JAMA Network Open:13.9%的基线健康人群5年内会出现失眠综合症

2020-11-08 MedSci原创 MedSci原创

失眠是一个严重的公共健康问题,虽然失眠症的病理生理特征在很大程度上仍不为人所知,但越来越多的证据表明持续性失眠症与长期不良后果有关,如心理风险(如抑郁)、职业风险(旷工)和医学发病率(如高血压)的增加

失眠是一个严重的公共健康问题,虽然失眠症的病理生理特征在很大程度上仍不为人所知,但越来越多的证据表明持续性失眠症与长期不良后果有关,如心理风险(如抑郁)、职业风险(旷工)和医学发病率(如高血压)的增加,甚至预期寿命的缩短。尽管它的普遍性和不良后果,但人们对长时间间隔的失眠的自然过程,特别是与发病率、持续性、缓解和随时间变化的因素有关的知识有限。总之,关于它的自然发展史却知之甚少。

近日,JAMA Network Open上新发表的一篇名为Incidence, Persistence, and Remission Rates of Insomnia Over 5 Years的研究评估了5年自然随访期间内失眠的发生率、持续性和缓解率。

该队列研究了包括从2007年8月至2014年6月的加拿大成年人中挑选的有睡眠问题和没有睡眠问题的参与者。参与者连续5年完成了关于他们睡眠和健康状况的年度调查。在3419名完成基线评估的受访者中,有346人被排除在外,因为他们报告患有失眠以外的睡眠障碍(如睡眠呼吸暂停:n = 327,或其他原因如缺少睡眠变量数据:n = 19),留下3073名参与者。在基线时通过验证算法,参与者在每次评估中被分为睡眠良好者(n = 1717)、失眠障碍者(n = 538)和亚综合征失眠者(n = 818)。

参与者流程图

研究结果显示,对于有失眠症状的参与者,平均(SD)失眠持续时间为4.6(7.8)年,失眠严重程度的平均(SD) ISI评分为10.4(4.4)。患有失眠综合征的参与者,失眠持续时间平均为6.3(9.3)年,失眠严重程度ISI评分平均为15.1(4.8)。在全部样本中,403(13.3%)(大部分为失眠综合症参与者)报告使用了处方药物,2235(72.8%)报告至少有一种诊断的疾病。最常见的5种自我报告的疾病是慢性疼痛(729例[23.7%])、骨关节疾病(707例[23.0%])、高血压(457例[14.9%])、代谢和内分泌疾病(379例[12.3%])和消化系统疾病(309例[10.1%])。约有895名参与者(29.3%)表示存在相当程度的心理困扰(情绪和焦虑症状在过去2周持续1天)。

随访1年、3年和5年,基线睡眠良好的受试者的失眠发生率分别为3.8%(95%可信区间,2.5%-5.9%)、9.3%(95%可信区间,7.0%-12.2%)和13.9%(95%可信区间,11.0%-17.5%)。因此,在最初没有症状的参与者中,13.9%的人在接下来的5年内出现了失眠综合症。

1-    5年随访期的失眠症发生率及性别

在1年、3年和5年的随访中,所有患失眠综合征或亚综合征失眠患者的持续率分别为70.7%(95%CI,65.9%-75.0%)、49.4%(95%CI,44.3%-54.3%)和37.5%(95%CI,32.6%-42.5%)。因此,最初报告有失眠症状或综合征的受试者中,37.5%在5年后仍有失眠症,在此期间没有任何缓解报告。在1年、3年和5年的随访中,基线失眠症患者的持续率分别为86.0%(95%CI,79.2%-90.7%)、72.4%(95%CI,64.1%79.1%)和59.1%(95%CI,49.6%67.3%)。

1到5年随访期间的总体持续失眠症发生率以及基线时的失眠状况

缓解率作为持续率(生存模型预测的事件)的补充被估计。随访1年、3年和5年,所有症状和综合征患者的基线缓解率分别为29.3%、50.6%和62.5%。因此,在最初报告基线时出现失眠症状或综合征的参与者中,有62.5%的人在未来5年内至少经历了一次缓解。

本研究结果可能对失眠症的预后和治疗有重要意义。首先,失眠症的严重程度可能是一种有价值的预后指标,用于识别有较大慢性失眠症风险的个体。第二,当患者报告睡眠障碍时,应立即开始治疗,特别是当这种抱怨严重到符合失眠的标准时。尽管失眠症的发病率很高,负担也很重,但它往往得不到认识和治疗。保健从业人员被敦促以证据为基础的干预早期干预,而不是假设失眠会自动缓解。纵向研究也值得评估早期干预是否可以防止失眠慢性发展和降低其相关发病率。

在这项纵向数据研究中,失眠综合征是一种持续性的睡眠障碍。本研究发现瞭解失眠症的发生轨迹,可能对设计更有针对性、更有效的预防及早期干预方案有价值。还需要进一步的研究来检查与失眠病程相关的预测和修正因素的性质,以及心理和生理健康状况的改变,以及治疗的开始是否会改变失眠的长期病程。这些信息将有助于开发更具针对性的疗法。虽然越来越多的证据表明失眠症的发病率,但下一步可能是评估早期干预是否能在长期内改变这种发病率。一旦确定和验证了可靠的失眠症表型(例如,睡眠时间短的失眠症与正常睡眠时间的失眠症),研究这些不同的亚型是否遵循相似或不同的长期轨迹将是有意义的。

参考文献:JAMA Netw Open. 2020;3(11):e2018782. doi:10.1001/jamanetworkopen.2020.18782.

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    2021-06-04 feather89
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  4. [GetPortalCommentsPageByObjectIdResponse(id=1734271, encodeId=86091e342716b, content=<a href='/topic/show?id=d4f412668a4' target=_blank style='color:#2F92EE;'>#NET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12668, encryptionId=d4f412668a4, topicName=NET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7ea033781210, createdName=canlab, createdTime=Mon Aug 16 10:53:52 CST 2021, time=2021-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1728703, encodeId=cc4b1e28703c2, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Fri Jun 04 19:53:52 CST 2021, time=2021-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1911142, encodeId=585b1911142ad, content=<a href='/topic/show?id=8c0d2e73196' target=_blank style='color:#2F92EE;'>#健康人#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27731, encryptionId=8c0d2e73196, topicName=健康人)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55f6293, createdName=lishizhe, createdTime=Fri Jan 15 21:53:52 CST 2021, time=2021-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=898643, encodeId=eab9898643d1, content=睡眠问题值得重视!, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Thu Nov 12 10:06:44 CST 2020, time=2020-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897922, encodeId=40ee89e92286, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ac555424952, createdName=ms8000001754662727, createdTime=Mon Nov 09 11:46:42 CST 2020, time=2020-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1036332, encodeId=dc92103633298, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Sun Nov 08 22:53:52 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897832, encodeId=d66e89e832dc, content=1, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4bd25432982, createdName=ms3000000713630945, createdTime=Sun Nov 08 21:53:35 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897827, encodeId=214d89e8279d, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201108/138534d5726b4dc2aa05668114a8d111/793eefac26e747278cce1021559589fb.jpg, createdBy=add15432967, createdName=素盘man, createdTime=Sun Nov 08 21:24:55 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897821, encodeId=514c89e82178, content=继续学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200627/83a502bff6c14b759a7d0863b4068e7b/32ad40676056418ea58a94afac9c5b81.jpg, createdBy=6f475314305, createdName=水-晶, createdTime=Sun Nov 08 21:01:54 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897813, encodeId=681089e813f9, content=很好,会收藏学习!, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ecfc5432957, createdName=ms4000000481618222, createdTime=Sun Nov 08 20:50:01 CST 2020, time=2020-11-08, status=1, ipAttribution=)]
    2020-11-12 Jessica

    睡眠问题值得重视!

    0

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    2020-11-09 ms8000001754662727

    学习了

    0

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    2020-11-08 旺医

    顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1734271, encodeId=86091e342716b, content=<a href='/topic/show?id=d4f412668a4' target=_blank style='color:#2F92EE;'>#NET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12668, encryptionId=d4f412668a4, topicName=NET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7ea033781210, createdName=canlab, createdTime=Mon Aug 16 10:53:52 CST 2021, time=2021-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1728703, encodeId=cc4b1e28703c2, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Fri Jun 04 19:53:52 CST 2021, time=2021-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1911142, encodeId=585b1911142ad, content=<a href='/topic/show?id=8c0d2e73196' target=_blank style='color:#2F92EE;'>#健康人#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27731, encryptionId=8c0d2e73196, topicName=健康人)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55f6293, createdName=lishizhe, createdTime=Fri Jan 15 21:53:52 CST 2021, time=2021-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=898643, encodeId=eab9898643d1, content=睡眠问题值得重视!, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Thu Nov 12 10:06:44 CST 2020, time=2020-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897922, encodeId=40ee89e92286, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ac555424952, createdName=ms8000001754662727, createdTime=Mon Nov 09 11:46:42 CST 2020, time=2020-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1036332, encodeId=dc92103633298, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Sun Nov 08 22:53:52 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897832, encodeId=d66e89e832dc, content=1, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4bd25432982, createdName=ms3000000713630945, createdTime=Sun Nov 08 21:53:35 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897827, encodeId=214d89e8279d, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201108/138534d5726b4dc2aa05668114a8d111/793eefac26e747278cce1021559589fb.jpg, createdBy=add15432967, createdName=素盘man, createdTime=Sun Nov 08 21:24:55 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897821, encodeId=514c89e82178, content=继续学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200627/83a502bff6c14b759a7d0863b4068e7b/32ad40676056418ea58a94afac9c5b81.jpg, createdBy=6f475314305, createdName=水-晶, createdTime=Sun Nov 08 21:01:54 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897813, encodeId=681089e813f9, content=很好,会收藏学习!, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ecfc5432957, createdName=ms4000000481618222, createdTime=Sun Nov 08 20:50:01 CST 2020, time=2020-11-08, status=1, ipAttribution=)]
    2020-11-08 ms3000000713630945

    1

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1734271, encodeId=86091e342716b, content=<a href='/topic/show?id=d4f412668a4' target=_blank style='color:#2F92EE;'>#NET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12668, encryptionId=d4f412668a4, topicName=NET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7ea033781210, createdName=canlab, createdTime=Mon Aug 16 10:53:52 CST 2021, time=2021-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1728703, encodeId=cc4b1e28703c2, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Fri Jun 04 19:53:52 CST 2021, time=2021-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1911142, encodeId=585b1911142ad, content=<a href='/topic/show?id=8c0d2e73196' target=_blank style='color:#2F92EE;'>#健康人#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27731, encryptionId=8c0d2e73196, topicName=健康人)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55f6293, createdName=lishizhe, createdTime=Fri Jan 15 21:53:52 CST 2021, time=2021-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=898643, encodeId=eab9898643d1, content=睡眠问题值得重视!, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Thu Nov 12 10:06:44 CST 2020, time=2020-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897922, encodeId=40ee89e92286, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ac555424952, createdName=ms8000001754662727, createdTime=Mon Nov 09 11:46:42 CST 2020, time=2020-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1036332, encodeId=dc92103633298, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Sun Nov 08 22:53:52 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897832, encodeId=d66e89e832dc, content=1, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4bd25432982, createdName=ms3000000713630945, createdTime=Sun Nov 08 21:53:35 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897827, encodeId=214d89e8279d, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201108/138534d5726b4dc2aa05668114a8d111/793eefac26e747278cce1021559589fb.jpg, createdBy=add15432967, createdName=素盘man, createdTime=Sun Nov 08 21:24:55 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897821, encodeId=514c89e82178, content=继续学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200627/83a502bff6c14b759a7d0863b4068e7b/32ad40676056418ea58a94afac9c5b81.jpg, createdBy=6f475314305, createdName=水-晶, createdTime=Sun Nov 08 21:01:54 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897813, encodeId=681089e813f9, content=很好,会收藏学习!, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ecfc5432957, createdName=ms4000000481618222, createdTime=Sun Nov 08 20:50:01 CST 2020, time=2020-11-08, status=1, ipAttribution=)]
    2020-11-08 素盘man

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1734271, encodeId=86091e342716b, content=<a href='/topic/show?id=d4f412668a4' target=_blank style='color:#2F92EE;'>#NET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12668, encryptionId=d4f412668a4, topicName=NET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7ea033781210, createdName=canlab, createdTime=Mon Aug 16 10:53:52 CST 2021, time=2021-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1728703, encodeId=cc4b1e28703c2, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Fri Jun 04 19:53:52 CST 2021, time=2021-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1911142, encodeId=585b1911142ad, content=<a href='/topic/show?id=8c0d2e73196' target=_blank style='color:#2F92EE;'>#健康人#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27731, encryptionId=8c0d2e73196, topicName=健康人)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55f6293, createdName=lishizhe, createdTime=Fri Jan 15 21:53:52 CST 2021, time=2021-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=898643, encodeId=eab9898643d1, content=睡眠问题值得重视!, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Thu Nov 12 10:06:44 CST 2020, time=2020-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897922, encodeId=40ee89e92286, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ac555424952, createdName=ms8000001754662727, createdTime=Mon Nov 09 11:46:42 CST 2020, time=2020-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1036332, encodeId=dc92103633298, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Sun Nov 08 22:53:52 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897832, encodeId=d66e89e832dc, content=1, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4bd25432982, createdName=ms3000000713630945, createdTime=Sun Nov 08 21:53:35 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897827, encodeId=214d89e8279d, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201108/138534d5726b4dc2aa05668114a8d111/793eefac26e747278cce1021559589fb.jpg, createdBy=add15432967, createdName=素盘man, createdTime=Sun Nov 08 21:24:55 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897821, encodeId=514c89e82178, content=继续学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200627/83a502bff6c14b759a7d0863b4068e7b/32ad40676056418ea58a94afac9c5b81.jpg, createdBy=6f475314305, createdName=水-晶, createdTime=Sun Nov 08 21:01:54 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897813, encodeId=681089e813f9, content=很好,会收藏学习!, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ecfc5432957, createdName=ms4000000481618222, createdTime=Sun Nov 08 20:50:01 CST 2020, time=2020-11-08, status=1, ipAttribution=)]
    2020-11-08 水-晶

    继续学习

    0

  10. [GetPortalCommentsPageByObjectIdResponse(id=1734271, encodeId=86091e342716b, content=<a href='/topic/show?id=d4f412668a4' target=_blank style='color:#2F92EE;'>#NET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12668, encryptionId=d4f412668a4, topicName=NET)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7ea033781210, createdName=canlab, createdTime=Mon Aug 16 10:53:52 CST 2021, time=2021-08-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1728703, encodeId=cc4b1e28703c2, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Fri Jun 04 19:53:52 CST 2021, time=2021-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1911142, encodeId=585b1911142ad, content=<a href='/topic/show?id=8c0d2e73196' target=_blank style='color:#2F92EE;'>#健康人#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27731, encryptionId=8c0d2e73196, topicName=健康人)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55f6293, createdName=lishizhe, createdTime=Fri Jan 15 21:53:52 CST 2021, time=2021-01-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=898643, encodeId=eab9898643d1, content=睡眠问题值得重视!, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Thu Nov 12 10:06:44 CST 2020, time=2020-11-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897922, encodeId=40ee89e92286, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ac555424952, createdName=ms8000001754662727, createdTime=Mon Nov 09 11:46:42 CST 2020, time=2020-11-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1036332, encodeId=dc92103633298, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Sun Nov 08 22:53:52 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897832, encodeId=d66e89e832dc, content=1, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4bd25432982, createdName=ms3000000713630945, createdTime=Sun Nov 08 21:53:35 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897827, encodeId=214d89e8279d, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201108/138534d5726b4dc2aa05668114a8d111/793eefac26e747278cce1021559589fb.jpg, createdBy=add15432967, createdName=素盘man, createdTime=Sun Nov 08 21:24:55 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897821, encodeId=514c89e82178, content=继续学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200627/83a502bff6c14b759a7d0863b4068e7b/32ad40676056418ea58a94afac9c5b81.jpg, createdBy=6f475314305, createdName=水-晶, createdTime=Sun Nov 08 21:01:54 CST 2020, time=2020-11-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=897813, encodeId=681089e813f9, content=很好,会收藏学习!, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ecfc5432957, createdName=ms4000000481618222, createdTime=Sun Nov 08 20:50:01 CST 2020, time=2020-11-08, status=1, ipAttribution=)]
    2020-11-08 ms4000000481618222

    很好,会收藏学习!

    0

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