribution=)]
    2023-05-25 1dea4a7em68(暂无匿称) 来自福建省

    谢谢分享

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2138928, encodeId=7cb7213892875, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/23/914ab8c212b86139546fc16eed98b36f.jpg, createdBy=90821711402, createdName=1dea4a7em68(暂无匿称), createdTime=Thu May 25 07:07:04 CST 2023, time=2023-05-25, status=1, ipAttribution=福建省), GetPortalCommentsPageByObjectIdResponse(id=37328, encodeId=521e3e32835, content=That's a sensible answer to a chganenlilg question, beContent=null, objectType=article, channel=null, level=null, likeNumber=150, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=uelly, createdTime=Sun Sep 27 06:52:00 CST 2015, time=2015-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2023922, encodeId=b91120239227f, content=<a href='/topic/show?id=a8c5654e39a' target=_blank style='color:#2F92EE;'>#测血糖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65473, encryptionId=a8c5654e39a, topicName=测血糖)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=baf586, createdName=wangbingxhy, createdTime=Fri Aug 17 12:32:00 CST 2012, time=2012-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2030961, encodeId=b7d9203096181, content=<a href='/topic/show?id=5df2460e269' target=_blank style='color:#2F92EE;'>#实践指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46072, encryptionId=5df2460e269, topicName=实践指南)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=796422, createdName=lvliquan, createdTime=Sun Apr 08 13:32:00 CST 2012, time=2012-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1682114, encodeId=d2311682114c2, content=<a href='/topic/show?id=d4d031e8074' target=_blank style='color:#2F92EE;'>#分泌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31780, encryptionId=d4d031e8074, topicName=分泌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0da227938338, createdName=gwc392, createdTime=Tue Oct 23 10:32:00 CST 2012, time=2012-10-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1323577, encodeId=b67013235e700, content=<a href='/topic/show?id=42b922e7350' target=_blank style='color:#2F92EE;'>#临床实践#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22773, encryptionId=42b922e7350, topicName=临床实践)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=35fc2500023, createdName=yanjie6253_56072842, createdTime=Fri Jan 27 13:32:00 CST 2012, time=2012-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571911, encodeId=76f715e19119e, content=<a href='/topic/show?id=413922e74cd' target=_blank style='color:#2F92EE;'>#临床实践指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22774, encryptionId=413922e74cd, topicName=临床实践指南)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=276d15780972, createdName=lily1621, createdTime=Fri Jan 27 13:32:00 CST 2012, time=2012-01-27, status=1, ipAttribution=)]
    2015-09-27 uelly

    That's a sensible answer to a chganenlilg question

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2138928, encodeId=7cb7213892875, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/23/914ab8c212b86139546fc16eed98b36f.jpg, createdBy=90821711402, createdName=1dea4a7em68(暂无匿称), createdTime=Thu May 25 07:07:04 CST 2023, time=2023-05-25, status=1, ipAttribution=福建省), GetPortalCommentsPageByObjectIdResponse(id=37328, encodeId=521e3e32835, content=That's a sensible answer to a chganenlilg question, beContent=null, objectType=article, channel=null, level=null, likeNumber=150, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=uelly, createdTime=Sun Sep 27 06:52:00 CST 2015, time=2015-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2023922, encodeId=b91120239227f, content=<a href='/topic/show?id=a8c5654e39a' target=_blank style='color:#2F92EE;'>#测血糖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65473, encryptionId=a8c5654e39a, topicName=测血糖)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=baf586, createdName=wangbingxhy, createdTime=Fri Aug 17 12:32:00 CST 2012, time=2012-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2030961, encodeId=b7d9203096181, content=<a href='/topic/show?id=5df2460e269' target=_blank style='color:#2F92EE;'>#实践指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46072, encryptionId=5df2460e269, topicName=实践指南)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=796422, createdName=lvliquan, createdTime=Sun Apr 08 13:32:00 CST 2012, time=2012-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1682114, encodeId=d2311682114c2, content=<a href='/topic/show?id=d4d031e8074' target=_blank style='color:#2F92EE;'>#分泌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31780, encryptionId=d4d031e8074, topicName=分泌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0da227938338, createdName=gwc392, createdTime=Tue Oct 23 10:32:00 CST 2012, time=2012-10-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1323577, encodeId=b67013235e700, content=<a href='/topic/show?id=42b922e7350' target=_blank style='color:#2F92EE;'>#临床实践#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22773, encryptionId=42b922e7350, topicName=临床实践)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=35fc2500023, createdName=yanjie6253_56072842, createdTime=Fri Jan 27 13:32:00 CST 2012, time=2012-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571911, encodeId=76f715e19119e, content=<a href='/topic/show?id=413922e74cd' target=_blank style='color:#2F92EE;'>#临床实践指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22774, encryptionId=413922e74cd, topicName=临床实践指南)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=276d15780972, createdName=lily1621, createdTime=Fri Jan 27 13:32:00 CST 2012, time=2012-01-27, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=2138928, encodeId=7cb7213892875, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/23/914ab8c212b86139546fc16eed98b36f.jpg, createdBy=90821711402, createdName=1dea4a7em68(暂无匿称), createdTime=Thu May 25 07:07:04 CST 2023, time=2023-05-25, status=1, ipAttribution=福建省), GetPortalCommentsPageByObjectIdResponse(id=37328, encodeId=521e3e32835, content=That's a sensible answer to a chganenlilg question, beContent=null, objectType=article, channel=null, level=null, likeNumber=150, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=uelly, createdTime=Sun Sep 27 06:52:00 CST 2015, time=2015-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2023922, encodeId=b91120239227f, content=<a href='/topic/show?id=a8c5654e39a' target=_blank style='color:#2F92EE;'>#测血糖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65473, encryptionId=a8c5654e39a, topicName=测血糖)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=baf586, createdName=wangbingxhy, createdTime=Fri Aug 17 12:32:00 CST 2012, time=2012-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2030961, encodeId=b7d9203096181, content=<a href='/topic/show?id=5df2460e269' target=_blank style='color:#2F92EE;'>#实践指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46072, encryptionId=5df2460e269, topicName=实践指南)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=796422, createdName=lvliquan, createdTime=Sun Apr 08 13:32:00 CST 2012, time=2012-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1682114, encodeId=d2311682114c2, content=<a href='/topic/show?id=d4d031e8074' target=_blank style='color:#2F92EE;'>#分泌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31780, encryptionId=d4d031e8074, topicName=分泌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0da227938338, createdName=gwc392, createdTime=Tue Oct 23 10:32:00 CST 2012, time=2012-10-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1323577, encodeId=b67013235e700, content=<a href='/topic/show?id=42b922e7350' target=_blank style='color:#2F92EE;'>#临床实践#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22773, encryptionId=42b922e7350, topicName=临床实践)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=35fc2500023, createdName=yanjie6253_56072842, createdTime=Fri Jan 27 13:32:00 CST 2012, time=2012-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571911, encodeId=76f715e19119e, content=<a href='/topic/show?id=413922e74cd' target=_blank style='color:#2F92EE;'>#临床实践指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22774, encryptionId=413922e74cd, topicName=临床实践指南)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=276d15780972, createdName=lily1621, createdTime=Fri Jan 27 13:32:00 CST 2012, time=2012-01-27, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=2138928, encodeId=7cb7213892875, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/23/914ab8c212b86139546fc16eed98b36f.jpg, createdBy=90821711402, createdName=1dea4a7em68(暂无匿称), createdTime=Thu May 25 07:07:04 CST 2023, time=2023-05-25, status=1, ipAttribution=福建省), GetPortalCommentsPageByObjectIdResponse(id=37328, encodeId=521e3e32835, content=That's a sensible answer to a chganenlilg question, beContent=null, objectType=article, channel=null, level=null, likeNumber=150, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=uelly, createdTime=Sun Sep 27 06:52:00 CST 2015, time=2015-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2023922, encodeId=b91120239227f, content=<a href='/topic/show?id=a8c5654e39a' target=_blank style='color:#2F92EE;'>#测血糖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65473, encryptionId=a8c5654e39a, topicName=测血糖)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=baf586, createdName=wangbingxhy, createdTime=Fri Aug 17 12:32:00 CST 2012, time=2012-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2030961, encodeId=b7d9203096181, content=<a href='/topic/show?id=5df2460e269' target=_blank style='color:#2F92EE;'>#实践指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46072, encryptionId=5df2460e269, topicName=实践指南)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=796422, createdName=lvliquan, createdTime=Sun Apr 08 13:32:00 CST 2012, time=2012-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1682114, encodeId=d2311682114c2, content=<a href='/topic/show?id=d4d031e8074' target=_blank style='color:#2F92EE;'>#分泌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31780, encryptionId=d4d031e8074, topicName=分泌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0da227938338, createdName=gwc392, createdTime=Tue Oct 23 10:32:00 CST 2012, time=2012-10-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1323577, encodeId=b67013235e700, content=<a href='/topic/show?id=42b922e7350' target=_blank style='color:#2F92EE;'>#临床实践#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22773, encryptionId=42b922e7350, topicName=临床实践)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=35fc2500023, createdName=yanjie6253_56072842, createdTime=Fri Jan 27 13:32:00 CST 2012, time=2012-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571911, encodeId=76f715e19119e, content=<a href='/topic/show?id=413922e74cd' target=_blank style='color:#2F92EE;'>#临床实践指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22774, encryptionId=413922e74cd, topicName=临床实践指南)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=276d15780972, createdName=lily1621, createdTime=Fri Jan 27 13:32:00 CST 2012, time=2012-01-27, status=1, ipAttribution=)]
    2012-10-23 gwc392
  6. [GetPortalCommentsPageByObjectIdResponse(id=2138928, encodeId=7cb7213892875, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/23/914ab8c212b86139546fc16eed98b36f.jpg, createdBy=90821711402, createdName=1dea4a7em68(暂无匿称), createdTime=Thu May 25 07:07:04 CST 2023, time=2023-05-25, status=1, ipAttribution=福建省), GetPortalCommentsPageByObjectIdResponse(id=37328, encodeId=521e3e32835, content=That's a sensible answer to a chganenlilg question, beContent=null, objectType=article, channel=null, level=null, likeNumber=150, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=uelly, createdTime=Sun Sep 27 06:52:00 CST 2015, time=2015-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2023922, encodeId=b91120239227f, content=<a href='/topic/show?id=a8c5654e39a' target=_blank style='color:#2F92EE;'>#测血糖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65473, encryptionId=a8c5654e39a, topicName=测血糖)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=baf586, createdName=wangbingxhy, createdTime=Fri Aug 17 12:32:00 CST 2012, time=2012-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2030961, encodeId=b7d9203096181, content=<a href='/topic/show?id=5df2460e269' target=_blank style='color:#2F92EE;'>#实践指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46072, encryptionId=5df2460e269, topicName=实践指南)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=796422, createdName=lvliquan, createdTime=Sun Apr 08 13:32:00 CST 2012, time=2012-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1682114, encodeId=d2311682114c2, content=<a href='/topic/show?id=d4d031e8074' target=_blank style='color:#2F92EE;'>#分泌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31780, encryptionId=d4d031e8074, topicName=分泌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0da227938338, createdName=gwc392, createdTime=Tue Oct 23 10:32:00 CST 2012, time=2012-10-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1323577, encodeId=b67013235e700, content=<a href='/topic/show?id=42b922e7350' target=_blank style='color:#2F92EE;'>#临床实践#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22773, encryptionId=42b922e7350, topicName=临床实践)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=35fc2500023, createdName=yanjie6253_56072842, createdTime=Fri Jan 27 13:32:00 CST 2012, time=2012-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571911, encodeId=76f715e19119e, content=<a href='/topic/show?id=413922e74cd' target=_blank style='color:#2F92EE;'>#临床实践指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22774, encryptionId=413922e74cd, topicName=临床实践指南)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=276d15780972, createdName=lily1621, createdTime=Fri Jan 27 13:32:00 CST 2012, time=2012-01-27, status=1, ipAttribution=)]
  7. [GetPortalCommentsPageByObjectIdResponse(id=2138928, encodeId=7cb7213892875, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/23/914ab8c212b86139546fc16eed98b36f.jpg, createdBy=90821711402, createdName=1dea4a7em68(暂无匿称), createdTime=Thu May 25 07:07:04 CST 2023, time=2023-05-25, status=1, ipAttribution=福建省), GetPortalCommentsPageByObjectIdResponse(id=37328, encodeId=521e3e32835, content=That's a sensible answer to a chganenlilg question, beContent=null, objectType=article, channel=null, level=null, likeNumber=150, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=uelly, createdTime=Sun Sep 27 06:52:00 CST 2015, time=2015-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2023922, encodeId=b91120239227f, content=<a href='/topic/show?id=a8c5654e39a' target=_blank style='color:#2F92EE;'>#测血糖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65473, encryptionId=a8c5654e39a, topicName=测血糖)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=baf586, createdName=wangbingxhy, createdTime=Fri Aug 17 12:32:00 CST 2012, time=2012-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2030961, encodeId=b7d9203096181, content=<a href='/topic/show?id=5df2460e269' target=_blank style='color:#2F92EE;'>#实践指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46072, encryptionId=5df2460e269, topicName=实践指南)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=796422, createdName=lvliquan, createdTime=Sun Apr 08 13:32:00 CST 2012, time=2012-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1682114, encodeId=d2311682114c2, content=<a href='/topic/show?id=d4d031e8074' target=_blank style='color:#2F92EE;'>#分泌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31780, encryptionId=d4d031e8074, topicName=分泌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0da227938338, createdName=gwc392, createdTime=Tue Oct 23 10:32:00 CST 2012, time=2012-10-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1323577, encodeId=b67013235e700, content=<a href='/topic/show?id=42b922e7350' target=_blank style='color:#2F92EE;'>#临床实践#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22773, encryptionId=42b922e7350, topicName=临床实践)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=35fc2500023, createdName=yanjie6253_56072842, createdTime=Fri Jan 27 13:32:00 CST 2012, time=2012-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571911, encodeId=76f715e19119e, content=<a href='/topic/show?id=413922e74cd' target=_blank style='color:#2F92EE;'>#临床实践指南#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22774, encryptionId=413922e74cd, topicName=临床实践指南)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=276d15780972, createdName=lily1621, createdTime=Fri Jan 27 13:32:00 CST 2012, time=2012-01-27, status=1, ipAttribution=)]
Baidu
map
Baidu
map
Baidu
map