{"id":242,"date":"2022-01-14T12:44:36","date_gmt":"2022-01-14T04:44:36","guid":{"rendered":"http:\/\/183.223.218.137:8109\/?p=242"},"modified":"2022-01-14T12:44:36","modified_gmt":"2022-01-14T04:44:36","slug":"%e9%95%bf%e6%9c%9f%e4%bd%bf%e7%94%a8%e6%8a%97%e7%b2%be%e7%a5%9e%e7%97%85%e8%8d%af%e5%bc%8a%e5%a4%a7%e4%ba%8e%e5%88%a9%ef%bc%9f","status":"publish","type":"post","link":"http:\/\/183.223.218.137:8109\/?p=242","title":{"rendered":"\u957f\u671f\u4f7f\u7528\u6297\u7cbe\u795e\u75c5\u836f\u5f0a\u5927\u4e8e\u5229\uff1f"},"content":{"rendered":"\n

\u8fd1\u5e74\u6765\uff0c\u9488\u5bf9\u6297\u7cbe\u795e\u75c5\u836f\u7ef4\u6301\u6cbb\u7597\u7684\u4e89\u8bae\u6301\u7eed\u5b58\u5728\uff1a<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u3000\u3000\u4e00\u65b9\u9762\uff0c\u591a\u6570\u6cbb\u7597\u8fc7\u529f\u80fd\u4e25\u91cd\u53d7\u635f\u60a3\u8005\u7684\u7cbe\u795e\u79d1\u533b\u751f\u4e3a\u4e86\u907f\u514d\u75c7\u72b6\u590d\u53d1\uff0c\u5bf9\u4e8e\u957f\u671f\u6297\u7cbe\u795e\u75c5\u836f\u6cbb\u7597\u7684\u6709\u6548\u6027\u548c\u5fc5\u8981\u6027\u6beb\u4e0d\u6000\u7591;<\/p>\n\n\n\n

\u3000\u3000\u53e6\u4e00\u65b9\u9762\uff0c\u4e00\u4e9b\u8fd1\u671f\u7814\u7a76\u4f3c\u4e4e\u5bf9\u4e0a\u8ff0\u89c2\u70b9\u4ea7\u751f\u4e86\u51b2\u51fb\uff0c\u4e00\u4e9b\u7cbe\u795e\u75c5\u5b66\u8bc4\u8bba\u5bb6\u6b7b\u6b7b\u6293\u4f4f\u8fd9\u4e9b\u7814\u7a76\uff0c\u53cd\u5bf9\u957f\u671f\u4f7f\u7528\u6297\u7cbe\u795e\u75c5\u836f\uff0c\u751a\u81f3\u5ba3\u79f0\u4ece\u957f\u8fdc\u6765\u770b\uff0c\u6297\u7cbe\u795e\u75c5\u836f\u4f1a\u6076\u5316\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u7684\u7cbe\u795e\u72b6\u6001\u548c\u4e34\u5e8a\u8868\u73b0\u3002<\/p>\n\n\n\n

\u3000\u3000\u672c\u6587\u5e76\u4e0d\u662f\u4e00\u7bc7\u9488\u5bf9\u51e0\u5341\u5e74\u6765\u6297\u7cbe\u795e\u75c5\u836f\u6cbb\u7597\u6587\u732e\u7684\u5e9e\u5927\u7efc\u8ff0;\u76f8\u53cd\uff0c\u662f\u5bf9\u8fd1\u671f\u4e00\u4e9b\u7814\u7a76\u548c\u6587\u732e\u4e2d\u5b58\u5728\u4e89\u8bae\u7684\u89e3\u91ca\u7684\u8bc4\u8bba\u3002\u6211\u8ba4\u4e3a\uff0c\u89e3\u91ca\u8fd9\u4e9b\u590d\u6742\u7684\u7814\u7a76\u9700\u8981\u6df1\u5165\u4e86\u89e3\u533b\u5b66\u7814\u7a76\u8bbe\u8ba1\uff1a\u7cbe\u795e\u836f\u7406\u5b66\u56e0\u7d20\u548c\u4f17\u591a\u7684\u6df7\u6dc6\u56e0\u7d20\u90fd\u4f1a\u5bf9\u6cbb\u7597\u7ed3\u679c\u4ea7\u751f\u5f71\u54cd\u3002<\/p>\n\n\n\n

\u3000\u3000\u4e0d\u5e78\u7684\u662f\uff0c\u4e00\u4e9b\u7f3a\u4e4f\u533b\u7597\u8bad\u7ec3\u7684\u7cbe\u795e\u75c5\u5b66\u8bc4\u8bba\u5bb6\u4f9d\u7136\u76f2\u76ee\u5730\u5224\u5b9a\uff0c\u7cbe\u795e\u79d1\u533b\u5e08\u5f00\u51fa\u7684\u957f\u671f\u6297\u7cbe\u795e\u75c5\u836f\u5904\u65b9\u5bf9\u4ed6\u4eec\u7684\u75c5\u4eba\u6784\u6210\u4e86\u635f\u5bb3\u3002<\/p>\n\n\n\n

\u3000\u3000\u521d\u53d1\u7cbe\u795e\u75c5\uff1a\u505c\u836f\u6cbb\u6108\u7387\u66f4\u9ad8?<\/strong><\/p>\n\n\n\n

\u3000\u3000\u5bf9\u4e8e\u957f\u671f\u6297\u7cbe\u795e\u75c5\u836f\u6cbb\u7597\uff0c\u6211\u4eec\u5e94\u5f53\u5177\u4f53\u95ee\u9898\u5177\u4f53\u5206\u6790\uff0c\u800c\u4e0d\u662f\u4e00\u6982\u800c\u8bba\u3002\u68c0\u9a8c\u91d1\u6807\u51c6\u3001\u968f\u673a\u5316\u7814\u7a76\u3001\u5b89\u6170\u5242\u5bf9\u7167\u7814\u7a76\u6bd4\u6211\u4eec\u60f3\u8c61\u4e2d\u66f4\u5c11\uff0c\u5bf9\u4e8e\u73b0\u6709\u7684\u7814\u7a76\u7ed3\u679c\uff0c\u603b\u662f\u5b58\u5728\u591a\u79cd\u89e3\u91ca\u3002<\/p>\n\n\n\n

\u3000\u3000\u5c3d\u7ba1\u5982\u6b64\uff0c\u6211\u7684\u4e3b\u8981\u8bba\u70b9\u662f\u2015\u2015\u6211\u76f8\u4fe1\u591a\u6570\u968f\u673a\u5316\u7684\u3001\u957f\u671f\u7684\u7cbe\u795e\u5206\u88c2\u75c7\u7814\u7a76\u5c06\u652f\u6301\u4ee5\u4e0b\u8bba\u70b9\uff1a\u6297\u7cbe\u795e\u75c5\u836f\u6cbb\u7597\u5bf9\u4e8e\u9632\u6b62\u75be\u75c5\u590d\u53d1\u662f\u6709\u4f5c\u7528\u7684\u3002\u4e00\u4e9b\u6570\u636e\u8868\u660e\uff0c\u4e0e\u505c\u836f\u7ec4\u76f8\u6bd4\uff0c\u7ef4\u6301\u6297\u7cbe\u795e\u75c5\u836f\u6cbb\u7597\u7ec4\u8868\u73b0\u51fa\u66f4\u597d\u7684\u201c\u751f\u6d3b\u8d28\u91cf\u201d;\u5e76\u6ca1\u6709\u4ee4\u4eba\u4fe1\u670d\u7684\u8bc1\u636e\u8868\u660e\uff0c\u4e0e\u505c\u836f\u76f8\u6bd4\uff0c\u7ef4\u6301\u6cbb\u7597\u4f1a\u5bfc\u81f4\u7cbe\u795e\u5206\u88c2\u75c7\u6216\u76f8\u5173\u75be\u75c5\u7684\u6076\u5316\uff0c\u6291\u6216\u4f1a\u5bfc\u81f4\u66f4\u7cdf\u7cd5\u7684\u4e34\u5e8a\u7ed3\u679c\u3002<\/p>\n\n\n\n

\u3000\u3000Lex Wunderink\u7684\u7814\u7a76<\/p>\n\n\n\n

\u3000\u3000Lex Wunderink\u533b\u751f\u7684\u8fd1\u671f\u6570\u636e\u8868\u793a\uff0c\u957f\u671fAP\u6cbb\u7597\u6216\u8bb8\u5f0a\u5927\u4e8e\u5229\u3002\u5b9e\u9645\u4e0a\uff0cWunderink\u548c\u540c\u4e8b\u5728\u5bf9\u4e8e\u9996\u53d1\u7cbe\u795e\u75c5\u60a3\u8005(FEP)\u76847\u5e74\u968f\u8bbf\u4e2d\uff0c\u6bd4\u8f83\u4e86\u51cf\u5c11\u5242\u91cf\/\u505c\u836f(DR)\u7ec4\u53ca\u7ef4\u6301\u6cbb\u7597(MT)\u7ec4\u7684\u590d\u53d1\u7387\u3002\u57286\u4e2a\u6708\u7684\u75c7\u72b6\u7f13\u89e3\u540e\uff0c\u60a3\u8005\u88ab\u968f\u673a\u5206\u914d\u5230DR\u7ec4\u548cMT\u7ec4\u63a5\u53d718\u4e2a\u6708\u7684\u6cbb\u7597\u3002\u8bd5\u9a8c\u7ed3\u675f\u540e\uff0c\u7531\u4e34\u5e8a\u533b\u751f\u5b89\u6392\u540e\u7eed\u6cbb\u7597\u65b9\u6848\u3002<\/p>\n\n\n\n

\u3000\u3000\u8bd5\u9a8c\u7684\u4e3b\u8981\u7ed3\u679c\u4e3a\u5eb7\u590d\u7387\uff0c\u5eb7\u590d\u5b9a\u4e49\u4e3a\u7b26\u5408\u75c7\u72b6\u548c\u529f\u80fd\u7f13\u89e3\u7684\u6807\u51c6\u3002\u6b63\u5982\u8bb8\u591a\u7cbe\u795e\u75c5\u533b\u751f\u9884\u6d4b\uff0c18\u4e2a\u6708\u7684\u5206\u7ec4\u6cbb\u7597\u540e\uff0c\u51cf\u5c11\u5242\u91cf\/\u505c\u836f(DR)\u7ec4\u60a3\u8005\u7684\u590d\u53d1\u7387\u663e\u8457\u9ad8\u4e8e\u7ef4\u6301\u6cbb\u7597(MT)\u7ec4\u3002\u4f46\u662f\uff0c\u57287\u5e74\u968f\u8bbf\u4e2d\uff0c\u610f\u5916\u5f97\u51fa\u4e86DR\u7ec4\u6cbb\u6108\u7387\u663e\u8457\u9ad8\u4e8eMT\u7ec4\u7684\u7ed3\u679c(40.4\uff05 vs. 17.6\uff05)\u3002\u8fd9\u4e00\u53d1\u73b0\u4f3c\u4e4e\u8868\u660e\uff0c\u957f\u671fAP\u7ef4\u6301\u6cbb\u7597\u53ef\u80fd\u6709\u635f\u4e8e\u9996\u53d1\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u3002<\/p>\n\n\n\n

\u3000\u3000\u4f46\u662f\u6b63\u5982\u7cbe\u795e\u5206\u88c2\u75c7\u4e13\u5bb6Joseph M. Pierre\u533b\u751f\u6307\u51fa\uff0c\u8fd9\u4e00\u7ed3\u8bba\u5e76\u4e0d\u4e25\u8c28\uff1a<\/p>\n\n\n\n

\u3000\u3000\u9996\u5148\uff0c\u8bd5\u9a8c\u4e2dDR\u7ec4\u591a\u6570\u60a3\u8005\u5c3d\u7ba1\u4f7f\u7528\u7684\u662f\u4f4e\u5242\u91cf\uff0c\u4f46\u4ecd\u7136\u5728\u63a5\u53d7AP\u6cbb\u7597;<\/p>\n\n\n\n

\u3000\u3000\u5176\u6b21\uff0c\u6b63\u5982Pierre\u533b\u751f\u89e3\u91ca\uff0c\u201c\u2026\u867d\u7136\u6700\u521d\u7684\u6cbb\u7597\u7ec4\u5206\u914d\u662f\u968f\u673a\u7684\uff0c\u4f46\u8bd5\u9a8c\u540e\u4e8c\u7ec4\u7684\u5242\u91cf\u8c03\u6574\u53d6\u51b3\u4e8e\u7cbe\u795e\u79d1\u533b\u751f\u6839\u636e\u4e34\u5e8a\u53cd\u5e94\u505a\u51fa\u7684\u4e34\u65f6\u7684\u5224\u65ad\u3002\u201d<\/p>\n\n\n\n

\u3000\u3000\u4e5f\u5c31\u662f\u8bf4\uff0c\u8fd9\u4e0d\u662f\u771f\u6b63\u7684\u968f\u673a\u7814\u7a76\u3002\u4e0e\u5176\u8bf4\u662fAP\u6cbb\u7597\u6076\u5316\u4e86\u75c5\u75c7\uff0c\u66f4\u6709\u53ef\u80fd\u7684\u662f\uff1a\u5f53\u60a3\u8005\u770b\u5230\u533b\u751f\u964d\u4f4e\u5242\u91cf\u65f6\uff0c\u4f1a\u611f\u89c9\u662f\u4e4b\u524d\u7684\u6cbb\u7597\u8d77\u4e86\u6548\u679c;\u76f8\u53cd\uff0c\u5f53\u60a3\u8005\u770b\u5230\u533b\u751f\u7ef4\u6301\u9ad8\u5242\u91cf\u6cbb\u7597\u65f6\uff0c\u4f1a\u89c9\u5f97\u662f\u56e0\u4e3a\u4e4b\u524d\u7684\u7597\u6548\u4e0d\u4f73\u3002<\/p>\n\n\n\n

\u3000\u3000\u5982Pierre\u533b\u751f\u6240\u8bf4\uff0c\u201c\u2026\u8fd9\u9879\u7814\u7a76\u6ca1\u6709\u8bbe\u7f6e\u5bf9\u7167\u7ec4\u6765\u6bd4\u8f83\u7ef4\u6301\u7528\u836f\u548c\u505c\u836f\u4e4b\u95f4\u7684\u5dee\u5f02\uff0c\u5982\u540c\u5df2\u8bbe\u7f6e\u7684\u9ad8\u5242\u91cf\u7ec4\u4e0e\u4f4e\u5242\u91cf\u7ec4\u7684\u5bf9\u7167\u3002\u201dWunderink\u533b\u751f\u7684\u7814\u7a76\u7ed3\u679c\u81f3\u591a\u53ef\u80fd\u8868\u660e\uff0c\u5bf9\u4e8e\u9996\u53d1\u7cbe\u795e\u75c5\u60a3\u8005\u6765\u8bf4\uff0c\u201c\u5c11\u5373\u662f\u591a\u201d;\u6362\u8a00\u4e4b\uff0c\u76f8\u8f83\u4e8e\u7ef4\u6301\u9ad8\u5242\u91cf\uff0c\u964d\u4f4eAP\u5242\u91cf\u5bf9\u60a3\u8005\u6765\u8bf4\u66f4\u53ef\u80fd\u4fc3\u6210\u66f4\u9ad8\u7684\u6062\u590d\u7387\u548c\u793e\u4f1a\u529f\u80fd\u6539\u5584\u3002\u7814\u7a76\u5e76\u4e0d\u80fd\u8bc1\u5b9e\uff0c\u957f\u671fAP\u7ef4\u6301\u4e0e\u8f83\u5dee\u6cbb\u6108\u7387\u4e4b\u95f4\u6709\u660e\u786e\u7684\u56e0\u679c\u5173\u7cfb\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

\u3000\u3000\u771f\u76f8\uff1a\u505c\u836f\u98ce\u9669\u9ad8<\/p>\n\n\n\n

\u3000\u3000\u6b64\u5916\uff0c\u5728\u6700\u8fd1\u4e00\u9879\u5f00\u653e\u6807\u7b7e\u3001\u975e\u968f\u673a\u5316\u3001\u524d\u77bb\u6027\u7684\u5bf9\u9996\u53d1\u7cbe\u795e\u75c5\u60a3\u8005\u505c\u6b62AP\u7528\u836f\u7684\u7814\u7a76\u4e2d\uff0c\u897f\u73ed\u7259\u7814\u7a76\u8005\u53d1\u73b0\uff1a\u505c\u836f\u4e0e\u7cbe\u795e\u75c5\u590d\u53d1\u663e\u8457\u76f8\u5173\u30023\u5e74\u540e\u590d\u53d1\u60a3\u8005\u7684\u75c7\u72b6\u66f4\u52a0\u4e25\u91cd\uff0c\u529f\u80fd\u72b6\u6001\u66f4\u4f4e\u30023\u5e74\u968f\u8bbf\u65f6\u505c\u836f\u7ec4\u60a3\u8005\u7684\u590d\u53d1\u7387\u8fbe\u523067.4\uff05(31\/46)\uff0c\u7ef4\u6301\u6cbb\u7597\u7ec4\u590d\u53d1\u7387\u4e3a31.8\uff05(7\/22)\u3002<\/p>\n\n\n\n

\u3000\u3000\u590d\u53d1\u53d1\u751f\u540e\uff0c\u6062\u590d\u7528\u836f\u53ef\u5de9\u56fa\u7597\u6548\u4ee5\u964d\u4f4e\u518d\u6b21\u590d\u53d1\u7387\u3002\u65e0\u7591\uff0c\u7f3a\u4e4f\u968f\u673a\u8bbe\u8ba1\uff0c\u6837\u672c\u91cf\u76f8\u5bf9\u8f83\u5c0f\uff0c\u800c\u4e14\u5206\u6790\u8005\u5bf9\u7528\u836f\u72b6\u51b5\u975e\u76f2\u6784\u6210\u4e86\u6b64\u9879\u7814\u7a76\u4e3b\u8981\u7684\u5c40\u9650\u6027\u2015\u2015\u4f46\u662f\u7814\u7a76\u7ed3\u679c\u4f9d\u7136\u4e0d\u652f\u6301\u7ef4\u6301AP\u6cbb\u7597\u4f1a\u6076\u5316\u5355\u4e00\u7cbe\u795e\u75c5\u53d1\u4f5c\u6700\u7ec8\u7ed3\u5c40\u7684\u8bba\u70b9\u3002<\/p>\n\n\n\n

\u3000\u3000\u521d\u53d1\u7cbe\u795e\u5206\u88c2\u75c7\uff1a\u7528\u836f\u4e0d\u5982\u4e0d\u7528?<\/strong><\/p>\n\n\n\n

\u3000\u3000\u9700\u8981\u6ce8\u610f\u7684\u662f\uff0c\u9996\u53d1\u7cbe\u795e\u75c5\u60a3\u8005\u4e2d\u53ea\u6709\u4e00\u90e8\u5206\u521d\u6b21\u53d1\u75c5\u5373\u4e3a\u7cbe\u795e\u5206\u88c2\u75c7\uff0c\u800c\u901a\u5e38\u7cbe\u795e\u5206\u88c2\u75c7\u75c5\u7a0b\u8f83\u957f\uff0c\u8868\u73b0\u4e3a\u6162\u6027\u3002\u800c\u6709\u8bb8\u591a\u76f8\u5f53\u77ed\u6682\u7684\u7cbe\u795e\u75c5\u75c7\u4ece\u4e0d\u590d\u53d1\uff0c\u4f7f\u5f97\u957f\u671fAP\u6cbb\u7597\u5e76\u65e0\u5fc5\u8981\u3002\u90a3\u4e48\uff0c\u5173\u4e8eAP\u6cbb\u7597\u548c\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u590d\u53d1\u7387\u4e4b\u95f4\u7684\u5173\u7cfb\uff0c\u8fd1\u671f\u7684\u6587\u732e\u53c8\u544a\u8bc9\u4e86\u6211\u4eec\u4ec0\u4e48\u5462?<\/p>\n\n\n\n

\u3000\u3000Martin Harrow\u7684\u7814\u7a76<\/p>\n\n\n\n

\u3000\u3000\u957f\u671fAP\u7528\u836f\u7684\u53cd\u5bf9\u8005\u4eec\u7ecf\u5e38\u5f15\u7528Martin Harrow\u533b\u751f\u548c\u540c\u4e8b\u4eec\u7684\u7814\u7a76\u3002\u5728\u957f\u8fbe20\u5e74\u91cc\uff0cHarrow\u548c\u540c\u4e8b\u4eec\u8ddf\u8e2a\u4e86139\u4f8b\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u7684\u6297\u7cbe\u795e\u75c5\u836f\u7528\u836f\u60c5\u51b5\uff0c\u4ee4\u4eba\u60ca\u8bb6\u7684\u662f\uff0cHrrow\u53d1\u73b0\u4e0e\u7ef4\u6301\u7528\u836f\u7684\u60a3\u8005\u76f8\u6bd4\uff0c\u505c\u6b62\u7528\u836f\u7684\u60a3\u8005\u75c5\u75c7\u66f4\u8f7b\uff0c\u6cbb\u6108\u7387\u660e\u663e\u66f4\u9ad8\u3002<\/p>\n\n\n\n

\u3000\u3000\u5177\u4f53\u800c\u8a00\uff0c70\uff05\u4ee5\u4e0a\u7684\u6301\u7eed\u8fdb\u884cAP\u5904\u65b9\u6cbb\u7597\u7684\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u5728\u4e4b\u540e20\u4f59\u5e74\u7684\u968f\u8bbf\u4e2d\uff0c6\u6b21\u8bc4\u4f30\u4e2d\u81f3\u5c11\u67094\u6b21\u4f9d\u7136\u5b58\u6709\u7cbe\u795e\u75c5\u75c7\u72b6\u3002<\/p>\n\n\n\n

\u3000\u3000\u7eb5\u5411\u6765\u770b\uff0c\u4e0e\u7528\u836f\u60a3\u8005\u76f8\u6bd4\uff0c\u672a\u7528\u6297\u7cbe\u795e\u75c5\u836f\u7684\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u7684\u7cbe\u795e\u75c5\u6027\u6d3b\u52a8\u663e\u8457\u66f4\u5c11(p<0.05)\u3002\u8fd9\u4f7f\u5f97Harrow\u548c\u5176\u4ed6\u4eba\u63d0\u51fa\u4e86\u201c\u5eb7\u590d\u6096\u8bba(recovery paradox)\u201d\uff0c\u5373\u6297\u7cbe\u795e\u75c5\u836f\u77ed\u671f\u5185\u6709\u6548\uff0c\u4f46\u957f\u671f\u7528\u836f\u5c06\u5931\u53bb\u7597\u6548\u3002<\/p>\n\n\n\n

\u3000\u3000\u66f4\u786e\u5207\u5730\u8bf4\uff0c\u7814\u7a76\u4f5c\u8005\u603b\u7ed3\u4e3a\uff1a\u201c\u2026\u6297\u7cbe\u795e\u75c5\u836f\u6cbb\u7597\u5e76\u672a\u6d88\u9664\u6216\u964d\u4f4e\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u7cbe\u795e\u75c5\u75c7\u7684\u53d1\u4f5c\u9891\u7387\uff0c\u4e5f\u672a\u964d\u4f4e\u6b64\u540e\u53d1\u4f5c\u7684\u4e25\u91cd\u7a0b\u5ea6\uff0c\u867d\u7136\u5728\u7eaf\u81ea\u7136\u6216\u89c2\u5bdf\u6027\u7814\u7a76\u4e2d\uff0c\u5f88\u96be\u5bf9\u4e8e\u6cbb\u7597\u6548\u679c\u5f97\u51fa\u660e\u786e\u7684\u7ed3\u8bba\u3002\u201d<\/p>\n\n\n\n

\u3000\u3000\u6700\u540e\u4e00\u53e5\u81f3\u5173\u91cd\u8981\u3002\u6b63\u5982Pierre\u66fe\u6307\u51fa\u7684\uff1aHarrow\u7814\u7a76\u4e2d\u7684\u60a3\u8005\u2015\u2015\u548cWunderink\u7814\u7a76\u4e2d\u7684\u60a3\u8005\u4e00\u6837\uff0c\u90fd\u662f\u975e\u968f\u673a\u7684\u3002\u60a3\u8005\u81ea\u8eab\u90fd\u53ef\u4ee5\u51b3\u5b9a\u662f\u5426\u8981\u7ee7\u7eed\u836f\u7269\u6cbb\u7597\u3002\u8fd9\u610f\u5473\u7740\u6709\u8f83\u8f7b\u75c7\u72b6\u7684\u60a3\u8005\u53ef\u80fd\u201c\u81ea\u6211\u9009\u62e9\u201d\u505c\u6b62\u7528\u836f;\u800c\u90a3\u4e9b\u6709\u8f83\u91cd\u75c7\u72b6\u7684\u60a3\u8005\uff0c\u53ef\u80fd\u88ab\u8ba4\u4e3a\u4f1a\u6709\u66f4\u574f\u7684\u7ed3\u679c\u2015\u2015\u800c\u9009\u62e9\u7ee7\u7eed\u7528\u836f\u3002<\/p>\n\n\n\n

\u3000\u3000\u6240\u4ee5\u8bf4Harrow\u7684\u7814\u7a76\u5e76\u672a\u8bc1\u660e\u957f\u671fAP\u6cbb\u7597\u4f1a\u5728\u672c\u8d28\u4e0a\u6076\u5316\u4e34\u5e8a\u7ed3\u5c40\u3002\u6b63\u5982Pierre\u533b\u751f\u6307\u51fa\u7684\uff0c\u66f4\u6709\u53ef\u80fd\u7684\u662f\uff0c\u60a3\u8005\u75c7\u72b6\u7684\u7c7b\u578b\u548c\u4e25\u91cd\u7a0b\u5ea6\uff0c\u51b3\u5b9a\u4e86\u4ed6\u4eec\u548c\u4ed6\u4eec\u7684\u533b\u751f\u662f\u5426\u9009\u62e9\u7ee7\u7eed\u7528\u836f\u3002\u56e0\u6b64\uff0c\u5728\u5206\u6790Harrow\u7684\u7814\u7a76\u65f6\uff0c\u6709\u4e9bAP\u6cbb\u7597\u53cd\u5bf9\u8005\u53ef\u80fd\u8bef\u89e3\u4e86\u5176\u4e2d\u7684\u56e0\u679c\u5173\u7cfb\u3002<\/p>\n\n\n\n

\u3000\u3000Sohler\u7684\u7814\u7a76<\/strong><\/p>\n\n\n\n

\u3000\u3000\u53e6\u4e00\u88ab\u957f\u671fAP\u6cbb\u7597\u53cd\u5bf9\u8005\u5f15\u7528\u7684\u6587\u732e\u662f2015\u5e74\u4e00\u7bc7\u6765\u81eaSohler\u53ca\u540c\u4e8b\u7684\u7efc\u8ff0\u3002\u4f5c\u8005\u9488\u5bf91947-2010\u5e74\u95f418\u4e2a\u82f1\u8bed\u56fd\u5bb6\u53d1\u8868\u7684\u62a5\u544a\u8fdb\u884c\u4e86\u6570\u636e\u5206\u6790\u3002\u4f5c\u8005\u6bd4\u8f83\u4e86\u5728\u81f3\u5c112\u5e74\u968f\u8bbf\u4e2d\uff0c\u63a5\u53d7AP\u6cbb\u7597\u548c\u672a\u63a5\u53d7AP\u6cbb\u7597\u60a3\u8005\u7684\u7ed3\u679c\u3002\u8fd9\u4e00\u7814\u7a76\u65e8\u5728\u9a8c\u8bc1\u4ee5\u4e0b\u5047\u8bf4\uff1a\u201c\u2026\u957f\u671f\u66b4\u9732\u4e8eAP\u6cbb\u7597\u4e0b\u7684\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\uff0c\u6bd4\u672a\u66b4\u9732\u4e8eAP\u6cbb\u7597\u7684\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u6709\u66f4\u5dee\u7684\u7ed3\u5c40\u201d<\/p>\n\n\n\n

\u3000\u3000\u7531\u4e8e\u5728\u6570\u636e\u5206\u6790\u4e2d\u201c\u65e0\u53ef\u907f\u514d\u7684\u7814\u7a76\u8bbe\u8ba1\u7f3a\u9677\u201d\uff0c\u4f5c\u8005\u5f97\u51fa\u7684\u7ed3\u8bba\u662f\uff1a\u5df2\u53d1\u8868\u7684\u6570\u636e\u201c\u65e0\u6cd5\u5145\u5206\u9a8c\u8bc1\u8fd9\u4e00\u5047\u8bf4\u3002\u201d\u5e76\u4e14\u8865\u5145\uff0c\u201c\u2026\u8fd9\u4e9b\u6570\u636e\u540c\u65f6\u4e5f\u65e0\u6cd5\u5145\u5206\u9a8c\u8bc1\uff0c\u957f\u671fAP\u6cbb\u7597\u80fd\u8fbe\u5230\u6bd4\u5e73\u5747\u6c34\u5e73\u66f4\u4f73\u7684\u7ed3\u5c40\u3002\u201d\u8fd9\u5bf9\u6709AP\u5904\u65b9\u6743\u7684\u4e34\u5e8a\u533b\u751f\u65e0\u7591\u662f\u4e2a\u4ee4\u4eba\u5931\u671b\u7684\u53d1\u73b0\uff0c\u7136\u800c\uff0c\u8fd9\u9879\u7814\u7a76\u81f3\u5c11\u65e0\u6cd5\u8bc1\u660e\u5bf9\u4e8e\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\uff0c\u957f\u671fAP\u6cbb\u7597\u4f1a\u6709\u635f\u4e8e\u4ed6\u4eec\u7684\u9884\u540e\u3002\u4f5c\u8005\u660e\u786e\u9648\u8ff0\uff1a\u201c\u6211\u4eec\u7684\u7814\u7a76\u4e0d\u652f\u6301\u957f\u671fAP\u6cbb\u7597\u4f1a\u5f15\u8d77\u635f\u5bb3\u8fd9\u4e00\u5047\u8bf4\u3002\u201d<\/p>\n\n\n\n

\u3000\u3000\u771f\u76f8\uff1a\u7528\u836f\u6bd4\u4e0d\u7528\u836f\u5f3a\u5f97\u591a<\/strong><\/p>\n\n\n\n

\u3000\u3000\u4e8b\u5b9e\u4e0a\uff0c\u6765\u81ea\u5176\u4ed6\u6765\u6e90\u7684\u6570\u636e\u8868\u660e\uff0c\u957f\u671fAP\u6cbb\u7597\u660e\u663e\u63d0\u9ad8\u4e86\u7cbe\u795e\u5206\u88c2\u75c7\u7684\u7597\u6548\u3002\u6bd4\u5982\u8bf4\uff0cStefan Leucht\u6559\u6388\u53ca\u540c\u4e8b\u505a\u4e86\u4ee5\u4e0b\u5b9e\u9a8c\uff0c\u5206\u522b\u5bf9\u7cbe\u795e\u5206\u88c2\u75c7\u6216\u5206\u88c2\u6837\u7cbe\u795e\u75c5\u60a3\u8005\u7ed9\u4e88\u6297\u7cbe\u795e\u75c5\u836f\u6cbb\u7597\u6216\u7ed9\u4e88\u5b89\u6170\u5242\uff0c\u5bf9\u590d\u53d1\u7387\u8fdb\u884c\u4e86\u7814\u7a76\u3002\u7814\u7a76\u4eba\u5458\u89c2\u5bdf\u4e86\u4ece1959\u5e74\u52302011\u5e74\uff0c\u6d89\u53ca6493\u540d\u53c2\u4e0e\u8005\u768465\u4e2a\u968f\u673a\u5bf9\u7167\u8bd5\u9a8c(RCTs)\u3002\u4ed6\u4eec\u5f97\u51fa\u7684\u7ed3\u8bba\u662f\uff1a\u201c\u2026\u5728\u7cbe\u795e\u5206\u88c2\u75c7\u7ef4\u6301\u6cbb\u7597\u4e2d\uff0c\u6297\u7cbe\u795e\u75c5\u836f\u7684\u7597\u6548\u662f\u660e\u786e\u7684\u3002<\/p>\n\n\n\n

\u3000\u3000\u6297\u7cbe\u795e\u75c5\u836f\u5728\u9884\u96327-12\u4e2a\u6708\u590d\u53d1\u4e2d\u660e\u663e\u6bd4\u5b89\u6170\u5242\u6709\u6548\u3002\u201d\u5e73\u5747\u800c\u8a00\uff0c27\uff05\u7684\u7528\u836f\u60a3\u8005\u4f1a\u590d\u53d1\uff0c\u800c\u5b89\u6170\u5242\u7ec4\u4e3a64\uff05\u3002\u800c\u4e14\uff0c\u4e0e\u5b89\u6170\u5242\u7ec4\u768425\uff05\u76f8\u6bd4\uff0c\u6cbb\u7597\u7ec4\u60a3\u8005\u53ea\u670910\uff05\u518d\u6b21\u5165\u9662\u3002\u53e6\u5916\u6301\u7eed\u7528\u836f\u7684\u53c2\u4e0e\u8005\u7684\u751f\u6d3b\u8d28\u91cf\u4e5f\u66f4\u9ad8\u3002\u5f53\u7136\uff0c\u4f5c\u8005\u6307\u51fa\uff1a\u201c\u8fd9\u4e00\u2018\u76ca\u5904\u2019\u5fc5\u987b\u4e0e\u6297\u7cbe\u795e\u75c5\u836f\u7684\u526f\u4f5c\u7528\u76f8\u6743\u8861\uff0c\u5305\u62ec\u9547\u9759\u3001\u4f53\u91cd\u589e\u52a0\u53ca\u8fd0\u52a8\u969c\u788d\u3002\u201d<\/p>\n\n\n\n

\u3000\u3000\u6700\u8fd1\uff0c\u4e2d\u56fd\u7684\u7814\u7a76\u4eba\u5458\u8fdb\u884c\u4e86\u4e00\u9879\u4e3a\u671f14\u5e74\u7684\u524d\u77bb\u6027\u7814\u7a76\uff0c\u5bf9\u6bd4\u4e86\u5728510\u4f8b\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u4e2d\uff0c\u4ece\u672a\u63a5\u53d7\u6297\u7cbe\u795e\u75c5\u836f\u6cbb\u7597\u8005\u548c\u63a5\u53d7\u7528\u836f\u6cbb\u7597\u8005\u7684\u7ed3\u679c\u3002\u4e0eLeucht\u7684\u7ed3\u679c\u4e00\u81f4\uff0c\u4e2d\u56fd\u7814\u7a76\u8005\u53d1\u73b0\u6cbb\u7597\u7ec4\u60a3\u8005\u7684\u90e8\u5206\u6216\u5b8c\u5168\u7f13\u89e3\u7387\u663e\u8457\u9ad8\u4e8e\u672a\u7ecf\u6cbb\u7597\u7ec4\u2015\u201557.3\uff05 vs. 29.8\uff05\u3002\u6b64\u5916\uff0c\u4f5c\u8005\u603b\u7ed3\uff0c\u201c\u2026\u4e0e\u6cbb\u7597\u7ec4\u60a3\u8005\u76f8\u6bd4\uff0c\u672a\u6cbb\u7597\u7ec4\u60a3\u8005\u53ef\u80fd\u957f\u671f\u7ed3\u5c40\u66f4\u7cdf\u7cd5(\u6bd4\u5982\u9ad8\u6b7b\u4ea1\u7387\u53ca\u65e0\u5bb6\u53ef\u5f52)\u3002\u201d\u5f53\u7136\uff0c\u8fd9\u4e5f\u4e0d\u662f\u4e00\u9879\u968f\u673a\u6027\u7814\u7a76\uff0c\u4f46\u662f\u5b83\u540c\u6837\u4e0d\u652f\u6301\u957f\u671fAP\u6cbb\u7597\u4f1a\u6709\u635f\u7cbe\u795e\u5206\u88c2\u75c7\u9884\u540e\u7684\u89c2\u70b9\u3002<\/p>\n\n\n\n

\u3000\u3000\u836f\u7269\u5bfc\u81f4\u590d\u53d1+\u7978\u5bb3\u5927\u8111?<\/strong><\/p>\n\n\n\n

\u3000\u3000\u6279\u8bc4\u8005\u4eec\u6709\u65f6\u6307\u51fa\uff0c\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u8868\u9762\u4e0a\u7684\u590d\u53d1\u5e76\u4e0d\u80fd\u4ee3\u8868\u539f\u53d1\u75be\u75c5\u7684\u771f\u6b63\u590d\u53d1\u3002\u76f8\u53cd\uff0c\u4ed6\u4eec\u58f0\u79f0\u8fd9\u53ea\u662f\u5f53\u6297\u7cbe\u795e\u75c5\u836f\u7a81\u7136\u505c\u6b62\u65f6\uff0c\u7531\u4e8e\u591a\u5df4\u80fa\u80fd\u795e\u7ecf\u5143\u7684\u8d85\u654f\u53cd\u5e94\uff0c\u800c\u5bfc\u81f4\u7684\u4e00\u4e2a\u7b80\u5355\u7684\u201c\u505c\u836f\u53cd\u5e94\u201d\u3002\u4f46\u662f\u5f53\u6211\u4eec\u56de\u770b\u7cbe\u795e\u75c5\u7684\u590d\u53d1\u65f6\u95f4\u65f6\uff0c\u53d1\u73b0\u901a\u5e38\u590d\u53d1\u90fd\u53d1\u751f\u5728\u505c\u836f\u7684\u6570\u6708\u4e4b\u540e\u3002<\/p>\n\n\n\n

\u3000\u3000\u8fd9\u4e0e\u6211\u4eec\u6240\u77e5\u7684\u5927\u591a\u6570\u836f\u7269\u505c\u836f\u75c7\u72b6\u4e0d\u4e00\u81f4\uff0c\u901a\u5e38\u5b83\u4eec\u90fd\u53d1\u751f\u5728\u7a81\u7136\u505c\u836f\u540e\u7684\u6570\u5468\u5185\u3002\u56e0\u6b64\uff0c\u201c\u505c\u836f\u53cd\u5e94\/\u8d85\u654f\u53cd\u5e94\u201d\u76ee\u524d\u770b\u6765\uff0c\u5bf9\u4e8e\u7cbe\u795e\u75c5\u590d\u53d1\u4f9d\u7136\u53ea\u80fd\u7b97\u662f\u4e00\u4e2a\u7406\u8bba\u4e0a\u7684\u5047\u8bf4\u3002<\/p>\n\n\n\n

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