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林华：《骨质疏松性骨折干预循证临床诊疗指南》编写思路及特点

2016-05-23 MedSci MedSci原创

CAOS2016骨质疏松骨折循证临床指南骨科医师年会
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第九届中国骨科医师年会（CAOS2016）于2016年5月19日-22日在四川成都召开，国家级继续教育盛宴再度开启。梅斯医学（MedSci）作为媒体合作单位为您发来现场报告，更多内容请关注梅斯医学App。本次大会举行了《骨科循证临床诊疗指南》专场会发布会及讲解会，发布新的骨科循证临床诊疗指南并总结指南的工作进展，进一步助力行业的标准化规范化。由南京鼓楼医院骨科林华教授为我们介绍了《骨质疏松性骨折干

第九届中国骨科医师年会（CAOS2016）于2016年5月19日-22日在四川成都召开，国家级继续教育盛宴再度开启。梅斯医学（MedSci）作为媒体合作单位为您发来现场报告，更多内容请关注梅斯医学App。

本次大会举行了《骨科循证临床诊疗指南》专场会发布会及讲解会，发布新的骨科循证临床诊疗指南并总结指南的工作进展，进一步助力行业的标准化规范化。

由南京鼓楼医院骨科林华教授为我们介绍了《骨质疏松性骨折干预循证临床诊疗指南》编写思路与特点。



从左至右分别为徐又佳教授，刘强教授，林华教授

指南编审组专家

组长：刘强

执笔：林华 徐又佳
编审：郝定军，薛庆云，唐海，吴斗，裴福兴，贺良，曹永平，陈允震，严世贵，姜建元，史占军。

衷心感谢专家编写组的努力和付出的心血。

特点总结如下：

内外结合 全程管理

围手术期干预
骨折后管理
骨折愈合
骨质疏松治疗
再骨折预防

中西合璧 简明实用

国外最新骨质疏松及其骨折干预手段
传统中医中药治疗骨质疏松及其骨折
药物治疗的剂量，时间，联合与交替
骨折后的治疗随访与干预服务

此次指南引经据典，科学循证，涵盖26个国家和地区的指南，31篇骨质疏松及骨质疏松性骨折诊疗指南。由于，骨质疏松骨折只有一部分需要手术，有些需要内科治疗，物理治疗等。因此，骨折之后的管理和干预至关重要，临床关注的靶点是骨折后的愈合。

该指南强调了双磷酸盐在骨质疏松骨折中的重要地位。双膦酸盐是目前对骨质疏松和骨质疏松骨折最有效的药物治疗，针对骨折的愈合及后期恢复都有至关重要的作用。

骨质疏松性骨折干预强调内外联合；手术治疗应充分考虑骨骼本身的病变；药物治疗应根据骨骼代谢状态选择；注重骨质疏松性骨折后的综合干预。

作为中国医师协会骨科分会制定的指南，将中国特色的中医药应用与临床治疗中。虽然中医药的历史超过西医，但在骨质疏松骨折中，中医药仍缺乏可靠的循证医学证据，仍需广大中国医师的共同努力。

国外最新的骨质疏松骨折的干预中，包含很多内容，无论是钙的应用，雌激素药物，中医中药，促骨形成药物等，这些对骨折手术后的康复是十分重要的。

该指南的另一大特色是简明实用，指导临床医师如何实现个体化治疗，更加简单快速的将指南内容应用于个体患者身上。

专家介绍：



林华，南京大学医学院附属鼓楼医院骨科主任医师，南京市代谢性骨病防治研究中心主任。现任国际骨质疏松基金会科学顾问委员会（IOF-CSA)委员；中华医学会骨质疏松和骨矿盐疾病委员会副主任委员；中华医学会骨科分会骨质疏松专业组副组长；中国医师协会骨科分会骨质疏松委员会副主任委员；《中华骨质疏松和骨矿盐疾病杂志》副总编；《中华骨科杂志》编委；《中国骨质疏松杂志》副主编等。

专业从事骨关节病（骨质疏松，骨关节炎），骨坏死，不明原因骨骼关节疼痛，多发性骨折，青少年骨骼发育障碍等骨关节疾病临床诊治和研究。

1988年来，主编著作5部，参编18部，以第一作者发表学术论文144篇，获得国家、部、省市各级科研项目共15项，获奖11项。

指南详解请听下回分解~~

更多精彩内容请关注梅斯医学APP


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  1. [GetPortalCommentsPageByObjectIdResponse(id=129447, encodeId=9c0612944e71, content=不错哦，会学到很多，喜欢梅斯医学文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sat Sep 17 11:49:00 CST 2016, time=2016-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=108486, encodeId=a855108486cc, content=好文，值得学习，赞！, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Wed Aug 31 16:39:00 CST 2016, time=2016-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740925, encodeId=d9071e40925eb, content=<a href='/topic/show?id=095623025c9' target=_blank style='color:#2F92EE;'>#临床诊疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23025, encryptionId=095623025c9, topicName=临床诊疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=330334842359, createdName=ms7524819409032184, createdTime=Wed Oct 05 11:56:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1387090, encodeId=dca4138e090f4, content=<a href='/topic/show?id=df0d101866aa' target=_blank style='color:#2F92EE;'>#骨质疏松性骨折#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101866, encryptionId=df0d101866aa, topicName=骨质疏松性骨折)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/6238544484D1FE65CCBBD849EAEE67C2/100, createdBy=47102500004, createdName=ms9651749636653578, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1449680, encodeId=42b81449680ef, content=<a href='/topic/show?id=0bd850468be' target=_blank style='color:#2F92EE;'>#循证#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50468, encryptionId=0bd850468be, topicName=循证)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fca95510093, createdName=xjy04, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1592325, encodeId=6e861592325e3, content=<a href='/topic/show?id=6dc2101853ed' target=_blank style='color:#2F92EE;'>#骨质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101853, encryptionId=6dc2101853ed, topicName=骨质)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e1d018108513, createdName=Eleven17, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=)]
    2016-09-17 1e10c84am36(暂无匿称)

    不错哦，会学到很多，喜欢梅斯医学文章

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=129447, encodeId=9c0612944e71, content=不错哦，会学到很多，喜欢梅斯医学文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sat Sep 17 11:49:00 CST 2016, time=2016-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=108486, encodeId=a855108486cc, content=好文，值得学习，赞！, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Wed Aug 31 16:39:00 CST 2016, time=2016-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740925, encodeId=d9071e40925eb, content=<a href='/topic/show?id=095623025c9' target=_blank style='color:#2F92EE;'>#临床诊疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23025, encryptionId=095623025c9, topicName=临床诊疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=330334842359, createdName=ms7524819409032184, createdTime=Wed Oct 05 11:56:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1387090, encodeId=dca4138e090f4, content=<a href='/topic/show?id=df0d101866aa' target=_blank style='color:#2F92EE;'>#骨质疏松性骨折#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101866, encryptionId=df0d101866aa, topicName=骨质疏松性骨折)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/6238544484D1FE65CCBBD849EAEE67C2/100, createdBy=47102500004, createdName=ms9651749636653578, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1449680, encodeId=42b81449680ef, content=<a href='/topic/show?id=0bd850468be' target=_blank style='color:#2F92EE;'>#循证#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50468, encryptionId=0bd850468be, topicName=循证)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fca95510093, createdName=xjy04, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1592325, encodeId=6e861592325e3, content=<a href='/topic/show?id=6dc2101853ed' target=_blank style='color:#2F92EE;'>#骨质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101853, encryptionId=6dc2101853ed, topicName=骨质)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e1d018108513, createdName=Eleven17, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=)]
    2016-08-31 ylzr123

    好文，值得学习，赞！

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=129447, encodeId=9c0612944e71, content=不错哦，会学到很多，喜欢梅斯医学文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sat Sep 17 11:49:00 CST 2016, time=2016-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=108486, encodeId=a855108486cc, content=好文，值得学习，赞！, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Wed Aug 31 16:39:00 CST 2016, time=2016-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740925, encodeId=d9071e40925eb, content=<a href='/topic/show?id=095623025c9' target=_blank style='color:#2F92EE;'>#临床诊疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23025, encryptionId=095623025c9, topicName=临床诊疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=330334842359, createdName=ms7524819409032184, createdTime=Wed Oct 05 11:56:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1387090, encodeId=dca4138e090f4, content=<a href='/topic/show?id=df0d101866aa' target=_blank style='color:#2F92EE;'>#骨质疏松性骨折#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101866, encryptionId=df0d101866aa, topicName=骨质疏松性骨折)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/6238544484D1FE65CCBBD849EAEE67C2/100, createdBy=47102500004, createdName=ms9651749636653578, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1449680, encodeId=42b81449680ef, content=<a href='/topic/show?id=0bd850468be' target=_blank style='color:#2F92EE;'>#循证#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50468, encryptionId=0bd850468be, topicName=循证)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fca95510093, createdName=xjy04, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1592325, encodeId=6e861592325e3, content=<a href='/topic/show?id=6dc2101853ed' target=_blank style='color:#2F92EE;'>#骨质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101853, encryptionId=6dc2101853ed, topicName=骨质)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e1d018108513, createdName=Eleven17, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=)]
    2016-10-05 ms7524819409032184

    #临床诊疗#

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=129447, encodeId=9c0612944e71, content=不错哦，会学到很多，喜欢梅斯医学文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sat Sep 17 11:49:00 CST 2016, time=2016-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=108486, encodeId=a855108486cc, content=好文，值得学习，赞！, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Wed Aug 31 16:39:00 CST 2016, time=2016-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740925, encodeId=d9071e40925eb, content=<a href='/topic/show?id=095623025c9' target=_blank style='color:#2F92EE;'>#临床诊疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23025, encryptionId=095623025c9, topicName=临床诊疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=330334842359, createdName=ms7524819409032184, createdTime=Wed Oct 05 11:56:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1387090, encodeId=dca4138e090f4, content=<a href='/topic/show?id=df0d101866aa' target=_blank style='color:#2F92EE;'>#骨质疏松性骨折#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101866, encryptionId=df0d101866aa, topicName=骨质疏松性骨折)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/6238544484D1FE65CCBBD849EAEE67C2/100, createdBy=47102500004, createdName=ms9651749636653578, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1449680, encodeId=42b81449680ef, content=<a href='/topic/show?id=0bd850468be' target=_blank style='color:#2F92EE;'>#循证#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50468, encryptionId=0bd850468be, topicName=循证)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fca95510093, createdName=xjy04, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1592325, encodeId=6e861592325e3, content=<a href='/topic/show?id=6dc2101853ed' target=_blank style='color:#2F92EE;'>#骨质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101853, encryptionId=6dc2101853ed, topicName=骨质)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e1d018108513, createdName=Eleven17, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=)]
    2016-05-25 ms9651749636653578

    #骨质疏松性骨折#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=129447, encodeId=9c0612944e71, content=不错哦，会学到很多，喜欢梅斯医学文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sat Sep 17 11:49:00 CST 2016, time=2016-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=108486, encodeId=a855108486cc, content=好文，值得学习，赞！, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Wed Aug 31 16:39:00 CST 2016, time=2016-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740925, encodeId=d9071e40925eb, content=<a href='/topic/show?id=095623025c9' target=_blank style='color:#2F92EE;'>#临床诊疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23025, encryptionId=095623025c9, topicName=临床诊疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=330334842359, createdName=ms7524819409032184, createdTime=Wed Oct 05 11:56:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1387090, encodeId=dca4138e090f4, content=<a href='/topic/show?id=df0d101866aa' target=_blank style='color:#2F92EE;'>#骨质疏松性骨折#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101866, encryptionId=df0d101866aa, topicName=骨质疏松性骨折)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/6238544484D1FE65CCBBD849EAEE67C2/100, createdBy=47102500004, createdName=ms9651749636653578, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1449680, encodeId=42b81449680ef, content=<a href='/topic/show?id=0bd850468be' target=_blank style='color:#2F92EE;'>#循证#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50468, encryptionId=0bd850468be, topicName=循证)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fca95510093, createdName=xjy04, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1592325, encodeId=6e861592325e3, content=<a href='/topic/show?id=6dc2101853ed' target=_blank style='color:#2F92EE;'>#骨质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101853, encryptionId=6dc2101853ed, topicName=骨质)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e1d018108513, createdName=Eleven17, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=)]
    2016-05-25 xjy04

    #循证#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=129447, encodeId=9c0612944e71, content=不错哦，会学到很多，喜欢梅斯医学文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=119, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sat Sep 17 11:49:00 CST 2016, time=2016-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=108486, encodeId=a855108486cc, content=好文，值得学习，赞！, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Wed Aug 31 16:39:00 CST 2016, time=2016-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740925, encodeId=d9071e40925eb, content=<a href='/topic/show?id=095623025c9' target=_blank style='color:#2F92EE;'>#临床诊疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23025, encryptionId=095623025c9, topicName=临床诊疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=330334842359, createdName=ms7524819409032184, createdTime=Wed Oct 05 11:56:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1387090, encodeId=dca4138e090f4, content=<a href='/topic/show?id=df0d101866aa' target=_blank style='color:#2F92EE;'>#骨质疏松性骨折#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101866, encryptionId=df0d101866aa, topicName=骨质疏松性骨折)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/6238544484D1FE65CCBBD849EAEE67C2/100, createdBy=47102500004, createdName=ms9651749636653578, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1449680, encodeId=42b81449680ef, content=<a href='/topic/show?id=0bd850468be' target=_blank style='color:#2F92EE;'>#循证#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50468, encryptionId=0bd850468be, topicName=循证)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fca95510093, createdName=xjy04, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1592325, encodeId=6e861592325e3, content=<a href='/topic/show?id=6dc2101853ed' target=_blank style='color:#2F92EE;'>#骨质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=101853, encryptionId=6dc2101853ed, topicName=骨质)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e1d018108513, createdName=Eleven17, createdTime=Wed May 25 01:56:00 CST 2016, time=2016-05-25, status=1, ipAttribution=)]
    2016-05-25 Eleven17

    #骨质#

    0

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