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北医三院运动科专家:跑步机对膝盖磨损特别大

2016-04-19 根培健康科技(ID:gpnatura) 根培健康科技

受访专家 杨渝平  男,北京大学第三医院运动医学科副主任医师。 擅长治疗:跟腱相关疾病,肩关节脱位、肩袖撕裂、网球肘微创治疗,半月板损伤,前交叉韧带损伤。 有人说,运动对于膝盖的机能是一种锻炼;也有人担心,运动会造成膝关节磨损等,对膝盖不好。那么对于膝关节来说,体育运动到底是好还是不好呢?我们在运动时,究竟应该如何保护膝关节呢? 下面,就请北京

受访专家

杨渝平  男,北京大学第三医院运动医学科副主任医师。

擅长治疗:跟腱相关疾病,肩关节脱位、肩袖撕裂、网球肘微创治疗,半月板损伤,前交叉韧带损伤。

有人说,运动对于膝盖的机能是一种锻炼;也有人担心,运动会造成膝关节磨损等,对膝盖不好。那么对于膝关节来说,体育运动到底是好还是不好呢?我们在运动时,究竟应该如何保护膝关节呢?

下面,就请北京大学第三医院运动医学科副主任医师杨渝平来为大家解答这些疑惑吧。

1、爬山不利于保护膝盖

膝关节是人体运动最多、负重最大的关节之一。一般来说,扭转最容易导致膝关节损伤。像一些扣球的动作,尤其是足球、篮球等运动中一些斜切、转身、拐弯等动作,都比较容易造成膝盖受伤。像跑步这种运动,路线是直线,受伤就会比较少。

爬山虽是一种很好的锻炼方式,但却不利于保护膝关节。因为,上山的时候,膝关节负重基本上就是自身体重,而下山的时候,除了自身体重以外,膝关节还要负担下冲的力量,这样的冲击会加大对膝关节的损伤。髌骨、半月板、关节面的摩擦加剧,很容易造成伤害。

2、根本就没有什么“跑步膝”

经常跑步,有些人会担心有“跑步膝”,这个说法对吗?

杨渝平说,其实根本就没有什么“跑步膝”,起码我们临床上不讲“跑步膝”这个概念。如果感觉到不适,一般就是软骨损伤、肌腱末端病、滑膜炎等等。其实,只要运动量控制好了,跑步很少造成损伤。所有的运动都要适度,我总结就是四个字:量力而行。

千万不要总拿自己跟运动员比。职业运动员每天都在训练自己的肌肉力量、身体柔韧性、身体协调能力、平衡能力等等,他们对自身的解剖结构、功能状态以及伤病防治常识有相当的了解。

另外,职业运动员身后通常都有一个强大的医疗、康复团队。而这些条件,都是普通人所不具备的。因此,请普通的体育爱好者时刻记得:运动是给我们的业余生活增加乐趣和健康的一种非常好的方式,千万不要“本末倒置”。

3、滑膜炎不能治标不治本

杨渝平提醒,如果自己感觉膝关节疼痛不适,就休息一下,暂时不要运动,休息到疼痛减弱或者消失为止。如果急性损伤比如韧带损伤,那就最少得休息三个月以上了。俗话说,“伤筋动骨100天”,我们还得遵从这些规律。

很多人都认为得了滑膜炎就应该赶快治,比如吃滑膜炎颗粒等,这种想法对吗?

好多人都说“我滑膜炎了”,非要治滑膜炎,其实滑膜炎只是一个结果,不是病因。而实际上,我们应该去治根本。滑膜很特殊,滑膜其实就是关节囊的内层。滑膜炎是由于其他组织坏了刺激产生的,如果大家都去治滑膜炎了,最典型的比如说吃滑膜炎颗粒什么的,这都是治标不治本的做法,也不看看是不是半月板坏了,也不看看是不是韧带断了就瞎治,肯定治不好。

4、急性扭伤,要遵循“警察”原则

无论出现哪种膝关节扭伤,最初的症状都有可能是疼痛、肿胀,影响走路和运动等等。通常经过数天的休息,都会得到暂时的缓解。但很多疾病并没有实际性恢复,只不过不疼不肿了。

所以,建议大家,无论出现什么形式的膝关节的明显的扭伤,都应该到医院找专业的运动医学医生或者骨关节科的医生看病,需要治疗的早治疗,以免耽误。当然,你可以在去医院之前,先做冰敷、制动休息等保护,通常会有很大的帮助。

关于关节扭伤的应对方法,以前我们认为,受伤以后应该打石膏,完全不能踩地、不能活动,应该休息。结果经过很长时间的实践证明,还是适度活动比较好。在疼痛能够忍受的情况下,适度活动会比完全制动恢复得更快,这就变成了POLICE原则。

5、非常不建议使用跑步机

很多人尤其是白领,热衷于办健身卡,在健身房里用跑步机跑步,或者在家里购置跑步机,一跑就是一个钟头。在跑步机上跑步,对膝盖的损伤到底有多大?

非常不建议大家使用跑步机跑步,跑步机对于膝盖的磨损是特别大的。

跑步机最大的问题,在于它是定速的,你速度稍微慢一步,就从跑步机上掉下来了。但是你想想,一直按照同一个速度,一跑就跑半个钟头、一个钟头,受得了吗?如果膝关节和肌肉的协调性跟不上的话,会对膝关节的半月板、软骨形成震荡损伤。

6、运动时佩戴护膝也是误区

有些人运动时戴护膝什么的,最好不戴。只有受伤的人需要戴,我们普通人能不戴就不戴。

道理很简单,《CELL》杂志最新发表了一篇文章,文章通过研究,知道了环境对于人健康的影响远远比遗传大得多。也就是说,我们要想健康地在这个社会上成长,必须适应环境,而不能只依赖遗传。

回到活动这件事上来,你必须让你的膝盖去适应外界这个冲击,你的膝盖才能有劲儿,才能好。你一上场就绑护膝,可想而知,膝盖好不了。没有适应的过程,那你就永远不会提高。

7、保护膝关节,游泳最好

那什么运动对膝关节最好呢?

保护膝关节,当然游泳最好了。跑步、走路也可以,最好不要爬山。

爬楼梯对于正常人来说没问题,但对膝盖不好的人就不太好了。

8、穿高跟鞋对膝盖非常不好

杨渝平介绍,台湾地区的一项研究表明,女性穿高跟鞋上下楼梯时,髌骨承受的重量可达到体重的7至9倍。常穿高跟鞋与女性髌骨软化有很大的关系。


髌骨软化是指髌骨软骨因磨损、创伤引起的退化、变性,通常表现为膝盖前方疼痛,按压髌骨有钝痛和摩擦感,上下楼时膝盖疼痛,尤以下楼为甚。

此外,过度肥胖也会损伤膝盖。关节就跟滑轮的作用一样,上边在拉它,下面的重量越大,压在腿上的平行分力就越大。

9、保护膝盖:不靠护具靠肌肉

生活中如何保护膝关节、预防膝关节损伤呢?

一个是注意控制运动量,如果感觉膝盖疼痛就要休息。另外,很重要的一点,我们想膝关节不受伤怎么办?不是靠护具去保护,而是靠肌肉去保护。平时多练肌肉力量,另外还有你的反应性、敏感性等等。当然,也要学会注意休息,练得太多也不好。

另外,膝盖在寒冷的冬天更易受伤,因此冬春季节,还应注意膝盖保暖。

10、静蹲:值得推荐的锻炼方法

静蹲,是我们临床工作中总结出来的一种极其适合普通人群、尤其是老年人的锻炼方法,主要是锻炼股四头肌肌肉力量。

它因为采用了静止不动的锻炼方式,所以既合理,又容易坚持。

另外,这种方式在哪里都可以锻炼,也不需要辅助器材,所以可行性非常高。不但可以治病,也是平时运动不多的朋友提高肌肉力量和能力的非常好的锻炼方法。

具体练习方法是:背靠墙,双足分开,与肩同宽,逐渐向前伸,和身体重心之间形成一定距离,大概40~50公分。此时身体就同时已经呈现出下蹲的姿势,使小腿长轴与地面垂直。大腿和小腿之间的夹角不要小于90度。一般每次蹲到无法坚持为一次结束,休息1~2分钟,然后重复进行。每天重复3~6次为最好。

另外,蹲的角度非常有讲究,因为维持姿势的肌肉有“溢出效应”,简单地说就是每部分肌肉只在一定的角度范围内起维持姿势的作用。所以,静蹲最好分不同的角度来做。例如30、60、90度3个角度,效果则会更好。蹲的时候,最好在不引起明显疼痛的角度进行。否则,练习不当会加重损伤。

11、对抗性运动中,如何避免膝盖损伤

对于普通百姓来说,运动时一定要在自己的能力范围内。

你觉得这个球够不着,你够它干嘛?你硬要上去够,那就只能损伤了。像那些对抗性的运动,人家明显比你胖多了,你非得跟他撞,那他就只能把你撞飞了。大多数损伤都是怎么造成的?

量力而行,就很少受伤。

所以,从硬件上来讲,建议尽量选择专业一点的运动场地和运动装备。鞋非常重要,进行哪项运动,就尽量要用专业的鞋,这样会减少受伤几率。

技巧上来讲,尽量按照标准、专业的动作去训练,减少运动伤害。

另外,运动前做一些热身运动、运动后做一些拉伸和放松,都是很有好处的。

在一些球类运动中,要尽量避免扭转,尤其是不适当的扭转。 

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  1. [GetPortalCommentsPageByObjectIdResponse(id=141003, encodeId=8a84141003c2, content=文章真心很好,感谢作者, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, 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=Thu Oct 06 13:57:09 CST 2016, time=2016-10-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=108727, encodeId=fd76108e27ca, content=好文,值得学习,赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Thu Sep 01 08:52:00 CST 2016, time=2016-09-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=92641, encodeId=08ad9264106, content=幸亏没买, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Sun Jul 10 20:07:00 CST 2016, time=2016-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740616, encodeId=c11a1e406160c, content=<a href='/topic/show?id=182793042a5' target=_blank style='color:#2F92EE;'>#跑步机#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93042, encryptionId=182793042a5, topicName=跑步机)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bf6034789957, createdName=ms7019579240139182, createdTime=Sun Aug 28 00:07:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=82566, encodeId=bdd4825668a, content=游泳最护膝!, beContent=null, objectType=article, channel=null, level=null, likeNumber=166, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2a951716657, createdName=为何, createdTime=Sun Apr 24 22:10:00 CST 2016, time=2016-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79895, encodeId=a395e9895b5, content=人体的结构就是适合慢速超长跑。那关节问题源自现代人体格太差,还是跑步不好?, beContent=null, objectType=article, channel=null, level=null, likeNumber=138, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=75901667839, createdName=1de03db9m76(暂无匿称), createdTime=Thu Apr 21 10:27:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493893, encodeId=cc71149389363, content=<a href='/topic/show?id=949e9304149' target=_blank style='color:#2F92EE;'>#跑步#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93041, encryptionId=949e9304149, topicName=跑步)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=37959125862, createdName=yahu, createdTime=Thu Apr 21 01:07:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1457829, encodeId=08af145e82966, content=<a href='/topic/show?id=e9053369ec1' target=_blank style='color:#2F92EE;'>#北医三院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33697, encryptionId=e9053369ec1, topicName=北医三院)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6115990449, createdName=amy0552, createdTime=Thu Apr 21 01:07:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79870, encodeId=8c9ee9870c1, content=讲的挺好,收益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=61ad1712805, createdName=C3, createdTime=Thu Apr 21 00:01:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79865, encodeId=0125e9865fe, content=学习了!谢谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9c1711400, createdName=WEIXIN0eab4f62, createdTime=Wed Apr 20 22:49:00 CST 2016, time=2016-04-20, status=1, ipAttribution=)]
    2016-10-06 1e10c84am36(暂无匿称)

    文章真心很好,感谢作者

    0

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    2016-09-01 ylzr123

    好文,值得学习,赞!

    0

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    2016-07-10 oo902

    幸亏没买

    0

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    2016-04-24 为何

    游泳最护膝!

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=141003, encodeId=8a84141003c2, content=文章真心很好,感谢作者, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, 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=Thu Oct 06 13:57:09 CST 2016, time=2016-10-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=108727, encodeId=fd76108e27ca, content=好文,值得学习,赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Thu Sep 01 08:52:00 CST 2016, time=2016-09-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=92641, encodeId=08ad9264106, content=幸亏没买, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Sun Jul 10 20:07:00 CST 2016, time=2016-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740616, encodeId=c11a1e406160c, content=<a href='/topic/show?id=182793042a5' target=_blank style='color:#2F92EE;'>#跑步机#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93042, encryptionId=182793042a5, topicName=跑步机)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bf6034789957, createdName=ms7019579240139182, createdTime=Sun Aug 28 00:07:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=82566, encodeId=bdd4825668a, content=游泳最护膝!, beContent=null, objectType=article, channel=null, level=null, likeNumber=166, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2a951716657, createdName=为何, createdTime=Sun Apr 24 22:10:00 CST 2016, time=2016-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79895, encodeId=a395e9895b5, content=人体的结构就是适合慢速超长跑。那关节问题源自现代人体格太差,还是跑步不好?, beContent=null, objectType=article, channel=null, level=null, likeNumber=138, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=75901667839, createdName=1de03db9m76(暂无匿称), createdTime=Thu Apr 21 10:27:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493893, encodeId=cc71149389363, content=<a href='/topic/show?id=949e9304149' target=_blank style='color:#2F92EE;'>#跑步#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93041, encryptionId=949e9304149, topicName=跑步)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=37959125862, createdName=yahu, createdTime=Thu Apr 21 01:07:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1457829, encodeId=08af145e82966, content=<a href='/topic/show?id=e9053369ec1' target=_blank style='color:#2F92EE;'>#北医三院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33697, encryptionId=e9053369ec1, topicName=北医三院)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6115990449, createdName=amy0552, createdTime=Thu Apr 21 01:07:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79870, encodeId=8c9ee9870c1, content=讲的挺好,收益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=61ad1712805, createdName=C3, createdTime=Thu Apr 21 00:01:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79865, encodeId=0125e9865fe, content=学习了!谢谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9c1711400, createdName=WEIXIN0eab4f62, createdTime=Wed Apr 20 22:49:00 CST 2016, time=2016-04-20, status=1, ipAttribution=)]
    2016-04-21 1de03db9m76(暂无匿称)

    人体的结构就是适合慢速超长跑。那关节问题源自现代人体格太差,还是跑步不好?

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=141003, encodeId=8a84141003c2, content=文章真心很好,感谢作者, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, 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=Thu Oct 06 13:57:09 CST 2016, time=2016-10-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=108727, encodeId=fd76108e27ca, content=好文,值得学习,赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Thu Sep 01 08:52:00 CST 2016, time=2016-09-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=92641, encodeId=08ad9264106, content=幸亏没买, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Sun Jul 10 20:07:00 CST 2016, time=2016-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740616, encodeId=c11a1e406160c, content=<a href='/topic/show?id=182793042a5' target=_blank style='color:#2F92EE;'>#跑步机#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93042, encryptionId=182793042a5, topicName=跑步机)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bf6034789957, createdName=ms7019579240139182, createdTime=Sun Aug 28 00:07:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=82566, encodeId=bdd4825668a, content=游泳最护膝!, beContent=null, objectType=article, channel=null, level=null, likeNumber=166, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2a951716657, createdName=为何, createdTime=Sun Apr 24 22:10:00 CST 2016, time=2016-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79895, encodeId=a395e9895b5, content=人体的结构就是适合慢速超长跑。那关节问题源自现代人体格太差,还是跑步不好?, beContent=null, objectType=article, channel=null, level=null, likeNumber=138, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=75901667839, createdName=1de03db9m76(暂无匿称), createdTime=Thu Apr 21 10:27:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493893, encodeId=cc71149389363, content=<a href='/topic/show?id=949e9304149' target=_blank style='color:#2F92EE;'>#跑步#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93041, encryptionId=949e9304149, topicName=跑步)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=37959125862, createdName=yahu, createdTime=Thu Apr 21 01:07:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1457829, encodeId=08af145e82966, content=<a href='/topic/show?id=e9053369ec1' target=_blank style='color:#2F92EE;'>#北医三院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33697, encryptionId=e9053369ec1, topicName=北医三院)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6115990449, createdName=amy0552, createdTime=Thu Apr 21 01:07:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79870, encodeId=8c9ee9870c1, content=讲的挺好,收益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=61ad1712805, createdName=C3, createdTime=Thu Apr 21 00:01:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79865, encodeId=0125e9865fe, content=学习了!谢谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9c1711400, createdName=WEIXIN0eab4f62, createdTime=Wed Apr 20 22:49:00 CST 2016, time=2016-04-20, status=1, ipAttribution=)]
    2016-04-21 yahu
  8. [GetPortalCommentsPageByObjectIdResponse(id=141003, encodeId=8a84141003c2, content=文章真心很好,感谢作者, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, 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=Thu Oct 06 13:57:09 CST 2016, time=2016-10-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=108727, encodeId=fd76108e27ca, content=好文,值得学习,赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Thu Sep 01 08:52:00 CST 2016, time=2016-09-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=92641, encodeId=08ad9264106, content=幸亏没买, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Sun Jul 10 20:07:00 CST 2016, time=2016-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740616, encodeId=c11a1e406160c, content=<a href='/topic/show?id=182793042a5' target=_blank style='color:#2F92EE;'>#跑步机#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93042, encryptionId=182793042a5, topicName=跑步机)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bf6034789957, createdName=ms7019579240139182, createdTime=Sun Aug 28 00:07:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=82566, encodeId=bdd4825668a, content=游泳最护膝!, beContent=null, objectType=article, channel=null, level=null, likeNumber=166, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2a951716657, createdName=为何, createdTime=Sun Apr 24 22:10:00 CST 2016, time=2016-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79895, encodeId=a395e9895b5, content=人体的结构就是适合慢速超长跑。那关节问题源自现代人体格太差,还是跑步不好?, beContent=null, objectType=article, channel=null, level=null, likeNumber=138, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=75901667839, createdName=1de03db9m76(暂无匿称), createdTime=Thu Apr 21 10:27:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493893, encodeId=cc71149389363, content=<a href='/topic/show?id=949e9304149' target=_blank style='color:#2F92EE;'>#跑步#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93041, encryptionId=949e9304149, topicName=跑步)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=37959125862, createdName=yahu, createdTime=Thu Apr 21 01:07:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1457829, encodeId=08af145e82966, content=<a href='/topic/show?id=e9053369ec1' target=_blank style='color:#2F92EE;'>#北医三院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33697, encryptionId=e9053369ec1, topicName=北医三院)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6115990449, createdName=amy0552, createdTime=Thu Apr 21 01:07:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79870, encodeId=8c9ee9870c1, content=讲的挺好,收益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=61ad1712805, createdName=C3, createdTime=Thu Apr 21 00:01:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79865, encodeId=0125e9865fe, content=学习了!谢谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9c1711400, createdName=WEIXIN0eab4f62, createdTime=Wed Apr 20 22:49:00 CST 2016, time=2016-04-20, status=1, ipAttribution=)]
  9. [GetPortalCommentsPageByObjectIdResponse(id=141003, encodeId=8a84141003c2, content=文章真心很好,感谢作者, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, 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=Thu Oct 06 13:57:09 CST 2016, time=2016-10-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=108727, encodeId=fd76108e27ca, content=好文,值得学习,赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Thu Sep 01 08:52:00 CST 2016, time=2016-09-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=92641, encodeId=08ad9264106, content=幸亏没买, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Sun Jul 10 20:07:00 CST 2016, time=2016-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740616, encodeId=c11a1e406160c, content=<a href='/topic/show?id=182793042a5' target=_blank style='color:#2F92EE;'>#跑步机#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93042, encryptionId=182793042a5, topicName=跑步机)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bf6034789957, createdName=ms7019579240139182, createdTime=Sun Aug 28 00:07:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=82566, encodeId=bdd4825668a, content=游泳最护膝!, beContent=null, objectType=article, channel=null, level=null, likeNumber=166, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2a951716657, createdName=为何, createdTime=Sun Apr 24 22:10:00 CST 2016, time=2016-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79895, encodeId=a395e9895b5, content=人体的结构就是适合慢速超长跑。那关节问题源自现代人体格太差,还是跑步不好?, beContent=null, objectType=article, channel=null, level=null, likeNumber=138, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=75901667839, createdName=1de03db9m76(暂无匿称), createdTime=Thu Apr 21 10:27:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493893, encodeId=cc71149389363, content=<a href='/topic/show?id=949e9304149' target=_blank style='color:#2F92EE;'>#跑步#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93041, encryptionId=949e9304149, topicName=跑步)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=37959125862, createdName=yahu, createdTime=Thu Apr 21 01:07:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1457829, encodeId=08af145e82966, content=<a href='/topic/show?id=e9053369ec1' target=_blank style='color:#2F92EE;'>#北医三院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33697, encryptionId=e9053369ec1, topicName=北医三院)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6115990449, createdName=amy0552, createdTime=Thu Apr 21 01:07:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79870, encodeId=8c9ee9870c1, content=讲的挺好,收益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=61ad1712805, createdName=C3, createdTime=Thu Apr 21 00:01:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79865, encodeId=0125e9865fe, content=学习了!谢谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9c1711400, createdName=WEIXIN0eab4f62, createdTime=Wed Apr 20 22:49:00 CST 2016, time=2016-04-20, status=1, ipAttribution=)]
    2016-04-21 C3

    讲的挺好,收益匪浅

    0

  10. [GetPortalCommentsPageByObjectIdResponse(id=141003, encodeId=8a84141003c2, content=文章真心很好,感谢作者, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, 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=Thu Oct 06 13:57:09 CST 2016, time=2016-10-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=108727, encodeId=fd76108e27ca, content=好文,值得学习,赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Thu Sep 01 08:52:00 CST 2016, time=2016-09-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=92641, encodeId=08ad9264106, content=幸亏没买, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Sun Jul 10 20:07:00 CST 2016, time=2016-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1740616, encodeId=c11a1e406160c, content=<a href='/topic/show?id=182793042a5' target=_blank style='color:#2F92EE;'>#跑步机#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93042, encryptionId=182793042a5, topicName=跑步机)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bf6034789957, createdName=ms7019579240139182, createdTime=Sun Aug 28 00:07:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=82566, encodeId=bdd4825668a, content=游泳最护膝!, beContent=null, objectType=article, channel=null, level=null, likeNumber=166, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2a951716657, createdName=为何, createdTime=Sun Apr 24 22:10:00 CST 2016, time=2016-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79895, encodeId=a395e9895b5, content=人体的结构就是适合慢速超长跑。那关节问题源自现代人体格太差,还是跑步不好?, beContent=null, objectType=article, channel=null, level=null, likeNumber=138, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=75901667839, createdName=1de03db9m76(暂无匿称), createdTime=Thu Apr 21 10:27:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1493893, encodeId=cc71149389363, content=<a href='/topic/show?id=949e9304149' target=_blank style='color:#2F92EE;'>#跑步#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93041, encryptionId=949e9304149, topicName=跑步)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=37959125862, createdName=yahu, createdTime=Thu Apr 21 01:07:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1457829, encodeId=08af145e82966, content=<a href='/topic/show?id=e9053369ec1' target=_blank style='color:#2F92EE;'>#北医三院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33697, encryptionId=e9053369ec1, topicName=北医三院)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6115990449, createdName=amy0552, createdTime=Thu Apr 21 01:07:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79870, encodeId=8c9ee9870c1, content=讲的挺好,收益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=61ad1712805, createdName=C3, createdTime=Thu Apr 21 00:01:00 CST 2016, time=2016-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79865, encodeId=0125e9865fe, content=学习了!谢谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9c1711400, createdName=WEIXIN0eab4f62, createdTime=Wed Apr 20 22:49:00 CST 2016, time=2016-04-20, status=1, ipAttribution=)]
    2016-04-20 WEIXIN0eab4f62

    学习了!谢谢。

    0

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