{"id":55220,"date":"2018-01-24T20:53:27","date_gmt":"2018-01-24T20:53:27","guid":{"rendered":"http:\/\/xiongmaotimes.com\/2018\/01\/24\/%e4%b8%ad%e5%9b%bd%e9%a2%86%e5%af%bc%e4%ba%ba%e4%b9%a0%e8%bf%91%e5%b9%b3%e6%98%af%e4%b8%ad%e5%8c%bb%e7%b2%89%e4%b8%9d%e5%90%97%ef%bc%9f\/"},"modified":"2018-01-24T20:53:27","modified_gmt":"2018-01-24T20:53:27","slug":"%e4%b8%ad%e5%9b%bd%e9%a2%86%e5%af%bc%e4%ba%ba%e4%b9%a0%e8%bf%91%e5%b9%b3%e6%98%af%e4%b8%ad%e5%8c%bb%e7%b2%89%e4%b8%9d%e5%90%97%ef%bc%9f","status":"publish","type":"post","link":"https:\/\/xiongmaotimes.com\/?p=55220","title":{"rendered":"\u4e2d\u56fd\u9886\u5bfc\u4eba\u4e60\u8fd1\u5e73\u662f\u4e2d\u533b\u7c89\u4e1d\u5417\uff1f"},"content":{"rendered":"

\u3000\u3000\u6587\uff1a\u9648\u88d5\u8fbe(\u9999\u6e2f\u53ca\u6fb3\u6d32\u6ce8\u518c\u4e2d\u533b\u5e08)<\/p>\n

<\/a><\/p>\n

\u3000\u3000\u524d\u5e74\u4e2d\u56fd\u56fd\u5bb6\u4e3b\u5e2d\u4e60\u8fd1\u5e73\u5230\u8bbf\u6377\u514b\uff0c\u4e2d\u56fd\u548c\u6377\u514b\u53cc\u8fb9\u5173\u7cfb\u5c06\u4f1a\u63d0\u5347\u5230\u6218\u7565\u5408\u4f5c\u4f19\u4f34\u5173\u7cfb\u3002\u800c\u968f\u7740\u4e2d\u6377\u5173\u7cfb\u7684\u6df1\u5316\uff0c\u4e2d\u533b\u5728\u6377\u514b\u4e5f\u5f00\u59cb\u843d\u5730\u751f\u6839\uff0c\u4e2d\u56fd-\u6377\u514b\u4e2d\u533b\u4e2d\u5fc3\u4e5f\u63ed\u5e55\uff0c\u4e2d\u533b\u4f5c\u4e3a\u300c\u66ff\u4ee3\u7597\u6cd5\u300d\u4e4b\u4e00\uff0c\u5728\u6b27\u6d32\u7acb\u6cd5\u8fdb\u7a0b\u5df2\u7ecf\u8fdb\u5165\u5012\u6570\u9636\u6bb5\u3002<\/p>\n

\u3000\u3000\u8fd9\u4e5f\u5370\u8bc1\u4e86\u4e2d\u56fd\u5c06\u4e2d\u533b\u4e2d\u836f\u89c6\u4e3a\u63a8\u51fa\u4e16\u754c\u7684\u6587\u5316\u7470\u5b9d\uff0c\u4e5f\u662f\u4e2d\u56fd\u8f6f\u5b9e\u529b\u7684\u91cd\u8981\u7ec4\u6210\u90e8\u5206\u3002\u4f46\u5185\u5730\u7f51\u6c11\u4f3c\u4e4e\u66f4\u5173\u6ce8\u7684\u662f\u4e60\u8fd1\u5e73\u4e3b\u5e2d\u672c\u4eba\u81ea\u5df1\u662f\u5426\u4e2d\u533b\u7c89\u4e1d?<\/p>\n

\u3000\u3000\u7b14\u8005\u4e2a\u4eba\u63a8\u6d4b\uff0c\u4e60\u8fd1\u5e73\u4e3b\u5e2d\u5bf9\u4e2d\u533b\u786e\u5b9e\u662f\u6709\u60c5\u610f\u7ed3\u3002\u9664\u4e86\u5176\u4e2a\u4eba\u7684\u4eb2\u8eab\u7ecf\u5386\u5916\uff0c\u66f4\u91cd\u8981\u662f\u4e2d\u533b\u662f\u4e00\u79cd\u4ee3\u8868\u7740\u4e2d\u56fd\u8fc7\u53bb\u4e94\u5343\u5e74\u751f\u4ea7\u5f62\u6001\u7684\u533b\u5b66\u3002<\/p>\n

\u3000\u3000\u7b14\u8005\u8fc7\u53bb\u66fe\u548c\u5185\u5730\u7684\u56fd\u9645\u5173\u7cfb\u548c\u6587\u5316\u5b66\u7cfb\u5b66\u8005\u548c\u6559\u6388\u4ea4\u6d41\uff0c\u8bf7\u6559\u8fc7\u4e00\u4e2a\u95ee\u9898\uff0c\u5c31\u662f\u300c\u4f20\u7edf\u4e2d\u56fd\u6587\u5316\u591a\u5efa\u57fa\u4e8e\u519c\u4e1a\u751f\u4ea7\u6a21\u5f0f\uff0c\u5728\u65b0\u7684\u65f6\u4ee3\u4f55\u4ee5\u9002\u5e94\u65b0\u7684\u793e\u4f1a\u751f\u4ea7\u6a21\u5f0f\u800c\u751f\u5b58\u4e0b\u6765?\u300d
\n\u3002\u8fd9\u4e0d\u6b62\u662f\u7b14\u8005\u7684\u95ee\u9898\uff0c\u4e5f\u662f\u8fc7\u53bb\u4e00\u4e16\u7eaa\u4e2d\u56fd\u4f20\u7edf\u77e5\u8bc6\u5206\u5b50\u5fc3\u4e2d\u7684\u95ee\u9898\uff0c\u6bd4\u5982\u8bf4\u5510\u541b\u6bc5\u5148\u751f\u3001\u725f\u5b97\u4e09\u5148\u751f\u6240\u63d0\u5021\u7684\u65b0\u5112\u5bb6\u601d\u60f3\uff0c\u5173\u6ce8\u7684\u65e0\u975e\u5c31\u662f\u8fd9\u4e2a\u95ee\u9898\u3002<\/p>\n

\u3000\u3000\u7b14\u8005\u4e4b\u6240\u4ee5\u8ba4\u4e3a\u4e60\u5927\u5927\u662f\u4e2d\u533b\u7c89\u4e1d\uff0c\u5173\u952e\u6b63\u662f\u7531\u4e8e\u300c\u4e2d\u533b\u662f\u5efa\u57fa\u4e8e\u4f20\u7edf\u519c\u4e1a\u6587\u660e\u57fa\u7840\u4e0a\uff0c\u800c\u8fc7\u53bb\u4e94\u5343\u5e74\u4efb\u4f55\u671d\u4ee3\u548c\u65f6\u671f\uff0c\u653f\u5e9c\u6240\u5173\u6ce8\u7684\u7b2c\u4e00\u8981\u52a1\uff0c\u65e0\u975e\u5c31\u662f\u519c\u6c11\u751f\u8ba1\uff0c\u800c\u541b\u4e3b\u672c\u4eba\u4e5f\u5c31\u662f\u519c\u6c11\u7684\u9996\u5e2d\u4ee3\u8868\u300d\uff0c\u4f5c\u4e3a\u4e16\u754c\u4e0a\u6700\u5927\u300c\u519c\u4e1a\u5e1d\u56fd\u300d\u7ee7\u627f\u4eba\uff0c\u4e0d\u53ef\u80fd\u53cd\u5bf9\u519c\u4e1a\u6587\u660e\u80cc\u540e\u7684\u4ef7\u503c\u89c2\u3002<\/p>\n

\u3000\u3000\u5728\u4e2d\u56fd\u4e94\u5343\u5e74\u5386\u53f2\u6d2a\u6d41\u4e2d\uff0c\u6709\u4e00\u300c\u6096\u8bba\u300d\uff0c\u5728\u7406\u8bba\u4e0a\u6392\u540d\u7b2c\u4e8c\u7684\u519c\u6c11\u9636\u7ea7(\u58eb\u3001\u519c\u3001\u5de5\u3001\u5546)\uff0c\u5728\u73b0\u5b9e\u4e2d\u5374\u662f\u6700\u53d7\u538b\u8feb\u7684\u4e00\u7fa4\uff0c\u5728\u4e2d\u56fd\u7684\u5386\u53f2\u4e2d\uff0c\u672a\u66fe\u51fa\u73b0\u8fc7\u300c\u79bb\u5730\u7cbe\u82f1\u6cbb\u56fd\u300d\u7684\u6839\u672c\u539f\u56e0\uff0c\u6b63\u662f\u8131\u79bb\u4e86\u519c\u4e1a\u751f\u4ea7\u7684\u601d\u7ef4\u65b9\u5f0f\uff0c\u662f\u4e0d\u53ef\u80fd\u5efa\u7acb\u8d77\u6709\u6548\u7ba1\u7406\u3002(\u6ce8\uff1a\u4e2d\u56fd\u4f20\u7edf\u58eb\u4eba\u9636\u7ea7\u548c\u5b98\u50da\uff0c\u6240\u5173\u6ce8\u7684\u66f4\u591a\u662f\u300c\u5728\u5730\u7684\u3001\u5b9e\u7528\u7684\u300d\uff0c\u6bd4\u5982\u4eba\u6587\u4f26\u7406\u3001\u6c34\u5229\u5de5\u7a0b\u3001\u5929\u6587\u5386\u6cd5\u548c\u533b\u7597\u517b\u751f\uff0c\u800c\u897f\u65b9\u793e\u4f1a\u4e2d\u77e5\u8bc6\u5206\u5b50\u5f80\u5f80\u662f\u8131\u79bb\u519c\u4e1a\u751f\u4ea7\u7684\uff0c\u4f8b\u5982\u5e0c\u814a\u96c5\u5178\u54f2\u5b66\u5bb6\u548c\u4e2d\u4e16\u7eaa\u7ecf\u9662\u54f2\u5b66\u7684\u4fee\u9053\u58eb\uff0c\u4ed6\u4eec\u63a2\u8ba8\u5b66\u95ee\uff0c\u503e\u5411\u300c\u79bb\u5730\u300d\u548c\u7406\u8bba\u6027\u5982\u51e0\u4f55\u5b66\u3001\u4ee3\u6570\u5b66\u3001\u903b\u8f91\u5b66\u7b49\uff0c\u800c\u4e2d\u4e16\u7eaa\u6b27\u6d32\u7684\u4fee\u9053\u9662\uff0c\u6b63\u662f\u5927\u5b66\u7684\u524d\u8eab)\u3002\u56e0\u6b64\u6709\u7406\u7531\u76f8\u4fe1\uff0c\u4f5c\u4e3a\u4e16\u754c\u4e0a\u6700\u5927\u519c\u4e1a\u56fd\u9886\u5bfc\u4eba\uff0c\u5bf9\u5efa\u57fa\u4e8e\u519c\u8015\u601d\u7ef4\u65b9\u5f0f\u7684\u533b\u5b66\u4f53\u7cfb\uff0c\u662f\u4f1a\u6709\u4e00\u79cd\u4eb2\u548c\u529b\u3002\u56e0\u6b64\u4e2d\u533b\u8fd9\u79cd\u533b\u5b66\u4f53\u7cfb\uff0c\u5373\u4fbf\u662f\u4e2d\u56fd\u7ecf\u5386\u591a\u6b21\u5927\u53d8\u52a8\uff0c\u90fd\u5f97\u4ee5\u751f\u5b58\u3002\u5373\u4fbf\u662f\u4e2d\u56fd\u66fe\u7ecf\u5386\u591a\u6b21\u5e9f\u9664\u4e2d\u533b\u8fd0\u52a8\uff0c\u4e5f\u7ec8\u6ca1\u6210\u4e8b\u3002\u90a3\u6015\u662f\u6c11\u56fd\u65f6\u6700\u6fc0\u8fdb\u7684\u4f59\u4e91\u5cab\u3001\u66fe\u4e60\u897f\u533b\u7684\u9c81\u8fc5\u8fd8\u662f\u73b0\u4ee3\u7684\u65b9\u821f\u5b50\u4e5f\u6ca1\u4ece\u6839\u672c\u5426\u5b9a\u4e2d\u533b\u5b66\u3002<\/p>\n

\u3000\u3000\u800c\u8fd9\u5957\u5efa\u57fa\u4e8e\u4f20\u7edf\u519c\u4e1a\u793e\u4f1a\u7684\u601d\u7ef4\u65b9\u5f0f\uff0c\u548c\u519c\u6751\u4eba\u53e3\u6709\u5bc6\u4e0d\u53ef\u5206\u7684\u5173\u7cfb\uff0c\u56e0\u6b64\u5373\u4f7f\u5728\u6587\u9769\u671f\u95f4\uff0c\u5927\u6279\u77e5\u8bc6\u5206\u5b50\u88ab\u8feb\u52b3\u6539\uff0c\u4e2d\u533b\u4e5f\u56e0\u5176\u5b9e\u7528\u6027\u800c\u5f97\u4ee5\u5e78\u5b58\u3002<\/p>\n

\u3000<\/a><\/p>\n

   \u3000\u4e2d\u56fd\u66fe\u7ecf\u5386\u591a\u6b21\u5e9f\u9664\u4e2d\u533b\u8fd0\u52a8\uff0c\u4e5f\u7ec8\u6ca1\u6210\u4e8b\u3002(\u89c6\u89c9\u4e2d\u56fd)<\/p>\n

\u3000\u3000\u4f20\u7edf\u4e2d\u533b\u9762\u4e34\u7684\u56f0\u5883<\/p>\n

\u3000\u3000\u4e0d\u5c11\u4e2d\u533b\u540c\u5bc5\u8ba4\u4e3a\uff0c\u73b0\u5728\u4e2d\u533b\u5f00\u59cb\u300c\u897f\u5316\u300d\uff0c\u8131\u79bb\u4e86\u4f20\u7edf\u4ee5\u7ecf\u5178\u4e3a\u672c\u7684\u7406\u8bba\u4f53\u7cfb\u3002\u4f46\u4e3a\u4ec0\u4e48\u51fa\u73b0\u8fd9\u4e2a\u539f\u56e0\u5374\u6ca1\u6709\u6df1\u5165\u63a2\u8ba8\u8fc7\u3002<\/p>\n

\u3000\u3000\u533b\u5b66\u53f2\u5bb6\u4fdd\u7f57\u4e4c\u5c14\u91cc\u5e0c\u6602\u65af\u4e18\u5c14\u5fb7\u6bd4\u4efb\u4f55\u4eba\u770b\u5f97\u900f\u5f7b\uff0c\u4ed6\u8bf4\u9053\u300c\u5728\u4efb\u4f55\u793e\u4f1a\uff0c\u4e00\u79cd\u533b\u7597\u65b9\u6cd5\u4f53\u7cfb\u7684\u5f3a\u4e0d\u4ec5\u7cfb\u4e8e\u5b83\u672c\u8eab\u7684\u5ba2\u89c2\u7597\u6548\uff0c\u4e5f\u4e0e\u5176\u80cc\u540e\u7684\u4e16\u754c\u89c2\u6709\u5173\uff0c\u5f53\u5112\u5bb6\u7ecf\u5b66\u548c\u5927\u6e05\u7687\u671d\u5d29\u584c\uff0c\u4e2d\u533b\u5b66\u672c\u8d28\u96be\u9898\u662f\uff0c\u5982\u4f55\u91cd\u5efa\u65b0\u7684\u610f\u8bc6\u5f62\u6001\u5c42\u9762\u8ba4\u53d7\u6027?\u300d\u3002\u4e2a\u4eba\u8ba4\u4e3a\uff0c\u4e00\u79cd\u533b\u5b66\u548c\u5b83\u80cc\u540e\u4e16\u754c\u89c2(\u751f\u4ea7\u65b9\u5f0f)\u66f4\u6709\u5bc6\u5207\u5173\u7cfb\u3002<\/p>\n

\u3000\u3000\u7b14\u8005\u9605\u8bfb\u9ec4\u4ec1\u5b87\u5148\u751f\u7684\u300a\u4e2d\u56fd\u5927\u5386\u53f2\u300b\u6df1\u6709\u542f\u53d1\uff0c\u5176\u4e2d\u6240\u8a00\u4e2d\u56fd\u7684\u843d\u540e\uff0c\u5176\u4e2d\u6709\u4e00\u4e2a\u539f\u56e0\u662f\u6b20\u7f3a\u300c\u6570\u5b57\u4e0a\u7ba1\u7406(Mathematically
\nmanageable)\u300d\uff0c\u4efb\u4e2d\u56fd\u4eba\u518d\u7cbe\u660e\uff0c\u5374\u6ca1\u6709\u50cf\u610f\u5927\u5229\u4fee\u58eb\u53d1\u660e\u7684\u300c\u590d\u5f0f\u8bb0\u5e10\u6cd5(double
\nentry)\u300d\u5bb9\u6613\u7ba1\u7406\u3002\u80cc\u540e\u539f\u56e0\u662f\u6d77\u6d0b\u5546\u4e1a\u6587\u660e\u548c\u5de5\u4e1a\u6587\u660e\u7740\u91cd\u7684\u662f\u300c\u91cf\u300d\uff0c\u800c\u5728\u519c\u8015\u6587\u660e\uff0c\u6211\u4eec\u66f4\u5173\u6ce8\u7684\u662f\u4e8b\u7269\u7684\u300c\u6027\u8d28\u300d\u800c\u4e0d\u662f\u7cbe\u786e\u7684\u300c\u6570\u91cf\u300d\u3002\u800c\u4e14\u5728\u519c\u8015\u6587\u660e\u751f\u4ea7\u65b9\u5f0f\uff0c\u662f\u8457\u91cd\u4e2a\u4f53\u7684\u5dee\u5f02\u6027\u800c\u5728\u5de5\u4e1a\u6587\u660e\u4e0b\uff0c\u4e0d\u8bba\u662f\u533b\u7597\u3001\u6559\u80b2\u8fd8\u662f\u751f\u4ea7\uff0c\u90fd\u662f\u8bb2\u6c42\u6807\u51c6\u5316\u548c\u6d41\u6c34\u5f0f\u4f5c\u4e1a\u3002<\/p>\n

\u3000\u3000\u56e0\u6b64\u4e0d\u662f\u4e00\u79cd\u533b\u7597\u4f53\u7cfb\u6539\u53d8\u4e86\u5386\u53f2\uff0c\u800c\u662f\u4e0d\u540c\u793e\u4f1a\u751f\u4ea7\u6a21\u5f0f\u5851\u9020\u4e86\u4e0d\u540c\u7684\u533b\u5b66\u4f53\u7cfb\u3002<\/p>\n

\u3000\u3000\u897f\u533b\u4e34\u5e8a\u524d\u671f\u7684\u4e09\u5927\u57fa\u7840\u79d1\u76ee\u2014\u2014\u89e3\u5256\u3001\u751f\u7406\u548c\u75c5\u7406\uff0c\u89e3\u5256\u5b66\u662f\u7cfb\u7edf\u6027\u8868\u8fbe\u5f62\u4f53\u7ed3\u6784\u800c\u540e\u4e24\u8005\u6b63\u662f\u7528\u6570\u5b57\u9610\u8ff0\u6b63\u5e38\u548c\u5f02\u5e38\u7684\u5206\u522b\u3002\u56e0\u6b64\u73b0\u4ee3\u533b\u5b66\u7814\u7a76\uff0c\u65e0\u8bba\u662f\u5728\u5b9e\u9a8c\u5ba4\u7684basic
\nscience\u8fd8\u662f\u4e34\u5e8a\u4e0a\u7684bedside research\uff0c\u6240\u5f3a\u8c03\u7684\u4e5f\u662f\u300c\u5f62\u300d\u548c\u300c\u91cf\u300d\u3002\u5b9e\u9a8c\u5ba4\u4e2d\u7ec6\u80de\u7684histology
\n\u8fd8\u662f\u4e34\u5e8a\u7684\u968f\u673a\u5bf9\u7167\u7814\u7a76(Randomized Clinical Trial)\uff0c\u90fd\u662f\u8ffd\u6c42\u91cf\u5316\u548c\u5f62\u8c61\u5316\u7684\u8868\u8fbe\uff0c\u800c\u4e14\u90fd\u662f\u4ee5\u300c\u6807\u51c6\u5316\u3001\u53ef\u91cd\u590d\u6027\u300d\u4e3a\u5927\u524d\u63d0\u3002<\/p>\n

\u3000\u3000\u50cf\u4e2d\u533b\u8fd9\u79cd\u65e2\u4e0d\u80fd\u5f62\u8c61\u5316\u8868\u8fbe\uff0c\u53c8\u4e0d\u80fd\u7528\u6570\u5b57\u8bba\u8bc1\u5176\u771f\u786e\u6027\u7684\uff0c\u81ea\u7136\u88ab\u4e3b\u6d41\u89c6\u4e3a\u5f02\u7c7b\u3002<\/p>\n

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